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Summer- Fall Term
A 58-year-old man is prescribed dicyclomine (Bentyl) for
irritable bowel syndrome. In which of the following conditions is
dicyclomine therapy contraindicated?
Glaucoma
A 62 year old male who had a myocardial infarction one year ago
is being seen for hypertension. Which medication has the best
evidence in mortality rate?
Beta blocker
A patient is taking cholestyramine. The Nurse Practitioner will
assess for which of the following common adverse effects of the
drug?
Constipation
,A Nurse Practitioner is caring for a patient who has recently
moved from Vermont to south Florida. The patient has been on
the same antihypertensive drug for 6 years and has had stable
blood pressures and no adverse effects. Since her move,
however, she reports "dizzy spells and weakness" and feels that
the drug is no longer effective. The Nurse Practitioner suspects
that the change in the effectiveness of the drug is related to
the impact of the warmer climate on the patient's physical state.
A patient with diabetes has had a cough for 1 week and has been
prescribed a cough syrup (an expectorant). What special
instructions should the nurse include in the patient teaching for
this situation?
Monitor glucose levels closely
A Nurse Practitioner who is responsible for administering
medications should understand that the goals of the MedWatch
program are to (Select all that apply.)
provide regular feedback about product safety issues. facilitate
the reporting of adverse reactions of drugs. increase awareness
of serious reactions caused by drugs or medical devices.
,A patient is bothered with nighttime episodes of
bronchoconstriction related to asthma. Which of the following
medications can be administered to decrease the nighttime
episodes and prevent asthma attacks?
Leukotriene modifiers
Mr. Lacuna is an 83-year-old resident of a long-term care facility
who has a diagnosis of moderate Alzheimer disease. Mr.
Lacuna's physician recently prescribed oral rivastigmine, but he
was unable to tolerate the drug due to its gastrointestinal
effects. As a result, he has been ordered the transdermal patch
form of the medication. When administering this form of
rivastigmine, the nurse should
apply the patch to Mr. Lacuna's back to reduce the chance that
he will remove it.
After a recent history of shortness of breath that has become
increasingly severe, a woman has been prescribed ipratropium
by MDI while she undergoes a diagnostic workup. What patient
teaching should the nurse provide to this patient?
, "It's important that you perform deep breathing exercises before
and after taking ipratropium."
During a clinic visit, a patient complains of having frequent
muscle cramps in her legs. The nurse's assessment reveals that
the patient has been taking over-the- counter laxatives for the
past 7 years. The nurse informed the patient that prolonged use
of laxatives
may cause nutrient deficiencies.
A Nurse Practitioner is instructing a patient who was recently
diagnosed with multiple sclerosis about dantrolene (Dantrium).
The patient is a 38-year-old-male and the foreman for a
construction company. In order to minimize one important
adverse effect of the drug, the nurse will give the patient which
of the following instructions?
Wear appropriate clothing and sunscreen whenever he is in
direct sunlight