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Galen |\College |\Of |\Nursing |\Pharm |\EXAM |\ 1 |\
WITH |\CORRECT |\ANSWERS
What |\all |\can |\benzodiazepines |\used |\for? |(Select |\all |\that |\apply) a. |\anxiety b. |\insomnia |
c. |\alcohol |\withdrawal d. |\seizures |- |\CORRECT |\ANSWERS |\✔✔A,C,D A |\patient |\is |\being |\induced |\for |\sedation, |\what |\medication |\does |\the |
nurse |\assume |\will |\be |\ordered |\for |\the |\patient? a. |\Morphine b. |\midazolam c. |\phenytoin |- |\CORRECT |\ANSWERS |\✔✔b. |\midazolam The |\nurse |\gave |\the |\patient |\her |\Lorazepam |\at |\ 0800 |\and |\came |\back |
to |\re |\assess |\patient |\and |\found |\patient |\lying |\in |\bed |\with |\low |
respirations, |\shallow |\breathing, |\the |\nurses |\should |\note |\that? a. |\document |\this |\as |\normal |\side |\effects b. |\Hold |\Dose |\Contact |\PCP, |\due |\to |\Adverse |\reactions |- |\CORRECT |
ANSWERS |\✔✔b. |\Hold |\Dose |\Contact |\PCP, |\due |\to |\Adverse |\reactions
What |\is |\Diazepam |\primarily |\used |\for? |- |\CORRECT |\ANSWERS |
✔✔Seizure |\control What |\are |\the |\side |\effects |\of |\benzodiazepines |(pams, |\lams) |- |
CORRECT |\ANSWERS |\✔✔CNS |\Depression Drowsiness Lethargy |
Confusion A |\patient |\is |\discussing |\her |\new |\order |\for |\Alprazolam |\for |\insomnia, |
what |\statement |\by |\the |\nurse |\requires |\further |\teaching? a. |" |\I |\will |\take |\this |\medication |\at |\night" b. |" |\I |\will |\not |\drive |\when |\taking |\this |\medication" c. |" |\I |\can |\take |\melatonin |\to |\increase |\my |\chances |\of |\better |\sleep |
with |\this |\medication" |- |\CORRECT |\ANSWERS |\✔✔c. |" |\I |\can |\take |
melatonin |\to |\increase |\my |\chances |\of |\better |\sleep |\with |\this |
medication" A |\patient |\is |\suffering |\with |\new |\diagnosed |\seizures, |\what |\patient |
would |\be |\contraindicated |\for |\a |\new |\order |\of |\benzodiazepines |(pams |& |\lams) a. |\Cardiopulmonary |\patient |
b. |\Patient |\with |\diabetes |\
Both |\Benzos |\and |\the |\non |\Benzo |\Zolpidem |\have |\the |\same |\actions A |\patient |\has |\a |\new |\order |\for |\Zolpidem |\0.5 |\mg |\and |\has |\been |
taking |\for |\past |\four |\days, |\patient |\reports |\feeling |\drowsy |\upon |
waking |\up, |\the |\nurse |\notes |\that? a. |\this |\is |\a |\normal |\side |\effect b. |\tell |\patient |\to |\stop |\taking |\and |\contact |\PCP c. |\Abruptly |\stop |\taking |\the |\medication |
d. |\use |\melatonin |\to |\help |- |\CORRECT |\ANSWERS |\✔✔a. |\this |\is |\a |
normal |\side |\effect What |\are |\the |\Adverse |\Reactions |\of |\Zolpidem? a. |\Vivid |\Dreams b. |\Drug |\Tolerance c. |\Hangover |\effect d. |\Uric |\acid |\increasing |- |\CORRECT |\ANSWERS |\✔✔a. |\Vivid |\Dreams |
(Rebound |\REM, |\when |\taking |\for |\a |\long |\time) b. |\Drug |\Tolerance |(They |\keep |\needing |\higher |\doses) c. |\Hangover |\effect |(Still |\Tired |\not |\functional)
The |\nurse |\is |\going |\over |\medications |\with |\the |\patient |\about |\the |
contraindications |\of |\aspirin, |\which |\one |\of |\the |\following |\statements, |
