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NURS 251 Pharmacology: Midterm Exam Questions With Answers | Latest Review Graded A+| Portage Learning

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NURS 251 Pharmacology: Midterm Exam Questions With Answers | Latest Review Graded A+| Portage Learning. A frail, elderly woman has arrived at the emergency department with a broken hip and in acute respiratory distress. Succinylcholine will be used because of the need for rapid endotracheal intubation, and then the woman will be sent to surgery. Due to the woman's frail condition, she is at risk for skin breakdown. Which of the following nursing diagnoses would be most appropriate? Select one: b. Fear c. Disturbed Sensory Perception d. Impaired Cognition Question 2 Correct Points out of 1.00 Flag question Question text A nurse is educating a patient who has Parkinson disease and her husband about the possible adverse effects of carbidopa-levodopa. The nurse should emphasize the need for the patient and her husband to monitor for any sudden increase in Select one: a. perspiration. b. appetite or thirst. c. mobility. Question text Which part of the body would you not administer lidocaine with epinephrine by injection? Select one: a. the abdomen c. the lateral thigh d. the anterior food Correct Points out of 1.00 Flag question a. Impaired Physical Mobility c. involuntary movements. Question 3 Correct Points out of 1.00 Flag question b. the pinna of the ear Question text Which of these antidepressants is FDA approved for major depressive disorder, generalized anxiety disorder, and chronic muskuloskeletal pain? Select one: a. buproprion b. sertraline c. fluoxetine Question text Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work? Select one: a. Lorazepam (Ativan) b. Alprazolam (Xanax) c. Diazepam (Valium) Question text Your patient will receive ketamine via IV to a patient for procedural sedation. You recall that this anesthetic/analgesic causes sedation without impacting: Select one: b. wakefulness c. heart rate d. pupil function Question 4 Correct Points out of 1.00 Flag question c. duloxetine Question 5 Correct Points out of 1.00 Flag question Question 6 Correct d. Buspirone (BuSpar) a. respiratory function Question text Which one of these is a common side effect of methylphenidate (Ritalin)? Select one: a. Sleepiness b. Brain fog c. Increased appetite Question text The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be Select one: a. “I'll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol.” b. “I'll ask the nurse practitioner if the dosage can be increased.” c. “I'll ask the nurse practitioner if the haloperidol can be discontinued and another drug started.” Question text A woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over benzodiazepines in the treatment of anxiety? Select one: b. SSRIs do not require serial blood tests during therapy. c. SSRIs require administration once per week, versus daily or twice daily with benzodiazepines. d. SSRIs have a more rapid therapeutic effect. Question 7 Correct Points out of 1.00 Flag question Question 8 Correct d. Weight loss Question 9 Correct d. “Continue the prescribed dose. It may take several days to work.” a. SSRIs generally have fewer adverse effects. Question 10 Correct Points out of 1.00 Flag question Question text The nurse is asked why the patient needs to take an antidepressent to treat their anxiety. The best answer to this question is: Select one: b. "your psychiatrist can best answer that question" c. "many people with anxiety suffer from depression too" d. "these medications are chosen based on your genetic makeup" Question text It is important to monitor which of these laboratory tests for a patient on dantrolene for muscle spasms? Select one: a. BUN c. Creatinine Clearance d. CBC Question text A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome? Select one: a. The patient complains of intense thirst and produces copious amounts of urine. b. The patient develops yellowed sclerae and intense pruritis (itchiness). c. The patient demonstrates a significant increase in agitation after being given haloperidol. Question text A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? a. "many of the same chemicals that affect depression also reduce anxiety" Question 11 Correct Points out of 1.00 Flag question b. Liver Function Tests Question 12 Correct Points out of 1.00 Flag question c. The patient develops muscle rigidity and a sudden, high fever. Question 13 Correct Points out of 1.00 Flag question Select one: a. Increased thirst c. Hair loss d. Increased urination Question text Which of these medications would be appropriate to be prescribed to a patient that with anxiety that does not want to take a medication that is either sedating or habit forming? Select one: a. phenobarbitol b. lorazepam c. diazepam Question text A patient is brought to the emergency department after taking a handful of TCA pills.What is your priority nursing assessment? Select one: b. Pain c. Respiratory Rate d. Suicidal ideation Question text A patient is prescribed olanzapine for combination therapy with lithium for the treatment of acute manic episodes in bipolar disorder. The nurse will monitor this patient regularly for which of the following? Select one: a. Hypoglycemia b. Hyponatremia c. Hypernatremia

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