NUR 2407 Module 02 End of Module Open Book Quiz Q & A,100% CORRECT

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NUR 2407 Module 02 End of Module Open Book Quiz Q & A Course NUR2407 Section P Pharmacology - Residential and Online - 2019 Winter Quarter Test Module 02 End of Module Open Book Quiz Starte... d 1/10/19 9:01 AM Submitted 1/10/19 9:22 AM Due Date 1/14/19 11:59 PM Status Completed Attempt Score 2.5 out of 5 points Time Elapsed 20 minutes out of 1 hour Results Displayed All Answers, Submitted Answers, Correct Answers, Incorrectly Answered Questions • Question 1 A 68-year-old man has a history of seizures and has been taking phenytoin (Dilantin) for years. His last seizure was two years ago so he has decided that he no longer needs the medication. What would be the best action for the nurse? (Select all that apply.) Selected Answers: Educate the client that suddenly stopping the drug could precipitate seizures. Answers: Recommend that he develop a withdrawal plan with his prescriber. Educate 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. Recommend that he start cutting his pills in half and see how that goes. Recommend that he develop a withdrawal plan with his prescriber. • Question 2 A cleint is using a PRN scopolamine patch for motion sickness. Knowing that this medication has anticholinergic side effects, which of these side effects should the client be taught to anticipate? (Select all that apply.) Selected Answers: Urinary retention Dry mouth Answers: Urinary retention Blurred vision wheezes Dry mouth • Question 3 A client who has been taking an antiepileptic medication with a narrow therapeutic window for two weeks seems confused and forgetful. What should be the priority action of the nurse? Selected Answer: Call the prescriber and have the seizure medication changed. Answers: Give an antihistamine under house protocol to stop the allergic response. Call the prescriber and have the seizure medication changed. Set up oxygen and obtain an order for activated charcoal. Seek an order for a plasma drug level from the client's prescriber. • Question 4 A client with Alzheimer's disease has been taking rivastigmine (Excelon), a cholinesterase inhibitor, for a week. What anticipate side effects of this cholinergic medication would the nurse anticipate? Selected Answer: Diarrhea, urinary urgency and possible bradycardia Answers: Hypertension Tinnitus and hearing loss Numbness and tingling in the extremities Diarrhea, urinary urgency and possible bradycardia • Question 5 A nurse in the emergency department is caring for a client whose family reports that she had taken an overdose of diazepam (Valium). Which of the following medications should the nurse have available to reverse the CNS depression caused by this drug? Selected Answer: magnesium sulfate Answers: protamine sulfate magnesium sulfate flumazanil (Romazicon) ondasteron (Zofran) • Question 6 For which client would a beta adrenergic blocker like atenolol be prescribed? Selected Answer: A hypertensive client with a heart rate of 104 Answers: A hypertensive client with a heart rate of 104 A client with urinary retention A client suffering from diarrhea A client suffering from asthma • Question 7 How would the nurse explain the way pilocarpine (Salagen), a cholinergic medication, would resolve the symptoms of dry mouth? Selected Answer: It stimulates salivation by blocking muscarinic receptors. Answers: It stimulates salivation by stimulating the alpha receptors in the brain. It stimulates salivation by redirecting fluid from the optic nerve. It stimulates salivation by blocking muscarinic receptors. It stimulates salivation by stimulating muscarinic receptors. • Question 8 The client diagnosed with a general anxiety disorder is prescribed alprazolam (Xanax), a benzodiazepine. Which information should the clinic nurse discuss with the client? Selected Answer: Tell the client to avoid foods that are high in vitamin K. Answers: Tell the client to avoid foods that are high in vitamin K. Explain to the client that this medication is intended for short- term use only. Instruct the client to take the medication before driving to avoid transit anxiety. Tell the client to expect rigidity as a side effect. • Question 9 The most common adverse effects associated with antiepileptic medications is CNS depression. Knowing this, which signs and symptoms would the nurse watch for while assessing the client? (Select all that apply.) Selected Answers: Drooling Answers: Confusion Drooling Unsteady gait Insomnia • Question 10 The nurse is assessing a client who has requested an adrenergic drug for dyspnea. Which sign would make the nurse hesitate to give this medication? Selected Answer: Irregular heart rate of 122 beats per minute Answers: Blood pressure of 130/86 Respiratory rate of 28 breaths per minute Irregular heart rate of 122 beats per minute Pulse oximetry of 88% saturation • Question 11 The nurse is caring for a client being treated with prazosin (Minipress), an alpha blocker. What counseling should this client receive? Selected