Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency?
A) Reduction of severe hypertension
B) Increased level of consciousness
C) Restoration of normal sinus rhythm
D) Resolution of respiratory acidosis
A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years.Phenytoin achieves a therapeutic effect by
A) decreasing the influx of sodium into neurons
B) increasing the levels of available glutamate
C) simultaneously potentiating the effect of GABA and inhibiting reuptake
D) by slowing the function of calcium channels within the neurological system
An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain?
A) Scheduled doses of short-acting morphine q1h around the clock
B) Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain
C) A large long-acting dose of morphine at 8 AM with smaller doses at 12 PM, 5 PM, and 10 PM.
D) Alternating doses of long-acting morphine with short-acting morphine
A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome?
A) The patient demonstrates a significant increase in agitation after being given haloperidol.
B) The patient develops muscle rigidity and a sudden, high fever.
C) The patient complains of intense thirst and produces copious amounts of urine.
D) The patient develops yellowed sclerae and intense pruritis (itchiness).
A nurse will be prepared to administer naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan
A) has less strength in each dose than do individual doses of morphine.
B) has a shorter half-life than morphine.
C) combined with morphine, increases the physiologic action of the morphine.
D) causes the respiratory rate to decrease.
A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to
A) administer epinephrine.
B) administer oxygen therapy.
C) provide an emesis basin.
D) assess the patient’s psychosocial status.
A 39-year-old patient who is having trouble sleeping is beginning drug treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking
A) secobarbital (Seconal).
B) oxycodone (Percodan).
C) cimetidine (Zantac).
D) meperidine (Demerol).
Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work?
A) Alprazolam (Xanax)
B) Buspirone (BuSpar)
C) Diazepam (Valium)
D) Lorazepam (Ativan)
A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that
A) intravenous lidocaine may be preferable to topical application.
B) lidocaine must be potentiated with another anesthetic in order to achieve pain control.
C) pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site.
D) there is a risk of systemic absorption of the lidocaine through the patient’s traumatized skin.
A patient has been hospitalized for treatment of substance abuse after being arrested and jailed for the past 24 hours. The patient is experiencing severe muscle and abdominal cramps, seizures, and acute psychosis due to abrupt withdrawal. Which of the following drug classes is the most likely cause of these severe and potentially fatal withdrawal symptoms?
B) Sedative–hypnotic drugs
A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia?
A) Lack of interest in normal activities
B) Delusional thinking
C) Auditory hallucinations
D) Visual hallucinations
A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately
A) 6 hours.
B) 12 hours.
C) 24 hours.
D) 32 hours.
The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be
A) "Continue the prescribed dose. It may take several days to work."
B) "I’ll ask the nurse practitioner if the dosage can be increased."
C) "I’ll ask the nurse practitioner if the haloperidol can be discontinued and another drug started."
D) “I’ll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol.”
A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of
B)low blood pressure.
C)increased intraocular pressure
D) diabetic hyperlipidemia
A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for
A) a diet high in fat.
B) a history of current or past alcohol use.
C) current nicotine use.
D) a diet high in carbohydrates.
A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine?
A) A client who is morbidly obese and who has a sedentary lifestyle
B) A client who has type 1 diabetes and who practices poor glycemic control
C) A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily
D) A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg
A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?
A) A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep
B) A 20-year-old woman who will take the drug about once a week
C) A 52-year-old woman who needs to fall asleep quickly and stay asleep all night
D) A 46-year-old man who receives an antidepressant and needs a sleep aid
A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin?
A) The patient will require oral phenytoin rather than intravenous administration.
B) Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects.
C) The patient’s heavy alcohol use will compete with phenytoin for binding sites and he will require a higher-than-normal dose.
D) The patient’s protein deficit will likely increase the levels of the free drug in his blood.
A trauma patient has been receiving frequent doses of morphine in the 6 days since his accident. This pattern of analgesic administration should prompt the nurse to carefully monitor the patient's
A) urine specific gravity.
B) skin integrity.
C) bowel patterns.
D) core body temperature.
A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that
A) she will report this to the physician immediately.
B) the drug is not going to work for her and the medication needs to be changed.
C) optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment.
D) it may take up to 6 months for the drug to relieve her anxiety.
A 59-year-old woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety.Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over benzodiazepines in the treatment of anxiety?
A) SSRIs generally have fewer adverse effects.
B) SSRIs have a more rapid therapeutic effect.
C) SSRIs do not require serial blood tests during therapy.
D) SSRIs require administration once per week, versus daily or twice daily with benzodiazepines.
A 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that dosage, the patient will need to be carefully monitored for
C) increased secretions.
D) facial flushing.
A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by
A) increasing the effects of the neurotransmitter GABA.
B) inhibiting the action of monoamine oxidase.
C) affecting the regulation of serotonin and norepinephrine in the brain.
D) increasing the amount of serotonin available in the synapses.
A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments?
A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, and level of consciousness
C) Liver function studies, pain intensity, and blood glucose level
D) Respiratory rate, pain intensity, and mental status
A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated?
A) A patient who received treatment for kidney failure due to an overdose of acetaminophen
B) A patient whose pulmonary embolism was treated with a heparin infusion
C) A patient with a history of angina who experienced a non-ST wave myocardial infarction
D) A patient whose stage III pressure ulcer required intravenous antibiotics and a vacuum dressing
A patient with mild low back pain has been advised to take acetaminophen. The nurse will inform him that excessive intake of acetaminophen may result in
A) gastrointestinal distress.
B) acute renal failure.
C) cognitive deficits.
D) liver damage.
A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient?
A) Blood pressure (BP): 98/50, pulse §: 120, respirations ®: 40
B) BP: 130/88, P: 92, R: 28
C) BP: 150/90, P: 80, R: 16
D) BP: 170/98, P:110, R: 20
A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously.The nurse will be sure to
A) avoid the small veins in the dorsum of the handor the wrist
B) inject the diazepam very quickly, 15 mg in 10 to15 seconds.
C) administer after diluting the drug with gabapentin in intravenous solution
D) inject very slowly, no faster than 100 mg/minute
A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies
A) drug tolerance
A 4-year-old child is brought to the emergency department by her mother. The mother reports that the child has been vomiting, and the nurse notes that the child's face is flushed and she is diaphoretic. The mother thinks that the child may have swallowed carbachol drops. A diagnosis of cholinergic poisoning is made. Which of the following drugs would be administered?
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- Submitted On 16 Jun, 2018 04:01:55