Final exam: pharm
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Questions and Answers

What is the primary mechanism of action of expectorants in reducing the viscosity of mucus?

  • Inhibiting the production of respiratory tract fluids
  • Directly stimulating the respiratory tract to increase mucus production
  • Indirectly stimulating the respiratory tract through irritation of the GI tract (correct)
  • Increasing the reabsorption of respiratory tract fluids

What is the primary therapeutic effect of expectorants?

  • Reducing the frequency of productive coughs
  • Loosening and thinning sputum and bronchial secretions (correct)
  • Suppressing the cough reflex
  • Increasing the viscosity of mucus

In which patients should expectorants be used with caution?

  • Patients with a fever
  • Patients with a productive cough
  • Older adults and patients with asthma or respiratory insufficiency (correct)
  • Patients with a history of allergic reactions

What is the primary indication for the use of expectorants?

<p>Relief of productive coughs associated with common cold and bronchitis (C)</p> Signup and view all the answers

What is a key nursing implication for patients taking expectorants?

<p>Increase fluids to help loosen and liquefy secretions (C)</p> Signup and view all the answers

What is a potential consequence of using topical nasal decongestants over several days?

<p>Rebound congestion (B)</p> Signup and view all the answers

What type of drugs constrict the small arterioles when stimulated, leading to decongestant effects?

<p>Alpha-adrenergic drugs (B)</p> Signup and view all the answers

What is a characteristic of oral decongestants compared to topical nasal decongestants?

<p>No rebound congestion (A)</p> Signup and view all the answers

Which type of drug is less commonly used as a decongestant?

<p>Parasympatholytics (A)</p> Signup and view all the answers

What is the primary cause of excessive nasal secretions and inflamed and swollen nasal mucosa?

<p>Allergies (A)</p> Signup and view all the answers

What is a potential adverse effect of using monoamine oxidase inhibitors and sympathomimetic nasal decongestants together?

<p>Raising blood pressure (A)</p> Signup and view all the answers

What is a key nursing implication for patients taking nasal decongestants?

<p>Report fever, cough, or symptoms lasting longer than 1 week (A)</p> Signup and view all the answers

What is the primary function of the cough reflex in respiratory physiology?

<p>To remove foreign objects from the respiratory tract (B)</p> Signup and view all the answers

What is the main difference between a productive cough and a nonproductive cough?

<p>Productive cough removes excessive secretions, while nonproductive cough is dry (C)</p> Signup and view all the answers

When are antitussive drugs typically used?

<p>For nonproductive coughs (D)</p> Signup and view all the answers

What is the primary mechanism of action of opioids in suppressing the cough reflex?

<p>By direct action on the cough center in the medulla (D)</p> Signup and view all the answers

What is a common adverse effect of benzonatate?

<p>Dizziness (B)</p> Signup and view all the answers

When is it appropriate to use antitussive drugs?

<p>For nonproductive coughs (B)</p> Signup and view all the answers

What is a nursing implication for patients taking antitussive drugs?

<p>Instruct patients to avoid driving or operating heavy equipment (C)</p> Signup and view all the answers

What is a contraindication for antitussive drugs?

<p>Drug allergy (B)</p> Signup and view all the answers

What is a potential adverse effect of combining monoamine oxidase inhibitors with sympathomimetic nasal decongestants?

<p>Elevated blood pressure (A)</p> Signup and view all the answers

Why should patients taking nasal decongestants avoid caffeine and caffeine-containing products?

<p>To minimize the risk of adverse interactions (B)</p> Signup and view all the answers

What is the benefit of the cough reflex in respiratory physiology?

<p>It removes excess secretions and foreign objects (B)</p> Signup and view all the answers

What is the primary mechanism of action of antitussive drugs?

<p>Suppressing the cough reflex (D)</p> Signup and view all the answers

When is the use of antitussive drugs typically appropriate?

<p>When a patient has a nonproductive cough (D)</p> Signup and view all the answers

What is the expected effect of expectorants on the tendency to cough?

<p>Indirectly diminished coughing (A)</p> Signup and view all the answers

Which of the following is NOT a mechanism of action of expectorants?

<p>Inhibition of mucus production (B)</p> Signup and view all the answers

What is the rationale behind increasing fluids in patients taking expectorants?

<p>To help loosen and liquefy secretions (A)</p> Signup and view all the answers

What is the primary reason for monitoring for intended therapeutic effects in patients taking expectorants?

<p>To assess the effectiveness of the drug in relieving cough symptoms (D)</p> Signup and view all the answers

Why are expectorants used with caution in older adults and patients with asthma or respiratory insufficiency?

<p>Due to increased risk of adverse effects (C)</p> Signup and view all the answers

What is a significant adverse effect of using topical nasal decongestants over an extended period?

<p>Rebound congestion (B)</p> Signup and view all the answers

What is a potential interaction between sympathomimetic nasal decongestants and other medications?

<p>Monoamine oxidase inhibitors exacerbating sympathomimetic effects (A)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking nasal decongestants?

<p>Assessing for rebound congestion (D)</p> Signup and view all the answers

What is the primary mechanism of action of antitussive drugs in suppressing the cough reflex?

<p>Depression of the cough center in the brain (D)</p> Signup and view all the answers

What is a potential adverse effect of using sympathomimetic nasal decongestants in excessive doses?

<p>Stimulation of the heart, blood vessels, and CNS (D)</p> Signup and view all the answers

Which type of drug interaction can occur when sympathomimetic nasal decongestants are given with systemic sympathomimetic drugs?

<p>Increased risk of drug toxicity (B)</p> Signup and view all the answers

What is the primary function of the cough reflex in respiratory physiology?

<p>Removal of irritants from the lungs (B)</p> Signup and view all the answers

What is a key nursing implication for patients taking nasal decongestants?

<p>Monitor for rebound congestion (D)</p> Signup and view all the answers

What is the primary function of the cough reflex in respiratory physiology?

<p>To clear mucus from the airways (A)</p> Signup and view all the answers

What is the primary mechanism of action of antitussive drugs?

<p>Suppression of the cough reflex (C)</p> Signup and view all the answers

What is the primary mechanism of action of antihistamines in reducing nasal secretions?

<p>Blockade of histamine receptors (C)</p> Signup and view all the answers

Which of the following is an anticholinergic effect of antihistamines?

<p>Dry mouth (A)</p> Signup and view all the answers

What is the primary indication for the use of sedative antihistamines?

<p>Management of nasal allergies (A)</p> Signup and view all the answers

Which type of antihistamine is more likely to cause drowsiness?

<p>Traditional antihistamines (A)</p> Signup and view all the answers

What is a contraindication for the use of antihistamines?

<p>Bronchial asthma (B)</p> Signup and view all the answers

What is the primary difference between traditional and nonsedating antihistamines?

<p>Central nervous system effects (B)</p> Signup and view all the answers

What is the primary benefit of nonsedating antihistamines?

<p>Fewer adverse effects (A)</p> Signup and view all the answers

Which of the following is a nursing implication for patients taking antihistamines?

<p>Assess for drug allergies (D)</p> Signup and view all the answers

What is the primary mechanism of action of antitussive drugs?

<p>Suppression of the cough reflex (D)</p> Signup and view all the answers

What is the primary benefit of expectorants in reducing the viscosity of mucus?

<p>Thinner mucus (C)</p> Signup and view all the answers

What is the outcome of excessive mucus production in response to viral infection?

<p>Fluid drainage into the esophagus and lower respiratory tract (B)</p> Signup and view all the answers

Why is it difficult to identify the cause of a cold?

<p>Due to the similar symptoms of viral and bacterial infections (C)</p> Signup and view all the answers

What is the primary mechanism of action of nonopioid antitussives like dextromethorphan?

<p>Numbing of the stretch receptors in the respiratory tract (C)</p> Signup and view all the answers

What is a common adverse effect of opioids used as antitussives?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended age restriction for the use of OTC cough and cold products?

<p>Children younger than 2 years of age (B)</p> Signup and view all the answers

What is the result of mucosal irritation in the nasal mucosa?

<p>Release of inflammatory and vasoactive substances (D)</p> Signup and view all the answers

What is the primary purpose of instructing patients to report certain symptoms to the caregiver when taking antitussives?

<p>To monitor for potential allergic reactions (C)</p> Signup and view all the answers

What is the primary goal of symptomatic treatment for the common cold?

<p>To reduce the severity of symptoms (B)</p> Signup and view all the answers

In what type of cough is the use of antitussive drugs typically indicated?

<p>Nonproductive cough (B)</p> Signup and view all the answers

What is the primary effect of opioids on the respiratory system?

<p>Suppression of the cough reflex (B)</p> Signup and view all the answers

What is the primary effect of xanthine derivatives on the heart?

<p>Increased cardiac output (A)</p> Signup and view all the answers

What is a common adverse effect of xanthine derivatives?

