lOMoARcPSD|44532475
PHARMACOLOGY
Question 1: The spouse of a client who is newly diagnosed with Alzheimer’s disease asks the
nurse if the medication will prevent the need for home care. Which response by the nurse is
correct?
“Drugs to treat Alzheimer’s disease are used to delay cognitive decline”
□“Drugs may be effective to stop the progression of the disease if they are initiated early in
the disease”
□“Medications to treat Alzheimer’s disease are not effective and don’t need to be started”
□ “Medications for Alzheimer’s disease are not effective in reducing cognitive impairment”
Question 2: A child diagnosed with attention deficit/hyperactivity disorder begins taking a
central nervous system stimulant. Which statement by the child’s parent indicates a need for
further teaching?
□ “I should report insomnia and poor appetite to the provider”
□ “I will make sure my child takes the medication after breakfast every day”
“This drug will make it easier for him to be an A student while in school”
□ “This medication will help my child improve attention and focus”
Question 3: A client experiencing alcohol withdrawal is given a benzodiazepine. Why is this
drug effective in this situation?
□ Alcohol does not interact with the benzodiazepine
□ Benzodiazepines potentiate alcohol withdrawal symptoms
□ Benzodiazepines relieve muscle spasms and spasticity
Benzodiazepines suppress symptoms brought on by alcohol abstinence
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, lOMoARcPSD|44532475
Question 4: A client with a seizure disorder is admitted to the hospital and has a partial
convulsive episode shortly after arriving on the unit. The client has been taking ___ daily for
several years. The client’s phenytoin level is 8.6mcg/mL and the carbamazepine level is
10mg/mL. What will the nurse expect the provider to order?
o Decrease the dose of carbamazepine
o Order Extended-release phenytoin
Increase the dose of phenytoin
o Change carbamazepine to once a day
Question 5: What must the nurse include in the discharge teaching of a young woman going
home on phenytoin?
o There can be no refills of this type of medication
Phenytoin can cause congenital disabilities and interfere with birth control
o Phenytoin is a controlled substance, so you must store the medication in a locked cabinet
o This drug is a class D medication and is safe to take during pregnancy
Question 6: A client is taking a first-generation antipsychotic medication, and the nurse notes
the client has trouble speaking and chewing and observes slow, worm-like movements of the
client’s tongue. The nurse suspects which adverse effect is occuring?
o Acute dystonia
o Akathisia
o Parkinsonism
Tardive dyskinesia
Question 7: A client taking phenytoin suddenly develops hives. What is the best explanation for
this occurrence and the nurse’s best response?
o A random idiosyncratic reaction that will not disrupt the treatment plan
o A hypertensive (excessive) response, and the dose should be reduced
Downloaded by madiba South Africa stuvia ()
PHARMACOLOGY
Question 1: The spouse of a client who is newly diagnosed with Alzheimer’s disease asks the
nurse if the medication will prevent the need for home care. Which response by the nurse is
correct?
“Drugs to treat Alzheimer’s disease are used to delay cognitive decline”
□“Drugs may be effective to stop the progression of the disease if they are initiated early in
the disease”
□“Medications to treat Alzheimer’s disease are not effective and don’t need to be started”
□ “Medications for Alzheimer’s disease are not effective in reducing cognitive impairment”
Question 2: A child diagnosed with attention deficit/hyperactivity disorder begins taking a
central nervous system stimulant. Which statement by the child’s parent indicates a need for
further teaching?
□ “I should report insomnia and poor appetite to the provider”
□ “I will make sure my child takes the medication after breakfast every day”
“This drug will make it easier for him to be an A student while in school”
□ “This medication will help my child improve attention and focus”
Question 3: A client experiencing alcohol withdrawal is given a benzodiazepine. Why is this
drug effective in this situation?
□ Alcohol does not interact with the benzodiazepine
□ Benzodiazepines potentiate alcohol withdrawal symptoms
□ Benzodiazepines relieve muscle spasms and spasticity
Benzodiazepines suppress symptoms brought on by alcohol abstinence
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
Question 4: A client with a seizure disorder is admitted to the hospital and has a partial
convulsive episode shortly after arriving on the unit. The client has been taking ___ daily for
several years. The client’s phenytoin level is 8.6mcg/mL and the carbamazepine level is
10mg/mL. What will the nurse expect the provider to order?
o Decrease the dose of carbamazepine
o Order Extended-release phenytoin
Increase the dose of phenytoin
o Change carbamazepine to once a day
Question 5: What must the nurse include in the discharge teaching of a young woman going
home on phenytoin?
o There can be no refills of this type of medication
Phenytoin can cause congenital disabilities and interfere with birth control
o Phenytoin is a controlled substance, so you must store the medication in a locked cabinet
o This drug is a class D medication and is safe to take during pregnancy
Question 6: A client is taking a first-generation antipsychotic medication, and the nurse notes
the client has trouble speaking and chewing and observes slow, worm-like movements of the
client’s tongue. The nurse suspects which adverse effect is occuring?
o Acute dystonia
o Akathisia
o Parkinsonism
Tardive dyskinesia
Question 7: A client taking phenytoin suddenly develops hives. What is the best explanation for
this occurrence and the nurse’s best response?
o A random idiosyncratic reaction that will not disrupt the treatment plan
o A hypertensive (excessive) response, and the dose should be reduced
Downloaded by madiba South Africa stuvia ()