Answer: Take a daily laxative to avoid constipation. Answers: Rise slowly from lying to standing to avoid dizziness and a possible fall. Take a daily laxative to avoid constipation. Void before taking the medication to avoid urinary retention. Avoid drinking more than 600mLs of fluid per day while taking this medication. • Question 12 The nurse is caring for a patient who has been taking phenytoin (Dilantin) for six weeks. Upon review of the laboratory results, the nurse notes that the patient's phenytoin level is 18mcg/mL. What is the nurse's best action? Selected Answer: The nurse should suspect that another drug is preventing phenytoin metabolism and hold the causative medication. Answers: The nurse should contact the prescriber to suggest a dose increase. This drug level is too high. The nurse should contact the prescriber about reducing the dose. The nurse should suspect that another drug is preventing phenytoin metabolism and hold the causative medication. This drug level is within the therapeutic range so the nurse can give the medication as ordered. • Question 13 The nurse is reviewing a client's list of medications and notices that the client is taking two anticholinergics. Which of the recent symptoms reported by the client might be caused by the anticholinergic medications? (Select all that apply.) Selected Answers: Dry mouth Tachycardia Answers: Epigastric distress Frequent loose stools Dry mouth Tachycardia • Question 14 The nurse is taking a history on a client admitted for medication-related syncope. Which of these comments from the client should be reported to the physician? (Select all that apply.) Selected Answers: "I'm taking over-the-counter substitutes for the medications I can't afford." "I get my medicines over the internet so I never run out of medicine and it's cheaper too." Answers: "I'm taking an herbal supplement to help me sleep but nothing else has changed.' "I'm taking over-the-counter substitutes for the medications I can't afford." "I just gave you my medication list the last time I was here. Nothing's changed. Look it up." "I get my medicines over the internet so I never run out of medicine and it's cheaper too." "I'm taking an herbal supplement to help me sleep but nothing else has changed.' • Question 15 The nurse recognizes that the actions of benzodiazepines include which of the following benefits? (Select all that apply.) Selected Answers: Reversal of Parkinsonism symptoms Answers: Suppression of seizures and/or seizure activity Relief of general anxiety Sleep facilitation Reversal of Parkinsonism symptoms • Question 16 The provider is considering starting a diabetic patient on valproic acid (Depakote) for peripheral 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 the weekends." What would be the priority nursing action? Selected Answer: Seek an order for liver function labs to be sure the valproic acid is a safe choice. Answers: Reassure the client that beer and valproic acid are compatible. Tell the client that alcoholism is causing the nerve pain and the medication won't help. Obtain a lab order to assess the current valproic serum level. Seek an order for liver function labs to be sure the valproic acid is a safe choice. • Question 17 What advice should the parents of a child taking methylphenidate (Ritalin) receive? (Select all that apply.) Selected Answers: It is a gateway drug to other stimulants. Teenagers seek it to lose weight. Keep control of this medication. Insomnia is a risk. Give the medication in the morning. Answers: This medication should always be given immediately before a meal. It is a gateway drug to other stimulants. Teenagers seek it to lose weight. Keep control of this medication. It is safest to order the medication via the internet. Insomnia is a risk. Give the medication in the morning. • Question 18 Which lab value best reflects renal function in a client taking multiple medications? Selected Answer: Urinalysis Answers: Creatinine clearance Urinalysis Potassium levels Sodium levels • Question 19 Which statement regarding the blood-brain barrier demonstrates a need for further teaching? Selected Answer: "It is fully developed at birth." Answers: "It can be a significant barrier to entry of therapeutic agents." "It can protect the brain from potentially toxic substances." "It lets in some therapeutic agents but filters out everything else." "It is fully developed at birth." • Question 20 Which teaching point is correct with respect to the concept of "tolerance?" Selected Answer: In tolerance, larger doses are needed to acheive prior effects because the body learns to push back. Answers: In tolerance, larger doses are needed to acheive prior effects because the body learns to push back. Tolerance is a state where people become used to pain and therefore need less pain medication. Tolerance occurs in slow metabolizers. Slow metabolism leads to prolonged sedation. Tolerance develops in fast metabolizers. Fast metabolism leads to prolonged sedation. [Show More]

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