PHARMACOLOGYiMODULEi3iEXAMiWITHiCOMPLETEiSOLUTIONiGRAD
EDiTOiPASS.
Theipatientihasibeeniordereditoibeitreatediwithialprazolam.iTheinurseirecognizesithatitheipatientiisimo
stilikelyiexperiencingiwhichicondition?
Anxietyiwithidepression
Alcoholiwithdrawal
Seizures
Insomniai-iANSi-iAnxietyiwithidepression
Alprazolamiisiknownitoibeieffectiveiinitreatingianxietyithatiisiassociatediwithidepression.iItiisinoticonsid
erediaifirst-lineitreatmentiforialcoholiwithdrawal,iseizures,ioriinsomnia.
Theinurseiisiassessingiaipatientitakingiantipsychoticsiandinotesithatiheihasidifficultyisittingistill.iTheipati
entistatesithatiheiisifeelingi"restless"iasiheipacesitheifloor.iWhatiisitheinurse'siprimaryiintervention?
Stopitheimedicationiimmediatelyiandinotifyitheihealthicareiprovider.
Administeritheiprescribedibenzodiazepine.
Administeribenztropinei(Cogentin)iasiordered.
Stayiwithitheipatientiandiofferireassurance.i-iANSi-iAdministeritheiprescribedibenzodiazepine.
Akathisiaipresentsiwithirestlessnessianditroubleistandingistill.iThisisideieffectiisibestitreatediwithiaibenz
odiazepineisuchiasilorazepam.iTheimedicationiisinotistoppediifiaipatientiexhibitsithisitypeiofieffect.
Theinurseiisicaringiforiaipatientiwhoiisistartingiclozapine.iWhichinursingiinterventioniisiaipriorityiforithis
ipatient?
1
,Assessibaselineiwhiteibloodicellicountiandiabsoluteineutrophilicount.
Evaluateisuicidalitendencies.
TakeiaibaselineiEEG.
Evaluateicreatinineiclearance.i-iANSi-
iAssessibaselineiwhiteibloodicellicountiandiabsoluteineutrophilicount.
Patientsitakingiclozapineimustibeimonitorediforitheilife-
threateningisideieffectiofiagranulocytosis.iAibaselineiwhiteibloodicellicountiandiabsoluteineutrophilicou
ntimustibeitaken.
Theipatientiisisuspectediofihavingioverdosedioniaibenzodiazepineimedication.iTheinurseiexpectsithatith
eihealthicareiprovideriwilliprescribeiwhichimedication?
Lorazepam
Flumazenil
Oxazepam
BuspironeiHCli-iANSi-iFlumazenil
Knowithisiasitheiantidoteiforibenzodiazepineioverdose.
TheipatientihasibeeniorderediaimedicationiregimenithatiincludesiLoxitane.iDuringiinstructionalisessionsi
regardingitheimedication,itheinurseishouldiemphasizeiwhichiinformation?
Selectiallithatiapply:
Sedationicanioccur.
Hypotensioniisilikely.
Extrapyramidalisymptomsicanioccur.
Nauseaireductioniwillioccur.i-iANSi-iSedationicanioccur.
Hypotensioniisilikely.
Extrapyramidalisymptomsicanioccur.
2
, Loxitanei(generic:iloxapine;itypicaliantipsychotic)iisiknownitoicauseisedation,ihypotension,iandiextrapyr
amidalisymptoms.iNauseaimayiresultiasiaisideieffectiofiLoxitane.
Theinurseiisicaringiforiaipatientiwhoseimedicationiregimeniincludesitheibenzodiazepineichlordiazepoxid
e.iTheinurseirecognizesithatitheipatientiisimostilikelyiexperiencingiwhichicondition?
Alcoholiwithdrawal
Depression
Seizures
Insomniai-iANSi-iAlcoholiwithdrawal
Chlordiazepoxidei(trade:iLibrium)iisitheibenzodiazepineithatiisimostifrequentlyiusediwithipatientsiwhoia
reiexperiencingialcoholiwithdrawaliratherithanitheiothericonditionsilisted.
Theinurseiisiworkingiwithiaipatientiwhoiisireceivingihaloperidol.iWhichifindingiinitheipatient'sihistoryiw
ouldicauseitheinurseitoiquestionitheiuseiofithisidrug?
Hypertension
Glaucoma
Irritableibowelidisease
Prostaticihypertrophyi-iANSi-iGlaucoma
Aicontraindicationiforitheiuseiofihaloperidoli(trade:iHaldol)iisiglaucoma.iTheiotherifindingsiwouldinotiaff
ectitheiuseiofithisidrug.
Theinurseiisiworkingiwithiaipatientiwhoihasirecentlyibeenistartedionitemazepam.iTheinurseirecognizesit
hatitheipatientiisimostilikelyiexperiencingiwhichicondition?