<p>Hyperglycemia (D)</p> Signup and view all the answers

What is the nursing implication for patients taking xanthine derivatives with a history of PUD or GI disorders?

<p>Avoid use altogether (B)</p> Signup and view all the answers

What is the therapeutic effect of theophylline in infants?

<p>Enhancement of respiratory drive (A)</p> Signup and view all the answers

What is the recommended dosage range for aminophylline in treating patients with status asthmaticus?

<p>5-15 mcg/mL (B)</p> Signup and view all the answers

What is the effect of cigarette smoking on xanthine metabolism?

<p>It enhances the metabolism (C)</p> Signup and view all the answers

How do leukotriene receptor antagonists (LTRAs) work?

<p>By preventing leukotrienes from attaching to receptors on cells (D)</p> Signup and view all the answers

What is a potential interaction between xanthine derivatives and other medications?

<p>With cimetidine, resulting in decreased xanthine metabolism (C)</p> Signup and view all the answers

What is a nursing implication for patients taking xanthine derivatives?

<p>Be aware of drug interactions with certain medications (A)</p> Signup and view all the answers

What is the mechanism of action of leukotriene receptor antagonists in reducing inflammation?

<p>By preventing leukotrienes from attaching to receptors on cells (C)</p> Signup and view all the answers

What is the primary mechanism of action of xanthine derivatives in producing bronchodilation?

<p>Competitively inhibiting phosphodiesterase to increase cAMP levels (B)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking beta-adrenergic agonists?

<p>Reporting insomnia, jitteriness, and restlessness (B)</p> Signup and view all the answers

What is the primary benefit of anticholinergics in patients with COPD?

<p>Helping reduce secretions in COPD patients and preventing bronchospasm (A)</p> Signup and view all the answers

What is a potential adverse effect of anticholinergics?

<p>Dry mouth and nasal congestion (D)</p> Signup and view all the answers

What is the primary mechanism of action of anticholinergics in preventing bronchospasm?

<p>Binding to acetylcholine receptors to prevent bronchial constriction (B)</p> Signup and view all the answers

What is the primary effect of Leukotriene Receptor Antagonists (LTRAs) on bronchial airways?

<p>Decrease smooth muscle contraction (A)</p> Signup and view all the answers

What is a common adverse effect of Leukotriene Receptor Antagonists (LTRAs)?

<p>Headache (C)</p> Signup and view all the answers

What is the primary indication for the use of Corticosteroids in asthma treatment?

<p>Chronic asthma (D)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking Leukotriene Receptor Antagonists (LTRAs)?

<p>Monitor for liver function (C)</p> Signup and view all the answers

What is the benefit of using inhaled Corticosteroids in asthma treatment?

<p>Systemic effects are reduced (B)</p> Signup and view all the answers

What is a potential consideration for patients taking inhaled corticosteroids in terms of their medication regimen?

<p>Adjusting the dosage of antidiabetic drugs (C)</p> Signup and view all the answers

What is an important aspect of patient education for proper inhaler use?

<p>Ensuring the patient can self-administer the medication (B)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking inhaled corticosteroids?

<p>Promoting adequate fluid intake and avoiding excessive fatigue (C)</p> Signup and view all the answers

What is an important aspect of the respiratory assessment before beginning therapy with inhaled corticosteroids?

<p>Performing pulse oximetry (A)</p> Signup and view all the answers

What is a key indicator of therapeutic effects in patients taking inhaled corticosteroids?

<p>Increased ease of breathing and return to normal respiratory patterns (B)</p> Signup and view all the answers

What is the primary mechanism of action of corticosteroids in reducing inflammation?

<p>Stabilizing the membranes of cells that release harmful bronchoconstricting substances (C)</p> Signup and view all the answers

Which of the following is a contraindication for the use of inhaled corticosteroids?

<p>Hypersensitivity to glucocorticoids (B)</p> Signup and view all the answers

What is the primary advantage of using inhaled corticosteroids over systemic corticosteroids?

<p>Inhaled corticosteroids have fewer systemic effects (D)</p> Signup and view all the answers

What is the primary adverse effect of inhaled corticosteroids that is more likely to occur with systemic corticosteroids?

<p>Systemic effects (B)</p> Signup and view all the answers

What is the primary indication for the use of inhaled corticosteroids?

<p>Primary treatment of bronchospastic disorders (C)</p> Signup and view all the answers

What is the primary function of the respiratory system?

<p>To deliver oxygen to and remove carbon dioxide from the cells of the body (A)</p> Signup and view all the answers

What is the main characteristic of bronchial asthma?

<p>Recurrent and reversible shortness of breath (B)</p> Signup and view all the answers

Which part of the respiratory system is responsible for gas exchange?

<p>Alveoli (A)</p> Signup and view all the answers

What is the result of bronchospasms, inflammation, and edema of the bronchial mucosa in bronchial asthma?

<p>The airways of the lungs become narrow and airflow to the alveoli is obstructed (B)</p> Signup and view all the answers

What is the difference between chronic obstructive pulmonary disease (COPD) and bronchial asthma?

<p>COPD is a chronic and irreversible condition, while bronchial asthma is a recurrent and reversible condition (B)</p> Signup and view all the answers

Which type of medication is used to treat bronchial asthma?

<p>All of the above (D)</p> Signup and view all the answers

What is the mechanism of action of leukotriene receptor antagonists?

<p>They block the action of leukotrienes (A)</p> Signup and view all the answers

What is the primary function of cardiac stimulants?

<p>To increase heart rate (A)</p> Signup and view all the answers

What is a nursing implication for patients taking corticosteroids?

<p>Monitor for signs of adrenal insufficiency (A)</p> Signup and view all the answers

What is the primary effect of xanthine derivatives on the respiratory system?

<p>They relax the bronchial muscles (D)</p> Signup and view all the answers

What is the primary mechanism of action of antidiabetic agents in reducing blood glucose levels?

<p>Increase insulin receptor sensitivity (D)</p> Signup and view all the answers

What is the primary concern for patients with hypoglycemia?

<p>Seizures and death (A)</p> Signup and view all the answers

What is the recommended treatment for mild cases of hypoglycemia?

<p>Diet adjustment with higher protein intake and lower carbohydrate intake (A)</p> Signup and view all the answers

What is the primary benefit of glucagon in treating hypoglycemia?

<p>Rapidly increases blood glucose levels (B)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking antidiabetic drugs?

<p>Obtain and document a thorough history and vital signs (B)</p> Signup and view all the answers

What percentage of patients may develop type 2 DM within 10 to 15 years after subsiding?

<p>30% (D)</p> Signup and view all the answers

What is the HbA1C diagnostic criteria for type 2 diabetes?

<p>6.5% (A)</p> Signup and view all the answers

What is the recommended screening frequency for diabetes in patients 45 years and older?

<p>Every 3 years (C)</p> Signup and view all the answers

What is the primary goal of glycemic control in diabetes treatment?

<p>HbA1C of less than 7% (D)</p> Signup and view all the answers

Which type of diabetes always requires insulin therapy?

<p>Type 1 (D)</p> Signup and view all the answers

What is essential to assess before administering medications that alter glucose levels?

<p>Patient's ability to consume food or liquids (B)</p> Signup and view all the answers

What is a concern for patients with diabetes who are under stress?

<p>Increased risk of complications (C)</p> Signup and view all the answers

What is essential for patient education regarding diabetes management?

<p>All of the above (D)</p> Signup and view all the answers

What is crucial to check before administering insulin?

<p>Patient's blood glucose level (A)</p> Signup and view all the answers

What is important to ensure when preparing insulin?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary response to monitor when administering glucose tablets or gel to a patient?

<p>Decrease in blood glucose levels (C)</p> Signup and view all the answers

What is the role of the adrenal medulla?

<p>Secretion of catecholamines (A)</p> Signup and view all the answers

What is the consequence of oversecretion of corticosteroids?

<p>Cushing's syndrome (B)</p> Signup and view all the answers

What is the primary function of glucocorticoids?

<p>Regulation of blood glucose levels (B)</p> Signup and view all the answers

When should alpha-glucosidase inhibitors be taken?

<p>With the first bite of each main meal (D)</p> Signup and view all the answers

What is the significance of monitoring HbA1C levels?

<p>Monitoring long-term glucose control (B)</p> Signup and view all the answers

Why should metformin be discontinued in patients undergoing studies with contrast dye?

<p>To prevent renal effects (A)</p> Signup and view all the answers

What is the primary mechanism of action of metformin?

<p>Increasing insulin sensitivity (D)</p> Signup and view all the answers

When should oral antidiabetic drugs be administered in relation to meals?

<p>30 minutes before meals (D)</p> Signup and view all the answers

What is the primary goal of glucose regulation in diabetes management?

