Drugs across the lifespan
What will the nurse expect the healthcare provider's order to be when starting an older adult patient on thyroid hormone replacement therapy?
A. administering a loading dose of the drug
B. Directions on how to taper the drug
C. A dosage that is one third to one half of the regular dose
D. A dosage that is double the regular dosage
C. A dosage that in one third to one half the regular dosage
What lifestyle choices may aggravate metabolic syndrome? Select all that apply?
A. Excessive tobacco smoking
B. Inadequate hydration
C. Excessive exercise
D. Inadequate caloric intake
E. Excessive consumption of alcohol
A. Excessive tobacco smoking
E. Excessive consumption of alcohol
What test determines glycemic control over the previous 8 to 10 weeks?
A. 24 our glucose clearance test (GTT)
B. Fructosamine test
C. Fasting blood sugar (FBS)
D. A1c test
D. A1c test
What is the action of urinary antimicrobial agents?
A. Reduce pain associated with bladder spasms caused by the infection
B. Enhance output enough to flush out the infection from the urinary tract
C. Eliminste urinary retention
D. Have an antiseptic effect on the urine and the urinary tract
D. Have an antiseptic effect on the urine and the urinary tract
Which body functions are/is common when a patient is receiving a cholinergic agent? Select all that apply?
A. Nausea
B. Hypertension
C. Dizziness
D. Bradycardia
E. Constipation
A. Nausea
C. Dizziness
D. Bradycardia
Which classification of medications commonly causes allergic reactions in children?
A. Antacids
B. Analgesics
C. Antibiotics
D. Anticonvulsants
C. Antibiotics
In addition to type 2 diabetes and heart disease, which conditions is/are associated with metabolic syndrime? Select all that apply?
A. Dementia
B. Insomnia
C. Renal Disease
D. Obstructive Sleep Apnea
E. Orthostatic Hypotension
F. Polycystic Ovary Syndrome
A. Dementia
C. Renal Disease
D. Obstructive Sleep Apnea
F. Polycystic Ovary Syndrome
Which medication is used to treat hyperthyroidism?
A. Levothyroxine (Synthroid)
B. Liotrix (Thyrolar)
C. Propylthiouracil (Propacil)
D. Liothyronine (Cytomel)
C. Propylthiouracil (Propacil)
How often is fosfomycin (Monurol) usually administered when used in the treatment of UTIs?
A. In a one time dose
B. Once per day
C. Once per week
D. Monthly
A. In a one time dose
What is the definition of a cumulative effect of a drug?
A. Drug toxicity related to overmedication
B. Drug buildup related to decreased metabolism
C. The inability to control the ingestion of drugs
D. The need for higher dosage to produce the same effect as previous lower dosages
B. Drug buildup related to decreased metabolism
Which lipoprotein contributes to the development of atherosclerosis?
A. Chylomicrons
B. Very low-density lipoprotein (VLDL)
C. Low density lipoprotein chylomicron (LDL C)
D. High density lipoprotein chylomicron (HDL C)
C. Low density lipoprotein chylomicron (LDL C)
What characterstic of antithyroid drugs that act on the thyroid gland? Select all that apply?
A. They are a physiologic hormone replacement
B. They block synthesis of T3 and T4 in the thyroid gland
C. They destroy T3 and T4
D. Immediate improvement is observed
E. They may be used before subtotal thyroidectomy
B. They block synthesis of T3 and T4 in the thyroid gland
E. They may be used before subtotal thyroidectomy
Which condition will neostigmine be used to treat?
A. OAB
B. UTI
C. Postoperative/Postdelivery urinary retention
D. Benign prostativ hypertrophy
C. Postoperative/Postdelivery urinary retention
For which conditions are benzodiazepines prescribed?
A. Chronic Amnesia
B. Chronic Insomnia
C. Preoperative Sedation
D. Psychotic Episodes
C. Preoperative Sedation
Which patient(s) require(s) special consideration for medication administration? Select all that apply
A. A 29 year old pregnant woman
B. A 2 month old baby
C. An 18 year old college student
D. A 45 year old farmer
E. An 82 year old retired nurse
A. A 29 year old pregnant woman
B. A 2 month old baby
E. An 82 year old retired nurse
Which medication combinations may be beneficial in treating angina pectoris?
A. Antidysrhythmics and platelet active agents
B. ACE Inhibitors and Statins
C. Vasoconstrictors and diuretics
D. Analgesics and Thrombolytics
B. ACE Inhibitors and Statins
What is the best time for the nurse to administer Lispro?
A. After the patient has started eating
B. Within 10 to 15 minutes of eating
C. 30 minutes before a meal
D. 45 to 60 minutes before a meal
B. Within 10 to 15 minutes of eating
A patient has been taking an antimicrobial agent prescribed to treat a UTI for 2 days. She contacts the healthcare provider's office to report persistence of symptoms. In evaluating the medication effectiveness, which assessments would be important. Select all that apply?
A. Complete empyting of bladder
B. Amount of pain with urination as well as frequency
C. Amount of daily fluid intake and output
D. GI symptom complaints
E. Bleeding with urination
A. Complete empyting of bladder
B. Amount of pain with urination as well as frequency
C. Amount of daily fluid intake and output
D. GI symptom complaints
E. Bleeding with urination
In addition to facilitating sleep, what is another benefit of sedatives?
A. Increased pain control postoperatively
B. Reduced bronchial secretions
C. Decreased patent anxiety
D. Increased patent alertness
C. Decreased patent anxiety
When receiving a report on a new admission from the emergency room, the nurse learns that the patient is newly diagnosed with renal failure. Which medication(s) in the patient(s) medication history will require dosage adjustment by the physician? Select all that apply
A. Lithium
B. Tobramycin
C. Atenolol
D. Quinidine
E. Ampicillin
A. Lithium
B. Tobramycin
C. Atenolol
D. Quinidine
E. Ampicillin
The nurse is performing pain assessment on a patient admitted for evaluation of angina. Which type of angina is precipitated by physical exertion and is relieved by rest?
A. Chronic Stable
B. Nocturnal
C. Unstable
D. Variant
A. Chronic Stable
What lab test is the preferred screening for diabetes in children and nonpregnant adults?
A. FPG
B. ECG
C. GTT
D. A1c
A. FPG
When obtaining urine for analysis on a patient in the labor and birth unit, the nurse assesses the urine to appear frothy. The nurse interprets this as a sign of possible:
A. Gestational diabetes
B. Infection
C. Preeclampsia (toxemia)
D. Dehydration
C. Preeclampsia (toxemia)
Dopamine agonists have been linked with which adverse effects in patients with Parkinson's disease?
A. Oculogyric crisis
B. Tardive dyskinesia
C. Sudden sleep events
D. Akathisa
C. Sudden sleep events