Walden University - NURS 6521N Week 5 Quiz. Q7A. NURS-6521N-Quiz Wk5 - €14,89   In winkelwagen


Walden University - NURS 6521N Week 5 Quiz. Q7A. NURS-6521N-Quiz Wk5

NURS-6521N, Advanced Pharmacology.2019 Summer Test Week 5 - Quiz Status Completed Attempt Score 30 out of 30 points QUESTION 1 A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to A. assess the patient's psychosocial status. B. provide an emesis basin. C. administer oxygen therapy. D. administer epinephrine. 1 points SAVED QUESTION 2 A patient has been hospitalized for treatment of substance abuse after being arrested and jailed for the past 24 hours. The patient is experiencing severe muscle and abdominal cramps, seizures, and acute psychosis due to abrupt withdrawal. Which of the following drug classes is the most likely cause of these severe and potentially fatal withdrawal symptoms? A. Sedative–hypnotic drugs B. Amphetamines C. Benzodiazepines D. Opioids 1 points SAVED QUESTION 3 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? A. Respiratory rate, pain intensity, and mental status B. Respiratory rate, seizure activity, and electrolytes C. Pain intensity, respiratory rate, and level of consciousness D. Liver function studies, pain intensity, and blood glucose level 1 points SAVED QUESTION 4 A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately A. 24 hours. B. 12 hours. C. 6 hours. D. 32 hours. 1 points SAVED QUESTION 5 A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies A. drug tolerance. B. withdrawal. C. dependence. D. addiction. 1 points SAVED QUESTION 6 A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by A. increasing the effects of the neurotransmitter GABA. B. affecting the regulation of serotonin and norepinephrine in the brain. C. increasing the amount of serotonin available in the synapses. D. inhibiting the action of monoamine oxidase. 1 points SAVED QUESTION 7 A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.) A. It is available in both quick-onset and continuous-release oral forms. B. The drug does not cause sleepiness in the morning. C. The drug should not be used for longer than 1 month. D. One of the most common adverse effects of the drug is headache. E. It should be taken 1 hour to 90 minutes before going to bed. 1 points SAVED QUESTION 8 A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia? A. Delusional thinking B. Visual hallucinations C. Auditory hallucinations D. Lack of interest in normal activities 1 points SAVED QUESTION 9 Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid A. fatty foods. B. alcohol. C. vitamin C. D. dairy products. 1 points SAVED QUESTION 10 A 39-year-old patient who is having trouble sleeping is beginning drug treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking A. meperidine (Demerol). B. oxycodone (Percodan). C. cimetidine (Zantac). D. secobarbital (Seconal). 1 points SAVED QUESTION 11 A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for A. a diet high in fat. B. a diet high in carbohydrates. C. a history of current or past alcohol use. D. current nicotine use. 1 points SAVED QUESTION 12 A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that A. intravenous lidocaine may be preferable to topical application. B. pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site. C. lidocaine must be potentiated with another anesthetic in order to achieve pain control. D. there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin. 1 points SAVED QUESTION 13 A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug? A. 1.2 mEq/L B. 0.3 mEq/L C. 0.6 mEq/L D. 1.7 mEq/L 1 points SAVED QUESTION 14 A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? A. Increased thirst B. Increased urination C. Hair loss D. Muscle twitching 1 points SAVED QUESTION 15 A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)? A. A 46-year-old man who receives an antidepressant and needs a sleep aid B. A 52-year-old woman who needs to fall asleep quickly and stay asleep all night C. A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep D. A 20-year-old woman who will take the drug about once a week 1 points SAVED QUESTION 16 The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be A. “I'll ask the nurse practitioner if the dosage can be increased.” B. “I'll ask the nurse practitioner if the haloperidol can be discontinued and another drug started.” C. “I'll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol.” D. “Continue the prescribed dose. It may take several days to work.” 1 points SAVED QUESTION 17 A nurse is talking to an 18-year-old patient who has had a seizure disorder since she was 10 years old and is taking phenytoin (Dilantin). The nurse should suggest that she take which of the following? A. Vitamin C B. An iron supplement C. Folic acid D. A potassium supplement 1 points SAVED QUESTION 18 A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome? A. The patient demonstrates a significant increase in agitation after being given haloperidol. B. The patient develops yellowed sclerae and intense pruritis (itchiness). C. The patient complains of intense thirst and produces copious amounts of urine. D. The patient develops muscle rigidity and a sudden, high fever. 