Pharmacology Midterm Flashcards

1
Q

A patient was overdosed with Atrophine Sulfate. Which of the following medications would the nurse anticipate to negate the effects of the drug?

A

Physostigmine
(Antidote)

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2
Q

Which of the following medications is used for the DIAGNOSIS of Myasthenia Gravis? (Sever muscular weakness that goes through the lungs)

A

Edrophonium (Short acting)
Pyridostigmine (Treatment)

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3
Q

A patient with glaucome was instructed to be given a miotic drug to decrease into-occular pressure. Which of th following pertains to the action of a miotic drug?

A

Pupil constriction

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4
Q

Which of the following is NOT usefel in the treatment of hypertension?

A

Tamsulosin (Patient with benign prostatic hyperplasia)

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5
Q

The 58 years old patient presents to the emergency department. He is highly agitative and combative. The health care provider has ordered Haloperidol 5mg IM. What should the nurse know about this medication?

A

It has sedative side effects

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6
Q

Lorazepam (anxiolytic drug)

A

Muscle spasms
Alcohol withdrawal
Status epilepticus

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7
Q

3mg how many mcg?

A

3000

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8
Q

Drug for general tonic-clonic seizures?

A

Phenytoin

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9
Q

Nursing intervation of nausea and vomiting?

A

Advise the patient to take drug with food

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10
Q

Decrease in BP from supine to sitting position. What nursing intervention?

A

Let the patient rest at the side of the bed with feet dangled.

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11
Q

How many gtt/min in microset?

A

60 gtt/min

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12
Q

Travel from catanduanes to leyte. Scopolamine is administered. Which is relieved from this medication?

A

Motion sickness

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13
Q

Patient is Pregnancy Category D. What nursing intervention about medication?

A

Withhold the medication until confirmation with the prescriber

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14
Q

Patient is given Atropine Sulfate. Antagonistically with this medication?

A

Bethanecol (Antagonist)

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15
Q

Injection of IM.

A

Upon (+) blood return, the nurse widthraws the syringe.

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16
Q

LSD Lysergic Acid Diethylamide is classified as?

A

Schedule 1

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17
Q

Paracetamol 500 mg/tab PRN for fever.

A

Administer Paracetamol when the temperature is above 37.5 C

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18
Q

Nursing intervention for patient experiencing orthostatic hypotension.

A

Advise the patient to maintain sitting position for 5 mins while dangling legs to maintain equilibrium.

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19
Q

Physician orders “Ciprofloxacin 250mg TID”

A

Administer the drug three times a day

20
Q

Rights of documentation when charting and writing the dosage of the medication administered?

A

Right documentation

21
Q

Patient has difficulty hearing. Which neuron is capable of sending to the central nervous system?

A

Afferent (Out to In)
Effferent (In to Out

22
Q

Burning building. Nervous system dominates signal to the body?

A

Sympathethic Nervous System

23
Q

Phenyleprine drug is administered to patient who has?

A

Nasal congestion

24
Q

Norephinephrine side effcects

A

Tissue necrosis

25
Q

Inhaler with patient who has asthma. Which statement proves that they understand the nurse teaching?

A

I should take this medication before my morning exercise to improve my respiration

26
Q

Patient has history of falls diagnosed with HYPERTENSION 2, Prazosin. What should the nurse watch out for?

A

Ortostatic Hypotension

27
Q

Patient was prescribed with prazosin was assessed by the nurse for his pulse rate. Which of the following statement would the nurse delay the administration?

A

50bpm (60-100 bpm normal range)

28
Q

A patient prescribed with an autonomic agonist. Which of the following activities should the healthcare team monitor to his response to the therapy?

A

Driving self to work (Driving heavy machinery can cause major accidents)

29
Q

After administration of edrophonium suddenly demonstrated bradycardia, constricted pupils, skin flushing, and EXTENSIVE MUSCLE WEAKNESS. Which of the following crisis constitutes these symptoms?

A

Cholnergic crisis. (Weakness, overdose)
Myasthenic crisis (Gain strength)

30
Q

Receptors for symphathethic nervous system?

A

Alpha 1,2 Beta 1,2

31
Q

Bethanecol is a direct acting cholinergic drug. It is effective at relieving what patient’s syndrome?

A

Urine output of 80/hr (BPH, having diffculty urinating)

32
Q

What drug is used to increase dopamine release from substancia nigra of the brain?

A

Levodopa
Amantadine (Parkinson’s
Epinephrine (Cardiac arrest)
Pancuronium (Intubation of patient)

33
Q

To prevent seizure recurrence, the nurse should:

A

Monitor patient for medication adherence (Medication negligience can trigger a seizure)

34
Q

A patient experiences cardiac arrest the physician deemed it necessary to place an endotracheal tube to maintain aiarway and respiration. Which drug can be use to assist with the placement of ET?

A

Levodopa
Amantadine (Parkinson’s
Epinephrine (Cardiac arrest)
Pancuronium (Intubation of patient)

35
Q

What is the normal value of Phenytoin levels in the blood? and give the value that should withheld the next dose.

A

12-20mg/dL - Normal
25 mg/dL - High value

36
Q

What food should be used with extreme caution with MAO - inhibitors?

A

Wine (High in thyramine)

37
Q

Which of the following drugs is most likely to be given in a patient with status epilepticus?

A

Clorazepam ( Diazepam, Chlonazepam)
Bethanicol (BPH)
Betahistine (Allergies)
Aspirin (Pain, after stroke clientts)

38
Q

A patient is ordered 100 mg furosemide as a morning dose. You have at your disposal 20mg and 40mg strength of lasixTM. What would you administer?

A

2x40 mg tablets and 1x20 mg tablets
(Total of 100, not too many drugs)

39
Q

The following are ways of terminate the synaptic transmission EXCEPT?

A

Enzyme reuptake

40
Q

Patient who began taking haloperidol (HALDOL). Which of the following findings is the highest priority to report to the provider?

A

Neck spasm (A,B,C)

Side effects of haldol:
Shuffling gait
Drowsiness
Impotense

41
Q

The patient has been started on an antipsyhcotic medication for treatment of schizophrenia. She asks the nurse when she will start to feel better. What is the nurse’s best response?

A

Response vary, but it may be about 6 weeks ( 1 or 1 1/2 month)

42
Q

A nurse is providing teaching to a clieent who has a new prescription to start buspirone (BuSpar) in place of diazepam (Valum). 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?

A

Buspirone has less risk of dependency than other treatment options. (Not that addictive)

43
Q

What are the neurotransmitters are blocked by ANTI - DEPRESSANTS?

A

Serotonin
Norepinephrine
Dopamine

PARKINSONS NEUROTRANSMITTERS
Acetylcholine
GABA

44
Q

Discharge teaching for a client taking fluoxeline (PROZAC) of Posttraumatic stress disorder (PTSD). Which of the following statements is appropriate for nurse to include in the teaching?

A

You may have a decreased desire for intimact while taking this medication

45
Q

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to client to minimize anticholinergic effects?

A

Chew sugarless gum to moisten the mouth (anticholinergic drugs has effects of dryness of mouth)

46
Q

A nurse is preparing to perform a follow up assessent on a client who takes chlopromazine (Thorazine/ anti psychotic meds)

A

Disorganized speech
Hallucinations
Bizarre behavior

47
Q

What are the neurotransmitters are blocked by ANTI - DEPRESSANTS?

A

Serotonin
Norepinephrine
Dopamine

PARKINSONS NEUROTRANSMITTERS
Acetylcholine
GAB