1.
Amiodarone HCL is a(n):___________________drug?
Correct Answer
C. Cardiac
Explanation
Amiodarone HCL is a cardiac drug. It is commonly used to treat and prevent certain types of irregular heartbeats, such as atrial fibrillation or ventricular tachycardia. It works by affecting the electrical signals in the heart, helping to regulate the heart rhythm. Therefore, it is primarily used for cardiac conditions and has limited effects on other organ systems.
2.
This is an antiparkinsonian drug that may cause photosensitivity. Teaching involves protecting the eyes in sunlight. The correct drug is:______________________
Correct Answer
D. Comtan
Explanation
Comtan is the correct answer because it is an antiparkinsonian drug that is known to cause photosensitivity. Photosensitivity is a condition where the skin becomes more sensitive to sunlight, leading to an increased risk of sunburn and other skin damage. Therefore, teaching patients to protect their eyes from sunlight is crucial when taking Comtan to prevent any potential harm or discomfort caused by photosensitivity.
3.
____________ is used to prevent strokes; monitor for signs of bleeding and cholestasis.
Correct Answer
A. Ticlid
Explanation
Ticlid is the correct answer because it is used to prevent strokes and also requires monitoring for signs of bleeding and cholestasis. Pravachol is a medication used to lower cholesterol and does not have the same indications as Ticlid. Lopid is also used to lower cholesterol and does not have the same indications as Ticlid. Protonix is a medication used to treat stomach ulcers and does not have the same indications as Ticlid.
4.
Dilantin is a(n):______________________medication.
Correct Answer
D. Anti-convulsant
Explanation
Dilantin is classified as an anti-convulsant medication. This type of medication is used to prevent or control seizures in individuals with epilepsy. It works by stabilizing the electrical activity in the brain, thereby reducing the occurrence of seizures. Dilantin is commonly prescribed for individuals with epilepsy and has been found to be effective in preventing both partial and generalized seizures.
5.
The most commom side effect of Theophylline/Aminophulline is:_______________________
Correct Answer
B. Tachycardia
Explanation
Tachycardia is the most common side effect of Theophylline/Aminophylline. This medication is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). Tachycardia refers to an abnormally fast heart rate, which can occur as a result of theophylline's stimulant effects on the heart. This side effect is important to monitor, especially in patients with underlying heart conditions, as it can lead to further complications.
6.
PTT tests should be monitored while the clients is taking:__________________
Correct Answer
D. Heparin
Explanation
Heparin is a medication that is commonly used as an anticoagulant, meaning it helps prevent blood clot formation. Monitoring PTT (Partial Thromboplastin Time) tests is important while a client is taking heparin because it helps determine the effectiveness of the medication in preventing blood clots. PTT measures the time it takes for blood to clot, and monitoring it ensures that the heparin dosage is appropriate and the client is receiving the desired therapeutic effect. Therefore, it is necessary to monitor PTT tests while the client is taking heparin.
7.
Ibuprofin can be given to all of the following clients except:______________________
Correct Answer
C. 16-year old; post appendectomy this morning
Explanation
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used for pain relief and reducing inflammation. However, it should not be given to individuals who have recently undergone surgery, such as the 16-year old who had an appendectomy this morning. After surgery, it is important to avoid medications that can increase the risk of bleeding or interfere with the healing process. Therefore, ibuprofen should be avoided in this case.
8.
Which drug should be withheld for a child with suspected Reye syndrome?__________________
Correct Answer
D. Aspirin
Explanation
Aspirin should be withheld for a child with suspected Reye syndrome because it has been linked to an increased risk of developing the syndrome. Reye syndrome is a rare but serious condition that primarily affects children and teenagers recovering from a viral infection, such as the flu or chickenpox. The use of aspirin during these viral infections has been associated with an increased risk of developing Reye syndrome, which can cause liver and brain damage. Therefore, it is important to avoid giving aspirin to a child with suspected Reye syndrome to prevent further complications.
9.
