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Pharmacology > ATI Week 11 > Flashcards

ATI Week 11 Flashcards

1
Q

Which lab tests should you monitor for a client who is taking interferon beta-1b to treat multiple sclerosis?

A
  1. Thyroid hormones
  2. Liver function
  3. CBC
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2
Q

While obtaining a clients medical history, you find that the client is taking levodopa/ carbidopa for Parkinson’s disease. Which information in the clients health history alerts you to take further action?

A

Glaucoma

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3
Q

A visit to the providers office, an older adult clients partner reports that the client has nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer’s disease and is taking donepezil. Which information should be provided by the nurse?

A

Take the drug with food

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4
Q

You are instructing a client who has multiple sclerosis about how dantrolene will help control spasticity. Which mechanism is this drug effective in treating this manifestation?

A

Alters intracellular calcium exchange at the muscles

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5
Q

You are caring for a client who is preoperative and is NPO. The client takes carbamazepine, 200 mg PO BID for a seizure d/o. Which action should the nurse take?

A

Give the oral dose of carbamazepine with a sip of water

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6
Q

You are instructing a school-age child and his parent about the use of amphetamine-dextroamphetamine to manage the child’s attention deficit/ hyperactivity d/o. Which clinical manifestations should the nurse instruct the parent to report?

A
  1. Weight loss
  2. Insomnia
  3. Hallucinations
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7
Q

Therapeutic use of: Hydantoin

A

Controls seizures

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8
Q

Therapeutic use of: Immunomodulator

A

Reduces symptoms of multiple sclerosis

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9
Q

Therapeutic use of: Dopamine receptor agonist

A

Reduces the effects of Parkinson’s disease

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10
Q

Therapeutic use of: Cholinesterase inhibitor

A

Helps minimize symptoms of Alzheimer’s disease

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11
Q

A PCP prescribes sumatriptan to treat a clients migraine headaches. Which instructions should the nurse include when telling the client how to take sumatriptan?

A
  1. Take the drug after onset of the migraine

2. Repeat the dose once if the headache returns

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12
Q

A client rx spinal anesthesia with lidocaine and epinephrine. You explain that epinephrine is used with lidocaine for which of the following reasons?

A

Prolongs the anesthetic effects

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13
Q

Therapeutic use of: Baclofen

A

Muscle spasms

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14
Q

Therapeutic use of: Amphetamine/ dextroamphetamine sulfate

A

Attention-deficit / hyperactivity d/o

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15
Q

Therapeutic use of: Dantrolene

A

Malignant hyperthermia

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16
Q

Therapeutic use of: Fentanyl

A

Anesthesia or cancer pain managment

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17
Q

Which of the following assessments of this client is most important immediately following the administration of IV diazepam?

A

Respiratory Rate

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18
Q

The health care professional is about to administer a loading dose of phenytoin IV. Which of the following is essential for the health care professional to do before administering phenytoin IV?

A

Infuse phenytoin slowly

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19
Q

The health care professional is now assessing the client. Which of the following findings can an early indication of phenytoin toxicity?

A

Nystagmus

20
Q

The HCP is talking with the client, who is soon to be discharged to home, about the A/E of phenytoin. Which of the following instructions may help minimize the A/E of phenytoin?

A

Use of good oral hygiene

21
Q

The client is taking oral contraceptives for birth control. Which of the following instructions should the health care professional include?

A

Additional birth control methods may be needed

22
Q

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects?

A

Tachycardia

23
Q

A nurse is caring for a client who has been taking selegiline to treat Parkinson’s disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine can result in which of the following?

A

Muscle rigidity

24
Q

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions?

A

Presence of a migraine headache

25
Q

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer’s disease about donepezil. Which of the following information should the nurse include?

A

Avoid the use of NSAIDs for pain

26
Q

A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include?

A

Avoid driving until the drugs effects are evident

27
Q

A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include?

A

Take the drug in the morning

28
Q

A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug?

A

Premedicate with acetaminophen

29
Q

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following A/E?

A

Diarrhea

30
Q

A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid A/E of this drug?

A

Begin taking the drug at a low dosage

31
Q

A nurse is caring for a client who is rx methohexital sodium. The nurse should monitor the client for which of the following A/E?

A

Respiratory depression

32
Q

A nurse is teaching a client who has Alzheimer’s disease and their caregiver about memantine. Which of the following instructions should the nurse include?

A

Avoid taking OTC antacids

33
Q

A nurse is caring for a client who is taking donepezil to treat Alzheimer’s disease. For which of the following A/E should the nurse monitor?

A

Nausea

34
Q

A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure d/o. The nurse should instruct the client to monitor for which of the following A/E?

A

Jaudice

35
Q

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should I.D that which of the following lab tests requires monitoring?

A

Liver function

36
Q

A nurse is teaching a client who is taking levodopa/ carbidopa to treat Parkinson’s disease. Which of the following instructions should the nurse include?

A

Change positions slowly to prevent orthostatic hypotension

37
Q

A nurse is teaching a client who has a new prescription for a valproic acid to treat a seizure d/o. The nurse should instruct the client to monitor for which of the following A/E?

A
  1. Drowsiness
  2. Headache
  3. Rash
38
Q

A nurse is caring for a client who has been taking amphetamine/ dextroamphetamine sulfate for treatment of ADHD for 2 weeks. The nurse should report which of the following findings to the provider?

A

Weight loss of 2.3 kg (5lb)

39
Q

A nurse is reviewing the medical record of a client who has a newly diagnoses seizure d/o and a new prescription for valproic acid and phenytoin. The nurse should identify that which of the following can occur as a result of interaction between these drugs?

A

Phenytoin toxicity

40
Q

A nurse is teaching a client who is about to being sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following A/E?

A

Chest pain

41
Q

A nurse is teaching a client who has a new dx of Parkinson’s disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacologic effects?

A

Increases available dopamine in the brain

42
Q

A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson’s disease. The nurse should recognize that which of the following lab tests requires monitoring?

A

Creatine clearance

43
Q

A nurse is preparing to administer memantine to a client who has Alzheimer’s disease. Which of the following findings in the clients medical history indicates a need to withhold the drugs and notify the prescriber?

A

Cirrhosis

44
Q

A nurse is caring for a client who is taking interferon-beta 1b. The nurse should identify that which of the following findings indicates a potential serious A/E?

A

Fatigue

45
Q

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl?

A

Naloxone

46
Q

A nurse is teaching a client who rx a prescription for interferon-beta1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?

A

Administer the drug in your thigh or upper arm

Pharmacology (55 decks)

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