HSC 343 Pharm Quizzes Questions with Verified Answers

In the patient who is in shock, Dopamine may be used because it: A. Increases heart rate and blood pressure B. Relaxes skeletal muscles C. Lowers blood pressure and renal blood flow D. Calms the patient - ANSWERSA. Increases heart rate and blood pressure In a male patient using Doxazosin, the health care professional would expect to see which outcome(s) of the drug? A. Lowered blood pressure B. Dry mouth C. Two of the answers are correct D. Increased urinary flow - ANSWERSC. Two of the answers are correct A patient is prescribed Metoprolol. The nurse will advise her: A. You will need candy, gum or water on hand to relieve dry mouth B. Do not discontinue this drug abruptly C. Since this drug causes insomnia, you may need a medication for that D. Take this drug whenever you feel like it - ANSWERSB. Do not discontinue this drug abruptly Which of the following patients is not a good candidate for Cevimeline? A. A patient with asthma B. A female adult patient C. A patient who is 20 lbs overweight D. A patient who drinks 1 alcoholic drink per day - ANSWERSA. A patient with asthma A patient who is severely allergic to bee stings is prescribed epinephrine in an epi-pen form. How will the nurse advise him to use this drug should he get stung? A. "Inject the contents of the drug into your mouth. Swallow. Remain calm until your blood pressure increases" B. "Inject the drug into your thigh. Then get to the Emergency Department as soon as possible" C. "Instruct a family member to use this drug only once you lose consciousness" D. "Wait to see if you develop swelling. If so, inject the drug into a vein" - ANSWERSB. "Inject the drug into your thigh. Then get to the Emergency Department as soon as possible" A nurse anesthetist applies a scopolamine patch to a patient prior to surgery. What is the rationale? A. The drug is a pain reliever B. The drug will keep heart rate and respiratory rate controlled during surgery C. The drug will completely sedate the patient D. The drug will dry up secretions - ANSWERSD. The drug will dry up secretions A goal in the treatment of Parkinson's disease is to: A. Elevate Acetylcholine in the brain B. Two of the answers are correct C. Elevate dopamine in the brain D. Elevate epinephrine in the adrenals - ANSWERSC. Elevate dopamine in the brain A patient taking Tolteridine for overactive bladder can expect which of the following as a side effect? A. Muscle spasms B. Diarrhea C. Dry mouth D. Bronchoconstriction - ANSWERSC. Dry mouth Patients being treated for Alzheimer's dementia often are prescribed Memantine. What is the rationale? A. Memantine helps acetylcholine esterase inhibitor drugs be better absorbed B. Memantine helps with sleep disturbances seen in these patients C. Memantine decreases dopamine in the brain D. Memantine decreases glutamate-induced nerve damage - ANSWERSD. Memantine decreases glutamate-induced nerve damage A patient prescribed Pramipexole for a movement disorder should be monitored for which of the following? A. Sleep attacks B. Two of the answers are correct C. Memory loss D. All of the answers are correct E. Impulse control problems - ANSWERSB. Two of the answers are correct A patient is prescribed morphine and is not getting pain relief. An additional opioid (oxycodone) is ordered.The nurse knows to monitor for: A. Dilated pupil; difficulty in sunlight B. Respiratory suppression C. Diarrhea D. Insomnia - ANSWERSB. Respiratory suppression A patient has overdosed on heroin and is unconscious. Treatment may include: A. Phenobarbital PO B. Methylnaltrexone PO C. Flumazenil IV D. Naloxone intranasal - ANSWERSD. Naloxone intranasal A patient is using the fentanyl patch to help with cancer pain. She occasionally also takes submucosal fentanyl for breakthrough pain. A side effect this patient will have is: A. Constipation B. Liver toxicity C. Seizures D. Excessive drooling - ANSWERSA. Constipation Care is taken with opioid use in the very young and very old because: A. Hepatic or renal function may vary B. Lung capacity is reduced C. Two of the answers are correct D. The respiratory center in the brain cannot handle opioids at the extremes of age E. These drugs do not cause good pain relief in these populations, so more drug is needed - ANSWERSA. Hepatic or renal function may vary A patient has been taking drugs to control seizures. She has been seizure-free for a year. A strategy to employ for this patient is: A. Gradually taper the drugs to see if she remains seizure-free B. Stop the drugs immediately; see if the patient remains seizure free C. Continue the drugs; she will have to be on them for life D. Advise the patient to stop the drugs; she can take them again if she feels dizzy - ANSWERSA. Gradually taper the drugs to see if she remains seizure-free Common side effects seen with drugs to treat seizures include: A. All of the answers are correct B. Interference with liver enzymes C. Sedation D. Rashes that may be life-threatening - ANSWERSA. All of the answers are correct Patients taking seizure medicines should avoid which of the following? A. Multivitamins B. Sedatives like sleeping pills C. Medications for Alzheimer's disease D. Aged cheese or cured meats - ANSWERSB. Sedatives like sleeping pills A male patient has been prescribed Valproic acid to control seizures. The nurse knows that this patient must have which test done prior to drug initiation? A. Sperm count B. Liver enzymes C. Renal function test D. Electrocardiogram - ANSWERSB. Liver enzymes A patient taking Zolpidem for insomnia needs to do which of the following? A. Take the drug immediately before bedtime B. Take the drug just prior to lunch on alternate days C. Take the drug after the dinner meal D. Take the drug first thing in the morning - ANSWERSA. Take the drug immediately before bedtime