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• 2020_03TERM_C-NSG225_7NAX_Pharmacology and Therapeutic Modalities II
• Week 2 may 28- June 6
• Quiz 1
Started on Friday, May 29, 2020, 1:42 PM
State Finished
Completed on Friday, May 29, 2020, 2:03 PM
Time taken 20 mins 50 secs
Question 1
Complete
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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:
a. SSRIs do not require serial blood tests during therapy.
b. SSRIs have a more rapid therapeutic effect.
c. SSRIs generally have fewer adverse effects.
d. SSRIs require administration once per week, versus daily or twice daily with benzodiazepines.
Feedback
SSRIs are generally well tolerated with few adverse effects. Unlike the benzodiazepines, they do not
cause diminished alertness or ataxia. However, they take longer to have a therapeutic effect. Neither
class of drug necessitates serial blood testing. SSRIs are normally taken daily.
The correct answer is: SSRIs generally have fewer adverse effects.
Question 2
Complete
Points out of 1.00
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Question text
A female patient who takes ethosuximide for the treatment of absence seizures calls the clinic to
report that she has developed a sore throat and a slight fever. The nurse will explain that she
should come to the clinic to have which of the following checked?
Select one:
a. Ethosuximide serum level
b. Blood cell count
c. Pulse and blood pressure
,d. Bleeding tendencies
Feedback
If patients who take ethosuximide develop signs of infection such as a sore throat and fever, blood cell
counts should be checked. Periodic urinalysis and liver function studies will help to identify any early
complications that might occur from the drug therapy. The drug serum level, bleeding tendencies, and
pulse and blood pressure are not used in early identification of infection.
The correct answer is: Blood cell count
Question 3
Complete
Points out of 1.00
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Question text
You are a nurse in the emergency department caring for a patient in status epilepticus. Which
of these medications will you be prepared to administer:
Select one or more:
a. lorazepam
b. ethosuximide
c. propanolol
d. gabapentin
Feedback
Your answer is correct.
The correct answer is: lorazepam
Question 4
Complete
Points out of 1.00
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Question text
A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome
for the patient who is receiving glatiramer would be a decrease in
Select one:
a. chest pain.
b. heart palpitations.
c. breathing difficulties.
d. fatigue.
Feedback
Glatiramer should reduce the frequency of multiple sclerosis–related attacks and therefore decrease
fatigue. Fatigue, weakness, spasticity, balance problems, bladder and bowel problems, numbness, vision
loss, tremor, and vertigo are the most common symptoms of multiple sclerosis. Chest pain, breathing
difficulties, and heart palpitations are all identified side effects of glatiramer and are not common
manifestations of MS.
The correct answer is: fatigue.
Question 5
Complete
Points out of 1.00
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Question text
, A patient has a diagnosis of Parkinson disease, and the physician will prescribe carbidopa-
levodopa. Before drug therapy, the patient should be carefully assessed for the presence of
Select one:
a. macular degeneration.
b. peptic ulcer disease.
c. diabetes mellitus.
d. closed-angle glaucoma.
Feedback
Carbidopa-levodopa is contraindicated in a person with closed-angle glaucoma. However, it can be used
in a person with open-angle glaucoma if intraocular pressure is closely monitored and controlled.
Carbidopa-levodopa can be used by persons with peptic ulcer disease and diabetes mellitus, but it may
exacerbate the symptoms of these disorders.
The correct answer is: closed-angle glaucoma.
Question 6
Complete
Points out of 1.00
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Question text
True of False:
Neuroleptic Malignant Syndrome is a common side effect of anti psychotic medications.
Select one:
True
False
Feedback
The correct answer is 'False'.
Question 7
Complete
Points out of 1.00
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Question text
Your patient on sertraline (Zoloft) for depression tells you that she has been taking the dose
every day for two weeks and does not feel much better. What should your repsonse be?