determines |\the |\patient |\understood |\patient |\teaching? a. |\I |\cannot |\give |\take |\with |\other |\blood |\thinners |\like |(warfarin, |
Lovenox) b. |\If |\I |\experience |\excessive |\bruising |\contact |\PCP |\immediately |- |
CORRECT |\ANSWERS |\✔✔ What |\over |\the |\counter |\medications |\would |\be |\contraindicated |\when |
taking |\Ibuprofen |\or |\Aspirin? |(Select |\all |\that |\apply) a. |\Melatonin b. |\Ginseng c. |\Lidocaine |\patch |
d. |\Ginko |
e. |\Green |\Tea f. |\Garlic |- |\CORRECT |\ANSWERS |\✔✔B D E F **** |\These |\can |\cause |\increased |\bleeding |\when |\taking |\the |\listed |
medication
c. |\Senna d. |\Ginger |- |\CORRECT |\ANSWERS |\✔✔a. |\Aspirin Which |\of |\the |\following |\medications |\is |\a |\Cox |\ 2 |\inhibitor, |\and |\only |
concern |\is |\inflammation? a. |\Acetaminophen b. |\Celecoxib c. |\Aspirin |- |\CORRECT |\ANSWERS |\✔✔b. |\Celecoxib What |\patient |\teaching |\would |\you |\give |\to |\a |\patient |\taking |\NSAIDS? |
(Select |\all |\that |\apply) a. |\Always |\wear |\gloves |\when |\administering |\the |\medication |\to |
yourself b. |\This |\medication |\causes |\photosensitivity c. |\When |\taking |\medication |\take |\with |\food |\to |\avoid |\upset |\stomach d. |\watch |\for |\S/S |\of |\bleeding |- |\CORRECT |\ANSWERS |\✔✔c. |\When |
taking |\medication |\take |\with |\food |\to |\avoid |\upset |\stomach d. |\watch |\for |\S/S |\of |\bleeding |
*GI |\upset |\is |\a |\normal |\s/e |\but |\If |\patient |\is |\having |\severe |\pain |\or |
burning |\in |\abdomen |\when |\taking |\medication |\can |\be |\a |\possible |\GI |
bleed
The |\patient |\is |\newly |\diagnosed |\with |\heart |\disease |\and |\stated |\that |
he |\has |\been |\taking |\Celecoxib |\for |\the |\past |\ 30 |\years, |\what |\is |\the |
best |\statement |\to |\tell |\the |\patient |\regarding |\the |\medication |\and |\his |
new |\diagnosis? a. |" |\Taking |\this |\medication |\can |\put |\you |\at |\risk |\for |\a |\heart |\attack b. |" |\This |\can |\cause |\you |\to |\have |\cramps |\in |\the |\abdomen" c. |" |\This |\can |\cause |\your |\heart |\to |\stop" d. |" |\Taking |\this |\with |\your |\condition |\can |\cause |\edema |\to |\increase |\in |\your |\legs" |- |\CORRECT |\ANSWERS |\✔✔a. |" |\Taking |\this |\medication |\can |
put |\you |\at |\risk |\for |\a |\heart |\attack Which |\of |\the |\following |\medication |\is |\used |\for |\the |\treatment |\of |
Gout? a. |\Ibuprofen |
b. |\Keppra c. |\Carbidopa |
d. |\Allopurinol |- |\CORRECT |\ANSWERS |\✔✔d. |\Allopurinol Which |\of |\the |\following |\foods |\are |\contraindicated |\when |\taking |
Allopurinol? |(Select |\all |\that |\apply) a. |\Beer/ |\Alcohol b. |\Seafood c. |\Spinach
What |\is |\the |\antidote |\for |\Acetaminophen? |- |\CORRECT |\ANSWERS |
✔✔acetylcysteine What |\is |\the |\safe |\daily |\dose |\for |\Acetaminophen? a. |\8-10g b. |\3-4g |
c. |\20-30g d. |\5-8g |- |\CORRECT |\ANSWERS |\✔✔b. |\3-4g |\
- |\Due |\to |\Tylenol |\being |\hepatotoxic, |\and |\may |\cause |\Acute |\Hepatic |
Necrosis |\if |\given |\in |\excessive |\amounts What |\patient |\would |\be |\contraindicated |\in |\the |\use |\of |
acetaminophen? |
a. |\COPD b. |\Liver |\Disease |
