Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 13
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Question #1
Which medication inhibits the pancreatic enzyme lipase?
A.
Phentermine
B.
Amphetamine
C.
Orlistat
D.
Atomoxetine
Question #2
Which condition does the nurse suspect if a patient presents with photophobia, nausea, vomiting, and unilateral headache?
A.
Narcolepsy
B.
Migraine
C.
Attention-deficit/hyperactivity disorder
D.
Postanesthetic respiratory depression
Question #3
Which symptom does the nurse expect to find in a patient with narcolepsy?
A.
Hyperactivity
B.
Pulsating headache
C.
High body mass index (BMI)
D.
Skeletal muscle weakness
Question #4
Which drug is indicated for the improvement of wakefulness in patients who have excessive daytime sleepiness?
A.
Phentermine
B.
Modafinil
C.
Sumatriptan
D.
Atomoxetine
Question #5
Which is a clinical use of doxapram?
A.
To increase the rate of respiration. To increase the depth of respiration
B.
To reduce blood glucose level. To reduce uric acid levels.
C.
To reduce blood pressure. To reduce blood glucose level.
D.
To reduce uric acid levels. To reduce blood pressure
Question #6
A patient is prescribed a caffeine (NoDoz) tablet. How much caffeine is in each tablet?
A.
200 mg
B.
40 mg
C.
32 mg
D.
100 mg
Question #7
Which analeptic is contraindicated in newborns causing gasping syndrome?
A.
Doxapram
B.
Aminophylline
C.
Caffeine
D.
Theophylline
Question #8
Which is the primary action site for serotonin agonists?
A.
Cerebrovascular system
B.
Hypothalamic and limbic regions
C.
Medulla and brainstem
D.
Cerebral cortex
Question #9
Which class of drugs may be prescribed to promote weight reduction for a patient who is obese?
A.
Serotonin receptor agonists
B.
Ergot alkaloids
C.
Lipase inhibitors
D.
Phosphodiesterase inhibitors
Question #10
Which drug is used to treat attention-deficit/hyperactivity disorder (ADHD)?
A.
Sumatriptan
B.
Orlistat
C.
Dextroamphetamine
D.
Modafinil
Question #11
Which dose regimen of methylphenidate (Ritalin) would the nurse expect for a 6-year-old child with attention-deficit/hyperactivity disorder (ADHD)?
A.
5 mg before breakfast and lunch
B.
50 mg as a single dose
C.
120 mg at each meal
D.
20 mg after lunch
Question #12
Which statement made by the patient indicates further teaching is needed about amphetamine medications?
A.
"They block the reuptake of dopamine."
B.
"It may decrease my heart rate."
C.
"They increase the effect of norepinephrine."
D.
"I should not take these medications at least 1 day per week."
Question #13
A patient who has which condition is contraindicated for anorexiant therapy?
A.
Hypotension, Bulimia nervosa, Hypothyroidism
B.
Drug allergies, Hypotension, Hypothyroidism
C.
Glaucoma, Drug allergies, Bulimia nervosa
D.
Hypotension, Hypothyroidism, Glaucoma
Question #14
Which adverse effect may occur in an obese patient with attention-deficit/hyperactivity disorder (ADHD) who has been prescribed phentermine and dexmethylphenidate?
A.
Headache, Severe hypertension
B.
Headache, Severe hypertension
C.
Seizures, Insomnia, Dysrhythmias
D.
Headache, Severe hypertension
Question #15
Which potential adverse effect would the nurse include in the patient teaching regarding methylphenidate for narcolepsy?
A.
Weight loss, Increased appetite, Decreased blood pressure
B.
Headache, Increased appetite, Decreased blood pressure
C.
Insomnia, Headache, Weight loss
D.
Increased appetite, Insomnia, Decreased blood pressure
Question #16
Which sign or symptom supports a diagnosis of migraine headaches?
A.
Pulsating headache, Daytime sleepiness, Skeletal muscle weakness
B.
Daytime sleepiness, Photophobia, Skeletal muscle weakness
C.
Photophobia, Phonophobia, Pulsating headache
D.
Phonophobia, Daytime sleepiness, Skeletal muscle weakness
Question #17
Which of the following would be a reason that the health care provider has replaced dexmethylphenidate with atomoxetine?