<p>Maintaining normoglycemia (B)</p> Signup and view all the answers

What is the primary goal of treatment for patients with type 2 diabetes mellitus?

<p>To achieve a HbA1C level of 7% or less (D)</p> Signup and view all the answers

What is the mechanism of action of metformin in reducing blood glucose levels?

<p>Decreasing the release of glucose from the liver (D)</p> Signup and view all the answers

What is a potential adverse effect of oral antidiabetic drugs?

<p>All of the above (D)</p> Signup and view all the answers

Which type of diabetes is typically treated with lifestyle modifications and oral antidiabetic drugs?

<p>Type 2 diabetes (B)</p> Signup and view all the answers

What is the primary role of basal insulin in the basal-bolus insulin dosing regimen?

<p>To provide a constant, low-level insulin supply (B)</p> Signup and view all the answers

What is the primary mechanism of action of Sodium Glucose Cotransporter 2 (SGLT2) inhibitors?

<p>Inhibit glucose reabsorption from the glomerular filtrate (C)</p> Signup and view all the answers

Which of the following adverse effects is associated with amylin agonists?

<p>Anorexia and nausea (A)</p> Signup and view all the answers

What is the benefit of SGLT2 inhibitors in terms of glycemic control?

<p>Reduced risk of hypoglycemia (D)</p> Signup and view all the answers

Which of the following oral antidiabetic drugs is associated with a risk of hemorrhagic pancreatitis?

<p>Incretin mimetics (A)</p> Signup and view all the answers

What is the primary effect of SGLT2 inhibitors on the kidneys?

<p>Decreased renal threshold for glucose (C)</p> Signup and view all the answers

Which of the following is a common adverse effect of incretin mimetics?

<p>Nausea and vomiting (C)</p> Signup and view all the answers

What is the benefit of SGLT2 inhibitors in terms of weight management?

<p>Weight loss (A)</p> Signup and view all the answers

Which of the following oral antidiabetic drugs works independently of insulin?

<p>SGLT2 inhibitors (B)</p> Signup and view all the answers

What is the primary effect of SGLT2 inhibitors on glucose metabolism?

<p>Increased glucose excretion in the kidneys (B)</p> Signup and view all the answers

Which of the following oral antidiabetic drugs is associated with an increased risk of pancreatitis?

<p>Incretin mimetics (B)</p> Signup and view all the answers

What is the primary concern for patients who experience hyperkalemia due to digoxin toxicity?

<p>Risk of life-threatening cardiac dysrhythmias (D)</p> Signup and view all the answers

What is a potential contraindication for the use of digoxin in patients with cardiac conditions?

<p>Use of cardiac pacemaker (D)</p> Signup and view all the answers

What is a common adverse effect of digoxin on the central nervous system?

<p>Convulsions (D)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking digoxin?

<p>Assessing clinical parameters such as BP and apical pulse (B)</p> Signup and view all the answers

What is a contraindication for the use of this medication?

<p>Pre-existing QT prolongation (C)</p> Signup and view all the answers

What is a condition that predisposes to digoxin toxicity?

<p>Hypokalemia (B)</p> Signup and view all the answers

What is a potential adverse effect of this medication?

<p>Fainting episodes (B)</p> Signup and view all the answers

What is a nursing implication for patients taking this medication?

<p>Limit alcohol consumption (C)</p> Signup and view all the answers

What is the primary mechanism of action of cardiac glycosides in reducing heart rate?

<p>Decreased automaticity at SA node (D)</p> Signup and view all the answers

What is a contraindication for the use of cardiac glycosides in patients with hypokalemia?

<p>Low potassium levels increase its toxicity (D)</p> Signup and view all the answers

What is a potential drug interaction with this medication?

<p>Interactions with other QT-prolonging drugs (B)</p> Signup and view all the answers

What is a nursing implication for patients taking this medication in relation to their vital signs?

<p>Monitoring for pulse rate less than 60 beats/min (A)</p> Signup and view all the answers

What is a potential adverse effect of cardiac glycosides, particularly in patients with low potassium levels?

<p>Increased toxicity (B)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking cardiac glycosides?

<p>Monitoring of electrolyte levels (B)</p> Signup and view all the answers

What is the primary mechanism of action of Alpha2-Adrenergic Receptor Stimulators?

<p>They stimulate the alpha2-adrenergic receptors, decreasing the release of norepinephrine (C)</p> Signup and view all the answers

What is a contraindication for the use of Alpha2-Adrenergic Receptor Stimulators?

<p>None of the above (D)</p> Signup and view all the answers

What is the therapeutic window for digoxin levels?

<p>0.5 to 2 ng/mL (A)</p> Signup and view all the answers

What is a potential drug interaction to consider when using Adrenergic Drugs?

<p>Additive CNS depression with alcohol, benzodiazepines, and opioids (A)</p> Signup and view all the answers

What is a nursing implication for patients taking Clonidine?

<p>Monitor for signs of hypotension (B)</p> Signup and view all the answers

What is a potential adverse effect of Adrenergic Drugs?

<p>Rebound hypertension with abrupt discontinuation (C)</p> Signup and view all the answers

Which of the following is a contraindication for the use of beta blockers?

<p>Systolic heart failure (A)</p> Signup and view all the answers

What is the mechanism of action of atenolol?

<p>Cardioselective beta1-adrenergic receptor blocker (A)</p> Signup and view all the answers

Which of the following is an adverse effect of beta blockers that is of particular concern in patients with diabetes?

<p>Masking of hypoglycemia-induced tachycardia (C)</p> Signup and view all the answers

What is a nursing implication for patients taking beta blockers?

<p>Discussing treatments for impotence with a physician (D)</p> Signup and view all the answers

Which of the following is a potential drug interaction with beta blockers?

<p>Increased risk of hypoglycemia with insulin (B)</p> Signup and view all the answers

What is the primary mechanism of action of calcium channel blockers in reducing blood pressure?

<p>Blockage of the binding of calcium to its receptors, preventing muscle contraction (B)</p> Signup and view all the answers

Which of the following patients should not take losartan?

<p>A breastfeeding woman (B)</p> Signup and view all the answers

What is a common adverse effect of angiotensin II receptor blockers?

<p>Diarrhea (C)</p> Signup and view all the answers

What is a nursing implication for patients taking calcium channel blockers?

<p>Monitor for changes in blood pressure (B)</p> Signup and view all the answers

What is the primary mechanism of action of nitrates and nitrites?

<p>Relaxing smooth muscles (D)</p> Signup and view all the answers

What is a contraindication for the use of nitrates?

<p>Severe anemia (C)</p> Signup and view all the answers

What is a potential adverse effect of using nitrates with erectil dysfunction drugs?

<p>Hypotension (B)</p> Signup and view all the answers

What is a nursing implication for patients taking nitrates?

<p>Monitoring for signs of hypotension (B)</p> Signup and view all the answers

What is a common adverse effect of nitrates?

<p>Headache (A)</p> Signup and view all the answers

What is the primary indication for the use of nitrates?

<p>Stable angina (B)</p> Signup and view all the answers

What is the effect of nitrates on coronary arteries?

<p>Vasodilation (B)</p> Signup and view all the answers

What is the result of nitrates' effect on coronary arteries?

<p>Increased oxygen delivery to ischemic myocardial tissue (B)</p> Signup and view all the answers

What is a potential adverse effect of long-term use of nitrates?

<p>Tolerance (C)</p> Signup and view all the answers

What is the route of administration for rapid-acting forms of nitrates?

<p>Sublingual (B)</p> Signup and view all the answers

What is the primary indication for the use of desmopressin?

<p>All of the above (D)</p> Signup and view all the answers

What is a crucial aspect of patient assessment prior to administering heparin?

<p>All of the above (D)</p> Signup and view all the answers

What is the significance of monitoring aPTT laboratory values in patients receiving heparin?

<p>To monitor coagulation effects (C)</p> Signup and view all the answers

What is a crucial consideration when administering subcutaneous heparin doses?

<p>Rotating injection sites (B)</p> Signup and view all the answers

What is the purpose of protamine sulfate in relation to heparin administration?

<p>To counteract excessive anticoagulation (B)</p> Signup and view all the answers

What is the recommended action when a patient on warfarin exhibits excessive anticoagulation?

<p>Provide vitamin K (A)</p> Signup and view all the answers

What is a crucial aspect of patient education regarding anticoagulant therapy?

<p>Importance of regular laboratory testing (B)</p> Signup and view all the answers

What is a potential interaction between warfarin and certain herbal products?

<p>Increased risk of bleeding (D)</p> Signup and view all the answers

What is the primary mechanism of action of protamine sulfate in cases of excessive anticoagulation?

<p>Reversing the effects of heparin (D)</p> Signup and view all the answers

What is a nursing implication for patients receiving subcutaneous injections of low-molecular-weight heparin?

