COMPLEX ADULT HEALTH EXAM REVIEW SOLVED QUESTIONS COMPLETE ANSWERS
GRADED A PLUS
Question:
Atropine Interactions.
Answer:
other CNS depressants increase CNS depression (i.e., diphenoxylate & atropine); monoamine
oxidase inhibitors (MAOI) increase the risk for hypertensive crisis (i.e., diphenoxylate & atropine)
Question:
Atropine Nursing Implications.
Answer:
monitor PT when ambulating BC can cause sedation, dizziness, lightheadedness, & drowsiness;
recommend the lowest effective dose for the shortest time to prevent sedation; monitor for
anti-cholinergic effects (dry mouth & urinary retention), such as urinary elimination patterns,
especially in an older adult
Question:
Atropine Patient Teaching.
Answer:
don't take prior to driving or activities requiring mental alertness; sit or lie down if feeling
lightheaded; change positions gradually; suck on hard candy or chew gum; sip on water; urinate
Q4H & report any undesirable changes in urinary elimination; drink clear liquids or a commercial
oral electrolyte solution; avoid caffeine BC it increases GI motility
Question:
Carvedilol.
,Answer:
Coreg
Question:
Carvedilol Indications.
Answer:
alpha/beta blocker; treats hypertension; treats heart failure along w/digoxin, angiotensin- converting
enzymes (ACE) inhibitors, & diuretics; prolongs chance of survival following MI
Question:
Carvedilol Contraindications/Precautions.
Answer:
severe unstable heart failure; asthma or other chronic respiratory disorders; heart block or severe
bradycardia; cardiogenic shock; lactation; child or adolescent younger than 18yo; DM; renal or liver
disorders; peripheral vascular disease; depressive disorders
Question:
Carvedilol Adverse Effects.
Answer:
dizziness, hypertension; bradycardia due to blockade of beta 1 receptors, which may lead to reduced
cardiac output
Question:
Carvedilol Interactions.
Answer:
increases risk for hypoglycemia w/ insulin or oral hypoglycemic; may increase risk for digoxin
toxicity; MAOI anti-depressants cause bradycardia or hypotension; cimetidine increases blood
levels; use w/ other anti-hypertensive drugs may increase risk for hypotension
,Question:
Carvedilol Nursing Implications.
Answer:
monitor BP; report hypotension & dizziness; report HR slower than 60bpm (or pre- arranged
parameter) to PCP
Question:
Carvedilol Patient Teaching.
Answer:
report dizziness, syncope; move slowly from lying to standing position to prevent falls; don't
perform hazardous activity, such as driving, until effects are known; check pulse rate daily before
taking drug & report to PCP for pulse slower than 60bpm (or prearranged parameter)
Question:
Ciprofloxacin.
Answer:
Cipro
Question:
Ciprofloxacin Indications.
Answer:
fluoroquinolone antibiotic; treats bacterial infections, including severe urinary tract disorders;
prevents anthrax (following inhalation of anthrax spores)
Question:
Ciprofloxacin Contraindications/Precautions.
Answer:
, allergy to any fluoroquinolone; tendon pain; serious CNS disorders (i.e., seizure disorder); GI
disorders; renal impairment; warfarin (Coumadin) therapy
Question:
Ciprofloxacin Adverse Effects.
Answer:
mild CNS symptoms such as dizziness, headache, & confusion in adults; N/V or diarrhea; Achilles
tendon rupture (rare), especially in children, older adults, & PT's taking glucocorticoids;
photosensitivity (sunburn-like reaction) even w/ indirect sun exposure-may occur despite use of
sunscreen
Question:
Ciprofloxacin Interactions.
Answer:
antacids, iron preparations, calcium (including dairy products), & sucralfate (Carafate) all decrease
oral absorption; increases theophylline levels & the risk for CNS symptoms; increases warfarin
(Coumadin) levels
Question:
Ciprofloxacin Nursing Implications.
Answer:
infuse IV slowly, over at least 60 minutes; incompatible w/ multiple drugs in IV solution or IV
tubing
Question:
Ciprofloxacin Patient Teaching.
Answer:
report CNS symptoms; decrease caffeine use during treatment; report GI symptoms; report tendon
pain; avoid exposure to sunlight or sunlamps; wear clothes that fully cover the body & apply
sunscreen to remaining areas of exposure; take antacids, iron, dairy products, & sucralfate 2 hrs after
GRADED A PLUS
Question:
Atropine Interactions.