c. |\Chronic |\Alcoholic |
d. |\Hyperthyroidism |- |\CORRECT |\ANSWERS |\✔✔b. |\Liver |\Disease |
c. |\Chronic |\Alcoholic |
|*Due |\to |\Tylenol |\being |\hepatotoxic, |\and |\may |\cause |\Acute |\Hepatic |
Necrosis |\if |\given |\in |\excessive |\amounts. |\These |\two |\patients |\already |
have |\a |\problem |\with |\their |\liver |\function |\it |\would |\cause |\excess |
damage |\to |\the |\liver
What |\are |\the |\common |\Side |\Effects |\of |\Morphine? a. |\Palpations b. |\CNS |\depression |
c. |\Constipation d. |\Urinary |\Retention |
e. |\Respiratory |\Depression |- |\CORRECT |\ANSWERS |\✔✔b. |\CNS |
depression |
c. |\Constipation d. |\Urinary |\Retention |
e. |\Respiratory |\Depression What |\are |\the |\Adverse |\reactions |\of |\Morphine? a. |\Tardive |\Dyskinesia |
b. |\Pin |\Point |\Pupils c. |\Hypotension d. |\Slow |\Breathing |- |\CORRECT |\ANSWERS |\✔✔b. |\Pin |\Point |\Pupils c. |\Hypotension d. |\Slow |\Breathing Which |\of |\the |\following |\medications |\is |\used |\for |\the |\Overdose |\of |
Morphine? a. |\Acetylsystaine |\
What |\is |\Morphine |\used |\for? |(Select |\all |\that |\apply) a. |\Cough |
b. |\Sedation c. |\Pain |
d. |\Headaches |- |\CORRECT |\ANSWERS |\✔✔a. |\Cough |
c. |\Pain What |\patient |\teaching |\would |\you |\give |\to |\a |\patient |\taking |
Sumatriptan |\for |\Headaches? a. |\When |\standing |\stand |\slow |
b. |\Take |\every |\day |\at |\the |\same |\time c. |\Can |\cause |\infection d. |\Can |\cause |\photosensitivity |- |\CORRECT |\ANSWERS |\✔✔a. |\When |
standing |\stand |\slow |( |\Causes |\the |\BP |\to |\increase) **b. |\Take |\every |\day |\at |\the |\same |\time |( |\patient |\should |\take |\at |\the |
onset |\of |\the |\headache |\and |\not |\used |\as |\a |\everyday |\medication |\for |
headaches What |\does |\Sumatriptans |\do |\to |\the |\body? a. |\Cause |\vasoconstriction b. |\cause |\vasodilation
c. |\Increase |\the |\risk |\for |\bleeding |- |\CORRECT |\ANSWERS |\✔✔a. |\Cause |
vasoconstriction |(Can |\cause |\B/P |\to |\go |\up, |\Heart |\rate |\to |\increase, |
blurred |\vision, |\and |\Drowsiness) |\These |\would |\be |\Side |\Effects |\
- |\During |\a |\cluster |\headache |\the |\arteries |\cause |\vasodilatation |\and |
the |\triptans A |\newly |\admitted |\patient |\has |\been |\taking |\Fluoxetine |\for |\two |\years, |
what |\medication |\if |\any |\would |\cause |\a |\contraindication |\and |\increase |\the |\serotonin |\levels |\if |\taken |\together? a. |\Morphine b. |\Tylenol c. |\Narcan d. |\Sumatriptan |- |\CORRECT |\ANSWERS |\✔✔d. |\Sumatriptan |\ - |\This |\medication |\should |\not |\be |\taken |\with |\any |\other |\SSRI |\because |\it |\induces |\the |\serotonin |\levels When |\we |\use |\Lidocaine |\as |\a |\local |\anesthetic |\what |\does |\it |\do |\to |\the |\body? a. |\Create |\a |\tingling |\sensation |\to |\the |\skin b. |\block |\pain |\receptors c. |\Blocks |\nervousness |- |\CORRECT |\ANSWERS |\✔✔b. |\block |\pain |
receptors
d. |\Take |\medication |\when |\feeling |\down |- |\CORRECT |\ANSWERS |\✔✔a. |
Limit |\to |\no |\caffeine b. |\Do |\not |\abruptly |\stop |\medication What |\are |\the |\Adverse |\effects |\of |\methylphenidate? a. |\Tachycardia, |\Palpations |\and |\Anorexia |
