CHAPTER 23
CHAPTER 31
CHAPTER 74
CHAPTER 75
GILLIE
100
Which characteristic improves a drug’s ability to reach the central nervous system (CNS)?
Lipid solubility
100
A postoperative patient has an epidural infusion of morphine sulfate [Astramorph]. The patient’s respiratory rate declines to 8 breaths per minute. Which medication would the nurse anticipate administering?
Naloxone [Narcan]
100
The nurse assesses a patient who takes ibuprofen [Advil] on a regular basis. Which finding does the nurse know is an adverse effect of ibuprofen [Advil] therapy?
Hematemesis
100
When administering prednisone to a patient, the nurse will do what?
Ensure that meals are at bedside so that administration with food reduces gastric irritation.
100
A nurse administers naloxone [Narcan] to a postoperative patient experiencing respiratory sedation. What undesirable effect would the nurse anticipate after giving this medication?
Increased pain
200
A patient has an infection affecting a central nervous system (CNS) component. Which structure makes the delivery of antibiotic therapy more difficult?
Blood-brain barrier
200
The nurse is planning care for a patient receiving morphine sulfate [Duramorph] by means of a patient-controlled analgesia (PCA) pump. Which intervention may be required because of a potential adverse effect of this drug?
Inserting a Foley catheter
200
A patient is scheduled to start taking aspirin for the treatment of rheumatoid arthritis. The nurse anticipates that which medication most likely will be prescribed?
Pantoprazole [Protonix]
200
The nurse is developing a plan to minimize the risk of adrenal insufficiency for a patient who is receiving long-term glucocorticoid therapy. Which outcome should be included?
Increases or supplements dosage of glucocorticoid at times of stress
200
What does the nurse identify as possible complications of glucocorticoid therapy? (Select all that apply.)
Impaired carbohydrate and glucose tolerance
300
Which neurotransmitter is active in both the peripheral and central nervous systems (CNS)?
Norepinephrine
300
A patient takes oxycodone [OxyContin] 40 mg PO twice daily for the management of chronic pain. Which intervention should be added to the plan of care to minimize the gastrointestinal adverse effects?
The patient should increase fluid and fiber in the diet
300
A nurse teaches a patient who takes daily low-dose aspirin for protection against myocardial infarction and stroke to avoid also taking which medication?
Ibuprofen [Motrin]
300
A patient is receiving glucocorticoids for the treatment of rheumatoid arthritis. The patient complains of having a headache. Which ordered medication should the nurse administer?
Acetaminophen [Tylenol]
300
A nurse instructs the parent of a child with influenza that which medication or medications may be used safely to reduce fever?
Acetaminophen [Tylenol]
400
The nurse is caring for a patient with depression who takes citalopram [Celexa], an antidepressant. The nurse understands that the full therapeutic effects are not seen until about 3 to 4 weeks after beginning this drug. What is the best description of this process?
Adaptive changes in the brain
400
Which agent is most likely to cause serious respiratory depression as a potential adverse reaction?
Morphine [Duramorph]
400
A nurse should recognize that a patient who takes an angiotensin-converting enzyme (ACE) inhibitor while also taking high-dose aspirin is at risk of developing what complication?
Renal failure
400
A patient takes glucocorticoids and digoxin [Lanoxin]. It is most important for the nurse to monitor which electrolyte?
Potassium
400
A patient who has rheumatoid arthritis is scheduled to start taking celecoxib [Celebrex]. A nurse should recognize which factor from the patient’s history as a contraindication to taking this medication?
Recent heart bypass surgery
500
The nurse is working with a group of patients receiving drugs that work in the central nervous system (CNS). Nursing care of these patients is based on which facts? (Select all that apply.)
500
The nurse is working on a postoperative unit in which pain management is part of routine care. Which statement is the most helpful in guiding clinical practice in this setting?
The development of opioid dependence is rare when opioids are used for acute pain.
500
A nurse provides discharge instructions for a patient who is taking acetaminophen [Tylenol] after surgery. The nurse should instruct the patient to avoid which product while taking acetaminophen?
Alcoholic drinks
500
The nurse should question an order for glucocorticoids in the treatment of a patient with what?
Systemic fungal infection
500
The nurse is screening a patient before administering a live virus vaccine. The patient is currently taking a glucocorticoid medication. Which action should the nurse take?
Note the contraindication and clarify the order with the healthcare provider