<p>Rotate injection sites (C)</p> Signup and view all the answers

What is the primary reason for assessing dietary patterns and exercise level in patients taking omega-3 fatty acids?

<p>To assess the patient's overall health status (C)</p> Signup and view all the answers

Why is it necessary to obtain baseline liver function studies in patients taking omega-3 fatty acids?

<p>To identify potential contraindications such as liver dysfunction (C)</p> Signup and view all the answers

What is the recommended instruction for patients taking omega-3 fatty acid powder forms?

<p>Mix the powder with a liquid and take immediately (D)</p> Signup and view all the answers

What is the purpose of starting with a low initial dose of niacin and gradually increasing it in patients taking omega-3 fatty acids?

<p>To minimize adverse effects such as niacin-induced flush (D)</p> Signup and view all the answers

Why is it necessary to counsel patients taking omega-3 fatty acids on diet and nutrition on an ongoing basis?

<p>To promote overall health and wellness (B)</p> Signup and view all the answers

What is a primary nursing implication for patients taking diuretics along with a digitalis preparation?

<p>Monitoring for digitalis toxicity (A)</p> Signup and view all the answers

Why should patients with diabetes mellitus who are taking thiazide or loop diuretics monitor their blood glucose levels?

<p>To monitor for elevated blood glucose levels (D)</p> Signup and view all the answers

What is a potential consequence of fluid and electrolyte imbalances in patients who have been ill with nausea, vomiting, or diarrhea?

<p>Hypotension (D)</p> Signup and view all the answers

What is a common symptom of hypokalemia?

<p>Muscle weakness (D)</p> Signup and view all the answers

Why should patients taking thiazides avoid excessive consumption of licorice?

<p>To prevent additive hypokalemia (B)</p> Signup and view all the answers

What is the primary indication for monitoring the reduction of which of the following symptoms?

<p>Fluid volume (B)</p> Signup and view all the answers

Which of the following adverse effects should be monitored when using potassium-sparing diuretics?

<p>Hyperkalemia (A)</p> Signup and view all the answers

What is the primary reason for monitoring patients for drowsiness and lethargy?

<p>To detect potential adverse effects of the medication (C)</p> Signup and view all the answers

What is the primary nursing implication for patients taking this medication?

<p>Monitoring for adverse effects (A)</p> Signup and view all the answers

What is the primary adverse effect associated with the use of this medication?

<p>Metabolic alkalosis (C)</p> Signup and view all the answers

What is the primary indication for the administration of thrombolytic drugs?

<p>Treatment of deep vein thrombosis (B)</p> Signup and view all the answers

What is a crucial nursing implication for patients receiving thrombolytic therapy?

<p>Monitoring for signs of internal bleeding (A)</p> Signup and view all the answers

What is the primary mechanism of action of thrombolytic drugs?

<p>Dissolving blood clots (B)</p> Signup and view all the answers

What is a potential adverse effect of thrombolytic drugs?

<p>Bleeding from gums and mucous membranes (A)</p> Signup and view all the answers

What is the recommended administration of heparin therapy for deep vein thrombosis?

<p>6000 units IV bolus followed by 20,000 units/day continuous infusion (D)</p> Signup and view all the answers

What is the primary indication for the use of diuretic drugs?

<p>Hypertension, heart failure, and edema (D)</p> Signup and view all the answers

What is the effect of taking small doses of aspirin or NSAIDs before niacin?

<p>Minimize cutaneous flushing (B)</p> Signup and view all the answers

What is the significance of the nephron in kidney function?

<p>It is the main structural unit of the kidney (A)</p> Signup and view all the answers

What is the primary mechanism of action of diuretic drugs?

<p>They increase the rate of urine formation (B)</p> Signup and view all the answers

What is the primary nursing implication for patients taking niacin?

<p>Teaching patients about the use of NSAIDs and aspirin (A)</p> Signup and view all the answers

What is a common adverse effect of niacin?

<p>Cutaneous flushing (B)</p> Signup and view all the answers

What is the role of the kidneys in the body?

<p>They filter toxic waste products and conserve essential substances (C)</p> Signup and view all the answers

What is the primary therapeutic effect of diuretic drugs?

<p>Removing sodium and water from the body (C)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking diuretic drugs?

<p>Instructing patients to report persistent GI upset (B)</p> Signup and view all the answers

What is the primary mechanism of action of diuretic drugs in the nephron?

<p>They increase the excretion of sodium and water in the nephron (B)</p> Signup and view all the answers

What should patients be instructed to do if they miss a dose of their medication?

<p>Contact their physician for instructions (D)</p> Signup and view all the answers

Why should patients not crush or chew oral sustained-release preparations?

<p>To prevent releasing the medication too quickly (D)</p> Signup and view all the answers

What should patients be monitored for when administering IV infusions with an IV pump?

<p>QT interval prolongation (B)</p> Signup and view all the answers

What should patients be taught to do when taking beta blockers, digoxin, and other drugs?

<p>Take their radial pulse for 1 full minute (C)</p> Signup and view all the answers

What is a therapeutic response to monitor for in patients taking medication for hypertension?

<p>Decreased edema (C)</p> Signup and view all the answers

What is the primary indication for the use of cryoprecipitate and plasma protein factors?

<p>To treat patients with demonstrated deficiency of clotting factors (A)</p> Signup and view all the answers

What is the primary difference between whole blood and packed red blood cells (PRBCs)?

<p>Whole blood is more beneficial in cases of extreme blood loss (C)</p> Signup and view all the answers

What is a potential adverse effect of blood transfusion?

<p>Transmission of pathogens to the recipient (C)</p> Signup and view all the answers

What is the primary indication for the use of fresh-frozen plasma (FFP)?

<p>To increase clotting factor levels in patients with demonstrated deficiency (D)</p> Signup and view all the answers

What is the primary purpose of crossmatch testing?

<p>To identify incompatibility with the recipient's immune system (C)</p> Signup and view all the answers

What is the maximum rate of IV potassium administration for patients who are not on cardiac monitors?

<p>10 mEq/hour (D)</p> Signup and view all the answers

What is the primary mechanism of action of Esmolol?

<p>Blocks beta1-adrenergic receptors (D)</p> Signup and view all the answers

When administering colloids, what should be closely monitored to prevent complications?

<p>Fluid overload and heart failure (C)</p> Signup and view all the answers

What is the primary use of Amiodarone?

<p>Management of sustained ventricular tachycardia (D)</p> Signup and view all the answers

What is the recommended method of administration for oral forms of potassium to minimize GI distress or irritation?

<p>Dilution in water or fruit juice (A)</p> Signup and view all the answers

What is a common adverse effect of Amiodarone?

<p>All of the above (D)</p> Signup and view all the answers

What is the main purpose of closely monitoring serum electrolyte levels during fluid therapy?

<p>To detect potential complications of IV therapy (B)</p> Signup and view all the answers

What is the dosage of Esmolol typically used for?

<p>Acute treatment of supraventricular tachydysrhythmias (D)</p> Signup and view all the answers

What is the primary nursing implication for patients receiving fluid therapy?

<p>Monitoring for therapeutic response (C)</p> Signup and view all the answers

What is the class of Metoprolol?

<p>Class II (B)</p> Signup and view all the answers

What is the defining serum potassium level for hypokalemia?

<p>less than 3.5 mEq/L (C)</p> Signup and view all the answers

What can cause excessive potassium loss leading to hypokalemia?

<p>All of the above (D)</p> Signup and view all the answers

What is a potential consequence of hypokalemia in patients taking digoxin?

<p>Ventricular dysrhythmias (D)</p> Signup and view all the answers

What is the defining serum potassium level for hyperkalemia?

<p>over 6.5 mEq/L (C)</p> Signup and view all the answers

What is a common cause of hyperkalemia?

<p>All of the above (D)</p> Signup and view all the answers

What is one of the physiological functions of potassium?

<p>Muscle contraction (D)</p> Signup and view all the answers

What is a symptom of hypokalemia?

<p>All of the above (D)</p> Signup and view all the answers

What can cause potassium loss, leading to hypokalemia?

<p>All of the above (D)</p> Signup and view all the answers

What is a potential consequence of hypokalemia?

<p>Cardiac arrhythmias (B)</p> Signup and view all the answers

What is the relationship between potassium and heart function?

<p>Potassium is necessary for heart contraction (D)</p> Signup and view all the answers

What is the primary component of red blood cells that contains iron?

<p>Heme (A)</p> Signup and view all the answers

What is the average lifespan of a red blood cell?

<p>120 days (D)</p> Signup and view all the answers

What is the term for the formation of new blood cells?

<p>Hematopoiesis (B)</p> Signup and view all the answers

What is the term for immature red blood cells?

<p>Reticulocytes (D)</p> Signup and view all the answers

What is the primary cause of anemia?

