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Quiz 2 Pharmacology

Terms in this set (20)

What lab value will best reflect renal function in a client taking multiple medicines?
Creatinine clearance
What teaching point is correct with respect to the concept of "tolerance"?
In tolerance, larger doses are needed to achieve prior effects because a body learns to push back
Which statement regarding the blood-brain barrier demonstrates a need for further teaching?
"It is not fully developed at birth"
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?
Seek a plasma drug level order from the client's prescriber
The nurse is assessing a client who has requested an adrenergic drug for dyspnea. Which sign would make hesitate to give the medication?
Irregular heart rate of 122
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
For which client would a beta adrenergic blocker like Atenolol be prescribed?
A hypertensive client with a heart rate of 104
How would a nurse explain the way pilocarpine (Salagen), a cholinergic, would resolve related dry mouth?
It stimulates salivation by stimulating musarinic receptors
A client with Alzheimer's disease has been taking Exelon (rivastigmine), a cholinesterase inhibitor, for a week. What anticipated side effects of this cholinergic medication would the nurse anticipate?
Diarrhea urgency and possible bradycardia
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?
flumazanil (Romazicon)
The client diagnosed with a general anxiety disorder is prescribed alprazolam (Xanax), a benzodiazepine. Which information should the clinical nurse discuss with the client?
Explain to the client that this medication is intended for short-term use only
A nurse is caring for a patient who has been taking phenytoin (Dilantin) for 6 weeks. Upon review of the lab results , the nurse notes that the patient's phenytoin level is 18 mcg/mL. What is the nurse's best action?
This drug level is in the therapeutic range, so the nurse can give the medicine as ordered
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." The priority nursing action would be to:
Seek an order for liver function labs to see if Depakote would be safe for him
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?
Tachycardia, dry mouth, blurred vision
A client is using a PRN scopalamine patch for motion sickness. Knowing that the medication has anticholinergic side effects, the client should be taught to anticipate which side effects?
Urine retention, blurred vision, dry mouth
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