Select one:
a. Sertraline can take up to a year to start to take effect
b. Sertraline and other medications in this class can take several weeks to a month to start working
c. You should try a tricyclic antidepressent. They work much quicker
d. Taking the medication for a total of 2 weeks is enough and you should change medicines
Feedback
People who plan to visit a malaria-endemic region should take chloroquine for 2 weeks before departure
and should continue taking the drug for 4 to 6 weeks after returning home. Any other drug regimen may
not be effective against malaria.
The correct answer is: Sertraline and other medications in this class can take several weeks to a month to
start working
Question 8
Complete
Points out of 1.00
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, Question text
A patient who has been taking fluoxetine for the past 2 weeks has returned to the clinic to be
seen. It will be critical for the nurse to assess for
Select one:
a. weight loss.
b. onset of suicidal ideation.
c. feelings of grandiosity.
d. decreased sleep.
Feedback
The nurse should closely assess the patient for evidence of worsening depression or onset of suicidal
ideation. The most critical time to monitor for behavioral changes is during the first few weeks of drug
therapy. Although sertraline is not approved by the FDA for treating depression in children at this time, the
SSRI is widely used on an unlabeled basis to treat pediatric depression. While it is important to monitor
for weight loss, it is not critical. Feelings of grandiosity and decreased sleep are symptoms of mania and
are not adverse effects related to this drug.
The correct answer is: onset of suicidal ideation.
Question 9
Complete
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. involuntary movements.
b. perspiration.
c. appetite or thirst.
d. mobility.
Feedback
Abnormal and involuntary movements are among the most common and serious adverse effects of
carbidopa-levodopa therapy. Increased appetite, thirst, and perspiration are not common adverse effects
and increased movement is a desired outcome of treatment.
The correct answer is: involuntary movements.
Question 10
Complete
Points out of 1.00
Flag question
Question text
True or False: Antidepressents have a black box warning due to risk for suicide.
Select one:
True
False
Feedback
The correct answer is 'True'.
Question 11
Complete
• My courses
• 2020_03TERM_C-NSG225_7NAX_Pharmacology and Therapeutic Modalities II
• Week 2 may 28- June 6
• Quiz 1
Started on Friday, May 29, 2020, 1:42 PM
State Finished
Completed on Friday, May 29, 2020, 2:03 PM
Time taken 20 mins 50 secs
Question 1
Complete
Points out of 1.00
Flag question
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:
a. SSRIs do not require serial blood tests during therapy.
b. SSRIs have a more rapid therapeutic effect.
c. SSRIs generally have fewer adverse effects.
d. SSRIs require administration once per week, versus daily or twice daily with benzodiazepines.
Feedback
SSRIs are generally well tolerated with few adverse effects. Unlike the benzodiazepines, they do not
cause diminished alertness or ataxia. However, they take longer to have a therapeutic effect. Neither
class of drug necessitates serial blood testing. SSRIs are normally taken daily.
The correct answer is: SSRIs generally have fewer adverse effects.
Question 2
Complete
Points out of 1.00
Flag question
Question text
A female patient who takes ethosuximide for the treatment of absence seizures calls the clinic to
report that she has developed a sore throat and a slight fever. The nurse will explain that she
should come to the clinic to have which of the following checked?
Select one:
a. Ethosuximide serum level
b. Blood cell count
c. Pulse and blood pressure
,d. Bleeding tendencies
Feedback
If patients who take ethosuximide develop signs of infection such as a sore throat and fever, blood cell
counts should be checked. Periodic urinalysis and liver function studies will help to identify any early
complications that might occur from the drug therapy. The drug serum level, bleeding tendencies, and
pulse and blood pressure are not used in early identification of infection.
The correct answer is: Blood cell count
Question 3
Complete
Points out of 1.00
Flag question
Question text
You are a nurse in the emergency department caring for a patient in status epilepticus. Which
of these medications will you be prepared to administer:
Select one or more:
a. lorazepam
b. ethosuximide
c. propanolol
d. gabapentin
Feedback
Your answer is correct.
