Advanced Pathophysiology |Questions& 100%
Verified Answers With Rationales|
Graded A+|Newest Update 2025
_____________________________________________________________________________________
What is the drug of choice when treating a generalized tonic-clonic seizure?
Valproic acid (Depakene)
Which premedication assessment by the nurse is most important prior to the initiation of
carbamazepine (Tegretol) therapy?
Determine patient's ancestry.
What is the best way for the nurse to evaluate the effectiveness of the patient's opiate agonist?
Verbal report of 2 on a 1 to 10 scale
Which instruction(s) is/are most pertinent to include in the discharge teaching of a patient on lithium
(Eskalith) who is being discharged? (Select all that apply.)
"The common adverse effects to expect, which are excessive nausea, anorexia, and abdominal
cramps, tend to resolve."
c. "Persistent vomiting and profuse diarrhea are signs of toxicity and must be reported to the
health care provider immediately."
d. "It is important to comply with schedules for blood tests to assess therapeutic levels."
e. "Take the medication with food or milk."
Which assessment would the nurse expect to observe in a patient who has been prescribed trazodone
for treatment anxiety?
Drowsiness
The nurse is preparing to administer zonisamide (Zonegran) to a newly admitted patient with the
diagnosis of adult partial seizures. The nurse should hold this medication if the patient has which
sign(s) or symptom(s)? (Select all that apply.)
Skin rash
c. Pruritus
e. Allergy to Bactrim
The nurse is providing education to a patient recently prescribed pregabalin (Lyrica). Which statement
by the patient indicates a need for further instruction?
Once my pain improves, I will stop taking this medication."
,Which statement(s) is/are true regarding the pharmacologic actions of certain antidepressant drugs?
(Select all that apply.)
Monocyclic antidepressants such as bupropion (Wellbutrin) have an unknown mechanism of
action.
c. SSRIs inhibit the destruction and reuptake of serotonin at the synaptic cleft.
e. SNRIs prolong the action of neurotransmitters by decreasing the destruction of serotonin and
norepinephrine
Which psychological manifestation of depression will improve in response to antidepressant therapy?
Social withdrawal
A patient experiencing chronic pain as a result of metastatic cancer has a new order for fentanyl
(Duragesic) transdermal patch. The initial patch is applied at 8 AM on Monday. At 8 PM on Monday,
the patient reports a pain level of 8. The nurse's best response is to
provide a PRN analgesic medication as ordered
To what does potency of an antipsychotic medication refer?
Milligram doses used for the medication
Which sign or symptom displayed by a patient would be indicative of opiate withdrawal?
Diarrhea
Which patient is most likely to respond quickly to antianxiety therapy with benzodiazepines?
Patient with recent anxiety reactions
Dystonic reactions, pseudoparkinsonism, akathisia, and tardive dyskinesia are types of which effect?
Extrapyramidal symptoms
Which statement is true about neuropathic pain?
The pain is a result of nerve injury
What is the action of MAOIs on neurotransmitters?
Blocking their destruction
A patient is admitted to a long-term psychiatric setting. The MAOI medication previously prescribed is
discontinued by the physician. New orders are obtained to initiate imipramine therapy. The nurse will
provide the first dose of imipramine to the patient _____ the MAOI drug.
in 14 days following the last dose of
A young male patient taking an antipsychotic is experiencing an oculogyric crisis. The nurse prepares
to administer
diphenhydramine.
, How long after the administration of a parenteral pain medication will the nurse complete the next
pain assessment to evaluate the effectiveness of the medication?
30 minutes
What information is most accurate regarding the nurse's understanding of pain management?
Encourage patients to report pain before the pain becomes too severe.
Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?
Tinnitus
The nurse is teaching a patient about medication treatment for depression. The patient asks how long
it will take before sleep and appetite will begin to improve. Which response by the nurse is most
accurate?
1 week
Which is true regarding psychological drug dependence?
It requires medical intervention to treat.
Which is an appropriate nursing intervention for a patient who has recently been prescribed clozapine
(Clozaril)?
Measure the patient's waist circumference.
What is the advantage of taking a nonsteroidal anti-inflammatory drug (NSAID) that is a COX 2
inhibitor?
There are fewer GI adverse effects
The nurse is preparing discharge instructions for a patient with a history of diabetes who has just been
diagnosed with seizure disorder. The patient has been prescribed hydantoin therapy. What will the
patient most likely experience?
Hyperglycemia
A newly admitted psychiatric patient repetitively states, "I wish I were dead. I just want to kill
myself." The priority nursing at this time is to
provide for patient safety.
Which condition would indicate to the nurse that a patient has phenytoin (Dilantin) toxicity?
Nystagmus
For which condition may carbamazepine (Tegretol) be used?
Trigeminal neuralgia pain
A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and
drinking red wine. Which assessment finding alerts the nurse to a potential complication?