Which symptom should be monitored for and reported when a client is taking Pravachol?________________
Correct Answer
A. Unexplained muscle pain
Explanation
When a client is taking Pravachol, it is important to monitor and report any unexplained muscle pain. Pravachol is a medication that belongs to a group called statins, which are used to lower cholesterol levels. One of the potential side effects of statins is muscle pain or weakness. This symptom should be closely monitored and reported because it could indicate a serious condition called rhabdomyolysis, which is the breakdown of muscle tissue. Prompt reporting of unexplained muscle pain can help healthcare professionals intervene and prevent further complications.
10.
If the client is taking the medication Tegretol, the nurse must be mindful of all of the following except:
Correct Answer
A. Left shoulder/arm pain
Explanation
The nurse must be mindful of bone marrow suppression, checking CBC values, and discontinuing the drug slowly when the client is taking Tegretol. However, left shoulder/arm pain is not a known side effect or concern associated with Tegretol use.
11.
Lopid should best be taken:
Correct Answer
C. 1/2 hour before meals
Explanation
Lopid should be taken 1/2 hour before meals because this medication works best when it is absorbed on an empty stomach. Taking it before meals allows for better absorption and effectiveness of the medication.
12.
A client on Crestor must have their _______________ monitored while on this medication.
Correct Answer
B. AST/ALT
Explanation
When a client is on Crestor, it is important to monitor their AST/ALT levels. AST (aspartate aminotransferase) and ALT (alanine aminotransferase) are enzymes found in the liver, and elevated levels of these enzymes can indicate liver damage or dysfunction. Crestor, also known as rosuvastatin, is a medication used to lower cholesterol levels, and it has been associated with liver toxicity in some cases. Therefore, monitoring AST/ALT levels is crucial to ensure the safety and effectiveness of the medication.
13.
When administering Protonix, the nurse would exercise poor judgement when she:_____________
Correct Answer
A. Crushes the tablet
Explanation
Crushing the Protonix tablet would be considered poor judgement because Protonix is an enteric-coated medication, which means it is designed to be released in the intestine rather than the stomach. Crushing the tablet would destroy the enteric coating and may lead to the medication being ineffective or causing irritation to the stomach. It is important to administer Protonix as directed to ensure its proper absorption and effectiveness.
14.
While administering Mevacor, the nurse should assess the clients _____________.
Correct Answer
B. Liver function tests
Explanation
When administering Mevacor, the nurse should assess the client's liver function tests. Mevacor is a medication used to lower cholesterol levels, and it can potentially cause liver damage as a side effect. Therefore, it is important to monitor the client's liver function through regular testing to ensure that the medication is not causing any harm. Assessing liver function tests allows the nurse to detect any abnormalities or signs of liver dysfunction early on, enabling prompt intervention if necessary.
15.
All of the following are correct regarding Bumex except for:________________
Correct Answer
B. Take in the evening
Explanation
Bumex is a diuretic medication that is commonly used to treat conditions such as edema and high blood pressure. It works by increasing the amount of urine produced by the kidneys, helping to remove excess fluid from the body. While it is true that Bumex may cause potassium depletion as a side effect, the statement "Take in the evening" is incorrect. Bumex is typically taken in the morning to minimize the risk of disrupting sleep due to increased urination during the night.
16.
The client's blood pressure is 90/56. The nurse should hold which of the client's medications?________________
Correct Answer
A. Norvasc
Explanation
The client's blood pressure is 90/56, which indicates low blood pressure. Norvasc is a medication used to treat high blood pressure, so it would not be necessary for the client at this time. Therefore, the nurse should hold the client's Norvasc medication.
17.
The client is experiencing bronchospasms. Which of the medications should the nurse withhold?
Correct Answer
C. Inderal
Explanation
Inderal is a medication that belongs to a class of drugs called beta blockers. Beta blockers can cause bronchospasms or worsen asthma symptoms in some individuals. Therefore, if the client is experiencing bronchospasms, the nurse should withhold Inderal to prevent further exacerbation of respiratory symptoms. Digoxin, Plavix, and Zocor are not known to cause bronchospasms, so they would not need to be withheld in this situation.
