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Exam 2 review
Terms in this set (49)
a hcp who is advising a patient about the use of antihistamines to treat allergic rhinitis should explain that these drugs are ____ because the perform which of the following?
Blocks H2 receptors, prevents histamine from binding to receptors
A hcp should recognize that using pseudoprine to treat allergic rhinitis requires cautious use with patients who have which of the following?
A hcp is talking to a patient who is prescribed albuterol via inhaler and beclamethasone dipropionate via inhaler for asthma management. The health care professional should tell the patient to use the albuterol inhaler before using the QVAR inhaler for which of the following reasons?
Albuterol will increase the absorption of QVAR
A hcp who is advising a patient about the use of a mucolytic to treat cough should explain that this type of drug is effective because it performs which of the following actions?
Thins and loosens mucous
A hcp is caring for a patient who is taking iprtropium. the hcp should explain which of the following adverse effects to the pt? Select all
A hcp is monitoring plasma levels in a patient who is taking theophylline. which of the following adverse effects should the health care proessional expect to see if the patients level indicates toxicity?
which of the following should a health care professional include when advising a patient about the use of montelukast?
take the drug once a day in the evening
a hcp is talking to a patient who has parkinsons about taking levadopa/carbidopa to control her symptoms. which of the following mechanisms will be effective in treating the disorder?
increase available dopamine in the brain
A hcp is talking to a patient who is about to begin takin valproic acid for a newly diagnosed seizure disorder. You should tell the patient who watch for which of the following adverse effects?
A healthcare professional is obtaining a pts drug history and finds that the patient is taking lithium for BPD. Which of the following findings in the pts drug history should alert the hcp of lithium toxicity?
A cp should expect which of the following adverse effects for a pt who is taking betaxaolo eye drops for glaucoma?
which of the following instructions should a hcp include when advising a patient about instilling pilocarpine for managing open-angle glaucoma?
apply gently pressure to nasolacrimal duct for 1 min after instilling drops
do not touch the tip of the dropper
remove contact before instilling
when talking to a pt about taking busiprone, the healthcare professional should include which of the following instructions?
allow 2 to 4 weeks before expecting the feel better
a hcp is caring for a patient who has been taking diazepam for extended periods of time. the hcp should recognize that stopping this med abruptly will result in which of the following?
Which of the following should we monitor for and report to the provider for a patient taking Valproic Acid (Depakote)?
Jaundice—meds either clear through the liver or kidney!
A HCP is reviewing the medical record of a patient who has a newly diagnosed seizure disorder. The patient is to begin taking both valproic acid (Depakote) and phenytoin (Dilantin). The HCP should recognize that which of the following can occur as a result of a drug interaction between valproic acid and phenytoin?
A HCP is talking to a patient who is about to begin taking valproic acid (depaktote) for a newly diagnosed seizure disorder. He should tell the patient to watch for which of the following adverse effects?
caring for a client taking phenytoin (Dilantin) to control seizures. Nurse should know that phenytoin may ↓ desired effect of what med?
A health care professional is caring for a patient who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the health care professional expect to administer?
The client with the flu has been taking acetylcysteine (Mucomyst), a mucolytic. Which adverse effect would the nurse assess for?
The nurse on a medical unit is administering 0900 medications. Which medication should the nurse question administering?
Acetylcysteine (Mucomyst), a mucolytic, to a client who is coughing forcefully.
When talking w/pt about taking tamezepam (Restoril), which of the following instructions should the PCP include? (select all)
avoid alcohol, take med 30 min prior bedtime, taper drug slowly
A health care professional should include which of the following instructions when talking with a patient about taking levodopa/carbidopa (Sinemet) to treat Parkinson's disease?
Change positions slowly to prevent orthostatic hypotension
While obtaining a patient's medical history you find that the pt is taking levodopa/carbidopa for Parkinson's. Which of the following info in the patients health history alerts you to take further action?
A health care professional is talking to a patient who is newly diagnosed with Parkinson's disease about how levodopa/carbidopa (Sinemet) will help her control her symptoms. With which of the following mechanisms is the drug effective in treating this disorder?
increase available dopamine to brain
A health care professional is talking to a patient and her family about how methylphenidate (Ritalin) will help manage ADHD. Which of the following effects should they expect?
Pilocarpine (Pilocar) eye drops - additional teaching if:
-"I will stop using drops when my vision improves" - Pilocarpine used to Tx glaucoma - needs to be taken for life!
A HCP should advise a pt who is taking phenelzine (Nardil) about MAOI interactions. What should the pt avoid?
A HCP is talking to a patient who is taking lithium carbonate (lithobid). Which of the following instructions should be included to reduce the risk of lithium toxicity?
avoid NSAIDS except aspirin
A patient asks the nurse the indications for a newly prescribed medication, echothiophate (Phospholine Iodide). The nurse tells the patient the medication will treat:
increased intraocular pressure.
A HCP should monitor an older adult patient who is taking Diazepam (valium) for which of the following adverse effects? (Select all that apply)
Amnesia, sedation, Respiratory depression
Aspirin may increase Hydrocortisone risk of bleeding hemorrhage. Heparin and other anticoagulants may increase risk of hemorrhage
A nurse is monitoring a client taking asprin 81 mg po daily, which of the following manifestations are adverse effects from asprin
A patient is starting to take aspirin for to prevent cardiovascular events. You should instruct the patient that which of the following are adverse reactions of aspirin?
In the administration of hydrocortisone (Aeroseb-HC, Alphadern, Cetacort), it is vital that the nurse recognize that this drug might mask which symptoms?
Signs and symptoms of infection
When hydrocortisone use is discontinued, the nurse must recognize the possibility of what side effect, if this drug is stopped abruptly?
When explaining the rationale for alternate-day administration of corticosteroids, what is the best explanation the nurse can provide?
Maximize the clients adherence to medication tapering
pt is about to begin taking warfarin (Coumadin). The HCP should caution the pt about taking which of the following OTC drugs?
Next, the provider tells the pt that she will also take albuterol via a metered-dose inhaler. When instructing the patient about using the MDI, you should include which of the following information?
Wait at least 1 min before inhaling the second puff
Which of the following information should you include when teaching a patient about using an albuterol (Proventil) inhaler for asthma?
Use it periodically to prevent exercise-induced asthma
A health care professional is talking to a patient who is prescribed albuterol (Proventil) via inhaler and fluticasone (Advair) via inhaler for asthma management. The health care professional should tell the patient to use the albuterol inhaler before using the fluticasone inhaler for which of the following reasons?
Albuterol will increase the absorption of fluticasone
A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol (Proventil) PO. Which of the following instructions should the nurse include?
Tremors are an adverse effect of this medication
A health care professional who is advising a patient about using intranasal glucocorticoids should include which of the following instructions?
Which information should the nurse teach the client who is prescribed a glucocorticoid inhaler?
Advise the client to gargle after each administration.
*A HCP is teaching a pt about adverse reactions to chlorpromazine and what they should monitor for. Which of the following should a nurse tell the patient to monitor?
A HCP is collecting data from a patient who is taking bupropion hydrochloride (wellbutrin) to treat depression. The HCP notes that the patient has a recent history of head injury. She should recognize that the drug is inappropriate for the patient because of the increased risk for which of the following?
For which of the following should a health care professional monitor a patient who is taking donzepezil (Aricept) for Alzheimer's disease?
Donepezil (Aricept) w/ Alzheimers - report to MD immediately:
zolipedem (Ambien). The pt has h/o benzodiazepine abuse and reports insomnia. The PCP should caution the pt that the drug can cause:
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