A.
Dexmethylphenidate has more addictive properties.
B.
Dexmethylphenidate does not improve attention.
C.
Dexmethylphenidate induces sedation in the child.
D.
Dexmethylphenidate is contraindicated in pediatric patients.
Question #18
The nurse would recommend taking amphetamine aspartate for attention-deficit/hyperactivity disorder (ADHD) 4 to 6 hours before bed to prevent which condition?
A.
Hyperglycemia
B.
Insomnia
C.
Gastric ulcers
D.
Nutrition deficiency
Question #19
The nurse would monitor for which adverse effect in a patient who is receiving ergot alkaloid drugs for migraine headaches?
A.
Tingling, Dizziness, Flushing
B.
Tingling, Flushing, Numbness
C.
Nasal irritation, Tingling, Flushing
D.
Dizziness, Numbness, Nasal irritation
Question #20
Which assessment finding would the nurse expect after administering phentermine?
A.
Bradycardia
B.
Increased blood pressure
C.
Drowsiness
D.
Syncope
Question #21
Which side effect would the nurse monitor for in a patient taking analeptics?
A.
Decreased mental alertness
B.
Bradycardia
C.
Hypotension
D.
Insomnia
Question #22
Which reason would the health care provider discontinue phentermine for 2 weeks after reviewing a patient’s medical history?
A.
The patient is taking antiviral medications.
B.
The patient has diabetes.
C.
The patient has glaucoma.
D.
The patient is taking monoamine oxidase inhibitors (MAOIs).
Question #23
Which drug is indicated as first-line abortive therapy for migraine headaches?
A.
Diazepam and Ergotamine
B.
Naratriptan and Zolmitriptan
C.
Ergotamine and Sibutramine
D.
Diazepam and Atomoxetine
Question #24
Which common adverse effect does the nurse anticipate in a patient after standard drug therapy for a throbbing, pulsating headache on one side of the head with aura?
A.
Enhanced urinary output
B.
Diarrhea
C.
Chest congestion
D.
Fecal incontinence
Question #25
Which statement by the nurse indicates understanding of the teaching about medication administration for patients with attention-deficit/hyperactivity disorder (ADHD)?
A.
"It is permissible to crush extended-release medications for patients who have difficulty swallowing pills."
B.
"If I notice side effects of these medications, I should stop giving the drug immediately and notify the provider."
C.
"I will give these drugs 30 to 45 minutes before meals to improve absorption."
D.
"I may dispense these medications to nursing staff if needed."
Question #26
Which information will a nurse give to the parents of a child with attention-deficit/hyperactivity disorder (ADHD) who has been prescribed dexmethylphenidate?
A.
Avoid administering medications on weekends. Avoid dissolving the sustained-release medications in water. Administer the medication before sending the child to school.
B.
Administer the medication after meals. Administer the medication 2 hours before going to bed. Avoid administering medications on weekends.
C.
Avoid dissolving the sustained-release medications in water. Administer the medication after meals. Administer the medication 2 hours before going to bed.
D.
Administer the medication after meals. Administer the medication before sending the child to school. Administer the medication 2 hours before going to bed.
Question #27
Which combination of drugs will the nurse expect the provider to order for excessive daytime sleepiness and frequent severe migraines?
A.
Doxapram and sumatriptan
B.
Modafinil and sumatriptan
C.
Atomoxetine and orlistat
D.
Modafinil and doxapram
Question #28
Which drug would the nurse expect to be prescribed for a patient who is obese, frequently hungry, and eats to satisfy hunger?
A.
Dextroamphetamine
B.
Phentermine
C.
Almotriptan
D.
Caffeine
Question #29
Which drug does the nurse expect to be prescribed for a patient that reports excessive daytime sleepiness and often falls asleep in the middle of activities?
A.
Modafinil
B.
Methylphenidate
C.
Atomoxetine
D.
Benzphetamine
Question #30
A child has been taking methylphenidate for 2 months. The child’s parent tells the nurse, "Each time I go to get my child’s medication, the pharmacist asks me to get a new prescription. Why is this so?" Which answer will the nurse explain to the parent?
A.
"This drug has a high risk of abuse."
B.
"This drug causes amenorrhea."
C.
"This drug causes hallucinations."
D.
"This drug has many side effects."