The correct answer is: lorazepam
Question 4
Complete
Points out of 1.00
Flag question
Question text
A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome
for the patient who is receiving glatiramer would be a decrease in
Select one:
a. chest pain.
b. heart palpitations.
c. breathing difficulties.
d. fatigue.
Feedback
Glatiramer should reduce the frequency of multiple sclerosis–related attacks and therefore decrease
fatigue. Fatigue, weakness, spasticity, balance problems, bladder and bowel problems, numbness, vision
loss, tremor, and vertigo are the most common symptoms of multiple sclerosis. Chest pain, breathing
difficulties, and heart palpitations are all identified side effects of glatiramer and are not common
manifestations of MS.
The correct answer is: fatigue.
Question 5
Complete
Points out of 1.00
Flag question
Question text
, A patient has a diagnosis of Parkinson disease, and the physician will prescribe carbidopa-
levodopa. Before drug therapy, the patient should be carefully assessed for the presence of
Select one:
a. macular degeneration.
b. peptic ulcer disease.
c. diabetes mellitus.
d. closed-angle glaucoma.
Feedback
Carbidopa-levodopa is contraindicated in a person with closed-angle glaucoma. However, it can be used
in a person with open-angle glaucoma if intraocular pressure is closely monitored and controlled.
Carbidopa-levodopa can be used by persons with peptic ulcer disease and diabetes mellitus, but it may
exacerbate the symptoms of these disorders.
The correct answer is: closed-angle glaucoma.
Question 6
Complete
Points out of 1.00
Flag question
Question text
True of False:
Neuroleptic Malignant Syndrome is a common side effect of anti psychotic medications.
Select one:
True
False
Feedback
The correct answer is 'False'.
Question 7
Complete
Points out of 1.00
Flag question
Question text
Your patient on sertraline (Zoloft) for depression tells you that she has been taking the dose
every day for two weeks and does not feel much better. What should your repsonse be?
Select one:
a. Sertraline can take up to a year to start to take effect
b. Sertraline and other medications in this class can take several weeks to a month to start working
c. You should try a tricyclic antidepressent. They work much quicker
d. Taking the medication for a total of 2 weeks is enough and you should change medicines
Feedback
People who plan to visit a malaria-endemic region should take chloroquine for 2 weeks before departure
and should continue taking the drug for 4 to 6 weeks after returning home. Any other drug regimen may
not be effective against malaria.
The correct answer is: Sertraline and other medications in this class can take several weeks to a month to
start working
Question 8
Complete
Points out of 1.00
Flag question
, Question text
A patient who has been taking fluoxetine for the past 2 weeks has returned to the clinic to be
seen. It will be critical for the nurse to assess for
Select one:
a. weight loss.
b. onset of suicidal ideation.
c. feelings of grandiosity.
d. decreased sleep.
Feedback
The nurse should closely assess the patient for evidence of worsening depression or onset of suicidal
ideation. The most critical time to monitor for behavioral changes is during the first few weeks of drug
therapy. Although sertraline is not approved by the FDA for treating depression in children at this time, the
SSRI is widely used on an unlabeled basis to treat pediatric depression. While it is important to monitor
for weight loss, it is not critical. Feelings of grandiosity and decreased sleep are symptoms of mania and
are not adverse effects related to this drug.
The correct answer is: onset of suicidal ideation.
Question 9
Complete
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. involuntary movements.
b. perspiration.
c. appetite or thirst.
d. mobility.
Feedback
Abnormal and involuntary movements are among the most common and serious adverse effects of
carbidopa-levodopa therapy. Increased appetite, thirst, and perspiration are not common adverse effects
and increased movement is a desired outcome of treatment.
The correct answer is: involuntary movements.
Question 10
Complete
Points out of 1.00
Flag question
Question text
True or False: Antidepressents have a black box warning due to risk for suicide.
Select one:
True
False
Feedback
The correct answer is 'True'.
Question 11
Complete
