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Pharm 2 Final
Terms in this set (24)
15. Which condition will alert the nurse to a potential caution or contraindication regarding the use of a dopaminergic drug for treatment of mild Parkinson's disease?
A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's disease. Which intervention by the nurse is appropriate at this time?
Notify the patient that this drug causes discoloration of the urine
The nurse is reviewing the medication orders for a patient who has been taking selegiline (Elderly). Which of these medications or medication classes, if ordered, would cause a problem due to an interaction? Select all that apply
b. Meperidine (demerol)
c. A cough syrup that contains dextromethorphan
d. Serotonergic antidepressants
A patient will be taking selegiline (Eldepryl), 5 mg daily, in addition to dopamine replacement therapy for Parkinson's disease. The nurse will implement which precautions regarding selegiline?
Monitor for dizziness and orthostatic hypotension
A patient with Parkinson's disease will start taking entacapone (Comtan) along with the carbidopa-levodopa (Sinemet) he has been taking for a few years. The nurse recognizes that which of these is an advantage of taking entacapone?
The entacapone can reduce on-off effects
The nurse is assessing a patient who has begun therapy with amantadine (Symmetrel) for Parkinson's disease. The nurse will look for which possible adverse effects? Select all that apply
The order reads, "Bromocriptime (Parlodel) 10 mg per day PO." The medication is available in 2.5-mg tablets. How many tablets will the nurse give per dose?
A patient who has been taking carbidopa-levodopa for Parkinson's disease for over 1 year wants to start a low-carb high-protein weight-loss diet. The nurse tells the patient that this type of diet may have what effect on his drug therapy?
The high protein diet can slow or prevent absorption of this medication
18. The nurse is caring for a patient who is receiving beta1 agonist drug therapy needs to be aware that these drugs cause which effect? Select all that apply
A. Increased cardiac contractility
During a teaching session for a patient who is receiving inhaled salmeterol, the nurse emphasizes that the drug is indicated for which condition?
Prevention of brochnospasms
For a patient receiving a vasoactive drugs such as intravenous dopamine, which action by the nurse is most appropriate?
Assess the intravenous site hourly for possible infiltration
A patient is receiving dobutdmine for shock and is complaining of feeling more "skipping beats" than yesterday. What will the nurse do next?
Assess the patient's vital signs and cardiac rhythm.
When a drug is characterized as having a negative chronotropic effect, the nurse knows to expect which effect?
decreased heart rate
The nurse is monitoring a patient who is receiving an infusion of beta-adrenergic agonist. Which adverse effects may occur with this infusion? select all that apply
A. Mild tremors
the order reads "dopamine 3 mcg/kg/min IV" the solution available is 400 mg in 250 mL D5W, and the patient weighs 176 pounds. The nurse will set the IV infusion pump to run at how many mL/hour?
The nurse is reviewing the home medications for a newly admitted patient, and notes that the patient takes Mirabegron (Myrbetriq). The nurse will conclude that the patient has which condition?
19. When a patient has experienced extravasation of a peripheral infusion of. dopamine, the nurse will inject the alpha blocker phentolamine (Regitine). into the area of extravasation and expect which effect?
When administering beta blockers, the nurse will follow which guideline for administration and monitoring?
tapering off the medication is necessary to prevent rebound hypertension
The nurse providing teaching for a patient who has a new prescription for beta1 blockers will keep in mind that these. drugs may result in which effect? select. all that apply
A patient who has recently had a myocardial infarction has started therapy with a beta blocker. The nurse. explains that the main purpose of the beta blocker for this. patient is to.
protect the heart from circulating catecholamines
Before initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a history of which condition?
A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for which potential drug effects? (select all that apply)
A. Orthostatic hypotension
C. Increased urine flow
A patient has been receiving a dopamine infusion. The ordered dose is 10 mg, mixed with 10 mL normal saline, then injected into the area of extravasation. how many mL of phentolamine will the nurse mix with the normal. saline?
The nurse is reviewing the mechanism of action of alpha adrenergic drugs. Adrenergic blockade at the alpha receptors leads to which effects? Select all that apply
E. Reduced blood pressure
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