Question #31
Which drug will the nurse expect to be prescribed for a patient with cholestasis, consuming a high-fat diet, and with a body mass index of 34?
A.
Methamphetamine
B.
Benzphetamine
C.
Phentermine
D.
Orlistat
Question #32
A patient with migraine headaches has been prescribed a combination of acetaminophen, barbiturate, and caffeine. The patient tells the nurse, "I don’t think this drug is effective anymore, as I am not having as much pain relief as I had earlier." Which information will the nurse infer from this?
A.
The patient has not followed the dosing schedule as prescribed.
B.
The patient has taken the medication with excess amounts of fluids.
C.
The patient has been taking this medication for a long time.
D.
The patient has been taking reduced doses of medication.
Question #33
Which response is appropriate for a patient with insulin-dependent diabetes who asks how to effectively reduce weight?
A.
"You should follow a nutrition and exercise regimen for weight management."
B.
"You should drink coffee and alcohol once a week to reduce obesity."
C.
"Ask the primary health care provider to prescribe an oral hypoglycemic medication."
D.
"Ask the primary health care provider to prescribe an anorexiant because it will reduce obesity."
Question #34
In which way would the nurse respond to the worried parents of a 7-year-old child who is highly impulsive and has not been attentive in school for the last 2 months?
A.
"You should continue to observe the child’s behavior for 4 months."
B.
"Your child has attention-deficit/hyperactivity disorder."
C.
"You should consult a child psychiatrist immediately."
D.
"This is the normal behavior of a 7-year-old child."
Question #35
Which recommendation would the nurse provide to the parents who express concern about the addictive quality of stimulants prescribed to their child to treat attention-deficit/hyperactivity disorder (ADHD)?
A.
Reduce the dose of the medication slightly.
B.
Use deep breathing exercises instead of medication to keep the child calm.
C.
Switch the child to caffeine, which is a more natural stimulant.
D.
Talk to the health care provider about instituting "drug holidays."
Question #36
Based on the patient data, which additional therapy will the nurse expect to be included in the treatment plan for a patient prescribed phentermine? Patient Data: Body mass index of 28 Inactive lifestyle Prediabetes
A.
Pain management
B.
Respiratory therapy
C.
Substance abuse treatment
D.
Dietary referral
Question #37
A patient’s work schedule is changed from the night shift to the morning shift after 3 months. The patient tells the nurse, "I feel too sleepy in the morning hours, so I am unable to properly work in the office." Which medication will be prescribed to the patient?
A.
Amphetamine aspartate
B.
Orlistat
C.
Armodafinil
D.
Methylphenidate
Question #38
Which intervention will the nurse advise an obese patient, who is taking phentermine and who complains of having a headache, to do?
A.
Take the medication with a lot of fluids.
B.
Do not take phentermine.
C.
Take acetaminophen.
D.
Take ice chips for relief of headache.
Question #39
Which drug did the nurse find in the patient’s prescription that would cause the recommendation of consuming carrots regularly?
A.
Modafinil
B.
Orlistat
C.
Phentermine
D.
Naratriptan
Question #40
Which intervention will the nurse encourage to reduce the gastrointestinal side effects of orlistat?
A.
Supplement the diet with fat-soluble vitamins.
B.
Increase fluid and fiber in the diet.
C.
Take the medication with an antacid.
D.
Limit dietary intake of fat to less than 30% of total calories.
Question #41
Which time of administration is optimal for the drug effectiveness of methylphenidate, Ritalin SR, prescribed to a school-age patient?
A.
Before breakfast on weekdays
B.
At least 4 hours before bedtime
C.
Early afternoon when restlessness occurs
D.
Preceding morning school activities daily
Question #42
Which patient history indicates a high risk for a medication-related addiction?
A.
Modafinil for shift work sleep disorder
B.
Atomoxetine for attention-deficit/hyperactivity disorder
C.
Dextroamphetamine for narcolepsy
D.
Orlistat for weight loss management
Question #43
In which way does caffeine help to ease neonatal apnea?
A.
Relaxes the bronchial smooth muscle. Increases sensitivity to carbon dioxide. Supports a regular pattern of breathing. Blocks the action of cerebral adenosine.
B.
Promotes constriction of the bronchi. Blocks the action of cerebral adenosine. Increases the production of surfactant.