<p>Underlying factors (C)</p> Signup and view all the answers

What is the recommended timing for taking oral forms of iron?

<p>Between meals (D)</p> Signup and view all the answers

Why should patients remain upright for 15 to 30 minutes after taking oral iron?

<p>To avoid esophageal corrosion (A)</p> Signup and view all the answers

What is the purpose of giving a small test dose of iron dextran?

<p>To check for potential allergic reactions (D)</p> Signup and view all the answers

What is the recommended method of administering iron dextran?

<p>Deeply into a large muscle mass using the Z-track method (A)</p> Signup and view all the answers

Why should patients be encouraged to eat foods high in iron and folic acid?

<p>To improve nutritional status (C)</p> Signup and view all the answers

What is the primary effect of antacids on gastric acid secretions?

<p>Neutralize acid secretions (C)</p> Signup and view all the answers

What is the primary mechanism of action of antacids in reducing pain associated with acid-related disorders?

<p>Inhibiting the production of pepsin (D)</p> Signup and view all the answers

What is the primary indication for the use of antacids?

<p>All of the above (D)</p> Signup and view all the answers

What is the effect of antacids on the tone of the stomach lining?

<p>Increase the tone of the stomach lining (D)</p> Signup and view all the answers

What is the effect of antacids on the pH of the stomach?

<p>Raise the pH of the stomach by 1.3 to 2.3 (D)</p> Signup and view all the answers

What is a potential adverse effect of H2 antagonists in elderly patients?

<p>Confusion and disorientation (A)</p> Signup and view all the answers

Which of the following H2 antagonists is least likely to cause drug interactions due to its effect on the P-450 microsomal oxidase system?

<p>Famotidine (C)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking H2 antagonists?

<p>Educating patients about potential drug interactions (D)</p> Signup and view all the answers

What is a pharmacological effect of H2 antagonists on the stomach?

<p>Suppressed acid secretion (A)</p> Signup and view all the answers

Which of the following is an indication for the use of H2 antagonists as adjunct therapy?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary mechanism of action of prokinetic drugs in the treatment of gastrointestinal disorders?

<p>Blocking dopamine receptors in the CTZ (B)</p> Signup and view all the answers

What is a potential adverse effect of long-term use of metoclopramide?

<p>Irreversible tardive dyskinesia (A)</p> Signup and view all the answers

What is the primary mechanism of action of tetrahydrocannabinoids in the treatment of nausea and vomiting?

<p>Inhibiting the reticular formation, thalamus, and cerebral cortex (C)</p> Signup and view all the answers

What is a primary nursing implication for patients taking ondansetron for postoperative nausea and vomiting?

<p>Monitoring for signs of serotonin syndrome (C)</p> Signup and view all the answers

What is the primary indication for the use of dronabinol in patients with AIDS?

<p>Treatment of anorexia and weight loss associated with AIDS (B)</p> Signup and view all the answers

What is the primary mechanism of action of anticholinergic drugs in reducing nausea and vomiting?

<p>Block transmission of nauseating stimuli from the reticular formation to the CTZ (B)</p> Signup and view all the answers

What is the primary indication for the use of antihistamine drugs in motion sickness?

<p>Prevention of cholinergic stimulation in vestibular and reticular areas (C)</p> Signup and view all the answers

What is the potential adverse effect of anticholinergic drugs in patients with COPD?

<p>Dry mouth and blurred vision (D)</p> Signup and view all the answers

What is the primary mechanism of action of serotonin blockers in reducing nausea and vomiting?

<p>Block serotonin receptors in the gut (C)</p> Signup and view all the answers

What is the nursing implication for patients taking anticholinergic drugs?

<p>Monitor for signs of anticholinergic syndrome, such as dry mouth and blurred vision (D)</p> Signup and view all the answers

What is a potential adverse effect of adsorbents?

<p>Increased bleeding time (C)</p> Signup and view all the answers

Which of the following drug interactions is associated with adsorbents?

<p>Decreased absorption of many drugs, including digoxin and quinidine (A)</p> Signup and view all the answers

What is the primary mechanism of action of probiotics in treating diarrhea?

<p>Suppressing the growth of diarrhea-causing bacteria (A)</p> Signup and view all the answers

What is a potential adverse effect of anticholinergics?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is an indication for the use of probiotics?

<p>Antibiotic-induced diarrhea (D)</p> Signup and view all the answers

What is the primary reason for taking H2 receptor antagonists 1 to 2 hours before antacids?

<p>To minimize the interaction between H2 blockers and antacids (D)</p> Signup and view all the answers

What is a potential consequence of smoking in patients taking H2 blockers?

<p>Decreased effectiveness of H2 blockers (C)</p> Signup and view all the answers

What is a key nursing implication for patients taking H2 antagonists?

<p>Assess for allergies and impaired renal or liver function (A)</p> Signup and view all the answers

What is the mechanism of action of proton pump inhibitors?

<p>Irreversibly binding to H+/K+ ATPase enzyme (A)</p> Signup and view all the answers

What is the effect of proton pump inhibitors on gastric acid secretion?

<p>Temporarily block gastric acid secretion (D)</p> Signup and view all the answers

What is a potential consequence of long-term self-medication with antacids?

<p>Masking symptoms of underlying diseases (A)</p> Signup and view all the answers

Which of the following adverse effects is associated with calcium-containing antacids?

<p>Constipation (C)</p> Signup and view all the answers

What is the primary mechanism of action of H2 receptor antagonists?

<p>Competitively blocking the H2 receptor of acid-producing parietal cells (C)</p> Signup and view all the answers

What is a nursing implication for patients taking antacids?

<p>Monitor for therapeutic response and notify the healthcare provider if symptoms are not relieved (C)</p> Signup and view all the answers

What is a potential drug interaction to consider when using H2 receptor antagonists?

<p>Interaction with anticoagulant medications (A)</p> Signup and view all the answers

What is the primary goal of patient education for those taking antacids?

<p>To seek medical evaluation if symptoms remain ongoing (A)</p> Signup and view all the answers

What is a potential adverse effect of H2 receptor antagonists in elderly patients?

<p>Confusion (C)</p> Signup and view all the answers

What is the primary role of H2 receptor antagonists in the treatment of acid-related disorders?

<p>To reduce the production of acid in the stomach (C)</p> Signup and view all the answers

What is a nursing implication for patients taking calcium-containing antacids?

<p>Monitor for constipation (B)</p> Signup and view all the answers

What is the primary benefit of using H2 receptor antagonists in the treatment of acid-related disorders?

<p>Reducing the production of acid in the stomach (D)</p> Signup and view all the answers

What is a potential adverse effect of combining benzodiazepines with other sedatives or alcohol?

<p>Additive CNS depression and even death (A)</p> Signup and view all the answers

What is the primary indication for the use of alprazolam (Xanax)?

<p>Short-term relief of anxiety symptoms (B)</p> Signup and view all the answers

What is a characteristic of buspirone (Buspar) that distinguishes it from other benzodiazepines?

<p>It lacks sedative properties and dependency potential (B)</p> Signup and view all the answers

What is a potential adverse effect of benzodiazepines?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary mechanism of action of flumazenil (Romazicon) in treating benzodiazepine overdose?

<p>Reversing the effects of benzodiazepines (B)</p> Signup and view all the answers

What is the primary mechanism of action of benzodiazepines in the brain?

<p>Modulating CNS activity by inhibiting overstimulation (A)</p> Signup and view all the answers

Which of the following is a benefit of benzodiazepines compared to barbiturates?

<p>Less suppression of REM sleep (D)</p> Signup and view all the answers

What is a common adverse effect of benzodiazepines in older adults?

<p>Fall hazard (C)</p> Signup and view all the answers

What is a therapeutic use of benzodiazepines?

<p>Treatment of acute seizure disorders (A)</p> Signup and view all the answers

What is a contraindication for the use of benzodiazepines?

<p>Pregnancy (D)</p> Signup and view all the answers

What is a common characteristic of anxiety disorders such as OCD and PTSD?

<p>Unpleasant state of mind characterized by a sense of dread and fear (C)</p> Signup and view all the answers

Which of the following is NOT a type of anxiety disorder?

<p>Major depressive disorder (D)</p> Signup and view all the answers

What is the primary mechanism of action of anxiolytic medications such as Alprazolam?

<p>Reducing overactivity in the central nervous system (CNS) (C)</p> Signup and view all the answers

What is the primary effect of midazolam on patients?

<p>Sedation and amnesia (D)</p> Signup and view all the answers

What is a potential side effect of anxiolytic medications such as Diazepam?

<p>Dependence and withdrawal symptoms (D)</p> Signup and view all the answers

Which of the following may enhance the effects of benzodiazepines?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following anxiety disorders is characterized by recurring panic attacks?

<p>Panic disorder (D)</p> Signup and view all the answers

What is the typical onset of action for temazepam?