b. |\Restless |\and |\irritability c. |\Bradycardia |\and |\low |\respirations |- |\CORRECT |\ANSWERS |\✔✔a. |
Tachycardia, |\Palpations |\and |\Anorexia |
Restless, |\irritability, |\nervousness, |\and |\tremors |\are |\common |\side |
effects |\of |\this |\medication What |\is |\Valproic |\Acid |\used |\for? a. |\Depression b. |\Bipolar |\disorder c. |\Seizures |
d. |\ADHD |- |\CORRECT |\ANSWERS |\✔✔c. |\Seizures A |\patient |\has |\a |\new |\order |\for |\Valporic |\Acid |\what |\is |\priority |\for |\the |
nurse |\to |\know |\when |\giving |\this |\medication? a. |\Its |\hepatotoxic |
b. |\causes |\red |\urine
c. |\causes |\tremors |
d. |\used |\for |\Bipolar |\disorder |- |\CORRECT |\ANSWERS |\✔✔a. |\It's |
hepatotoxic |\
- |\Monitor |\the |\LFTS, |\Depakote |\levels, |\Teratogenic( |\Decreasing |\the |
effects |\on |\birth |\control |\and |\cause |\abnormalities |\in |\patients |\whom |
become |\pregnant) What |\is |\Phenobarbital |\used |\for? a. |\ADHD b. |\Bipolar |
c. |\Depression d. |\Seizure |- |\CORRECT |\ANSWERS |\✔✔d. |\Seizure |\ - |\This |\medication |\has |\the |\same |\adverse |\reactions |\and |\side |\effects |
as |\the |\other |\anti-seizure |\medications |
CNS |\depression, |\Sedation, |, |\Tolerance *Other |\important |\information |\Cannot |\be |\stopped |\abruptly |&Must |
use |\caution |\with |\other |\CNS |\depressants What |\is |\the |\normal |\Phenytoin |\levels? a. |\4- b. |\10- c. |\8-
c. |\Give |\the |\next |\dose |\in |\half d. |\administer |\naloxone |- |\CORRECT |\ANSWERS |\✔✔a. |\Hold |\medication |
and |\call |\the |\doctor A |\patient |\is |\assessing |\a |\patient |\taking |\Haloperidol, |\what |\signs |\and |
symptoms |\requires |\immediate |\follow |\up? a. |\rolling |\tongue, |\high |\fever, |\and |\smacking |\lips b. |\Bulging |\eyes c. |\Low |\B/P d. |\Ringing |\of |\the |\ears |- |\CORRECT |\ANSWERS |\✔✔a. |\rolling |\tongue, |
high |\fever, |\and |\smacking |\lips
- |\Extrapyramidal |\syndrome |\
- |\stoop |\posture |
-Shuffling |\gate - |\Tardive |\dyskinesia |(permanent |\if |\this |\occurs) what |\is |\ariprazole |(Abilify) |\used |\for |? a. |\Depression b. |\ADHD c. |\Tinnitus |
d. |\Major |\Psychosis/ |\Schizophrenic |- |\CORRECT |\ANSWERS |\✔✔d. |\Major |\Psychosis/ |\Schizophrenic
What |\is |\priority |\signs |\and |\symptoms |\a |\nurse |\should |\look |\for |\in |\a |
patient |\taking |\Ariprazole? a. |\Itching |
b. |\Fever |
c. |\Photosensitivity |
d. |\Hearing |\loss |- |\CORRECT |\ANSWERS |\✔✔b. |\Fever |\
- |\this |\medication's |\Adverse |\effects |\would |\be |\infection |\s/s |\of |
infection- |\also |\the |\lowest |\risk |\drug |\for |\psychosis |
Fever |(this |\is |\sometimes |\the |\only |\sign |\of |\an |\infection). Chills |\and |\sweats. Change |\in |\cough |\or |\a |\new |\cough. Sore |\throat |\or |\new |\mouth |\sore. Shortness |\of |\breath. Nasal |\congestion. Stiff |\neck. Burning |\or |\pain |\with |\urination. What |\is |\the |\First |\line |\medication |\for |\depression? a. |\Haleparidol b. |\Celecoxib |
c. |\Fluoxetine |
d. |\Aspirin |- |\CORRECT |\ANSWERS |\✔✔c. |\Fluoxetine