Answer:
other CNS depressants increase CNS depression (i.e., diphenoxylate & atropine); monoamine
oxidase inhibitors (MAOI) increase the risk for hypertensive crisis (i.e., diphenoxylate & atropine)
Question:
Atropine Nursing Implications.
Answer:
monitor PT when ambulating BC can cause sedation, dizziness, lightheadedness, & drowsiness;
recommend the lowest effective dose for the shortest time to prevent sedation; monitor for
anti-cholinergic effects (dry mouth & urinary retention), such as urinary elimination patterns,
especially in an older adult
Question:
Atropine Patient Teaching.
Answer:
don't take prior to driving or activities requiring mental alertness; sit or lie down if feeling
lightheaded; change positions gradually; suck on hard candy or chew gum; sip on water; urinate
Q4H & report any undesirable changes in urinary elimination; drink clear liquids or a commercial
oral electrolyte solution; avoid caffeine BC it increases GI motility
Question:
Carvedilol.
,Answer:
Coreg
Question:
Carvedilol Indications.
Answer:
alpha/beta blocker; treats hypertension; treats heart failure along w/digoxin, angiotensin- converting
enzymes (ACE) inhibitors, & diuretics; prolongs chance of survival following MI
Question:
Carvedilol Contraindications/Precautions.
Answer:
severe unstable heart failure; asthma or other chronic respiratory disorders; heart block or severe
bradycardia; cardiogenic shock; lactation; child or adolescent younger than 18yo; DM; renal or liver
disorders; peripheral vascular disease; depressive disorders
Question:
Carvedilol Adverse Effects.
Answer:
dizziness, hypertension; bradycardia due to blockade of beta 1 receptors, which may lead to reduced
cardiac output
Question:
Carvedilol Interactions.
Answer:
increases risk for hypoglycemia w/ insulin or oral hypoglycemic; may increase risk for digoxin
toxicity; MAOI anti-depressants cause bradycardia or hypotension; cimetidine increases blood
levels; use w/ other anti-hypertensive drugs may increase risk for hypotension
,Question:
Carvedilol Nursing Implications.
Answer:
monitor BP; report hypotension & dizziness; report HR slower than 60bpm (or pre- arranged
parameter) to PCP
Question:
Carvedilol Patient Teaching.
Answer:
report dizziness, syncope; move slowly from lying to standing position to prevent falls; don't
perform hazardous activity, such as driving, until effects are known; check pulse rate daily before
taking drug & report to PCP for pulse slower than 60bpm (or prearranged parameter)
Question:
Ciprofloxacin.
Answer:
Cipro
Question:
Ciprofloxacin Indications.
Answer:
fluoroquinolone antibiotic; treats bacterial infections, including severe urinary tract disorders;
prevents anthrax (following inhalation of anthrax spores)
Question:
Ciprofloxacin Contraindications/Precautions.
Answer:
, allergy to any fluoroquinolone; tendon pain; serious CNS disorders (i.e., seizure disorder); GI
disorders; renal impairment; warfarin (Coumadin) therapy
Question:
Ciprofloxacin Adverse Effects.
Answer:
mild CNS symptoms such as dizziness, headache, & confusion in adults; N/V or diarrhea; Achilles
tendon rupture (rare), especially in children, older adults, & PT's taking glucocorticoids;
photosensitivity (sunburn-like reaction) even w/ indirect sun exposure-may occur despite use of
sunscreen
Question:
Ciprofloxacin Interactions.
Answer:
antacids, iron preparations, calcium (including dairy products), & sucralfate (Carafate) all decrease
oral absorption; increases theophylline levels & the risk for CNS symptoms; increases warfarin
(Coumadin) levels
Question:
Ciprofloxacin Nursing Implications.
Answer:
infuse IV slowly, over at least 60 minutes; incompatible w/ multiple drugs in IV solution or IV
tubing
Question:
Ciprofloxacin Patient Teaching.
Answer:
report CNS symptoms; decrease caffeine use during treatment; report GI symptoms; report tendon
pain; avoid exposure to sunlight or sunlamps; wear clothes that fully cover the body & apply
sunscreen to remaining areas of exposure; take antacids, iron, dairy products, & sucralfate 2 hrs after
