Evaluated Pharmacology For Nurses Final Exam

EVALUATED PHARMACOLOGY FOR NURSES FINAL EXAM What will Atropine do to the GI system? - CORRECT ANSWER -Dry up secretions. The nurse should immediately report the development of which of the following symptoms in a client taking antipsychotic medication? - CORRECT ANSWER -Fever, tachycardia, confusion, and incontinence are symptoms of the development of neuroleptic malignant syndrome (NMS) and should be immediately reported. The client admitted with hepatitis B is prescribed Vicodin tabs 2 for treatment of pain. The appropriate nursing action is to: - CORRECT ANSWER -c.) Question the physician about the order. Vicodin is a combination drug of hydrocodone and acetaminophen. Acetaminophen can be hepatotoxic, and is contraindicated in liver disease. The nurse administers morphine sulfate 4 mg IV to a client for treatment of severe pain. Which of the following assessments requires immediate nursing interventions? - CORRECT ANSWER -d.) Respiratory rate 10/minute Opioids activate mu and kappa receptors that can cause profound respiratory depression. Respiratory rate should remain above 12. The BP is not significantly low. Drowsiness is an expected effect of morphine. Unrelieved pain warrants further assessment, but not as immediately as do decreased respirations. The nurse teaches the client relaxation techniques and guided imagery as an adjunct to medication for treatment of pain. The nurse explains that the major benefit of these techniques is that they: - CORRECT ANSWER -b.) Allow lower doses of drugs with fewer side effects. When used concurrently with medication, non-pharmacologic techniques can allow for lower doses, and possibly fewer drug-related adverse effects. The other options also are advantages to guided imagery and relaxation, but not the major one. What is the most appropriate method to ensure adequate pain relief in the immediate postoperative period from an opioid drug? - CORRECT ANSWER -give the drug as consistently as possible for the first 24 to 48 hours. Planning teaching needs for a pt who is to be discharge postoperatively with a prescription for oxycodone with acetaminophen ( Percocet ) should include which of the following? - CORRECT ANSWER -encourage increased fluids and fiber in the diet.... An 8-year-old boy is evaluated and diagnosed with absence seizures. He is started on ethosuximide (Zarontin). What information should the nurse provide to the parents? - CORRECT ANSWER -Monitor height and weight to assess that growth is progressing normally. The nurse is providing education for a 12 year old client with partial seizures currently prescribed valproic acid (Depakene). The nurse will teach the client and the parents to immediately report what symptom? - CORRECT ANSWER -Increasing or severe abdominal pain The nurse is caring for a 72-year-old client taking gabapentin (Neurontin) for seizure disorder. Because of this client's age, the nurse would establish what nursing diagnosis related to the drug's common adverse effects? - CORRECT ANSWER -Risk for falls A client has been taking phenytoin (Dilantin) for control of generalized seizures, tonic-clonic type. The client is admitted to the medical unit with symptoms of nystagmus, confusion, and ataxia. What change in the phenytoin dosage does the nurse anticipate will be made based on these symptoms? - CORRECT ANSWER -The dosage will be decreased Teaching for a client receiving carbamazepine (Tegretol) should include instructions that the client should immediately report what symptom? - CORRECT ANSWER -Lethargy