STUDY GUIDE & PRACTICE QUIZ
1. Describe why anticholinergic medications are contraindicated when using
benztropine and atropine.
Anticholinergic medications can exacerbate the side effects of
benztropine and atropine, leading to increased risk of adverse
effects.
Anticholinergic medications are used to treat the side effects of
benztropine and atropine.
Anticholinergic medications have no effect on benztropine and
atropine.
Anticholinergic medications enhance the therapeutic effects of
benztropine and atropine.
2. Which two medications are contraindicated when used together due to the
risk of serotonin syndrome?
lithium and ketorolac
buspirone and phenelzine
sertraline and selegiline
alprazolam and citalopram
3. Describe the role of sucralfate in the management of gastrointestinal
symptoms as outlined in the text.
Sucralfate is used primarily to treat infections in the gastrointestinal
tract.
Sucralfate neutralizes stomach acid to relieve heartburn symptoms.
Sucralfate increases gastric motility to enhance digestion.
, Sucralfate acts by forming a protective barrier over ulcers in the
gastrointestinal tract, promoting healing.
4. Which antiepileptic medication is known to require slow titration to minimize
the risk of Stevens-Johnson syndrome?
pregabalin
lamotrigine
levetiracetam
gabapentin
5. A patient is prescribed both benzodiazepines and opioids. What should the
healthcare provider prioritize in patient education?
The provider should suggest increasing the dosage of both
medications for better effect.
The provider should advise the patient to stop taking
benzodiazepines immediately.
The provider should emphasize the risks of respiratory depression
and the importance of monitoring for overdose symptoms.
The provider should inform the patient that there are no risks when
taking both medications.
6. When is Sumatriptan contraindicated?
Hx of tension headaches, TIA, seizures
HX of IBD, GERD, or PUD
HX of ischemic heart disease, MI, uncontrolled HTN
HX of PVD, DVT
,7. A patient on rasagiline is prescribed a new medication for pain relief. Which
of the following medications should the healthcare provider avoid
prescribing?
acetaminophen
meperidine
naproxen
ibuprofen
8. If a patient on phenytoin presents with unusual gum swelling, what should be
the immediate course of action?
Increase the phenytoin dosage immediately.
Advise the patient to stop taking phenytoin.
Assess for gingival hyperplasia and consult the prescribing
physician.
Ignore the symptom as it is common.
9. What is the primary medication used to treat malignant hyperthermia?
Diazepam
Phenytoin
Dantrolene
Sulfasalazine
10. A patient is admitted to the psychiatric unit for acute agitation and anxiety.
The physician orders a long-acting benzodiazepine. The nurse expects to
administer which of the following?
Clonazepam
, Midazolam
Lorazepam
Diazepam
11. Describe the implications of misoprostol being classified as an abortifacient
for patient education.
Patients should be educated that misoprostol is only used for treating
ulcers.
Patients must be informed that misoprostol can terminate a
pregnancy and should be used with caution in women of
childbearing age.
Patients should be aware that misoprostol primarily causes
gastrointestinal discomfort.
Patients need to know that misoprostol is safe for use during
pregnancy.
12. What is the recommended timing for taking phenytoin in relation to meals?
Phenytoin can be taken at any time of the day without regard to
meals.
Phenytoin should be taken only at night before bed.
Phenytoin should be taken consistently with respect to meals,
either always with food or always on an empty stomach.
Phenytoin should be taken only in the morning after breakfast.
13. A patient with hepatic encephalopathy is prescribed lactulose. What is the
expected outcome of this treatment?
Reduction in ammonia levels and improvement in mental status.