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Pharm II CH 28-30 Neuomuscular System Review

Total questions: 25

Worksheet time: 2hrs 56mins

Name
Class
Date
1.

What causes Parkinson's Disease?

a)

Sensory neuron death

b)

Motor neuron apathy

c)

Decreased acetylcholine

d)

Loss of dopamine producing cells

2.

Benzodiazepines are most commonly used to treat _____________, but are also used to treat seizures, muscle spams, can be used for anesthesia, and sedation

a)

ADHD

b)

anxiety

c)

migraines

d)

esophagitis

3.

Drugs used to treat seizures are known as antiepileptic, anti-seizure, and _______________ drugs.

a)

benzodiazepine

b)

sedative

c)

tranquilizer

d)

anticonvulsant

4.

Dopaminergic drugs are used to treat

a)

Parkinson's Disease

b)

Mania/Psychosis

c)

Seizures

d)

ADHD

5.

This drug blocks acetylcholine and treats Parkinson's Disease.

a)

gabapentin

b)

benztropine

c)

meloxicam

d)

phenobarbital

6.

Which is a benzodiazepine is treat seizures?

a)

diazepam

b)

carisoprodol

c)

diclofenac

d)

carbidopa/levodopa

7.

A patient, taking several medications, has developed white painful lesions on his tongue and inner cheeks. Which drug may be the cause?

a)

clindamycin

b)

ibuprofen

c)

docusate sodium

d)

sucralfate

8.

A person with gouty arthritis can be observed to have which symptom:

a)

tophi

b)

nodules

c)

rashes

d)

fractures

9.

A person with osteoporosis can be observed to have a history of which symptom:

a)

tophi

b)

nodules

c)

rashes

d)

fractures

10.

A client with which condition will refuse to use bedsheet or blanket because it is "painful" ?

a)

osteoporosis

b)

rheumatoid arthritis

c)

gouty arthritis

d)

osteoarthritis

11.

The patient with Parkinson's disease who has been positively responding to carbidopa-levodopa suddenly develops a relapse of symptoms. Which explanation by the nurse is appropriate?

a)

"you have obviously developed resistance to your current medication and will have to be switched to another drug."

b)

"This is an atypical response. Unfortunately, there are no other options of drug therapy to give you."

c)

"This is called the 'on-off phenomenon.' Your health care provider can change your medication regimen slightly to help diminish this effect."

d)

"You just need to keep taking your medication and these effects will go away."

12.

What is the goal of pharmacologic therapy in treating Parkinson's disease?

a)

Increase the amount of acetylcholine at the presynaptic neurons.

b)

Decrease the amount of dopamine available in the substantia nigra.

c)

Balance cholinergic and dopaminergic activity in the brain.

d)

Block dopamine receptors in both presynaptic and postsynaptic neurons

13.

Carbidopa-levodopa is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse reactions to the medication. Which of the following indicates that the client is experiencing an adverse reaction?

a)

pruritus

b)

tachycardia

c)

hypertension

d)

impaired voluntary movements

14.

A retired 66- year- old female patient is being evaluated for osteoporosis as part of a yearly physical exam. The patient states that she is a smoker, watches television for most of the day, and has been hospitalized twice with fractures within the last year. Based on this information, the nurse suspects which condition?

a)

Low bone mass leading to increased bone fragility

b)

Degeneration of the articular cartilage

c)

Recurrent attacks of acute arthritis

d)

Personality changes caused by chronic nature of illness

15.

The nurse is caring for a patient with osteoporosis who is being discharged on alendronate (Fosamax), which is a biophosphonate. Which statement would indicate effective teaching?

a)

"I should take the medication immediately before bed"

b)

"I should remain in an upright position for 30 minutes after taking the medication"

c)

"The medication is more effective if I take it with milk or dairy products"

d)

If I skip a dose, I can take two tablets the next time"

16.

When caring for a client with hypocalcemia, the nurse should assess for:

a)

a decreased level of consciousness

b)

respiratory depression

c)

bradycardia

d)

tetany

17.

The patient who is taking alendronate , a biophosphonate, is at high risk for developing which disorder?

a)

cardiovascular disease

b)

breast cancer

c)

inflammation of the esophagus

d)

stroke

18.

The physician orders Rocephin 2g in 100 ml to infuse over 45 mins for a post-op total hip patient. The IV is to infuse via a macro drip (10 gtts per ml) tubing . If infusing the IV via gravity, what should the nurse should set the IV rate?


HINT: mL divided by minutes multiplied by gtt factor of tubing


100 divided by 45 . then multiply by 10

a)

12 gtt/min

b)

22 gtt/min

c)

32 gtt/min

d)

42 gtt/min

19.

Dr order: IV of NS to run at 50 mL/hr via gravity infusion. The tubing is microdrip tubing (60 gtt/mL). What will be the drip rate of the infusion?

a)

25 gtt/min

b)

50 gtt/min

c)

100 gtt/min

d)

150 gtt/min

20.

Dr order: IV of NS 1 Liter to infuse over 6 hours. The nurse is going to infuse the solution via pump. What setting will the nurse program the pump?

a)

166 mL/hr

b)

167 mL/hr

c)

100 mL/hr

d)

150 mL/hr

21.

Dr order: NS at 125 mL/hr. How many total milliliters will have infused in 4 hours?

a)

375 mL

b)

400 mL

c)

500 mL

d)

750 mL

22.

The nurse is assessing a newly admitted patient who has a history of seizures. During the assessment, the patient has a generalized seizure that does not stop for several minutes. The nurse expects that which drug will be ordered for this condition?

a)

benztropine

b)

methylprednisolone

c)

diazepam

d)

sumatriptan

23.

The nurse is administering an antiepileptic drug and will follow which guidelines? (select all that apply)

a)

monitor the patient for drowsiness

b)

medications may be stopped if seizure activity disappears

c)

give the medication at the same time every day

d)

notify the prescriber if the patient is unable to take the medication

24.

The nurse is preparing to administer valproic acid to a child. The order reads: "Give valproic acid, 15 mg/kg/day PO in three divided doses." The child weighs 33 pounds. How many milligrams will the child receive per dose?

a)

50 mg

b)

75 mg

c)

225 mg

d)

450 mg

25.

A client with a history of spinal cord injury is receiving baclofen for muscle spasms. The nurse determines that the client is experiencing a side effect of this medication if the client experiences which sign/symptom?

a)

muscle pain

b)

drowsiness

c)

hypertension

d)

photosensitivity