Oa And Pre Assessment Exam
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,A patient with bipolar disorder is discussing beginning A baseline BUN and creatinine is needed to assess kidney function because
lithium. The APRN wants baseline labs. The patient asks lithium can decrease renal function.
why. Which explanation should be provided?
A new nurse is reviewing sildenafil use. Which patient YES A 54-year-old male with controlled hypertension, mild eczema, and past
may take sildenafil safely? urolithiasis without complications
A 30-year-old patient with anxiety is prescribed YES Influences receptor activity on target cells
citalopram. What is its mechanism of action?
Correct explanation of citalopram's mechanism This medication influences the activity in the receptors, and it targets cells.
A Huntington disease patient has twitching, dysphagia, YES Inhibits neurotransmitter GABA
confusion, memory loss. APRN prescribes baclofen.
Mechanism of action?
NO Modulates the effects of glutamate at NMDA Incorrect.
receptors
NO Halts breakdown of acetylcholine by Incorrect. Cholinesterase inhibitors prevent ACh breakdown and are used for
acetylcholinesterase Alzheimer's.
Alters synthesis and release of norepinephrine, Incorrect.
serotonin, and dopamine
Correct explanation Baclofen enhances GABA; Huntington involves deficiency of acetylcholine and
GABA.
A 21-year-old patient has a seizure with impaired YES Tonic-clonic
consciousness followed by CNS depression. Type of
seizure?
Atonic NO
Myoclonic NO — consists of sudden 1-second contractions
Absence NO
, Correct explanation A tonic-clonic seizure involves convulsions, stiffening, loss of consciousness,
jerking.
A patient taking oxycodone every 6 hrs for 3 years YES Physical dependence
suddenly stops. What is the clinical concern?
Correct explanation Stopping abruptly causes withdrawal and can cause symptoms from nausea to
seizures.
A 44-year-old male with depression and sexual YES Bupropion
dysfunction history needs an antidepressant that
enhances libido.
Explanation Bupropion does not cause sexual dysfunction and may improve libido.
A wheezing patient receives a nonspecific beta-agonist. YES Tachycardia
Besides respiratory relief, what side effect should the
nurse monitor?
Explanation Beta1 stimulation causes tachycardia and hypertension.
A patient has toxic atropine effects (delirium, YES Physostigmine
hallucinations). Which medication should the provider
administer?
Explanation Physostigmine treats atropine poisoning and crosses the BBB.
A patient requires sutures. Provider orders local Allow a reduced dose of the anesthetic
anesthetic with epinephrine. Epinephrine is used to
________.
Explanation Epinephrine (alpha1 agonist) prolongs absorption and reduces anesthetic
needed.
A Parkinson patient on carbidopa reports no change Reevaluate the diagnosis
after months. What should the provider do?
Increase the dose of carbidopa Option but less correct
Discuss "on-off" phenomenon Possible but not primary