Nursing Pharmacology Quiz
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Questions and Answers

Which of the following is a common adverse effect of Lisinopril?

  • Increased appetite
  • Night sweats
  • Persistent dry cough at night (correct)
  • Hearing loss
  • What is the recommended alternative if a patient experiences a persistent dry cough while on Lisinopril?

  • Increase dosage of Lisinopril
  • Switch to ARBs (correct)
  • Switch to NSAIDs
  • Continue Lisinopril and monitor
  • Which of the following is considered a potential salt substitute in a sodium-restricted diet?

  • Sugar
  • Vinegar
  • Butter
  • Garlic (correct)
  • Which symptom is NOT associated with a Transient Ischemic Attack (TIA)?

    <p>Symptoms lasting longer than 24 hours</p> Signup and view all the answers

    What is NOT a symptom of recurring ear infections (otitis media)?

    <p>Ringing in the ears</p> Signup and view all the answers

    What is the correct sequence of symptoms described by the acronym 'CAUTION' used for cancer warning signs?

    <p>Change in bowel/bladder habits, a sore that does not heal, obvious change in a wart or mole</p> Signup and view all the answers

    What is a common adverse effect of antibiotics classified as 'mycins'?

    <p>Stevens-Johnson syndrome</p> Signup and view all the answers

    What does a PAP test primarily screen for?

    <p>Cervical cancer</p> Signup and view all the answers

    What should a nurse do first when an intravenous vesicant cancer drug has extravasated?

    <p>Stop the IV and notify the charge nurse</p> Signup and view all the answers

    At what CD4 level is a patient classified in the chronic stage of HIV infection?

    <p>500 or below</p> Signup and view all the answers

    What characterizes a TIA compared to a CVA?

    <p>It results in symptoms that resolve completely.</p> Signup and view all the answers

    Which of the following is a key feature of a hemorrhagic stroke?

    <p>Spillage of blood onto brain tissue.</p> Signup and view all the answers

    What is the role of Coumadin/Warfarin in stroke prevention?

    <p>To prevent the development of new clots and growth of existing clots.</p> Signup and view all the answers

    Which statement accurately describes a 'complete stroke'?

    <p>It involves the acute phase followed by a rehabilitation phase.</p> Signup and view all the answers

    Which area of the brain is primarily responsible for functioning related to understanding language?

    <p>Wernicke's area.</p> Signup and view all the answers

    Which of the following symptoms is most commonly associated with Systemic Lupus Erythematosus (SLE)?

    <p>Butterfly rash on the nose</p> Signup and view all the answers

    What is the threshold for a low white blood cell (WBC) count, indicating potential health issues?

    <p>Under 4,000 cells/mm³</p> Signup and view all the answers

    Which type of glaucoma is characterized by rapid onset of symptoms and is considered an acute medical emergency?

    <p>Closed-angle glaucoma</p> Signup and view all the answers

    Gentamicin sulfate is primarily used for treating what type of infections?

    <p>Bacterial infections</p> Signup and view all the answers

    What symptom is NOT typically associated with cataracts?

    <p>Increased intraocular pressure</p> Signup and view all the answers

    What dietary change is most likely to reduce the risk of developing diverticulosis in an aged man?

    <p>Increase consumption of whole grains</p> Signup and view all the answers

    When considering postoperative care for a patient who has undergone an abdominoperineal resection, which position should the nurse encourage if the patient experiences pain?

    <p>Left Sims position</p> Signup and view all the answers

    Which method is the most effective way for a nurse to monitor for ascites in a patient with liver disease?

    <p>Daily weight and measuring abdominal girth</p> Signup and view all the answers

    Which nursing intervention is critical to implement to prevent complications associated with extended bed rest?

    <p>Turn, cough, and deep breathe every two hours</p> Signup and view all the answers

    What type of hepatitis requires the presence of Hepatitis B to be transmitted?

    <p>Hepatitis D</p> Signup and view all the answers

    Which diuretic type is primarily used as a first-line treatment for hypertension?

    <p>Loop Diuretics</p> Signup and view all the answers

    What dietary change can help manage the hypokalemia caused by Loop Diuretics?

    <p>Consume foods rich in potassium</p> Signup and view all the answers

    What serious condition is a potential adverse effect of Beta-Adrenergic Blockers that may require management?

