Pharm 180 Quiz 3 Questions With Complete Solutions
A nurse is administering amitriptyline to a client who is
experiencing cancer pain. For which of the following adverse
effects should the nurse monitor?
a. decreased appetite
b. explosive diarrhea
c. decreased pulse rate
d. orthostatic hypotension Correct Answer d. orthostatic
hypotension
- increased weight gain and appetite
- can cause constipation
- increase heart rate NOT decrease think (MI)
A nurse is caring for a client who is receiving local anesthetic of
lidocaine during the repair of skin laceration. for which of the
following manifestations should the nurse monitor as an adverse
reaction to the anesthetic?
a. seizures
b. tachycardia
c. hypertension
e. fever Correct Answer a. seizures
A nurse is providing teaching to a client who has migraine
headaches and a new prescription for ergotamine. for which of
the following manifestations indicating a possible adverse
,reaction should the nurse instruct the client to stop taking the
medication? (select all that apply)
a. nausea
b. visual disturbances
c. positive home pregnancy test
d. numbness and tingling in fingers
e. muscle pain Correct Answer c. positive home pregnancy test
d. numbness and tingling in fingers
e. muscle pain
A nurse is providing teaching to a client who is experiencing
migraine headaches. which of the following instructions should
the nurse provide?
a. take ergotamine as a propylaxis to prevent a migraine
headache
b. identify and avoid trigger factors
c. lie down in a dark room at the onset of a migraine
d. avoid foods that contain tyramine
e. avoid exercise that can increase heart rate Correct Answer b.
identify and avoid trigger factors
c. lie down in a dark room at the onset of a migraine
d. avoid foods that contain tyramine
Administration of Allopurinol? Correct Answer slow infusion,
minimum 1 hour
Allopurinol and Febuxostat Correct Answer inhibit uric acid
production
, Calcitonin Correct Answer Lowers blood calcium levels
Calcitriol (Vitamin D) Correct Answer increases calcium
absorption in GI tract therefore increases calcium in blood;
steroid hormone; over-the-counter calcium supplements are
often sold with Vit D
calcitriol vs calcitonin Correct Answer Calcitriol: helps
increase blood calcium levels
Calcitonin: helps decrease blood calcium levels
chelates heavy metals
a. gold salts: auronofin
b. penicillamine
c. cyclosporine Correct Answer b. penicillamine
Chvostek's or Trousseau's sign indicate? Correct Answer
Hypocalcemia
Important to monitor for this with calcitonin administration
Consumption of grapefruit juice increases _________ levels by
50% to 200% Avoid grapefruit juice Correct Answer
Cyclosporine
Diuretics increase risk for? Correct Answer hypokalemia
DMARDS Correct Answer slow joint degeneration and
progression of rheumatoid arthritis
A nurse is administering amitriptyline to a client who is
experiencing cancer pain. For which of the following adverse
effects should the nurse monitor?
a. decreased appetite
b. explosive diarrhea
c. decreased pulse rate
d. orthostatic hypotension Correct Answer d. orthostatic
hypotension
- increased weight gain and appetite
- can cause constipation
- increase heart rate NOT decrease think (MI)
A nurse is caring for a client who is receiving local anesthetic of
lidocaine during the repair of skin laceration. for which of the
following manifestations should the nurse monitor as an adverse
reaction to the anesthetic?
a. seizures
b. tachycardia
c. hypertension
e. fever Correct Answer a. seizures
A nurse is providing teaching to a client who has migraine
headaches and a new prescription for ergotamine. for which of
the following manifestations indicating a possible adverse
,reaction should the nurse instruct the client to stop taking the
medication? (select all that apply)
a. nausea
b. visual disturbances
c. positive home pregnancy test
d. numbness and tingling in fingers
e. muscle pain Correct Answer c. positive home pregnancy test
d. numbness and tingling in fingers
e. muscle pain
A nurse is providing teaching to a client who is experiencing
migraine headaches. which of the following instructions should
the nurse provide?
a. take ergotamine as a propylaxis to prevent a migraine
headache
b. identify and avoid trigger factors
c. lie down in a dark room at the onset of a migraine
d. avoid foods that contain tyramine
e. avoid exercise that can increase heart rate Correct Answer b.
identify and avoid trigger factors
c. lie down in a dark room at the onset of a migraine
d. avoid foods that contain tyramine
Administration of Allopurinol? Correct Answer slow infusion,
minimum 1 hour
Allopurinol and Febuxostat Correct Answer inhibit uric acid
production
, Calcitonin Correct Answer Lowers blood calcium levels
Calcitriol (Vitamin D) Correct Answer increases calcium
absorption in GI tract therefore increases calcium in blood;
steroid hormone; over-the-counter calcium supplements are
often sold with Vit D
calcitriol vs calcitonin Correct Answer Calcitriol: helps
increase blood calcium levels
Calcitonin: helps decrease blood calcium levels
chelates heavy metals
a. gold salts: auronofin
b. penicillamine
c. cyclosporine Correct Answer b. penicillamine
Chvostek's or Trousseau's sign indicate? Correct Answer
Hypocalcemia
Important to monitor for this with calcitonin administration
Consumption of grapefruit juice increases _________ levels by
50% to 200% Avoid grapefruit juice Correct Answer
Cyclosporine
Diuretics increase risk for? Correct Answer hypokalemia
DMARDS Correct Answer slow joint degeneration and
progression of rheumatoid arthritis
