WGU D116 UNIT 3 OA REVIEW
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats
per minute, a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78
mm Hg. The prescriber orders a nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the nurse should
monitor for which side effect? - Answers-Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial smooth muscle-
causes bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including delirium and
hallucinations. Which medication should the provider administer? - Answers-
Physostigmine
A patient brought to the emergency department requires sutures. The prescriber orders
a local anesthetic with epinephrine.
The epinephrine is ordered to ___________. - Answers-Allow a reduced dose of the
anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1 agonist
A patient has been diagnosed with Parkinson disease (PD) and begins treatment with
carbidopa. After several months of therapy, the patient reports no change in symptoms.
As the provider, you should do which of the following? - Answers-Reevaluate the dx
There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid for seizures. After
a week of therapy with valproic acid, the patient tells the nurse that she is experiencing
nausea.
What should the nurse do? - Answers-Ask the pt is she is taking the med with food
because taking the drug on an empty stomach can cause gastrointestinal side effects
A patient with cerebral palsy who has been receiving baclofen via gastrostomy tube for
three months is admitted to the hospital for evaluation of new-onset seizures.
What might you suspect to be the cause of these seizures? - Answers-Missed doses of
baclofen
Baclofen does not appear to cause physical dependence, but abrupt discontinuation
has been associated with adverse reactions
, Abrupt withdrawal can cause visual hallucinations, paranoid ideation, and seizures
A nurse is preparing a patient to go home from the emergency department after
receiving sutures for a laceration on one hand. The provider used lidocaine with
epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern? - Answers-Nervousness and
tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed sumatriptan. Which
aspect of this patient's history is of concern when taking this drug? - Answers-CAD
Serotonin receptor agonists cause vasoconstriction and coronary vasospasm
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for
several months tells the provider that the medication has not helped with symptoms.
You plan to switch the patient to an SSRI.
What should you instruct the nurse to teach this patient? - Answers-"Stop taking the
MAOI two weeks before starting the SSRI"
MAOIs increase serotonin and can increase the risk for serotonin syndrome
SSRI and MAOIs should never be given together
A patient is admitted to a hospital for treatment for first-time symptoms of mania and is
exhibiting euphoric mania.
Which medication should you order? - Answers-Lithium
In all cases of mania, divalproex sodium is drug of choice, except for euphoric mania
symptoms
Olanzapine and risperidone are used to treat borderline personality disorder
A patient presents to an emergency room complaining of palpitations and irregular
heartbeat. The advanced practice registered nurse (APRN) places the patient on a
cardiac monitor and observes atrial fibrillation. The APRN orders dofetilide.How should
the APRN recommend this medication be taken? - Answers-With food or an empty
stomach
Dofeilide is well absorbed (90%) both with or without food
A 70-year-old male calls a clinic complaining of chest pain that started after having
sexual activity. He took sildenafil 50 mg about eight hours ago. He has nitroglycerin 0.3
mg on hand.
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats
per minute, a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78
mm Hg. The prescriber orders a nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the nurse should
monitor for which side effect? - Answers-Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial smooth muscle-
causes bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including delirium and
hallucinations. Which medication should the provider administer? - Answers-
Physostigmine
A patient brought to the emergency department requires sutures. The prescriber orders
a local anesthetic with epinephrine.
The epinephrine is ordered to ___________. - Answers-Allow a reduced dose of the
anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1 agonist
A patient has been diagnosed with Parkinson disease (PD) and begins treatment with
carbidopa. After several months of therapy, the patient reports no change in symptoms.
As the provider, you should do which of the following? - Answers-Reevaluate the dx
There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid for seizures. After
a week of therapy with valproic acid, the patient tells the nurse that she is experiencing
nausea.
What should the nurse do? - Answers-Ask the pt is she is taking the med with food
because taking the drug on an empty stomach can cause gastrointestinal side effects
A patient with cerebral palsy who has been receiving baclofen via gastrostomy tube for
three months is admitted to the hospital for evaluation of new-onset seizures.
What might you suspect to be the cause of these seizures? - Answers-Missed doses of
baclofen
Baclofen does not appear to cause physical dependence, but abrupt discontinuation
has been associated with adverse reactions
, Abrupt withdrawal can cause visual hallucinations, paranoid ideation, and seizures
A nurse is preparing a patient to go home from the emergency department after
receiving sutures for a laceration on one hand. The provider used lidocaine with
epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern? - Answers-Nervousness and
tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed sumatriptan. Which
aspect of this patient's history is of concern when taking this drug? - Answers-CAD
Serotonin receptor agonists cause vasoconstriction and coronary vasospasm
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for
several months tells the provider that the medication has not helped with symptoms.
You plan to switch the patient to an SSRI.
What should you instruct the nurse to teach this patient? - Answers-"Stop taking the
MAOI two weeks before starting the SSRI"
MAOIs increase serotonin and can increase the risk for serotonin syndrome
SSRI and MAOIs should never be given together
A patient is admitted to a hospital for treatment for first-time symptoms of mania and is
exhibiting euphoric mania.
Which medication should you order? - Answers-Lithium
In all cases of mania, divalproex sodium is drug of choice, except for euphoric mania
symptoms
Olanzapine and risperidone are used to treat borderline personality disorder
A patient presents to an emergency room complaining of palpitations and irregular
heartbeat. The advanced practice registered nurse (APRN) places the patient on a
cardiac monitor and observes atrial fibrillation. The APRN orders dofetilide.How should
the APRN recommend this medication be taken? - Answers-With food or an empty
stomach
Dofeilide is well absorbed (90%) both with or without food
A 70-year-old male calls a clinic complaining of chest pain that started after having
sexual activity. He took sildenafil 50 mg about eight hours ago. He has nitroglycerin 0.3
mg on hand.
