Psych Out
Question:
A client is prescribed zolpidem for insomnia. Which instruction should the nurse include in the teaching?
A. "Take the medication 1 hour after a heavy meal."
B. "It is safe to take this drug if you wake up in the middle of the night."
C. "Avoid alcohol while taking this medication."
D. "You may operate heavy machinery if you feel rested."
C. Avoid alcohol while taking this medication
A patient with chronic kidney disease is prescribed a medication that is primarily excreted by the kidneys. Which pharmacokinetic process is most likely to be affected?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
D. Excretion
A nurse is preparing to administer naloxone (Narcan) to a patient who has overdosed on an opioid. What is the expected outcome of this medication?
A. Increased pain relief
B. Reduced nausea and vomiting
C. Reversal of respiratory depression
D. Induction of sedation
C. Reversal of respiratory depression
I am the form of PO medication you cannot crush
extended release capsule
The maximum dose of acetaminophen in 24 hours
4000 mg
Question:
A nurse is caring for a client who has been prescribed lorazepam for anxiety. Which finding requires immediate nursing intervention?
A. Drowsiness and fatigue
B. Respiratory rate of 8 breaths per minute
C. Mild confusion
D. Blood pressure of 110/70 mmHg
B. Respiratory rate of 8 breaths per minute
A nurse is administering a medication that is highly protein-bound. Which of the following conditions could increase the free, active drug in circulation?
A. High serum albumin levels
B. Increased liver enzyme activity
C. Low serum albumin levels
D. Decreased renal perfusion
C. Low serum albumin levels
breath sounds signifying fluid overload in your patient
adventitious, crackles
I am an isotonic fluid in the bag, but I become hypotonic in the body
D5W
major complication of ibuprofen
GI bleed
A client who began taking sertraline 2 weeks ago reports increased energy and a sudden improvement in mood. What is the priority nursing action?
A. Encourage the client to continue the medication
B. Assess the client for suicidal ideation
C. Educate the client about side effects of the medication
D. Instruct the client to take the medication with food
B. assess the client for suicidal ideation
The nurse explains to a patient that a drug's half-life is 4 hours. If the initial dose is 100 mg, how much drug will remain in the body after 8 hours?
A. 75 mg
B. 50 mg
C. 25 mg
D. 12.5 mg
C. 25 mg
This medication dilates arteries which will improve blood flow to the heart
nitroglycerin
An adverse reaction to benadryl where the opposite of the expected effect happens to a patient
paradoxical excitation
The nurse is teaching a client about levodopa/carbidopa. Which statement by the client indicates an understanding of the medication?
A. “This medication will cure my Parkinson’s disease.”
B. “This drug increases dopamine in my brain to help reduce my symptoms.”
C. “This drug helps remove excess dopamine from my body.”
D. “I can stop the drug once my tremors go away.”
B. this drug increases dopamine in my brain to help reduce my symptoms
The nurse is monitoring a client on quetiapine for schizophrenia. Which lab value requires immediate notification of the healthcare provider?
A. WBC of 2,900/mm³
B. Fasting blood glucose of 110 mg/dL
C. Hemoglobin of 13.5 g/dL
D. Platelet count of 180,000/mm³
A. WBC count of 2900mm3
Which term describes the maximum effect a drug can produce, regardless of dose?
A. Potency
B. Efficacy
C. Bioavailability
D. Therapeutic index
B. Efficacy
I am the irritating, annoying adverse reaction to report to my provider when taking an ACE inhibitor.
cough
I am an adverse reaction to DMARD methotrexate where the patient will have _______ platelets and _______ red blood cells.
low, low
Question:
Which explanation should the nurse provide to a caregiver about the purpose of donepezil?
A. “This medication cures Alzheimer’s disease.”
B. “Donepezil can improve memory and delay the progression of symptoms.”
C. “This drug prevents further brain damage permanently.”
D. “Donepezil helps lower blood pressure and cholesterol in dementia patients.”
B. Donepezil can improve memory and delay the progression of symptoms
A client on lithium also takes furosemide for heart failure. What is the nurse's priority concern?
A. Risk for dehydration
B. Risk of lithium toxicity
C. Risk for orthostatic hypotension
D. Risk of weight loss
B. Risk of lithium toxicity
A nurse is teaching a client about factors that can affect drug absorption. Which of the following can alter the absorption of an oral medication?
Select all that apply:
A. Presence of food in the stomach
B. Gastrointestinal pH
C. Liver enzyme activity
D. Route of administration
E. Gastric motility
A, B, D, E
What are the lab values to check for warfarin and heparin?
heparin- aPTT, hemoglobin, platelets
warfarin- PT/INR
I am used to stimulate production of WBCs, and my bestie is used to stimulate production of RBCs.
filgrastim
epoetin
Which symptom in a client taking levetiracetam would the nurse report immediately to the provider?
A. Drowsiness
B. Dizziness
C. Agitation and suicidal thoughts
D. Mild nausea
C. Agitation and suicidal thoughts