130 Questions
What is the mechanism of action of epinephrine?
Results in bronchodilation and vasoconstriction
Which of the following is a therapeutic use of epinephrine?
Emergency treatment of anaphylaxis
What are side effects commonly associated with epinephrine?
Increased heart rate and palpitations
In which scenario would epinephrine be contraindicated?
Severe hypertension
What is a nursing implication for administering epinephrine?
Administer via intramuscular injection or intravenous infusion
Which interaction should be carefully monitored when a patient is on epinephrine therapy?
Enhanced pressure effects with tricyclic antidepressants
What is the mechanism of action of albuterol?
Selective agonist for beta 2 adrenergic receptors
Which condition might be worsened by the use of albuterol?
Bronchospasm
What is the classification of atenolol?
Beta 1 Adrenergic Antagonist
Which side effect is commonly associated with atenolol?
Hypotension
What is the main therapeutic use of bethanechol?
Treating urinary retention
Which side effect can be expected with bethanechol therapy?
Nausea
What is a contraindication for the use of atenolol?
Heart block greater than first degree
What is a potential adverse effect associated with atenolol use?
Exacerbation of asthma
What drug interaction should be avoided with bethanechol?
...other cholinergic agonists or cholinesterase inhibitors.
Which statement is true about albuterol administration?
Educate patients on proper inhaler techniques.
What is the mechanism of action of Cyclobenzaprine (Flexeril)?
Acts on the brainstem to reduce muscle spasm and pain
Which herb is commonly used for mild to moderate depression?
St. John's Wort
What is a common side effect of Cyclobenzaprine (Flexeril)?
Drowsiness
Which of the following is a potential adverse effect of Cyclobenzaprine?
Serotonin syndrome
What is the classification of Aspirin?
NSAID
Which herb should be avoided with CNS depressants due to additive sedative effects?
Kava
What is a potential drug interaction concern with Ginkgo Biloba?
Interference with anticoagulants
What is the main therapeutic effect of zolpidem (Ambien)?
Improvement in sleep latency and maintenance
Which neurotransmitter is primarily affected by fluoxetine (Prozac)?
Serotonin
What adverse effect is commonly associated with phenytoin (Dilantin) use?
Nystagmus
How does zolpidem (Ambien) produce its sedative and hypnotic effects?
By enhancing the inhibitory effects of GABA
What is a contraindication for the use of zolpidem (Ambien)?
Severe respiratory insufficiency
Which medication can reduce phenytoin levels when used concurrently?
Valproic acid
What should nurses monitor for in patients taking zolpidem (Ambien)?
Signs of CNS depression
What is the primary mechanism of action of phenytoin (Dilantin) in preventing seizures?
Inhibiting voltage-sensitive sodium channels
What side effect is associated with fluoxetine (Prozac) use?
Gingival hyperplasia
When should zolpidem (Ambien) be administered to patients?
Immediately before bedtime
Which of the following drugs is classified as an SNRI?
Venlafaxine (Effexor)
What is a common adverse effect of venlafaxine (Effexor) according to the text?
Headache
What is a contraindication for using monoamine oxidase inhibitors (MAOIs) based on the information provided?
Pheochromocytoma
Which neurotransmitters does venlafaxine (Effexor) affect according to its mechanism of action?
Serotonin and norepinephrine
What is a potential serious side effect of monoamine oxidase inhibitors (MAOIs) mentioned in the text?
Hypertensive crisis
What is a common side effect of fluoxetine (Prozac) as per the text?
Dry mouth
In what conditions is venlafaxine (Effexor) used for treatment according to the information provided?
Generalized anxiety disorder
What is the mechanism of action of Allopurinol?
Inhibits xanthine oxidase
Which medication is classified as a Non-opioid Analgesic?
Acetaminophen
What is the primary therapeutic effect of Acetaminophen?
Pain and fever reduction
Which side effect is associated with Indomethacin?
Gastrointestinal upset
What is the contraindication for using Ketorolac (Toradol)?
Hypersensitivity to NSAIDs
Which drug interaction may occur with Allopurinol?
Increased risk of rash with ampicillin
What should nurses monitor for when a patient is taking Indomethacin?
Signs of liver toxicity
'Assess therapeutic response and adverse effects' is one of the nursing implications for which medication?
