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WorksheetsPharm II CH 28-30 Neuomuscular System Review
Total questions: 25
Worksheet time: 2hrs 56mins
What causes Parkinson's Disease?
Sensory neuron death
Motor neuron apathy
Decreased acetylcholine
Loss of dopamine producing cells
Benzodiazepines are most commonly used to treat _____________, but are also used to treat seizures, muscle spams, can be used for anesthesia, and sedation
ADHD
anxiety
migraines
esophagitis
Drugs used to treat seizures are known as antiepileptic, anti-seizure, and _______________ drugs.
benzodiazepine
sedative
tranquilizer
anticonvulsant
Dopaminergic drugs are used to treat
Parkinson's Disease
Mania/Psychosis
Seizures
ADHD
This drug blocks acetylcholine and treats Parkinson's Disease.
gabapentin
benztropine
meloxicam
phenobarbital
Which is a benzodiazepine is treat seizures?
diazepam
carisoprodol
diclofenac
carbidopa/levodopa
A patient, taking several medications, has developed white painful lesions on his tongue and inner cheeks. Which drug may be the cause?
clindamycin
ibuprofen
docusate sodium
sucralfate
A person with gouty arthritis can be observed to have which symptom:
tophi
nodules
rashes
fractures
A person with osteoporosis can be observed to have a history of which symptom:
tophi
nodules
rashes
fractures
A client with which condition will refuse to use bedsheet or blanket because it is "painful" ?
osteoporosis
rheumatoid arthritis
gouty arthritis
osteoarthritis
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?
"you have obviously developed resistance to your current medication and will have to be switched to another drug."
"This is an atypical response. Unfortunately, there are no other options of drug therapy to give you."
"This is called the 'on-off phenomenon.' Your health care provider can change your medication regimen slightly to help diminish this effect."
"You just need to keep taking your medication and these effects will go away."
What is the goal of pharmacologic therapy in treating Parkinson's disease?
Increase the amount of acetylcholine at the presynaptic neurons.
Decrease the amount of dopamine available in the substantia nigra.
Balance cholinergic and dopaminergic activity in the brain.
Block dopamine receptors in both presynaptic and postsynaptic neurons
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?
pruritus
tachycardia
hypertension
impaired voluntary movements
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?
Low bone mass leading to increased bone fragility
Degeneration of the articular cartilage
Recurrent attacks of acute arthritis
Personality changes caused by chronic nature of illness
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?
"I should take the medication immediately before bed"
"I should remain in an upright position for 30 minutes after taking the medication"
"The medication is more effective if I take it with milk or dairy products"
If I skip a dose, I can take two tablets the next time"
When caring for a client with hypocalcemia, the nurse should assess for:
a decreased level of consciousness
respiratory depression
bradycardia
tetany
The patient who is taking alendronate , a biophosphonate, is at high risk for developing which disorder?
cardiovascular disease
breast cancer
inflammation of the esophagus
stroke
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
12 gtt/min
22 gtt/min
32 gtt/min
42 gtt/min
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?
25 gtt/min
50 gtt/min
100 gtt/min
150 gtt/min
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?
166 mL/hr
167 mL/hr
100 mL/hr
150 mL/hr
Dr order: NS at 125 mL/hr. How many total milliliters will have infused in 4 hours?
375 mL
400 mL
500 mL
750 mL
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?
benztropine
methylprednisolone
diazepam
sumatriptan
The nurse is administering an antiepileptic drug and will follow which guidelines? (select all that apply)
monitor the patient for drowsiness
medications may be stopped if seizure activity disappears
give the medication at the same time every day
notify the prescriber if the patient is unable to take the medication
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?
50 mg
75 mg
225 mg
450 mg
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?
muscle pain
drowsiness
hypertension
photosensitivity
