170 Real Questions with 100% Correct Answers & Detailed Rationales
1. Anticholinergic effects dry mouth
constipation
photophobia
blurred vision
Tachycardia
Fluphenazine (what is it, high potency typical antipsychotic
C
2.
how does it work) LE
Block dopamine (D2), acetylcholine, histamine, and norepinephrine
receptors in the brain and periphery.
Inhibition of psychotic manifestations, believed to be a result of D2
ST
blockade in the brain.
3. A nurse is providing teach- Chew sugarless gum to moisten the mouth.
BE
ing with a client, who When taking action, the nurse should instruct the client who is
has schizophrenia, about taking fluphenazine and is experiencing anticholinergic ettects to
strategies to minimize the chew sugarless gum. This instruction would provide moisture to the
anticholinergic effects of client's mouth and decrease the severity of dry mouth which is an
fluphenazine. Which of anticholinergic adverse ettect.
the following instructions
should the nurse suggest
for the client?
4. Gentamicin Gentamicin is a narrow-spectrum aminoglycoside antibiotic pre-
scribed to treat serious infections caused by aerobic bacilli
5. Complications of Gentam- Gentamicin can injure cells of the proximal renal tubules.
icin Naproxen and other NSAIDs can cause renal insuflciency.
, The filtration rate of the kidneys decreases with advanced age, making this
glom client at increased risk for nephrotoxicity.
erula
r
6. BUN
Blood creatinine
C
LE
ST
BE
, What lab values should a Peak and trough levels of gentamicin
nurse monitor for a pa- Specific gravity of urine
tient taking Gentamicin? Urinalysis
7. BUN blood urea nitrogen
8. Nursing actions for a Monitor intake and output.
client taking gentamicin Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid
overload.
Assess for manifestations of ototoxicity.
A nurse is preparing a
C
9. Adverse Ettects
client's medications. The Mechanism of Action
LE
nurse is responsible for Contraindications
gaining and maintaining
knowledge about which of Use knowledge of the therapeutic ettect and common adverse ef-
ST
the following medication fects of medications to compare expected outcomes with actual
information? findings
BE
10. total parenteral nutrition nutrient-complete solution given directly into bloodstream when
(TPN) person cannot eat by mouth
11. A nurse is preparing to Time of the incident
complete an incident re- who was notified of the incident
port for a medication er- actions taken following the incident
ror. What information (4 client identification
things) should the nurse
include in the report?
12. Adverse effects of oxybu- Anticholinergic ettects
tynin (dry mouth, eyes,)
blurred vision