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Pharmacology/NURSING 3365 Pharmacology/ QUIZ 1 Question And Answer Graded 100%

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NURSING 3365 QUIZ 1 QUIZ 1 1. A patient is to receive 50 mg of atenolol at 0800. Prior to administering the medication, the nurse reviews the medical records for past medical history and obtains the patients apical pulse and blood pressure. What phase of the nursing process does this represent? Evaluation Planning Diagnosis Implementation Assessment 2. What is the exam window used for all exams? Friday 4 PM to 11:59 PM Tuesday 8 AM Thursday 4PM to 11:59 PM Thursday-Saturday 3. Match the common poisons with their antidotes. Acetaminophen  acetylcysteine Beta blockers  glucagon Opioid drugs  naloxone Benzodiazepines flumazenil 4. An African American patient is diagnosed with hypertension and will start therapy to control their blood pressure. Which classification of antihypertensive is most effective in the African American population based on genetic variance? Angiotensin converting enzyme inhibitors Beta blockers Calcium channel blockers Angiotensin II receptor blockers 5. If a student misses an exam for a non-emergent reason (an unexcused absence) and does not complete a thorough environmental scan, how many total points will be deducted from the make-up attempt? . A patient with seasonal allergies takes diphenhydramine at bedtime to help their symptoms. The patient becomes hyperactive and is unable to sleep. What type of reaction is the patient experiencing? Adverse drug reaction Inflammatory reactionHypersensitivity reaction Idiosyncratic reaction 7. A patient receives 10 mg of morphine orally at home for pain management. The patient is in the emergency department and is to receive 4 mg of morphine IV for severe pain. The patient asks the nurse why they are only getting 4 mg of IV morphine when at home they take 10 mg of morphine. What is the best response by the nurse? “Intravenous medications go directly into the bloodstream while oral medications must first go through the liver and some of the medication is made inactive.” “I will clarify this order with the healthcare provider because 4 mg is not enough since you take such a large amount at home” “I will administer this dose now and if it does not work, I will double the dose next time in order to control your pain.” “Because morphine is highly addictive and we are worried about the opioid crisis, the healthcare provider has ordered a smaller dose for you.” 8. A patient is scheduled to receive 2 highly protein bound drugs this morning. Assessment data is provided in the table below. Based on this information, what issue is likely to occur? Increased half-life Decreased bioavailability Decreased drug effect Increased risk of drug toxicity Vital signs Temperature 97.8 Respirations 14 Heart Rate 68 Blood pressure 100/50 Pain 5 Blood Chemistry Panel Sodium 140 Potassium 4 Chloride 99 Blood Urea Nitrogen 19 Creatinine 0.7 Calcium 10 Total Protein 5.7 Albumin 3 Glucose 1459. A patient will start on an anti-seizure drug that has a half-life of up to 42 hours. When will the patient achieve steady state? Between days and days. (Answer to the nearest whole numbers.) 10. The nurse is providing discharge education to an older adult patient who will be on 5 prescription drugs. What physiologic changes in the older adult patient put this patient at risk for drug interactions? Select All That Apply Glomerular Filtration Rate is decreased Protein production by the liver is decreased Gastric pH is decreased Fat content is increased Medication cost is increased Number of working nephrons is decreased Blood flow to the gastrointestinal tract is reduced

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