C.
Promotes constriction of the bronchi. Increases the production of surfactant. Increases sensitivity to carbon dioxide.
D.
Relaxes the bronchial smooth muscle. Promotes constriction of the bronchi. Increases the production of surfactant.
Question #44
The use of analeptics would be contraindicated for individuals with which condition?
A.
End-stage heart failure and Peptic ulcer disease
B.
Postanesthetic respiratory depression and Migraines
C.
Bronchopulmonary dysplasia and Migraines
D.
Postanesthetic respiratory depression and Bronchopulmonary dysplasia
Question #45
Which drug for the treatment of attention-deficit/hyperactivity disorder (ADHD) is a noncontrolled central nervous system stimulant?
A.
Amphetamine aspartate
B.
Dextroamphetamine sulfate
C.
Atomoxetine
D.
Methylphenidate
Question #46
Which drug is contraindicated in a patient with a peptic ulcer and who has chronic obstructive pulmonary disease (COPD)?
A.
Sumatriptan
B.
Orlistat
C.
Caffeine
D.
Atomoxetine
Question #47
Which is an important adverse effect to monitor in a child that has been prescribed atomoxetine for attention-deficit/hyperactivity disorder (ADHD)?
A.
Mood swings
B.
Suicidal tendencies
C.
Addiction
D.
Sleeplessness
Question #48
Which medication may be prescribed to minimize breathing difficulty in an infant with dyspnea who is treated with high-pressure mechanical ventilation and who develops bronchopulmonary dysplasia?
A.
Morphine
B.
Diazepam
C.
Caffeine
D.
Phenobarbitone
Question #49
Which classification are the central nervous system (CNS) stimulant drugs that have a high potential for abuse and dependence?
A.
Schedule III
B.
Schedule I
C.
Schedule II
D.
Schedule IV
Question #50
Which assessment finding requires further consultation with the health care provider if the patient was prescribed sumatriptan 4 mg subcutaneous after presenting in the emergency department at 1600 for an unrelieved migraine?
A.
Onset of confusion, Slurred speech, Blood pressure of 168/94 mmHg, Two previous sumatriptan injections at 0800 and 1200
B.
Onset of confusion, Slurred speech, Blood pressure of 168/94 mmHg, History of chronic headache
C.
Onset of confusion, Slurred speech, History of chronic headache, Two previous sumatriptan injections at 0800 and 1200
D.
Onset of confusion, History of chronic headache, Blood pressure of 168/94 mmHg, Two previous sumatriptan injections at 0800 and 1200
Question #51
Based on the assessment data, which complication is likely occurring in a patient at a clinic for headache management? Assessment Data Vital Signs: o Temperature 99.1° F (37.3° C) o Apical pulse at 98 beats per minute o Respirations 22 breaths per minute o Blood pressure 148/92 mmHg “I take ergotamine if the sumatriptan doesn’t work after two doses.” “The headache is less, but I feel restless and confused.” Prescribed Medication: Sumatriptan 50 mg orally, up to 200 mg a day, as needed for headache
A.
Hangover effect
B.
Caffeine withdrawal
C.
Rebound headache
D.
Serotonin syndrome
Question #52
Which outcome is expected from a patient in the post-anesthesia recovery unit who received doxapram?
A.
Pulse of 98 beats per minute
B.
Responds to command to use incentive spirometer
C.
Carbon dioxide arterial blood gas levels increase
D.
Respiratory rate of 16 breaths per minute
Question #53
Based on the patient data, which assessment is a priority before administrating medication to a patient prescribed benzphetamine 25 mg orally once a day? Patient Data: o Body mass index of 30 o Diabetes o Osteoarthritis
A.
Pain status
B.
Vital signs
C.
Dietary intake
D.
Activity level
Question #54
Which characteristic must be identified in the child’s behavior before central nervous system stimulants are indicated?
A.
Onset after the age 7 years. Learning disability with signs of depression. Acting out during school or in the home
B.
Lack of ability to control impulses. Symptoms lasting at least 6 months. Short attention span for the child’s age
C.
Symptoms lasting at least 6 months. Learning disability with signs of depression. Acting out during school or in the home
D.
Onset after the age 7 years. Short attention span for the child’s age. Acting out during school or in the home
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