<p>20-40 minutes (B)</p> Signup and view all the answers

What is the recommended administration time for temazepam to ensure optimal effects?

<p>1 hour prior to bedtime (A)</p> Signup and view all the answers

What is the antidote for benzodiazepine overdose?

<p>Flumazenil (A)</p> Signup and view all the answers

What is the most common muscle relaxer that can cause marked sedation?

<p>Cyclobenzaprine (Flexeril) (D)</p> Signup and view all the answers

What should be obtained before administering muscle relaxants?

<p>Allergy history and baseline vital signs (D)</p> Signup and view all the answers

What is the recommended timing for administering hypnotics to induce sleep?

<p>30 to 60 minutes before bedtime (A)</p> Signup and view all the answers

What is a necessary safety precaution when administering hypnotics to patients?

<p>Keep side rails up or use bed alarms (A)</p> Signup and view all the answers

What is a potential consequence of benzodiazepine use?

<p>REM rebound and a tired feeling (D)</p> Signup and view all the answers

What is the primary mechanism of action of antipsychotics in treating serious mental illness?

<p>Blocking dopamine receptors in the brain (A)</p> Signup and view all the answers

Which of the following is a therapeutic outcome of antidepressants?

<p>Improved sleep patterns and nutrition (A)</p> Signup and view all the answers

What is the primary indication for the use of antipsychotics in treating extreme mania?

<p>As an adjunct to lithium (D)</p> Signup and view all the answers

What is the primary effect of dopamine receptor blockade in the brain?

<p>Tranquilizing effect (B)</p> Signup and view all the answers

What is a common use of antipsychotics beyond treating schizophrenia?

<p>Treating autism and certain movement disorders (B)</p> Signup and view all the answers

What is the primary difference between conventional and second-generation antipsychotics?

<p>Side effect profile (C)</p> Signup and view all the answers

What is the primary goal of patient education for those taking MAOIs?

<p>Avoiding foods that interact with the medication (C)</p> Signup and view all the answers

What is a therapeutic outcome of antidepressant therapy?

<p>Increased interest in daily activities (A)</p> Signup and view all the answers

What is the primary mechanism of action of antipsychotics in treating drug-induced psychoses?

<p>Blocking dopamine receptors in the brain (A)</p> Signup and view all the answers

What is a common use of antipsychotics in treating certain medical conditions?

<p>Treating intractable hiccups (C)</p> Signup and view all the answers

What is the primary site of action for muscle relaxants?

<p>Central nervous system (CNS) (A)</p> Signup and view all the answers

What is a potential adverse effect of muscle relaxants?

<p>Euphoria (D)</p> Signup and view all the answers

What is the recommended treatment for overdose of muscle relaxants?

<p>Conservative supportive measures (C)</p> Signup and view all the answers

What is a common indication for the use of muscle relaxants?

<p>Relief of painful musculoskeletal conditions (A)</p> Signup and view all the answers

What is a potential interaction of muscle relaxants with other medications?

<p>Increased risk of respiratory depression with benzodiazepines (B)</p> Signup and view all the answers

What is a common adverse effect of anorexiants?

<p>Headache (D)</p> Signup and view all the answers

What is the primary mechanism of action of triptans in treating migraines?

<p>Stimulation of 5-HT receptors in cerebral arteries (C)</p> Signup and view all the answers

What is a nursing implication for patients taking anorexiants?

<p>Avoid caffeine and take in the morning (D)</p> Signup and view all the answers

What is a characteristic of migraines?

<p>Unilateral pain that worsens with each pulse (A)</p> Signup and view all the answers

What is a potential health risk associated with anorexiants?

<p>Elevated blood pressure (B)</p> Signup and view all the answers

What is the primary mechanism of action of anorexiants such as benzphetamine and methamphetamine in treating obesity?

<p>Suppressing appetite control centers in the brain (C)</p> Signup and view all the answers

What is a potential side effect of Orlistat (Xenical) that can be reduced by restricting dietary fat intake to less than 30% of total calories?

<p>Oily spotting (A)</p> Signup and view all the answers

What is a contraindication for the use of anorexiants in treating obesity?

<p>Uncontrolled hypertension (B)</p> Signup and view all the answers

What is the primary indication for using anorexiants in treating obesity?

<p>To treat obesity in patients with higher health risks, such as cardiovascular disease (D)</p> Signup and view all the answers

What is the primary advantage of using Orlistat (Xenical) over anorexiants in treating obesity?

<p>Less risk of dependence (C)</p> Signup and view all the answers

What is the recommended daily fluid intake for patients taking antiparkinson drugs unless contraindicated?

<p>3000 mL (D)</p> Signup and view all the answers

Why should patients be cautioned against discontinuing antiparkinson drugs suddenly?

<p>To avoid exacerbating parkinsonian manifestations (A)</p> Signup and view all the answers

What is a potential consequence of taking levodopa with MAOIs?

<p>Hypertensive crisis (C)</p> Signup and view all the answers

Which of the following is a desirable outcome of antiparkinson drug therapy?

<p>Increased appetite (D)</p> Signup and view all the answers

What is a key aspect of monitoring patients taking antiparkinson drugs?

<p>Evaluating response to therapy (C)</p> Signup and view all the answers

What is the primary benefit of atomoxetine over amphetamine in the treatment of ADHD?

<p>It lacks addictive properties (B)</p> Signup and view all the answers

What is a common adverse effect of amphetamine drugs, particularly in patients with pre-existing cardiac conditions?

<p>Dysrhythmias and hypertension (A)</p> Signup and view all the answers

What is a potential health risk associated with obesity that may be addressed through the use of amphetamine drugs?

<p>Increased risk of cardiovascular disease (B)</p> Signup and view all the answers

What is a nursing implication for patients taking atomoxetine for ADHD?

<p>Monitoring for suicidal thinking and behavior (B)</p> Signup and view all the answers

What is a common side effect of amphetamine drugs that may be particularly problematic in patients with certain gastrointestinal conditions?

<p>Nausea and vomiting (B)</p> Signup and view all the answers

What is the primary indication for the prescription of Methylphenidate?

<p>ADHD (D)</p> Signup and view all the answers

What is the recommended timing for the last daily dose of Methylphenidate to reduce insomnia?

<p>4 to 6 hours (C)</p> Signup and view all the answers

What is the importance of monitoring the child's physical growth, including height and weight, when taking Methylphenidate?

<p>To ensure continued growth and development (A)</p> Signup and view all the answers

Approximately what percentage of Americans are obese, according to the National Institutes of Health and the Centers for Disease Control and Prevention?

<p>35% (A)</p> Signup and view all the answers

What is the recommended practice for parents to monitor the child's response to Methylphenidate therapy?

<p>Keep a journal (B)</p> Signup and view all the answers

What is the primary cause of Parkinson's disease?

<p>Imbalance of dopamine and acetylcholine (D)</p> Signup and view all the answers

What is the 'wearing-off phenomenon' related to in Parkinson's disease?

<p>Rapid swings in response to levodopa (C)</p> Signup and view all the answers

What is the significance of the 80% depletion of dopamine in the substantia nigra?

<p>Symptoms of Parkinson's disease begin to appear (C)</p> Signup and view all the answers

What is the primary consequence of having too much dopamine in Parkinson's disease?

<p>Dyskinesia (B)</p> Signup and view all the answers

What is the primary goal of medication therapy in Parkinson's disease?

<p>To control symptoms and improve quality of life (D)</p> Signup and view all the answers

What is the primary mechanism of action of amphetamines in the CNS?

<p>Increasing the effects of norepinephrine and dopamine by increasing their release and blocking their reuptake (A)</p> Signup and view all the answers

What is the primary indication for the use of modafinil in patients with narcolepsy?

<p>Improvement of wakefulness in patients with excessive daytime sleepiness (B)</p> Signup and view all the answers

What is a common side effect of CNS stimulants such as amphetamines?

<p>Mood elevation or euphoria (B)</p> Signup and view all the answers

What is the primary benefit of using non-stimulant drugs such as atomoxetine in patients with ADHD?

<p>Fewer side effects compared to CNS stimulants (B)</p> Signup and view all the answers

What is a potential health risk associated with narcolepsy?

<p>Increased risk of car accidents or near-misses (A)</p> Signup and view all the answers

What is the primary mechanism of action of non-stimulant drugs such as atomoxetine in treating ADHD?

<p>Blocking the reuptake of norepinephrine and dopamine (A)</p> Signup and view all the answers

What is a potential nursing implication for patients taking CNS stimulants such as amphetamines?

<p>Monitoring for signs of euphoria (B)</p> Signup and view all the answers

What is the primary benefit of using CNS stimulants such as amphetamines in patients with ADHD?

<p>Increased mental alertness and capacity for work (B)</p> Signup and view all the answers

What is a potential health risk associated with ADHD?

