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Miscellaneous
Math
Diseases/ Side Effects
Side Effects Cont.
Nursing Considerations
100
The nurse reads in the patient’s medication history that the patient is taking buspirone (BuSpar). The nurse interprets that the patient may have which disorder?
What is anxiety disorder?
100
The prescriber writes this order, “Give amantadine (Symmetrel) 100 mg per PEG tube twice a day.” The medication is available in a liquid form with a concentration 50 mg/5 mL. How many milliliters will the nurse give with each dose?
What is 10 mL 50 mg : 5 mL :: 100 mg : x mL (50 × x) = (5 × 100); 50x = 500; x = 10 mL
100
A patient has been admitted to the emergency department with a suspected overdose of a tricyclic antidepressant. The nurse will prepare for what immediate concern?
What is Cardiac dysrhythmias
100
A 22-year-old nursing student has been taking NoDoz (caffeine) tablets for the past few weeks to “make it through” the end of the semester and exam week. She is in the university clinic today because she is “exhausted.” What nursing diagnosis may be appropriate for her?
What is sleep deprivation?
100
A patient wants to take a ginseng dietary supplement. The nurse instructs the patient to look for which potential adverse effect?
What is Palpitations and anxiety
200
A 22-year-old patient has been taking lithium for 1 year, and the most recent lithium level is 0.9 mEq/L. Which statement about the laboratory result is correct?
What is within normal limits?
200
An agitated patient is to receive an intravenous dose of diazepam (Valium). The order reads, “Give diazepam, 2 mg, IV push, now. Repeat in 15 minutes if needed.” How many milliliters will the nurse administer for this dose? The medication vial contains 5 mg/mL.
What is 0.4 mL 5 mg : 1 mL :: 2 mg : x mL (5 × x) = (1 × 2); 5x = 2; x = 0.4
200
A 6-year-old boy has been started on an extended-release form of methylphenidate hydrochloride (Ritalin) for the treatment of attention deficit hyperactivity disorder (ADHD). During a follow-up visit, his mother tells the nurse that she has been giving the medication at bedtime so that it will be “in his system” when he goes to school the next morning. What is the nurse’s appropriate evaluation of the mother’s actions?
What is The medication should be given 4 to 6 hours before bedtime to diminish insomnia.
200
Chlorpromazine (Thorazine) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. The nurse includes which information? The patient needs to avoid caffeine while on this drug. The patient needs to wear sunscreen while outside because of photosensitivity. Long-term therapy may result in nervousness and excitability. The medication may be taken with an antacid to reduce gastrointestinal upset
What is The patient needs to wear sunscreen while outside because of photosensitivity.
200
The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching? Orange juice Fried eggs over-easy Salami and Swiss cheese sandwich Biscuits and honey
What is Salami and Swiss cheese sandwich
300
A patient has been taking haloperidol (Haldol) for 3 months for a psychotic disorder, and the nurse is concerned about the development of extrapyramidal symptoms. The nurse will monitor the patient closely for which effects?
What is Tremors and muscle twitching
300
A 9-year-old child will be receiving carbamazepine (Tegretol) suspension, 200 mL daily. The medication is available in a strength of 100 mg/5 mL. How many milliliters will the nurse give to the patient for each dose?
What is 10 mL 100 mg : 5 mL :: 200 mg : x mL (100 × x) = (5 × 200); 100x = 1000; x = 10 mL
300
When a patient is receiving a second-generation antipsychotic drug, such as risperidone (Risperdal), the nurse will monitor for which therapeutic effect?
What is Decreased paranoia and delusions
300
While monitoring a depressed patient who has just started SSRI antidepressant therapy, the nurse will observe for which problem during the early time frame of this therapy? Hypertensive crisis Self-injury or suicidal tendencies Extrapyramidal symptoms Loss of appetite
What is Self-injury or suicidal tendencies
300
The wife of a patient who has been diagnosed with depression calls the office and says, “It’s been an entire week since he started that new medicine for his depression, and there’s no change! What’s wrong with him?” What is the nurse’s best response?
What is "It takes 3-4 weeks to respond to the medication."
400
Before beginning a patient’s therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class?
What is Anticoagulants
400
Levothyroxine is available in 88-mcg tablet form. Convert this dose to milligram strength. Do not round.
What is 0.088 mg One mg equals 1000 mcg. To convert 88 mcg to mg, divide 88 by 1000 to equal 0.088 mg, or move the decimal point to the left three spaces. Do not forget to include the leading zero.
400
The U.S. Food and Drug Administration has issued a warning for users of antiepileptic drugs. Based on this report, the nurse will monitor for which potential problems with this class of drugs?
What is Increased risk of suicidal thoughts and behaviors
400
A patient with the diagnosis of schizophrenia is hospitalized and is taking a phenothiazine drug. Which statement by this patient indicates that he is experiencing a common adverse effect of phenothiazines? “I can’t sleep at night.” “I feel hungry all the time.” “Look at how red my hands are.” “My mouth has been so dry lately.”
What is “My mouth has been so dry lately.”
400
A patient has been taking the selective serotonin reuptake inhibitor (SSRI) sertraline (Zoloft) for about 6 months. At a recent visit, she tells the nurse that she has been interested in herbal therapies and wants to start taking St. John’s wort. Which response by the nurse is appropriate? “That should be no problem.” “Good idea! Hopefully you’ll be able to stop taking the Zoloft.” “Be sure to stop taking the herb if you notice a change in side effects.” “Taking St. John’s wort with Zoloft may cause severe interactions and is not recommended."
What is “Taking St. John’s wort with Zoloft may cause severe interactions and is not recommended."
500
The nurse has given medication instructions to a patient receiving phenytoin (Dilantin). Which statement by the patient indicates that the patient has an adequate understanding? “I will need to take extra care of my teeth and gums while on this medication.” “I can go out for a beer while on this medication.” “I can skip doses if the side effects bother me.” “I will be able to stop taking this drug once the seizures stop.”
What is “I will need to take extra care of my teeth and gums while on this medication.”
500
Digoxin is available in 0.25-mg tablet form. Convert this dose to microgram strength. Do not round.
What is 250 mcg One mg equals 1000 mcg. To convert 0.25 mg to mcg, multiply by 1000 to equal 250 mcg, or move the decimal point to the right three spaces.
500
When teaching a patient about taking a newly prescribed antiepileptic drug (AED) at home, the nurse will include which instruction? “Driving is allowed after 2 weeks of therapy.” “If seizures recur, take a double dose of the medication.” “Antacids can be taken with the AED to reduce gastrointestinal adverse effects.” “Regular, consistent dosing is important for successful treatment.”
What is “Regular, consistent dosing is important for successful treatment.”
500
A patient who has been taking a selective serotonin reuptake inhibitor (SSRI) is complaining of “feeling so badly” when he started taking an over-the-counter St. John’s wort herbal product at home. The nurse suspects that he is experiencing serotonin syndrome. Which of these are symptoms of serotonin syndrome?
What is Agitation or restlessness. Confusion. Rapid heart rate and high blood pressure. Dilated pupils. Loss of muscle coordination or twitching muscles. Muscle rigidity. Heavy sweating. Diarrhea.
500
A patient has been taking the monoamine oxidase inhibitor (MAOI) phenelzine (Nardil) for 6 months. The patient wants to go to a party and asks the nurse, “Will just one beer be a problem?” Which advice from the nurse is correct?
What is "You need to avoid foods with tyramine, so you shouldn't have a beer."