Indomethacin
'Monitor for signs of rash and hypersensitivity reactions' is a nursing implication for which medication?
Allopurinol
What is the primary classification of Ketorolac (Toradol)?
NSAID - Nonsteroidal Anti-Inflammatory Drug
What is the mechanism of action of Ibuprofen?
Inhibits cyclooxygenase (COX) enzymes
Which condition is Celecoxib commonly used to treat?
Rheumatoid arthritis
What is a common side effect of Infliximab (Remicade)?
Headache
What is an adverse effect associated with Celecoxib (Celebrex)?
Cardiovascular events
Which drug has a contraindication related to active peptic ulcer disease?
Celecoxib
What is a common nursing implication for patients on Ibuprofen therapy?
Assess for therapeutic response and adverse effects
Which drug interacts with immunosuppressants, increasing the risk of immunosuppression?
Infliximab
What is a side effect associated with Ibuprofen?
Dyspepsia
What is a potential drug-lab interaction involving Ibuprofen?
Increased risk of bleeding with anticoagulants
What is a potential adverse effect associated with Celecoxib (Celebrex)?
Cardiovascular events such as myocardial infarction.
What is the mechanism of action of Atropine?
Blocks the action of acetylcholine at muscarinic receptors
Which condition is a contraindication for the use of Atropine?
Glaucoma
What is the primary therapeutic effect of Alprazolam (Xanax) and Lorazepam (Ativan)?
Sedative and anxiolytic effects
Which side effect can occur with the use of Flumazenil?
Seizures (with rapid administration in benzodiazepine-dependent patients)
What is a potential adverse effect associated with high doses of Atropine?
Confusion and hallucinations
Which condition would make a patient unsuitable for treatment with Flumazenil?
History of seizures or benzodiazepine dependence
What is the classification of Atropine?
Anticholinergic
What interaction is warned against when using Alprazolam (Xanax) or Lorazepam (Ativan)?
Enhanced CNS depression with alcohol or opioids
What is a common side effect seen with Atropine use?
Dry mouth and blurred vision
What is the main therapeutic use of epinephrine?
Emergency treatment of severe allergic reactions
Which adverse effect can occur with the use of excessive doses of epinephrine?
Pulmonary edema
What is a contraindication for the use of epinephrine?
Narrow-angle glaucoma
How does epinephrine affect the sympathetic nervous system?
Leads to vasoconstriction
Which side effect is commonly associated with the use of epinephrine?
Tremor
What is a potential adverse effect of combining epinephrine with monoamine oxidase inhibitors (MAOIs)?
Severe hypertension
What is the primary therapeutic effect of zolpidem (Ambien)?
Induction of sleep
Which side effect is unique to phenytoin (Dilantin) among the listed medications?
Gingival hyperplasia
What is the main therapeutic use of fluoxetine (Prozac)?
Treatment of major depressive disorder and OCD
Which adverse effect is associated with fluoxetine (Prozac) use?
Stevens-Johnson syndrome
What is a common contraindication for using zolpidem (Ambien)?
Severe respiratory insufficiency
Which condition is a contraindication for using phenytoin (Dilantin)?
Normal sinus rhythm
What is the classification of albuterol?
Beta 2 Adrenergic Agonist
Which condition would make a patient unsuitable for treatment with bethanechol?
Hypertension
What is a common adverse effect associated with atenolol use?
Bradycardia
What is the primary therapeutic effect of bethanechol?
Promotion of urination
In which condition should atenolol be used with caution?
Sinus bradycardia
Which side effect can occur with the use of albuterol?
Tachycardia
Which medication is classified as an Antidote for Benzodiazepines?
Flumazenil
What is the primary classification of Alprazolam (Xanax)?
Benzodiazepines: Sedative-hypnotics, Anxiolytics
What is a common adverse effect of Atropine use?
Tachycardia
In what condition is Flumazenil contraindicated for use?
Hypersensitivity to benzodiazepines
What is a drug interaction concern with Alprazolam (Xanax)?
Increased risk of respiratory depression with opioids
Which medication should be avoided in patients with glaucoma?
Atropine (Anticholinergic)
What is a potential adverse effect of Ativan (Lorazepam) use?