<p>Increased risk of obesity (A)</p> Signup and view all the answers

What is the primary difference between amphetamines and non-amphetamine stimulants?

<p>Amphetamines work by increasing the release of norepinephrine and dopamine, while non-amphetamine stimulants work by blocking their reuptake (B)</p> Signup and view all the answers

What is the primary goal of pain management in patients?

<p>To reduce the pain to a tolerable level (C)</p> Signup and view all the answers

What is a crucial aspect of nursing implications for pain management?

<p>Medicating patients before the pain becomes severe (D)</p> Signup and view all the answers

What is a common adverse effect of opioid analgesics?

<p>Constipation (A)</p> Signup and view all the answers

What is the purpose of rating pain on a 0 to 10 scale?

<p>To assess the severity of the pain (D)</p> Signup and view all the answers

What is an important aspect of nonpharmacologic approaches to pain management?

<p>Providing emotional support (B)</p> Signup and view all the answers

What is the recommended treatment for acetaminophen overdose?

<p>Acetylcysteine regimen (B)</p> Signup and view all the answers

What is the primary indication for the use of topical lidocaine?

<p>Pain management in postherpetic neuralgia (C)</p> Signup and view all the answers

What is a potential risk associated with taking acetaminophen with other medications?

<p>Hepatotoxicity (C)</p> Signup and view all the answers

What is an essential component of a thorough pain assessment?

<p>Pain intensity and character (A)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking analgesics?

<p>Assessing for potential contraindications and drug interactions (C)</p> Signup and view all the answers

What is the primary reason why pain is a significant aspect of nursing care?

<p>It leads to suffering and economic burden (B)</p> Signup and view all the answers

What is the term used to describe the sensation of pain resulting from stimulation of sensory nerve fibers?

<p>Nociception (C)</p> Signup and view all the answers

What is the term used to describe the amount of pain a person can endure without it interfering with normal function?

<p>Pain tolerance (B)</p> Signup and view all the answers

What is the primary factor that influences the level of pain a person experiences?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary goal of pain management in nursing care?

<p>To reduce pain to a tolerable level (C)</p> Signup and view all the answers

What is the primary distinction between somatic and visceral pain?

<p>Somatic pain is felt in the skin and muscles, whereas visceral pain is felt in the internal organs (B)</p> Signup and view all the answers

What is the purpose of the World Health Organization's three-step analgesic ladder?

<p>To provide a step-by-step approach to pain management (C)</p> Signup and view all the answers

What is the term for the phenomenon in which patients develop a tolerance to opioid medications?

<p>Opioid tolerance (C)</p> Signup and view all the answers

What is the purpose of adjuvant medications in pain management?

<p>To enhance the analgesic effect of primary medications (D)</p> Signup and view all the answers

What is the term for pain that persists or recurs over a prolonged period of time?

<p>Chronic pain (B)</p> Signup and view all the answers

Which of the following opioids is known for having a ceiling effect?

<p>Pentazocine (C)</p> Signup and view all the answers

What is the primary purpose of using equianalgesic doses of different opioids?

<p>To calculate the dosage of opioids for different routes of administration (C)</p> Signup and view all the answers

Which of the following is a contraindication for the use of opioid analgesics?

<p>Severe respiratory insufficiency (C)</p> Signup and view all the answers

What is the primary difference between physical dependence and psychologic dependence on opioids?

<p>Physical dependence is a physiologic adaptation, while psychologic dependence is a pattern of compulsive drug use (A)</p> Signup and view all the answers

What is the primary adverse effect of opioids that can lead to respiratory depression?

<p>CNS depression (A)</p> Signup and view all the answers

What is the primary mechanism of action of acetaminophen in reducing pain and fever?

<p>Inhibiting the production of prostaglandins in the brain (D)</p> Signup and view all the answers

Which of the following opioid analgesics is most commonly used as an antitussive drug?

<p>Codeine sulfate (D)</p> Signup and view all the answers

What is the primary goal of naloxone administration in cases of opioid overdose?

<p>To reverse respiratory depression (C)</p> Signup and view all the answers

Which of the following medications is associated with a risk of GI disturbance as a common adverse effect?

<p>Codeine sulfate (C)</p> Signup and view all the answers

What is the maximum daily dose of acetaminophen recommended for healthy adults?

<p>3000 mg/day (B)</p> Signup and view all the answers

What is the primary indication for the use of ketorolac?

<p>Short-term management of moderate to severe acute pain (B)</p> Signup and view all the answers

What is the mechanism of action of allopurinol in managing gout?

<p>Reducing the production of uric acid in the body (B)</p> Signup and view all the answers

What is a common adverse effect of NSAIDs?

<p>Renal impairment (D)</p> Signup and view all the answers

Why is it important to assess for conditions that may be contraindications for NSAID use?

<p>To prevent GI lesions or peptic ulcer disease (B)</p> Signup and view all the answers

What is the primary benefit of probenecid in managing gout?

<p>Increasing the excretion of uric acid in the kidneys (B)</p> Signup and view all the answers

What is the primary goal of pain management in patients with gout?

<p>To manage the symptoms of pain (A)</p> Signup and view all the answers

What is the primary indication for the use of colchicine?

<p>Reducing the inflammatory response to urate crystals in joint tissue (B)</p> Signup and view all the answers

What is a nursing implication for patients taking NSAIDs?

<p>Assessing for conditions that may be contraindications (D)</p> Signup and view all the answers

What is the primary adverse effect of colchicine?

<p>Short-term leukopenia and bleeding into the GI or urinary tracts (B)</p> Signup and view all the answers

What is the primary benefit of naproxen compared to ibuprofen?

<p>Fewer drug interactions with ACE inhibitors (C)</p> Signup and view all the answers

What is a potential adverse effect of proton pump inhibitors in long-term users?

<p>All of the above (D)</p> Signup and view all the answers

What is a potential drug interaction with proton pump inhibitors?

<p>Increased risk of bleeding with warfarin (A)</p> Signup and view all the answers

What is a potential adverse effect when adsorbents are given with anticoagulants?

<p>Prolonged bleeding time (B)</p> Signup and view all the answers

What is a nursing implication for patients taking proton pump inhibitors?

<p>Assess for allergies and history of liver disease (B)</p> Signup and view all the answers

Which patients should be carefully monitored when administering anticholinergics?

<p>Patients with a history of narrow-angle glaucoma (B)</p> Signup and view all the answers

What is a contraindication for the use of proton pump inhibitors?

<p>Not all are available for parenteral administration (B)</p> Signup and view all the answers

What is a crucial nursing implication for patients taking antidiarrheal medications?

<p>Teaching patients to take medications exactly as prescribed (A)</p> Signup and view all the answers

What is a potential effect of proton pump inhibitors on the serum levels of other medications?

<p>Increased serum levels of diazepam (B)</p> Signup and view all the answers

What is a contraindication for the administration of adsorbents?

<p>Recent bowel surgery (A)</p> Signup and view all the answers

What should be assessed before initiating treatment with antidiarrheal medications?

<p>Patient's fluid volume status and mucous membranes (B)</p> Signup and view all the answers

What is the contraindication for crushing or chewing the granules of pantoprazole capsules?

<p>Delayed-release granules (D)</p> Signup and view all the answers

What is the primary goal of medication therapy in managing diarrhea?

<p>Replenishing fluids and electrolytes (C)</p> Signup and view all the answers

What is the minimum gauge of NG tubes required for administering pantoprazole capsules?

<p>16 gauge (D)</p> Signup and view all the answers

What is a potential adverse effect of prolonged diarrhea?

<p>Chronic weakness (B)</p> Signup and view all the answers

What is the recommended liquid for mixing the contents of pantoprazole capsules?

<p>Apple juice (D)</p> Signup and view all the answers

What is the primary reason why long-term use of metoclopramide may be a concern?

<p>It can cause irreversible tardive dyskinesia (C)</p> Signup and view all the answers

What is the primary mechanism of action of tetrahydrocannabinoids in relieving nausea and vomiting?

<p>Inhibitory effects on the reticular formation, thalamus, and cerebral cortex (B)</p> Signup and view all the answers

What is the primary indication for the use of ondansetron?

<p>Nausea and vomiting in patients receiving chemotherapy (D)</p> Signup and view all the answers

What is the primary adverse effect of prokinetic drugs?

<p>Non-selective blockade of various receptors (A)</p> Signup and view all the answers

What is the primary use of dronabinol?

<p>Treatment of nausea and vomiting associated with chemotherapy (A)</p> Signup and view all the answers

What is a potential consequence of administering antacids with quinolones?

<p>Reduced absorption of quinolones (A)</p> Signup and view all the answers

Which patients should use antacids with high sodium content with caution?

<p>All of the above (D)</p> Signup and view all the answers

Why should enteric-coated medications not be administered with antacids?

