P-col test HTN Flashcards
The nurse is providing care for a patient who is taking atenolol to treat hypertension
(HTN). Which physiologic action does this type of medication provide?
Beta-adrenergic blocker
A nursing student is reviewing pain management for pediatric patients who are also febrile.
Which medication should not be used for its antipyretic effect in children?
Salicylate
While studying for the medication exam, the nursing student determines that
norepinephrine, if given to a patient, would be contraindicated for which of the following
individuals?
A 52-year-old patient with a blood pressure of 186/94
The LPN is collecting history information for a patient planning outpatient surgery. Which of
the following statements by the patient would cause the nurse to contact the anesthesiologist?
“I used my pilocarpine eye drops this morning but didn’t take any of my pills.”
A nurse is reviewing a medication prescribed for moderate pain that is a combination-type
therapy—NSAID and narcotic. Which observation by the nurse warrants immediate
intervention?
The patient is taking additional ibuprofen for breakthrough pain.
The LPN is providing care for a patient who reports an allergy to acetaminophen and
penicillin. The patient has orders for morphine 1 mg intramuscular (IM) every 2 hours prn for
severe pain and Percocet two tablets every 4 hours prn for moderate pain. The patient reports
pain of 4 on a 10-point scale. Which of the following actions should the nurse take first?
Contact the RN so orders can be clarified
The LPN is monitoring a patient who has previously received morphine 4 mg intravenous
(IV) for pain relief. The patient appears drowsy and cannot respond in complete sentences.
Vital signs: Temperature 37.6 degrees, blood pressure (BP) 90/50, pulse 58, and respirations
12. Which action by the nurse is the priority?
Contact the RN to obtain an order for naloxone.
The LPN is caring for a patient being treated for clinical obesity. Phentermine has been
prescribed. What information should the LPN include in discharge teaching?
This medication is taken prior to eating meals.
The LPN is working with an elderly patient who reports difficulty sleeping and has been
prescribed eszopiclone. Which finding warrants immediate intervention?
The patient states that he has been speaking to his deceased wife.
While assisting with the care of a patient with a history of alcohol abuse, the LPN determines
that the patient’s withdrawal symptoms are worsening. Which of the following actions should
the nurse take next?
Determine if the patient has an order for prn diazepam.
An LPN working in a physician’s office receives a call from the parent of a child who recently
started taking dexmethylphenidate hydrochloride. The parent reports, “My son says
he hasn’t slept well for the past 3 days.” Which of the following responses by the nurse is
most appropriate?
“What time of day does he usually take the medication?”
While working with a patient who is taking selegiline, the LPN recognizes that the patient
understands the required dietary restrictions if the patient selects which of the following
lunches?
Hamburger with an onion bun, coleslaw, and a glass of milk
The LPN is working with a patient whose medication list includes lithium. The LPN would
be most concerned by which of the following?
The patient reports blurry vision and sensitivity to light.
An LPN is monitoring a patient diagnosed with Parkinson’s who is experiencing
extrapyramidal symptoms. Which of the following is the best nursing action?
Contact the health-care provider for a drug holiday.
The nurse is monitoring a patient who is being treated for alcohol dependence. Which vitamin
therapy should the nurse expect the health-care provider to order?
B vitamins
While passing out medications in a long-term care facility, the nurse recognizes that a
medication affecting the autonomic nervous system may cause which of the following
symptoms? (Select all that apply.)
Changes in pupil size, Altered heart rate, and Flushing of the skin
The peripheral nervous system is divided into:
Somatic and autonomic systems
This medication class mimics the sympathetic
system response:
Adrenergic agonists
Which of the following medications has no
effect on inflammation?
Acetaminophen
Acetaminophen fun facts
No anti-inflammatory effect
Opiod analgesics facts
supresses the central nervous system. Excess can cause decreassed blood pressure; this may lead to risk of falls or death, and decreased respirations.
Addiction potential with long-term use due to feelings of euphoria.
Anxiolytic medications facts
Benzodiazepines: trat anxiety , seizures, alcohol withdrawal symptoms, and muscle relaxation.
Selective serotonoin reuptake inhibitors.
serotonin-norepinephrine reuptake inhibitors
Tricyclic antidepressants
CNS nervous system stimulants
ADD AND ADHD ; amphetamine dextroamphetamine (adderall) and methylphenidate (focalin/ ritalin)
Narcolepsy ; modafinil (provigil)
monoamine oxidase inhibitors-
requires dietary exclusion foods containg tyramine