Risk of dependence
Which side effect is common to both Fluoxetine (Prozac) and Venlafaxine (Effexor)?
Sexual dysfunction
What is a contraindication for the use of Monoamine Oxidase Inhibitors (MAOIs)?
Pheochromocytoma
Which adverse effect is specifically associated with Venlafaxine (Effexor) but not Fluoxetine (Prozac)?
Increased blood pressure
What is a potential serious adverse effect of Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) like Venlafaxine (Effexor)?
Hypertensive crisis
What condition would make a patient unsuitable for treatment with Venlafaxine (Effexor)?
Hypersensitivity to venlafaxine
Which neurotransmitters are affected by Monoamine Oxidase Inhibitors (MAOIs) based on their mechanism of action?
Serotonin, norepinephrine, dopamine
Which drug interaction is a concern when using Monoamine Oxidase Inhibitors (MAOIs)?
Potentially fatal hypertensive crisis with sympathomimetic drugs
What is an important nursing implication for administering Venlafaxine (Effexor)?
Monitor for weight gain in the patient
What is a common side effect associated with Monoamine Oxidase Inhibitors (MAOIs) but not mentioned for Fluoxetine (Prozac) or Venlafaxine (Effexor)?
Hypotension
In what patients should the use of Monoamine Oxidase Inhibitors (MAOIs) be avoided?
Patients with congestive heart failure
What is the mechanism of action of Ibuprofen?
Inhibits cyclooxygenase (COX) enzymes
Which medication is associated with the adverse effect of cardiovascular events like myocardial infarction and stroke?
Celecoxib (Celebrex)
What is the primary therapeutic effect of Celecoxib (Celebrex)?
Reduction in pain and inflammation
Which medication is classified as an Immunomodulator?
Infliximab (Remicade)
What is a common side effect associated with Infliximab (Remicade) use?
Headache and nausea
Which medication is contraindicated in patients with a history of allergic reactions to sulfonamides?
Celecoxib (Celebrex)
What should nurses monitor for in patients taking Infliximab (Remicade)?
Signs of infection, infusion reactions, and hypersensitivity
What is a potential adverse effect of long-term use of Ibuprofen?
Gastric ulcers
Which medication is known to reduce the production of prostaglandins involved in inflammation, pain, and fever?
Ibuprofen
What condition is a contraindication for using Celecoxib (Celebrex)?
Severe renal impairment
What is the primary mechanism of action of Ketorolac (Toradol)?
Inhibits cyclooxygenase enzymes
Which adverse effect is a concern when administering Acetaminophen (Tylenol)?
Liver toxicity
Which drug interaction should be monitored when a patient is on Indomethacin (Indocin)?
Increased risk with anticoagulants or antiplatelet agents
What is a common side effect of Allopurinol?
Increased risk of gastrointestinal bleeding
Which condition warrants caution when prescribing Indomethacin (Indocin)?
History of gastrointestinal bleeding or perforation
What should nurses monitor for when a patient is on Ketorolac (Toradol)?
Signs of gastrointestinal bleeding, renal impairment, and cardiovascular events
Which drug interaction is a concern when using Acetaminophen (Tylenol)?
Enhanced effects with alcohol
What is the primary therapeutic effect of Cyclobenzaprine (Flexeril)?
Relieving muscle spasms and associated pain
Which herb is traditionally used as a sleep aid to improve sleep quality?
Valerian
What is a common adverse effect associated with Aspirin use?
Gastric irritation
Which herb is commonly used for mild to moderate depression?
St. John's Wort
What interaction should be avoided with Cyclobenzaprine therapy to prevent serotonin syndrome?
Concurrent use of serotonergic drugs
For what condition might Valerian (Valeriana officinalis) be used?
Insomnia
What is the primary mechanism of action of Aspirin in the body?
Inhibiting prostaglandin production
What is a common side effect associated with the herb Ginkgo Biloba?
Dizziness
What is an adverse effect associated with Valerian (Valeriana officinalis) use?
Blurred vision
This quiz covers the side effects, adverse effects, and contraindications of NSAIDs, including gastrointestinal upset, bleeding, gastric ulcers, and Reye's syndrome. It also includes information on drug-lab-food interactions and nursing implications.
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