Verified Answers With Rationales|
Graded A+|Newest Update 2025
_____________________________________________________________________________________
What is the drug of choice when treating a generalized tonic-clonic seizure?
Valproic acid (Depakene)
Which premedication assessment by the nurse is most important prior to the initiation of
carbamazepine (Tegretol) therapy?
Determine patient's ancestry.
What is the best way for the nurse to evaluate the effectiveness of the patient's opiate agonist?
Verbal report of 2 on a 1 to 10 scale
Which instruction(s) is/are most pertinent to include in the discharge teaching of a patient on lithium
(Eskalith) who is being discharged? (Select all that apply.)
"The common adverse effects to expect, which are excessive nausea, anorexia, and abdominal
cramps, tend to resolve."
c. "Persistent vomiting and profuse diarrhea are signs of toxicity and must be reported to the
health care provider immediately."
d. "It is important to comply with schedules for blood tests to assess therapeutic levels."
e. "Take the medication with food or milk."
Which assessment would the nurse expect to observe in a patient who has been prescribed trazodone
for treatment anxiety?
Drowsiness
The nurse is preparing to administer zonisamide (Zonegran) to a newly admitted patient with the
diagnosis of adult partial seizures. The nurse should hold this medication if the patient has which
sign(s) or symptom(s)? (Select all that apply.)
Skin rash
c. Pruritus
e. Allergy to Bactrim
The nurse is providing education to a patient recently prescribed pregabalin (Lyrica). Which statement
by the patient indicates a need for further instruction?
Once my pain improves, I will stop taking this medication."
,Which statement(s) is/are true regarding the pharmacologic actions of certain antidepressant drugs?
(Select all that apply.)
Monocyclic antidepressants such as bupropion (Wellbutrin) have an unknown mechanism of
action.
c. SSRIs inhibit the destruction and reuptake of serotonin at the synaptic cleft.
e. SNRIs prolong the action of neurotransmitters by decreasing the destruction of serotonin and
norepinephrine
Which psychological manifestation of depression will improve in response to antidepressant therapy?
Social withdrawal
A patient experiencing chronic pain as a result of metastatic cancer has a new order for fentanyl
(Duragesic) transdermal patch. The initial patch is applied at 8 AM on Monday. At 8 PM on Monday,
the patient reports a pain level of 8. The nurse's best response is to
provide a PRN analgesic medication as ordered
To what does potency of an antipsychotic medication refer?
Milligram doses used for the medication
Which sign or symptom displayed by a patient would be indicative of opiate withdrawal?
Diarrhea
Which patient is most likely to respond quickly to antianxiety therapy with benzodiazepines?
Patient with recent anxiety reactions
Dystonic reactions, pseudoparkinsonism, akathisia, and tardive dyskinesia are types of which effect?
Extrapyramidal symptoms
Which statement is true about neuropathic pain?
The pain is a result of nerve injury
What is the action of MAOIs on neurotransmitters?
Blocking their destruction
A patient is admitted to a long-term psychiatric setting. The MAOI medication previously prescribed is
discontinued by the physician. New orders are obtained to initiate imipramine therapy. The nurse will
provide the first dose of imipramine to the patient _____ the MAOI drug.
in 14 days following the last dose of
A young male patient taking an antipsychotic is experiencing an oculogyric crisis. The nurse prepares
to administer
diphenhydramine.
, How long after the administration of a parenteral pain medication will the nurse complete the next
pain assessment to evaluate the effectiveness of the medication?
30 minutes
What information is most accurate regarding the nurse's understanding of pain management?
Encourage patients to report pain before the pain becomes too severe.
Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?
Tinnitus
The nurse is teaching a patient about medication treatment for depression. The patient asks how long
it will take before sleep and appetite will begin to improve. Which response by the nurse is most
accurate?
1 week
Which is true regarding psychological drug dependence?
It requires medical intervention to treat.
Which is an appropriate nursing intervention for a patient who has recently been prescribed clozapine
(Clozaril)?
Measure the patient's waist circumference.
What is the advantage of taking a nonsteroidal anti-inflammatory drug (NSAID) that is a COX 2
inhibitor?
There are fewer GI adverse effects
The nurse is preparing discharge instructions for a patient with a history of diabetes who has just been
diagnosed with seizure disorder. The patient has been prescribed hydantoin therapy. What will the
patient most likely experience?
Hyperglycemia
A newly admitted psychiatric patient repetitively states, "I wish I were dead. I just want to kill
myself." The priority nursing at this time is to
provide for patient safety.
Which condition would indicate to the nurse that a patient has phenytoin (Dilantin) toxicity?
Nystagmus
For which condition may carbamazepine (Tegretol) be used?
Trigeminal neuralgia pain
A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and
drinking red wine. Which assessment finding alerts the nurse to a potential complication?