<p>Antacids may cause premature dissolving of enteric-coated medications (B)</p> Signup and view all the answers

What is the recommended administration instruction for chewable antacid tablets?

<p>Chew thoroughly before swallowing (B)</p> Signup and view all the answers

What is the effect of antacids on the absorption of basic drugs?

<p>Increased absorption (C)</p> Signup and view all the answers

What is a potential adverse effect of anticholinergics?

<p>Urinary retention (D)</p> Signup and view all the answers

Which type of antidiarrheal drug can increase the risk of bleeding due to its binding to vitamin K?

<p>Adsorbents (B)</p> Signup and view all the answers

What is a potential drug interaction with adsorbents?

<p>Decreased absorption of many drugs, including digoxin and quinidine (B)</p> Signup and view all the answers

What is a potential adverse effect of opiates?

<p>Respiratory depression (D)</p> Signup and view all the answers

What is a potential adverse effect of probiotics?

<p>None of the above (D)</p> Signup and view all the answers

What is a potential adverse effect of magnesium salts in antacids?

<p>Diarrhea (D)</p> Signup and view all the answers

Which of the following is a contraindication for the use of antacids?

<p>Severe renal failure (A)</p> Signup and view all the answers

What is the recommended approach for patients with renal disease when using antacids?

<p>Use aluminum salts that are more easily excreted (D)</p> Signup and view all the answers

What is the primary benefit of using combination products like Gaviscon, Maalox, and Mylanta?

<p>They combine aluminum and magnesium salts (A)</p> Signup and view all the answers

What is the primary concern when using magnesium salts in patients with renal failure?

<p>They may accumulate in the body (B)</p> Signup and view all the answers

What is the primary form of antacids available over-the-counter?

<p>Capsules and tablets (D)</p> Signup and view all the answers

What is the primary effect of aluminum salts in antacids?

<p>They cause constipation (D)</p> Signup and view all the answers

What is the primary concern when using antacids in patients with GI obstruction?

<p>They may stimulate GI motility (C)</p> Signup and view all the answers

What is the primary consideration when using antacids in patients with electrolyte disturbances?

<p>They may accumulate electrolytes (B)</p> Signup and view all the answers

What is the primary benefit of using antacids in combination with magnesium salts?

<p>They counteract constipation (A)</p> Signup and view all the answers

What is the primary goal when selecting an antiretroviral regimen?

<p>To find the regimen that will best control the infection with a tolerable adverse effect profile (A)</p> Signup and view all the answers

What should be assessed before beginning antiretroviral therapy?

<p>Both the patient's underlying disease and medical history, including allergies (C)</p> Signup and view all the answers

What should the patient be instructed to do when applying ointments or solutions to affected areas?

<p>Wear a glove or finger cot (A)</p> Signup and view all the answers

What should the patient be informed about antiviral drugs?

<p>They help to manage symptoms but are not a cure (C)</p> Signup and view all the answers

What is the importance of assessing baseline vital signs and nutritional status?

<p>To monitor the patient's response to therapy (D)</p> Signup and view all the answers

What should the patient be instructed to do before taking any other medication?

<p>Consult their physician (C)</p> Signup and view all the answers

What is the primary mechanism of action of most antiviral drugs?

<p>They block the activity of a polymerase enzyme that normally stimulates the synthesis of new viral genomes (A)</p> Signup and view all the answers

Which of the following antiviral drugs is used to treat herpes simplex virus (HSV) and varicella-zoster virus (VZV)?

<p>Acyclovir (A)</p> Signup and view all the answers

What is a common adverse effect of antiviral drugs?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following antiviral drugs is active against influenza types A and B?

<p>Oseltamivir (D)</p> Signup and view all the answers

What is the primary goal of antiviral drug therapy for non-HIV viral infections?

<p>To suppress the replication of the virus (B)</p> Signup and view all the answers

Why is it important to start antiviral drug therapy for influenza within 2 days of symptom onset?

<p>To reduce the duration of illness (D)</p> Signup and view all the answers

Which of the following viruses can be controlled by current antiviral therapy?

<p>All of the above (D)</p> Signup and view all the answers

What is a key characteristic of antiviral drugs?

<p>They are able to enter cells infected with a virus (B)</p> Signup and view all the answers

What is the primary difference between antiviral drugs and antiretroviral drugs?

<p>Antiviral drugs are used to treat viral infections other than HIV, while antiretroviral drugs are used to treat HIV (C)</p> Signup and view all the answers

What is required for antiviral drugs to be effective?

<p>A healthy immune system (B)</p> Signup and view all the answers

What type of infections can occur in immunocompromised patients and require long-term prophylaxis and antiinfective drug therapy?

<p>Opportunistic infections (D)</p> Signup and view all the answers

Why are antiviral drugs less effective in immunocompromised patients?

<p>Because the drugs do not work well with a compromised immune system (D)</p> Signup and view all the answers

What is the enzyme system involved in the metabolism of many antifungal drugs?

<p>Cytochrome P-450 (A)</p> Signup and view all the answers

What is the primary reason for monitoring vital signs and complete blood count in patients taking antifungal drugs?

<p>To identify adverse effects of the drug (C)</p> Signup and view all the answers

What is the recommended administration technique for nystatin oral lozenges or troches?

<p>Dissolve slowly and completely in the mouth (A)</p> Signup and view all the answers

What is the primary benefit of monitoring input and output in patients receiving intravenous antifungal drug infusions?

<p>To identify adverse effects of the drug (D)</p> Signup and view all the answers

What is the potential consequence of co-administering two antifungal drugs that are metabolized by the cytochrome P-450 enzyme system?

<p>Increased risk of drug interactions (C)</p> Signup and view all the answers

What is the primary goal of monitoring patients taking antifungal drugs?

<p>To identify adverse effects of the drug (B)</p> Signup and view all the answers

What is the primary indication for the use of oral vancomycin?

<p>All of the above (D)</p> Signup and view all the answers

What is a potential adverse effect of quinolones?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended timing for taking interacting drugs with quinolones?

<p>Take the interacting drugs at least 1 hour before or after taking quinolones (A)</p> Signup and view all the answers

What is the potential interaction between quinolones and dairy products?

<p>Decreased absorption of quinolones (B)</p> Signup and view all the answers

What is the primary concern when using vancomycin?

<p>All of the above (D)</p> Signup and view all the answers

What is a characteristic of red man syndrome associated with vancomycin?

<p>Flushing or itching of the head, neck, face, and upper trunk (D)</p> Signup and view all the answers

What is the primary mechanism of action of cephalosporins?

<p>Inhibiting the synthesis of the bacterial cell wall (A)</p> Signup and view all the answers

What is the primary indication for the first generation of cephalosporins?

<p>Susceptible staphylococcal infections (C)</p> Signup and view all the answers

What is the interaction between NSAIDs and warfarin?

<p>Increased risk of bleeding (C)</p> Signup and view all the answers

What is a common adverse effect of penicillins?

<p>All of the above (D)</p> Signup and view all the answers

What is the significance of the oral contraceptive interaction with penicillins?

<p>Decreased efficacy of oral contraceptives (B)</p> Signup and view all the answers

What is the primary difference between cephalosporins and penicillins?

<p>Pharmacological structure (D)</p> Signup and view all the answers

What is a crucial consideration when administering oral erythromycin?

<p>Take with food to enhance absorption and minimize GI upset (D)</p> Signup and view all the answers

What is a potential interaction to consider when using cephalosporins?

<p>Cross-allergy with penicillins (B)</p> Signup and view all the answers

What is a common adverse effect of macrolides?

<p>GI upset (C)</p> Signup and view all the answers

What is a crucial consideration when administering tetracyclines?

<p>Avoid milk products, iron preparations, and antacids (B)</p> Signup and view all the answers

What is a potential adverse effect of sulfonamides?

<p>Lethargy (B)</p> Signup and view all the answers

What is a crucial consideration when administering penicillins?

<p>Take with water to enhance effectiveness (C)</p> Signup and view all the answers

What is a sign of a therapeutic response to antibiotic therapy?

<p>Decrease in specific signs and symptoms of infection (D)</p> Signup and view all the answers

Which of the following is a potential interaction with tetracycline?

<p>Quinolones (D)</p> Signup and view all the answers

What is a genetic host factor that can affect antibiotic therapy?

<p>Glucose-6-phosphate dehydrogenase deficiency (A)</p> Signup and view all the answers

What is a potential adverse effect of sulfonamides, nitrofurantoin, and dapsone?

<p>Hemolysis (B)</p> Signup and view all the answers

What is a type of antibiotic that can interact with food?

<p>Tetracyclines (D)</p> Signup and view all the answers

What is a potential consequence of slow acetylation of certain antibiotics?

<p>Toxicity (D)</p> Signup and view all the answers

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