PHARMACOLOGY EXAM 3
COMPLETE QUESTIONS AND
ANSWERS
The nurse is preparing to give medications. Which is the most appropriate nursing
action for intravenous (IV) phenytoin (Dilantin)
A. give IV dose via rapid IV push
B. Administer in normal saline solutions
C. Administer in dextrose solutions
D. Ensure continuous infusion of a drug -ANSB
The nurse is reviewing the drugs currently taken by a patient who will be starting drug
therapy with carbamazepine (Tegretol), Which drug may raise a concern for
interactions?
A. digoxin (Lanoxin)
B. acetaminophen (Tylenol)
C. diazepam (Valium)
D. warfarin (Coumadin) -ANSB
Which response would the nurse expect to find in a patient with a phenytoin (Dilantin)
level of 35mcg/mL?
A. ataxia
B. Hypertension
C. Seizures
D. no unusual response; this level is therapeutic -ANSA
Patient is taking pregabalin (Lyrica) but does not have a history of seizures. The nurse
recognizes that this drug is also indicated for
A. postherpetic neuralgia
B. viral infections
C. Parkinson's disease
D. depression -ANSA
The nurse is assessing a newly admitted patient who has a history of seizures. During
the assessment, the patient has a generalized seizure that does not stop for several
minutes. The nurse expects that which drug will be ordered for this condition?
A. valproic acid (Depakote)
B. neurontin (Gabapentin)
C. carbamazepine ( Tegretol)
D. diazepam (Valium) -ANSD
, The nurse is administering an antiepileptic drug and will follow which guidelines? (select
all that apply)
A. monitor the patient for drowsiness
B. Medications may be stopped if the seizure activity disappears
C. Give the medication at the same time everyday
D. give the medication on an empty stomach
E. Notify the prescriber if the patient is unable to take the medication -ANSA, C, E
Which condition will alert the nurse to a potential caution or contraindication regarding
the use of dopaminergic drug for treatment of mild Parkinson's disease?
A. diarrhea
B. Tremors
C. Angle-closure glaucoma
D. Unstable gait -ANSC
A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's disease.
Which intervention by the nurse is appropriate at this time?
A. notify the patient that this drug causes discoloration of the urine
B. limit the patient's intake of tyramine containing foods
C. monitor the results of renal studies because this drug can seriously affect renal
function
D. Force fluid to prevent dehydraion -ANSA
During a patient teaching session about antiparkinson drugs, the nurse will include
which statement?
A. "the drug will be stopped when tremors are weakness are relieved"
B. " if a dose is missed, take two doses to avoid significant decrease in blood levels"
C. " be sure to notify your physician if your urine turns a brownish-orange color"
D. "take care to change positions slowly to prevent falling due to a drop in blood
pressure" -ANSD
A patient will be taking selegine (Eldepryl), 10 mg daily, in addition to dopamine
replacement therapy for Parkinson's disease. The nurse will implement which
precautions regarding selegiline?
A. teach the patient to avoid foods containing tyramine
B. monitor for dizziness
C. inform the patient that this drug may caue urine discoloration
D. monitor for palpitations and tachycardia -ANSB
A patient with Parkinson's disease will start taking entcapone (Comtan) along with the
carbidopa-levodopa (Sinemet) he ahs been taking for a few years. The nurse
recognizes that the advantage of taking encapone is that
A. the entacapone can reduce the on-off effect
B. the levodopa may be stopped in a few days
C. there is less GI upset with entacapone
COMPLETE QUESTIONS AND
ANSWERS
The nurse is preparing to give medications. Which is the most appropriate nursing
action for intravenous (IV) phenytoin (Dilantin)
A. give IV dose via rapid IV push
B. Administer in normal saline solutions
C. Administer in dextrose solutions
D. Ensure continuous infusion of a drug -ANSB
The nurse is reviewing the drugs currently taken by a patient who will be starting drug
therapy with carbamazepine (Tegretol), Which drug may raise a concern for
interactions?
A. digoxin (Lanoxin)
B. acetaminophen (Tylenol)
C. diazepam (Valium)
D. warfarin (Coumadin) -ANSB
Which response would the nurse expect to find in a patient with a phenytoin (Dilantin)
level of 35mcg/mL?
A. ataxia
B. Hypertension
C. Seizures
D. no unusual response; this level is therapeutic -ANSA
Patient is taking pregabalin (Lyrica) but does not have a history of seizures. The nurse
recognizes that this drug is also indicated for
A. postherpetic neuralgia
B. viral infections
C. Parkinson's disease
D. depression -ANSA
The nurse is assessing a newly admitted patient who has a history of seizures. During
the assessment, the patient has a generalized seizure that does not stop for several
minutes. The nurse expects that which drug will be ordered for this condition?
A. valproic acid (Depakote)
B. neurontin (Gabapentin)
C. carbamazepine ( Tegretol)
D. diazepam (Valium) -ANSD
, The nurse is administering an antiepileptic drug and will follow which guidelines? (select
all that apply)
A. monitor the patient for drowsiness
B. Medications may be stopped if the seizure activity disappears
C. Give the medication at the same time everyday
D. give the medication on an empty stomach
E. Notify the prescriber if the patient is unable to take the medication -ANSA, C, E
Which condition will alert the nurse to a potential caution or contraindication regarding
the use of dopaminergic drug for treatment of mild Parkinson's disease?
A. diarrhea
B. Tremors
C. Angle-closure glaucoma
D. Unstable gait -ANSC
A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's disease.
Which intervention by the nurse is appropriate at this time?
A. notify the patient that this drug causes discoloration of the urine
B. limit the patient's intake of tyramine containing foods
C. monitor the results of renal studies because this drug can seriously affect renal
function
D. Force fluid to prevent dehydraion -ANSA
During a patient teaching session about antiparkinson drugs, the nurse will include
which statement?
A. "the drug will be stopped when tremors are weakness are relieved"
B. " if a dose is missed, take two doses to avoid significant decrease in blood levels"
C. " be sure to notify your physician if your urine turns a brownish-orange color"
D. "take care to change positions slowly to prevent falling due to a drop in blood
pressure" -ANSD
A patient will be taking selegine (Eldepryl), 10 mg daily, in addition to dopamine
replacement therapy for Parkinson's disease. The nurse will implement which
precautions regarding selegiline?
A. teach the patient to avoid foods containing tyramine
B. monitor for dizziness
C. inform the patient that this drug may caue urine discoloration
D. monitor for palpitations and tachycardia -ANSB
A patient with Parkinson's disease will start taking entcapone (Comtan) along with the
carbidopa-levodopa (Sinemet) he ahs been taking for a few years. The nurse
recognizes that the advantage of taking encapone is that
A. the entacapone can reduce the on-off effect
B. the levodopa may be stopped in a few days
C. there is less GI upset with entacapone