    <p>Hypoglycemia</p> Signup and view all the answers

    What is a significant dietary restriction associated with taking Verapamil?

    <p>Avoid grapefruit</p> Signup and view all the answers

    Which of the following alternatives is suggested if a patient on Lisinopril experiences a persistent dry cough?

    <p>Transition to Angiotensin Receptor Blockers (ARBs)</p> Signup and view all the answers

    What is a distinguishing characteristic of arterial insufficiency in PVD?

    <p>Pain while walking that resolves with rest</p> Signup and view all the answers

    Which type of aphasia allows a person to speak but produces nonsensical speech?

    <p>Receptive aphasia</p> Signup and view all the answers

    What is the primary reason hyperglycemia occurs in patients with CVA?

    <p>Sympathetic nervous system activation leading to cortisol release</p> Signup and view all the answers

    In the context of venous insufficiency, which symptom is typically associated with this condition?

    <p>Stasis dermatitis with brown skin discoloration</p> Signup and view all the answers

    What is a key nursing consideration for a patient recovering from CVA related to rehabilitation?

    <p>Educate on the need to change positions every 2 hours</p> Signup and view all the answers

    What should be monitored closely during IV administration of Gentamicin Sulfate due to its potential adverse effects?

    <p>Patient hydration status</p> Signup and view all the answers

    Which dietary change is recommended for a patient with Meniere's Disease?

    <p>Low-sodium diet</p> Signup and view all the answers

    What is the medical term used for the procedure involving the placement of tympanic membrane tubes?

    <p>Myringotomy</p> Signup and view all the answers

    Which condition is characterized by the accumulation of cell formations near the eardrum, potentially impacting hearing?

    <p>Cholesteatomas</p> Signup and view all the answers

    What is the blood pressure reading that qualifies as hypertension for diagnosis?

    <p>140/90</p> Signup and view all the answers

    What is an appropriate action for a patient with arterial embolism during their recovery phase?

    <p>Report any increase in pain or numbness to a healthcare provider.</p> Signup and view all the answers

    What is a key dietary recommendation for someone experiencing dysphagia?

    <p>Tuck the chin to the chest while swallowing.</p> Signup and view all the answers

    Which of the following is a primary goal of creating a bowel regimen?

    <p>Establish regular bowel movement patterns.</p> Signup and view all the answers

    What symptom might indicate dehydration in a patient experiencing severe diarrhea?

    <p>Hypotension.</p> Signup and view all the answers

    What is a significant contraindication for the use of ginger in patient care?

    <p>It may interfere with anticoagulants.</p> Signup and view all the answers

    What is the primary nursing consideration immediately after a stroke?

    <p>Ensuring oxygenation and airway management</p> Signup and view all the answers

    What significant detail about the administration of TPA for stroke treatment must be remembered?

    <p>Best administered between 3-4½ hours after stroke onset</p> Signup and view all the answers

    Which nursing action is contraindicated for a patient who has experienced a hemorrhagic stroke?

    <p>Assist with coughing exercises</p> Signup and view all the answers

    Which outcome is most appropriate for evaluating a patient with inadequate nutrition due to dysphagia?

    <p>Weight stabilization between 150-155 lbs</p> Signup and view all the answers

    What nursing intervention can effectively promote joint mobility in an immobilized patient?

    <p>Utilizing supportive cushions for better positioning</p> Signup and view all the answers

    Study Notes

    ACE Inhibitors

    • Adverse effects: Persistent dry cough at night
    • Switch patient to ARBs
    • Follow up visit

    Review potential salt substitutes in a sodium restricted diet

    • Garlic, onion, things w/ potassium in it

    Symptoms of TIA

    • [a] symptoms are the same, except TIA doesn't last.

    • S/S: dysarthria, tinnitus, potosis (drooping of eyelids), dysphagia (difficulty swallowing)

    • [b] hearing and vision questions on test not previously tested on.

    • [c] recurring ear infection (otitismedius), s/s: pain, inflammation, redness, fluid build up, loss of function, purulent fluid

    • [d] Said was important

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    Description

    Test your knowledge on common pharmacological effects, nursing interventions, and key concepts related to medication use in nursing practice. This quiz covers Lisinopril, antibiotics, and cancer warning signs among other essential topics for nursing professionals.

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