1 points SAVED QUESTION 19 A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? A. Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects. B. The patient's heavy alcohol use will compete with phenytoin for binding sites and he will require a higher-than-normal dose. C. The patient will require oral phenytoin rather than intravenous administration. D. The patient's protein deficit will likely increase the levels of the free drug in his blood. 1 points SAVED QUESTION 20 Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work? A. Alprazolam (Xanax) B. Diazepam (Valium) C. Buspirone (BuSpar) D. Lorazepam (Ativan) 1 points SAVED QUESTION 21 A postsurgical patient has been provided with a morphine patient-controlled analgesic (PCA) but has expressed her reluctance to use it for fear of becoming addicted. How can the nurse best respond to this patient's concerns? A. “It's important that you accept that your current need to control your pain is more important than fears of becoming addicted.” B. “If you do become addicted, we'll make sure to provide you with the support and resources necessary to help you with your recovery.” C. “You don't need to worry. It's actually not true that you can get addicted to the medications we use in a hospital setting.” D. “It is not uncommon to develop a dependence on pain medications, but this usually takes place over a long period and is not the same as addiction.” 1 points SAVED QUESTION 22 An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain? A. A large long-acting dose of morphine at 8 a.m. with smaller doses at 12 p.m., 5 p.m., and 10 p.m. B. Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain C. Scheduled doses of short-acting morphine q1h around the clock D. Alternating doses of long-acting morphine with short-acting morphine 1 points SAVED QUESTION 23 A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated? A. A patient whose pulmonary embolism was treated with a heparin infusion B. A patient who received treatment for kidney failure due to an overdose of acetaminophen C. A patient with a history of angina who experienced a non-ST wave myocardial infarction D. A patient whose stage III pressure ulcer required intravenous antibiotics and a vacuum dressing 1 points SAVED QUESTION 24 A 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that dosage, the patient will need to be carefully monitored for A. increased secretions. B. diarrhea. C. facial flushing. D. dizziness. 1 points SAVED QUESTION 25 A 59-year-old woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over benzodiazepines in the treatment of anxiety? A. SSRIs do not require serial blood tests during therapy. B. SSRIs generally have fewer adverse effects. C. SSRIs require administration once per week, versus daily or twice daily with benzodiazepines. D. SSRIs have a more rapid therapeutic effect. 1 points SAVED QUESTION 26 A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient's subsequent care, what nursing diagnosis should the nurse prioritize? A. Risk for Injury related to drug–drug interactions or drug–nutrient interactions B. Risk for Infection related to immunosuppressive effects of phenelzine C. Risk for Ineffective Peripheral Tissue Perfusion related to cardiovascular effects of phenelzine D. Risk for Constipation related to decreased gastrointestinal peristalsis 1 points SAVED QUESTION 27 A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine? A. A client who has type 1 diabetes and who practices poor glycemic control B. A client who is morbidly obese and who has a sedentary lifestyle C. A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily D. A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg 1 points SAVED QUESTION 28 A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient? A. Blood pressure (BP): 98/50, pulse (P): 120, respirations (R): 40 B. BP: 130/88, P: 92, R: 28 C. BP: 170/98, P:110, R: 20 D. BP: 150/90, P: 80, R: 16 1 points SAVED QUESTION 29 A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to A. administer after diluting the drug with gabapentin in intravenous solution. B. inject very slowly, no faster than 100 mg/minute. C. avoid the small veins in the dorsum of the hand or the wrist. D. inject the diazepam very quickly, 15 mg in 10 to15 seconds. 1 points SAVED QUESTION 30 A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by A. by slowing the function of calcium channels within the neurological system. B. decreasing the influx of sodium into neurons. C. simultaneously potentiating the effects of GABA and inhibiting reuptake. D. increasing the levels of available glutamate. 1 points SAVED

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