Pharm 180 Quiz 3 (SOLVED!)

Nonpharmacological techniques may be used in place of drugs or as an adjunct to pharmacotherapy to help reduce the use of? correct answers - therapeutic touch, acupuncture, massages are all complementary alternative therapies - these types of therapies can be used instead of the main treatment or in conjunction as an adjuvant therapy - complementary alternative therapies can be used as adjuvants because they help decrease side effects as well as allowing lower dose The nurse keeps naloxone (Narcan) in the patient's room as per protocol. What does the nurse recognize as the justification for this protocol? correct answers - Narcan may be used to reverse respiratory depression and other acute symptoms - Narcan will reverse the effects of the narcotic in PCA pump if an overdose occurs What is a priority assessment question to ask a postsurgical patient prior to administration of an opioid analgesic? correct answers - ask the patient what their pain is on a scale of 1-10 The patient comes to the emergency department with a head injury, broken ribs, and internal bleeding. What class of medications are contraindicated for this patient? correct answers - Opioids because they can mask changes in a patient's level of consciousness What is the mode of action for skeletal muscle relaxants? correct answers - inhibits upper- motor- neuron activity - causes CNS depression, alters simple spinal reflexes List the common adverse effects of cyclobenzaprine (Flexeril)? - skeletal muscle relaxant correct answers - CNS depression - hepatic toxicity - physical dependence -anticholinergic effects : (a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. These agents inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. The client receives a nonsteroidal anti-inflammatory drug (NSAID) for treatment of pain. What patient teaching is important for the nurse to include when doing medication education? correct answers - Nurse should educate pt to report any unusual bleeding - Ask patient if history of GI bleeding, kidney disease & to always take with a full glass of water with meals for better absorption 8. The mother asks the nurse if she can use the liquid acetaminophen (Tylenol) that is used for her 10-year-old child. What is the best response by the nurse? correct answers - "Infant Drops should be used for the baby; the dose is different from the liquid form" - They have a different concentration of medication than the liquid preparations which can be given to