PHARMACOLOGY AND THE NURSING PROCESS-33

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Chapter 15: Antiparkinson Drugs 163 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ e. Concurrent use of monoamine oxidase inhibitors (MAOIs) CORRECT ANSWER: A, B, E Angle-closure glaucoma, a history of melanoma or other undiagnosed skin conditions, and concurrent use of MAOIs are contraindications to the use of carbidopa-levodopa. The other options are incorrect. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential COMPLETION 1. The prescriber writes this order, Give amantadine (Symmetrel) 100 mg per PEG tube twice a day.‖ The medication is available in a liquid form with a concentration 50 mg/5 mL. Identify how many milliliters will the nurse give with each dose. CORRECT ANSWER: 10 mL DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Implementation
Chapter 15: Antiparkinson Drugs 164 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Chapter 16: Psychotherapeutic Drugs 165 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ Chapter 16: Psychotherapeutic Drugs MULTIPLE CHOICE 1. The nurse reads in the patient‘s medication history that the patient is taking buspirone (BuSpar). The nurse interprets that the patient may have which disorder? a. Anxiety disorder b. Depression c. Schizophrenia d. Bipolar disorder CORRECT ANSWER: A Buspirone is indicated for the treatment of anxiety disorders, not depression, schizophrenia, or bipolar disorder. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. Before beginning a patient‘s therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class? a. Aspirin
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Chapter 16: Psychotherapeutic Drugs 166 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ b. Anticoagulants c. Diuretics d. Nonsteroidal anti-inflammatory drugs CORRECT ANSWER: B Use of selective serotonin reuptake inhibitor (SSRI) antidepressants with warfarin results in an increased anticoagulant effect. SSRI antidepressants do not interact with the other drugs or drug classes listed. See Table 16-6 for important drug interactions with SSRIs. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential 3. When a patient is receiving a second-generation antipsychotic drug, such as risperidone (Risperdal), the nurse will monitor for which therapeutic effect? a. Fewer panic attacks b. Decreased paranoia and delusions c. Decreased feeling of hopelessness d. Improved tardive dyskinesia CORRECT ANSWER: B The therapeutic effects of the antipsychotic drugs include improvement in mood and affect, and alleviation or decrease in psychotic symptoms (decrease in hallucinations, paranoia, delusions, garbled speech). Tardive dyskinesia is a potential adverse effect of these drugs. The other options are incorrect.
Chapter 16: Psychotherapeutic Drugs 167 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Evaluation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 4. A patient has been taking haloperidol (Haldol) for 3 months for a psychotic disorder, and the nurse is concerned about the development of extrapyramidal symptoms. The nurse will monitor the patient closely for which effects? a. Increased paranoia b. Drowsiness and dizziness c. Tremors and muscle twitching d. Dry mouth and constipation CORRECT ANSWER: C Extrapyramidal symptoms are manifested by tremors and muscle twitching, and the incidence of such symptoms is high during haloperidol therapy. The other options are incorrect. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 5. A patient has been taking the monoamine oxidase inhibitor (MAOI) phenelzine (Nardil) for 6 months. The patient wants to go to a party and asks the nurse, Will just one beer be a problem? Which advice from the nurse is correct? a. You can drink beer as long as you have a de si gnated driver .‖