NURS 170 Pharmacology Test 3 QUESTIONS & ANSWERS: Galen College (New-2022/2023) Pharmacology test 3

Question 1 1 / 1 pts A patient who experiences motion sickness when flying asks the nurse the best time to take the medication prescribed to prevent motion sickness for a 0900 flight. The nurse will instruct the patient to take the medication at which time? As needed, at the first sign of nausea At 0700, before leaving for the airport At 0830, just prior to boarding the plane When seated, just prior to takeoff Question 2 1 / 1 pts The nurse is caring for a patient who has unexplained, recurrent vomiting and who is unable to keep anything down. Until the cause of the vomiting is determined, the nurse will anticipate administering which treatment? Antibiotics and antiemetics Intravenous fluids and electrolytes Non-prescription antiemetics Prescription antiemetics Question 3 1 / 1 pts A patient is ordered bisacodyl (Ducolax). Before administering the medication, it is important for the nurse to assess the patient for what? Hypertension Anemia Allergy to penicillin Appendicitis Question 4 1 / 1 pts The nurse is teaching a patient who is about to take a long car trip about using dimenhydrinate (Dramamine) to prevent motion sickness. What information is important to include when teaching this patient? “Do not drive while taking this medication.”. “Dry mouth is a sign of toxicity with this mediation.” “Take the medication when you start the drive.” “Take 100 mg up to 6 times daily for best effect.” The nurse is caring for a patient who has postoperative nausea and vomiting. The surgeon has ordered promethazine HCl (Phenergan). Which aspect of this patient’s health history would be of concern? Ulcerative Colitis Diabetes GERD Glaucoma Question 6 1 / 1 pts A patient who is receiving chemotherapy will be given dronabinol (Marinol) to prevent nausea and vomiting. The nurse will tell the patient that this drug will be given at which time? Before and after the chemotherapy During chemotherapy Immediately prior to chemotherapy 24 hours prior to chemotherapy Question 7 1 / 1 pts A woman who is 2 months pregnant reports having morning sickness every day and asks if she can take any medications to treat this problem. The nurse will recommend that the patient take which action first? Contact the provider to discuss a possible need for intravenous fluids. Contact your mother to discuss an antiemetic. Use nonpharmacologic measures such as saltine crackers. Take over-the-counter antiemetics such as diphenhydramine. Question 8 1 / 1 pts The child who is a candidate for treatment with syrup of ipecac after ingestion or an overdose is the child who has ingested which substance? Acetaminophen elixir Chlorine bleach “Do not administer ipecac without consulting a poison control center.” “Expect the onset of emesis to be immediate.” “Give ipecac with a glass of milk to increase its emetic effect.” “Use ipecac fluid extract and not ipecac syrup.” Question 10 1 / 1 pts A patient asks the nurse “how does loperamide (Imodium) work to treat infectious diarrhea.” Which response will the nurse give? “Loperamide results in many central nervous system (CNS) side effects.” “Loperamide has no effect on infectious diarrhea.” “Loperamide is taken once daily.” “Loperamide may slow the transit through the intestines and prolong the symptoms.” Question 11 1 / 1 pts A child is brought to the emergency department after ingestion of a toxic substance. The child is alert and conscious and is reported to have ingested kerosene 20 minutes prior. The nurse will anticipate administering. activated charcoal. an anticholinergic antiemetic. gastric lavage. syrup of ipecac. Question 12 1 / 1 pts A patient who is taking diphenoxylate with atropine (Lomotil) to treat diarrhea asks the nurse why it contains atropine. The nurse will explain that atropine is added to increase intestinal motility. decrease abdominal cramping. minimize nausea and vomiting. provide analgesia. Question 13 1 / 1 pts A patient asks the nurse the best way to prevent traveler’s diarrhea. The nurse will provide which recommendation to the patient? “Ask your provider for prophylactic antibiotics.” “Eat fresh, raw fruits and vegetables.” “Drink bottled water and eat only well-cooked meats.” “Take loperamide (Imodium) every day.” Question 14 1 / 1 pts The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient? The importance of consuming adequate amounts of water The need to monitor for systemic side effects The onset of action of 30 to 60 minutes after administration The need to use the dry form of Metamucil to prevent cramping Question 15 1 / 1 pts A patient is taking esomeprazole (Nexium) 15 mg per day to treat a duodenal ulcer. After 10 days of treatment, the patient reports that the pain has subsided. The nurse will counsel the patient to reduce the medication dose by half. stop taking the medication. take the medication every other day. complete the medication as prescribed by the physician. Question 16 1 / 1 pts A patient with a peptic ulcer has been diagnosed with H. pylori. The provider has ordered lansoprazole (Prevacid), and clarithromycin (Biaxin). The patient asks the nurse why two medications are needed. The nurse will explain that two drugs. Decrease gastric motility combat nausea and vomiting. have synergistic effects. improve acid suppression. Question 17 1 / 1 pts Ondansetron (Zofran) has been ordered for the patient undergoing cancer chemotherapy to control the severe nausea and vomiting. What side effects should the nurse observe for? Headache, dizziness, and fatigue Anorexia and hair loss Abdominal cramping and irritability Psychosis and middle ear disturbances Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes that Dulcolax is incompatible with alcohol consumption. should be avoided during pregnancy as it is teratogenic. increases peristalsis to produce a bowel movement. may lead to paralytic ileus. Question 19 1 / 1 pts Lactulose is ordered for a patient with liver disease. What would indicate the medication is exerting a positive therapeutic effect on the patient? Decreased ascites Decreased ammonia level Decreased jaundice Decreased blood pressure Question 20 1 / 1 pts A patient who takes propantheline bromine (Pro-Banthine) and omeprazole (Prilosec) for an ulcer will begin taking an antacid. The nurse will give which instruction to the patient regarding how to take the antacid? Take the antacid 2 hours after taking the propantheline Take the antacid along with a meal. Take the antacid with milk. Take the antacid with the propantheline bromine. Question 21 1 / 1 pts A patient reports experiencing flatulence and abdominal distension to the nurse. Which over-thecounter medication will the nurse recommend? Alka-Seltzer “I need to increase my fluid intake.” “I need to report pain or vomiting of blood.” “I need to take Carafate 30 minutes after meals.” “I need to report changes in the color of my urine.” Question 23 1 / 1 pts An older adult patient reports taking aluminum hydroxide (Amphojel) on a daily basis to relieve symptoms of GERD. The nurse needs to evaluate for which condition? Diarrhea Abdominal pain Constipation Flatulence Question 24 1 / 1 pts A patient with a gastric ulcer is ordered sucralfate (Carafate). This medication works to calm the patient to reduce acid production. block the H2 receptors. neutralize the gastric acids. coat the gastric lining. Question 25 1 / 1 pts A patient with a history of renal problems is asking for advice about which antacid he should use. The nurse will make which recommendation? “Patients with renal problems cannot use antacids.” “Aluminum-based antacids are the best choice for you.” “Calcium-based antacids are the best choice for you.” “Magnesium-based antacids are the best choice for you.”