Midterm Exam Flashcards
(LSD) Lysergic Acid Diethylamide is a recreation drug of abuse. Which of the following drug regulation category will LSD most likely be classified?
- schedule I
- schedule II
- schedule III
- schedule IV
- schedule I
A nurse is providing discharge teaching to a client who is to begin taking fluoxetine (Prozac) for posttraumatic stress disorder. Which of the following statements is appropriate for the nurse to include in the teaching?
- “you will feel happy all the time with this medication”
- “you will have fewer urinary adverse effects if you urinate just before taking this medication”
- “you may have a decreased desire for intimacy while taking this medication”
- “this medication should be taken on an empty stomach”
- “you may have a decreased desire for intimacy while taking this medication”
Eliza was conversing with the student nurse how to manage nausea and vomiting associated with one of her prescribed medications. Which of the following is the most appropriate intervention from the student nurse?
- advise patient to continue taking the drug without fail
- advise the patient to seek medical advise immediately
- advise the patient to increase oral fluid intake during nausea and vomiting
- advise the patient to take the drug with food
- advise the patient to take the drug with food
A patient with glaucoma was instructed to be given a miotic drug to decrease intra-ocular pressure. Which of the following pertains to the action of a miotic drug?
- pupil constriction
- eye diuresis
- paralysis of the ciliary muscle
- pupil dilation
- pupil constriction
The patient has been started on an antipsychotic medication for treatment or her schizophrenia. She asks the nurse when she will start to feel better. What is the nurse’s best response?
- “you will only feel better when you start psychotherapy, too
- “responses vary, but it may be about 6 weeks”
- “it may take up to 3 days to start to feel the effects”
- “you should start to feel better within 30-60 minutes”
- “responses vary, but it may be about 6 weeks”
A nurse is preparing to administer Plain Lactated Ringer’s 1500mL to infuse over 10 hours. The drop factor is 15gtt/mL. The nurse should set the manual IV infusion to deliver how many drops per minute?
- 37gtt/min
- 38gtt/min
- 39gtt/min
- 40gtt/min
- 38gtt/min
The physician orders “Ciprofloxacin 250mg TID”. How would the student interpret this order?
- administer the drug three times a day
- administer the drug every tuesday
- administer the drug every three hours
- administer the drug once the patient is proven to be not allergic
- administer the drug three times a day
A pregnant patient contracted a severe urinary infection which the physician ordered a medication under Pregnancy Category D. Which of the following should the student nurse do?
- continue medication administration and refer to physician
- discard the medication and await for future instructions
- continue medication administration and monitoring of the patient
- withhold the medication until confirmation with the prescriber
- withhold the medication until confirmation with the prescriber
A child soon to travel via a boat from Catanduanes to Leyte was prescribed Scopolamine. Which of the following is relieved by this medication?
- mydriasis
- urinary frequency
- motion sickness
- headache
- motion sickness
Chlorpromazine 4mg/kg body weight is ordered for a child weighing 64.8 lbs. The medication is available 500mg/4mL. How many mL should the nurse administer?
- 0.5 mL
- 0.9 mL
- 1 mL
- 1.17mL
- 0.9 mL
A nurse receives the result of a patient’s laboratory regarding monitoring of Phenytoin levels in his blood. Which of the following values indicate that the next dose of Phenytoin must be with held?
- 6mg/dL
- 12mg/dL
- 20mg/dL
- 25mg/dL
- 25mg/dL
Which of the following nursing diagnosis be most appropriate for a 60 year old patient who will be driving himself home after administration of benzodiazepam: Diazepam?
- risk for impaired skin integrity related to IV drug administration
- risk for injury related to drug-induced drowsiness
- imbalanced nutrition less than requirements related to decreased appetite
- risk for accident related to medication administration
- risk for injury related to drug-induced drowsiness
The drug, Phenylephrine is prescribed to a patient who most likely have:
- asthma
- COPD
- nasal congestion
- cardiac arrest
- nasal congestion
Which of the following rights of medication does Morpheus utilize when he signs the appropriate form in the chart and writes the time and dosage of the medication administered?
- right route
- right time
- right patient
- right documentation
- right documentation
A nurse is providing teaching to a client who has a new prescriptions to start buspirone (BuSpar) in place of diazepam (Valium). The client has a history of panic disorder. The client asks why his provider is making the medication change. Which of the following statements is an appropriate response by the nurse?
- “diazepam is not indicated for the treatment of panic disorder.” (incorrect answer) “Diazepam is not indicated for the treatment of panic disorder”
- “buspirone is a safe medication for clients who have liver dysfunction.”
- “buspirone has less risk for dependency than other treatment optionts.”
- None of the above
- “buspirone has less risk for dependency than other treatment optionts.”
A nurse is assessing a male client who recently began taking haloperidol (Haldol). Which of the following findings is the highest priority to report the the provider?
- Shuffling gait
- Neck spasms
- Drowsiness
- Impotence
- Neck spasms
The nurse is computing for the drop rate of the microset. Which of the following drop factors will the nurse utilize?
- 10gtt/min
- 15gtt/min
- 30gtt/min
- 60gtt/min
- 60gtt/min
Which of the following parameters proves that the medication Bethanechol, a direct-acting cholinergic drug, is effective at relieving patient’s symptoms?
- urine output of 80/hr
- pupil constriction
- lowered blood ressure
- (-) headache
- urine output of 80/hr
Celia, a 24 year old patient has difficulty of hearing. Which of the following type of neuron is capable of sending impulses to the central nervous system?
- efferent neuron
- afferent neuron
- somatic neuron
- sympathetic neuron
- afferent neuron
The following are ways to terminate the synaptic transmission EXCEPT:
- enzyme reuptake
- diffusion away from the gap
- enzyme degradation
- nerve terminal reuptake
- enzyme reuptake
A patient after administration of Edrophonium suddenly demonstrated bradycardia, constricted pupils, skin flushing and extreme muscle weakness. Which of the following crisis constitutes these symptoms?
- cholinergic crisis
- myasthenic crisis
- hypertensive crisis
- anaphylactic crisis
- cholinergic crisis
Ringer’s lactate 1000mL is ordered to be given within 12 hours for a hyperthermic patient. The tubing set has a drop factor of 15 gtt/mL. Calculate for the drop rate.
- 20 gtt/min
- 21 gtt/min
- 25 gtt/min
- 30 gtt/min
- 21 gtt/min
Mr. Tox experienced cardiac arrest in the unit and the physician deemed it necessary to place an endoctracheal tube to maintain airway and respiration. Which of the following drugs can be given to assist with the placement of ET?
- pancuronium
- epinephrine
- levodopa
- amantadine
- pancuronium