Anxiety
Seizures
Insomnia
3
EDiTOiPASS.
Theipatientihasibeeniordereditoibeitreatediwithialprazolam.iTheinurseirecognizesithatitheipatientiisimo
stilikelyiexperiencingiwhichicondition?
Anxietyiwithidepression
Alcoholiwithdrawal
Seizures
Insomniai-iANSi-iAnxietyiwithidepression
Alprazolamiisiknownitoibeieffectiveiinitreatingianxietyithatiisiassociatediwithidepression.iItiisinoticonsid
erediaifirst-lineitreatmentiforialcoholiwithdrawal,iseizures,ioriinsomnia.
Theinurseiisiassessingiaipatientitakingiantipsychoticsiandinotesithatiheihasidifficultyisittingistill.iTheipati
entistatesithatiheiisifeelingi"restless"iasiheipacesitheifloor.iWhatiisitheinurse'siprimaryiintervention?
Stopitheimedicationiimmediatelyiandinotifyitheihealthicareiprovider.
Administeritheiprescribedibenzodiazepine.
Administeribenztropinei(Cogentin)iasiordered.
Stayiwithitheipatientiandiofferireassurance.i-iANSi-iAdministeritheiprescribedibenzodiazepine.
Akathisiaipresentsiwithirestlessnessianditroubleistandingistill.iThisisideieffectiisibestitreatediwithiaibenz
odiazepineisuchiasilorazepam.iTheimedicationiisinotistoppediifiaipatientiexhibitsithisitypeiofieffect.
Theinurseiisicaringiforiaipatientiwhoiisistartingiclozapine.iWhichinursingiinterventioniisiaipriorityiforithis
ipatient?
1
,Assessibaselineiwhiteibloodicellicountiandiabsoluteineutrophilicount.
Evaluateisuicidalitendencies.
TakeiaibaselineiEEG.
Evaluateicreatinineiclearance.i-iANSi-
iAssessibaselineiwhiteibloodicellicountiandiabsoluteineutrophilicount.
Patientsitakingiclozapineimustibeimonitorediforitheilife-
threateningisideieffectiofiagranulocytosis.iAibaselineiwhiteibloodicellicountiandiabsoluteineutrophilicou
ntimustibeitaken.
Theipatientiisisuspectediofihavingioverdosedioniaibenzodiazepineimedication.iTheinurseiexpectsithatith
eihealthicareiprovideriwilliprescribeiwhichimedication?
Lorazepam
Flumazenil
Oxazepam
BuspironeiHCli-iANSi-iFlumazenil
Knowithisiasitheiantidoteiforibenzodiazepineioverdose.
TheipatientihasibeeniorderediaimedicationiregimenithatiincludesiLoxitane.iDuringiinstructionalisessionsi
regardingitheimedication,itheinurseishouldiemphasizeiwhichiinformation?
Selectiallithatiapply:
Sedationicanioccur.
Hypotensioniisilikely.
Extrapyramidalisymptomsicanioccur.
Nauseaireductioniwillioccur.i-iANSi-iSedationicanioccur.
Hypotensioniisilikely.
Extrapyramidalisymptomsicanioccur.
2
, Loxitanei(generic:iloxapine;itypicaliantipsychotic)iisiknownitoicauseisedation,ihypotension,iandiextrapyr
amidalisymptoms.iNauseaimayiresultiasiaisideieffectiofiLoxitane.
Theinurseiisicaringiforiaipatientiwhoseimedicationiregimeniincludesitheibenzodiazepineichlordiazepoxid
e.iTheinurseirecognizesithatitheipatientiisimostilikelyiexperiencingiwhichicondition?
Alcoholiwithdrawal
Depression
Seizures
Insomniai-iANSi-iAlcoholiwithdrawal
Chlordiazepoxidei(trade:iLibrium)iisitheibenzodiazepineithatiisimostifrequentlyiusediwithipatientsiwhoia
reiexperiencingialcoholiwithdrawaliratherithanitheiothericonditionsilisted.
Theinurseiisiworkingiwithiaipatientiwhoiisireceivingihaloperidol.iWhichifindingiinitheipatient'sihistoryiw
ouldicauseitheinurseitoiquestionitheiuseiofithisidrug?
Hypertension
Glaucoma
Irritableibowelidisease
Prostaticihypertrophyi-iANSi-iGlaucoma
Aicontraindicationiforitheiuseiofihaloperidoli(trade:iHaldol)iisiglaucoma.iTheiotherifindingsiwouldinotiaff
ectitheiuseiofithisidrug.
Theinurseiisiworkingiwithiaipatientiwhoihasirecentlyibeenistartedionitemazepam.iTheinurseirecognizesit
hatitheipatientiisimostilikelyiexperiencingiwhichicondition?
Anxiety
Seizures
Insomnia
3
