course material

1. Pharmacology Questions
Pharmacology QuestionsPharmacology QuestionsQUESTION 11. What lab value will best
reflect renal function in a client taking multiple medicines?creatinine clearancepotassium
levelssodium levelsurinalysis0.5 pointsQUESTION 21. Which teaching point is correct with
respect to the concept of “tolerance”?Tolerance is a state where people become used to
pain, and therefore need less pain medicine.In tolerance, larger doses are needed to achieve
prior effects because a body learns to push back.Tolerance occurs in slow metabolizers.
Slow metabolism leads to prolonged sedation.Tolerance occurs in fast metabolizers. Faster
metabolism leads to faster sedation.0.5 pointsQUESTION 31. Which statement regarding the
blood-brain barrier demonstrates a need for further teaching?“It can protect the brain from
potentially toxic substance injuries.”“It can be a significant obstacle to entry of therapeutic
agents.”“It is not fully developed at birth.”“It lets in therapeutic agents in but filters out
everything else.”ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERS0.5
pointsQUESTION 41. A client who has been taking an antiepileptic medication with a
narrow therapeutic window for 2 weeks seems confused and forgetful. What should be the
priority action of the nurse? Pharmacology QuestionsCall the prescriber and have them
change the seizure medication.Give an antihistamine under house protocol to stop the
allergic response.Seek a plasma drug level order from the client’s prescriber.Set up oxygen
and obtain an order for activated charcoal.0.5 pointsQUESTION 51. The nurse is assessing a
client who has requested an adrenergic drug for dyspnea. Which sign would make the nurse
hesitate to give the medication?Pulse oximetry saturation of 88%Blood pressure of
130/86Respiratory rate of 28Irregular heart rate of 1220.5 pointsQUESTION 61. A nurse is
caring for a client being treated with Minipress (prazosin), an alpha blocker. What
counseling should the client receive?Rise slowly from lying to standing to avoid dizziness
and a possible fall.Void before taking the medication to avoid urine retentionTake a daily
laxative to avoid constipationAvoid drinking more than 600 mls of fluid per day while
taking this medication0.5 pointsQUESTION 71. For which client would a beta adrenergic
blocker like Atenolol be prescribed?A client with urinary retentionA client who suffers from
diarrheaA hypertensive client with a heart rate of 104A client who suffers from asthma0.5
pointsQUESTION 81. How would a nurse explain the way pilocarpine (Salagen), a
cholinergic, would resolve dry mouth symptoms?It stimulates salivation by blocking
nicotinic receptorsIt stimulates salivation by stimulating muscarinic receptorsIt stimulates
salivation by stimulating alpha receptors in the brainIt stimulates salivation by redirecting
fluid from the optic nerve0.5 pointsQUESTION 91. A client with Alzheimer’s disease has

2. been taking Exelon (rivastigmine), a cholinesterase inhibitor for a week. What anticipated
side effects of this cholinergic medication would the nurse anticipate?Numbness and
tingling in the extremitiesHypertension, tachycardia, and palpationsDiarrhea, urgency and
possible bradycardiaTinnitus and hearing loss0.5 pointsQUESTION 101. A nurse in the
emergency department is caring for a client whose family reports that she had taken an
overdose of diazepam. Which of the following medications should the nurse have available
to reverse the CNS depression caused by this drug?Ondasteron (Zofran)Magnesium
sulfateFlumazanil (Romazicon)Protamine sulfate0.5 pointsQUESTION 111. The client
diagnosed with a general anxiety disorder is prescribed alprazolam (Xanax), a
benzodiazepine. Which information should the clinic nurse discuss with the client?Explain
to the client that this medication is intended for short-term use only.Tell the client to expect
rigidity as a side effectTell the client to avoid foods that are high in vitamin KInstruct the
client to take the medication before driving to avoid transit anxiety0.5 pointsQUESTION
121. A nurse is caring for a patient who has been taking phenytoin (Dilantin) for 6 weeks.
Upon review of the laboratory results, the nurse notes that the patient’s phenytoin level is
18 mcg/mL. What is the nurse’s best action?The nurse should contact the prescriber to
suggest a dose increase.This drug level is in the therapeutic range, so the nurse can give the
medicine as ordered.Suspect that another drug is preventing Phenytoin metabolism, and
hold the causative medication.This drug level is too high; the nurse should contact the
prescriber about reducing the dose.0.5 pointsQUESTION 131. The provider is considering
starting a diabetic client on valproic acid (Depakote) for nerve pain this week. During the
health history, the patient tells the nurse, “I drink a six pack of beer daily and two to three
six packs on weekends.” What would be the priority nursing action?Obtain a lab order to
assess his current level of valproic acid.Tell the client his alcoholism is causing his nerve
pain, so medicine won’t help.Seek an order for liver function labs to see if Depakote would
be safe for himReassure the client that beer and Depakote are compatible0.5
pointsQUESTION 141. A nurse is reviewing a client’s list of medications and notices that he
is taking two anticholinergics. Which of his recent symptoms could be caused by his
anticholinergic medications? (Select all that apply)Epigastric distressTachycardiaDry
mouthFrequent loose stoolsBlurred vision0.5 pointsQUESTION 151. A client is using a prn
scopolamine patch for motion sickness. Knowing that the medication has anticholinergic
side effects, the client should be taught to anticipate which side effects? (Select all that
apply!) | Pharmacology QuestionsUrine retentionBlurred visionDry
mouthDiarrheaWheezes0.5 pointsQUESTION 161. A nurse is taking a history on a client
admitted for medication related syncope. Which of these comments from the client needs to
be reported to the physician? (Select all that apply)“I just gave you my medication list the
last time I was here. Nothing’s changed! Look it up!”“I’m taking an herbal supplements to
help me sleep, but nothing else is changed.”“I’m taking over-the-counter substitutes for the
medicines I can’t afford.”“I get my medicines over the internet, so I never run out of
medicine. It’s cheaper”“I wish I didn’t have to bother the doctor every time I need a
medication refill.“My cardiologist never orders anything. He just tells my regular doctor
what to order.”0.5 pointsQUESTION 171. The most common adverse effect associated with
antiepileptic medications is CNS depression. Knowing this, which signs and symptoms

3. would the nurse watch for during assessments? (Select all that
apply!)DroolingInsomniaConfusionHyperventilationUnsteady gate0.5 pointsQUESTION
181. A nurse recognizes that the actions of benzodiazepines include which of the following
benefits? (Select all that apply.)Sleep facilitationRelief of general anxietySuppression of
seizures and/or seizure activityReversal of ParkinsonismImprovement of muscle
coordination0.5 pointsQUESTION 191. What advice should parents of a child taking Ritalin
(methylphenidate) receive? (Select all that apply)Insomnia is a risk. Give the medication in
the morningIt should always be given before the mealIt is cheaper (wisest), to order the
medication via the internet.It is a C2 substance. Automatic refills are not allowed.It is a
gateway drug to other stimulants. Teens seek it to lose weight. Keep control of it.There is no
need to worry about addiction in these medications in well-adjusted children.0.5
pointsQUESTION 201. A 68 year old male has a history of seizures and has been taking
phenytoin (Dilantin) for years. His last seizure occurred 2 years ago, so he has decided that
he no longer needs the medication. What would be the best action of the nurse? (Select all
that apply.)Recommend that he start cutting his pills in half, and see how it goesAffirm his
plan to stop taking it, but tell him to restart it if tremors occurRecommend that he develop a
withdrawal plan with his prescriberEducate the client that suddenly stopping the drug
could precipitate seizures.Tell the client that once a medication for seizures is started it can
never be stopped.Pharmacology Questions