18.
The patient is starting Glucotrol. Which of the following statements made by the client alerts the nurse that more teaching is needed?________________
Correct Answer
D. I can still have beer on the weekends.
Explanation
The statement "I can still have beer on the weekends" alerts the nurse that more teaching is needed because alcohol consumption can interact with Glucotrol and cause adverse effects. It is important for the patient to understand that alcohol should be avoided while taking this medication to prevent complications and maintain the effectiveness of the drug in regulating blood sugar levels.
19.
All is correct regarding Nexium except for:____________________
Correct Answer
D. Should not be taken with other antacids
Explanation
Nexium is a medication used to treat GERD (gastroesophageal reflux disease). It should not be taken with other antacids because it can interfere with the absorption of the medication. Antacids can reduce the effectiveness of Nexium by neutralizing the stomach acid that the medication needs to work properly. Therefore, it is recommended to avoid taking Nexium with other antacids to ensure its optimal effectiveness in treating GERD.
20.
Cialis is used to treat:___________________
Correct Answer
C. Erectile dysfunction
Explanation
Cialis is a medication commonly prescribed to treat erectile dysfunction. It works by increasing blood flow to the penis, allowing for a stronger and longer-lasting erection. Cialis is not used to treat cirrhosis, erythema, or dermatitis, as these conditions are unrelated to erectile dysfunction.
21.
Prozac can potentiate the effects of the following medications except:_______________________
Correct Answer
A. Heparin
Explanation
Prozac is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and anxiety disorders. It works by increasing the levels of serotonin in the brain. Heparin, on the other hand, is an anticoagulant medication used to prevent blood clotting. There is no known interaction between Prozac and Heparin, so Prozac does not potentiate the effects of Heparin. However, Prozac can potentiate the effects of medications like Digoxin, Valium, and Coumadin, leading to an increased risk of side effects or adverse reactions.
22.
A clients with a history of seizure disorders has just been ordered Wellbutrin to quit smoking. The nurse is acting appropriately by referring the client to a smoking cessation class.
Correct Answer
B. False
Explanation
The nurse is not acting appropriately by referring the client to a smoking cessation class. Wellbutrin is contraindicated in clients with a history of seizure disorders, as it can lower the seizure threshold and increase the risk of seizures. Therefore, the nurse should not be prescribing Wellbutrin as a smoking cessation aid for this client. The correct action would be to consult with the healthcare provider and explore alternative options for smoking cessation.
23.
The nurse gave the client Flexeril for the first time in the doctor's office. The nurse is showing good judgement by allowing the client to drive one mile to his home.
Correct Answer
B. False
Explanation
The nurse is not showing good judgement by allowing the client to drive one mile to his home after taking Flexeril for the first time. Flexeril is a muscle relaxant that can cause drowsiness, dizziness, and impair motor skills. It is not safe for the client to drive after taking this medication, especially for the first time. The nurse should have advised the client to find an alternative means of transportation or wait until the effects of the medication have worn off before driving.
24.
Intal is a medication used to treat ______________, but may cause dizziness.
Correct Answer
Asthma
Explanation
Intal is a medication used to treat asthma. It is effective in managing the symptoms of asthma, such as wheezing, shortness of breath, and coughing. However, one of the potential side effects of Intal is dizziness. This means that while it can help alleviate the symptoms of asthma, it may also cause a feeling of lightheadedness or unsteadiness in some individuals. It is important for patients taking Intal to be aware of this potential side effect and to take necessary precautions, such as avoiding activities that require alertness until they know how the medication affects them.
25.
Teaching regarding Fosamax includes all of the following except:__________________
Correct Answer
D. Can take with orange juice, tea, or coffee
Explanation
The teaching regarding Fosamax includes information about not taking it with orange juice, tea, or coffee. This is because these beverages can decrease the absorption of the medication in the body. It is important to take Fosamax with water, and it can be taken before meals. Additionally, Fosamax can be taken with Vitamin D and other daily medications.