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WorksheetsBSC203_Review_Week3-4
Total questions: 30
Worksheet time: 30mins
A nurse would expect to administer opioid analgesics (fentanyl, pethidine, meperidine, tramadol, hydrocodone,...) primarily for the patients with which of the following conditions? Select all that apply.
Severe acute pain
Mild acute pain
Moderate acute pain
Neuropathic pain
A nurse should be aware of contraindications to the use of opioid analgesics (fentanyl, hydrocodone, meperidine, morphine,...) to help decrease the likelihood of adverse reactions. Opioid analgesics are contraindicated in which following patients? Select all that apply.
A patient with acute bronchial asthma
A patient with an acute myocardial infarction
A patient with a traffic accident injury
A patient after a cardiac surgery
Prior to the administration of an opioid analgesic (morphine, fentanyl, meperidine, hydrocodone,...), the nurse should obtain which information from the patient? Select all that apply
Pain assessment
Allergy history
Respiratory health
Past and current medications
A nurse is administering an opioid analgesic, fentanyl, to a patient with severe chronic pain. The rate of tolerance to an opioid analgesic's effects varies from patient to patient. Which of following parameters the nurse needs to monitor to assess the rate at which tolerance develops? Select all that apply.
Body weight
Dosage
Pain level
Kidney function
Age
A patient is receiving an opioid analgesic, meperidine. Assessment reveals that his respiratory rate has dropped to 8 breaths/minute due to meperidine overdose. Which of the following opioid antagonists would the nurse expect to implement treatment?
Naloxone
Hydrocodone
Codein
Methadone
A nurse is assessing a patient who is to receive an opioid analgesic, fentanyl. The nurse would contact the physician IMMEDIATELY if which of the following conditions occur? Select all that apply
Respiratory rate of less than 10 breaths/min
Blood pressure of about 90/65 mm Hg
Pain assessment of moderate level
Body temperature showing a mild fever
A male patient is prescribed an opioid analgesic, hydrocodone. The initial interview reveals that the patient is a chronic alcoholic. The nurse would expect which of following pharmacological effects of hydrocodone increases in this patient due to the interaction between opioid analgesic and alcohol.
Gastrointestinal motility suppression
Central nervous system depression
Liver enzyme suppression
Kidney function depression
A nurse working on the labor and delivery unit will most likely see which of the following used methods with local anesthetics during the birthing process? Select all that apply.
Brachial plexus block
Epidural block
Local infiltration anesthesia
General anesthesia
A nursing instructor is describing the classes of drugs that are commonly used as pre-anesthetics. The instructor determines that the teaching was successful when the students identify which as an example? Select all that apply.
Antihypertensives
Opioid analgesics
Anti-anxiety agents
Antiemetics
H1 antihistamines
A nurse is reviewing the routes of administration for general anesthesics. The nurse would expect which route to be used most commonly? Select all that apply.
Oral
Inhalation
Topical
IV
IM
The nurse would assess an older adult patient who is receiving diazepam (a sedatives-hypnotic drug) for an increased risk for which of the following conditions? Select all that apply.
Dizziness
Confusion
Ataxia (dis-coordinated movement)
Hypertension
The nurse would assess an older adult patient who is receiving diazepam (a sedatives-hypnotic drug) for an increased risk for which of the following conditions?
Falling
Bleeding
Allergy
Hypertension
When describing the drugs acting on the autonomic nervous system to a group of nursing students, the instructor determines that the teaching was successful when the students identify which body function as being affected by this class of drugs? Select all that apply.
Heart rate
Blood pressure
Gastrointestinal activity (motility and secretion)
Muscle movement
Memory
When describing drugs acting on the adrenergic nervous system (sympathetic), which of the following types of receptors in this system would the instructor describe to the students? Select all that apply.
Alpha receptors
Beta receptors
Delta receptors
Gamma receptors
Adrenergic drugs (adrenaline, noradrenaline, dopamine) would be administered to patients with which of the following conditions? Select all that apply.
Hypovolemic shock
Hypotension shock
Severe allergy (anaphylactic reactions)
Cardiac arrest
Hypertension
A nurse is reviewing the effects of adrenergic drugs on the body. The nurse demonstrates understanding of this group of drugs by identifying that which of the following would occur if the drug stimulates beta-1 receptors?
Vasoconstriction of peripheral blood vessels
Decreased gastrointestinal tract secretions
Increased rate and force of myocardial contractions
Bronchodilation
A nurse is reviewing the effects of adrenergic drugs on the body. The nurse demonstrates understanding of this group of drugs by identifying that which of the following would occur if the drug stimulates beta-2 receptors?
Vasoconstriction of peripheral blood vessels
Decreased gastrointestinal tract secretions
Increased rate and force of myocardial contractions
Bronchodilation
A nurse is reviewing the effects of adrenergic drugs on the body. The nurse demonstrates understanding of this group of drugs by identifying that which of the following would occur if the drug stimulates alpha-1 receptors?
Vasoconstriction of peripheral blood vessels
Decreased gastrointestinal tract secretions
Increased rate and force of myocardial contractions
Bronchodilation
After teaching a group of nursing students about sympatholytic drugs (anti-adrenergic drugs) that are often used as cardiovascular drugs, the instructor determines that the teaching was successful when the students identify which of the following as an example? Select all that apply.
Angiotensin-converting enzyme inhibitors
alpha1-adrenergic blockers
beta1-adrenergic blockers.
Angiotensin receptor blockers
Diuretics
When reviewing pharmacological effects of beta-blocker drugs, a nurse needs to understand that while most beta-adrenergic receptors are found in the heart, they are also commonly found in which of the following other organs, explaining some of unwanted effects of non-selective beta-blockers?
Liver
Pancreas
Lung
Skin
The nurse would identify which drug as an example of a beta-adrenergic blocker? Select all that apply.
Propranolol
Metoprolol
Labetalol
Prazosin
Captopril
A nurse is caring for a hypertensive patient with benign prostatic hypertrophy (BPH). Which of the following medications the nurse would expect to be prescribed as treatment, EXCEPT?
Doxazosin (Cardura)
Tamsulosin (Flomax)
Alfuzosin (Uroxatral)
Bisoprolol (Bisoloc)
In which of the following situations would a nurse caring for a hospitalized patient hold the dose of propranolol (Inderal)? Select all that apply.
Pulse less than 60 bpm
Systolic pressure less than 90 mm Hg
Patient exhibits bronchospasm
Blood glucose less than 100 mg/dL
This picture shows examples of patients who developed angioedema, a potentially life-threatening medical condition that can be associated with the use of some of antihypertensive medications. The nurse should be aware of that angioedema can be occurred with which of the following classes of antihypertensive drugs?
Angiotensin-converting enzyme inhibitors (captopril, enalapril, ramipril,...)
Calcium channel blockers
Beta-adrenergic blockers
Diuretics
The nurse should advise the patients to do which of the following to reduce the risk of falls due to postural (or orthostatic) hypotension from antihypertensive drugs? Select all that apply.
Sit on the bed for 1 or 2 minutes when rising from a lying position.
Rise quickly from a chair when moving to a standing position.
Have someone assist the client if dizziness or weakness occurs.
Take the antihypertensive less frequently if hypotension occurs.
Increase salt intake to counteract the hypotension.
A patient is prescribed an antihypertensive drug. Which of the following would the nurse include in the teaching plan to promote the best outcome for the patient?
“Never discontinue use of the antihypertensive drug even the blood pressure has been become normal.”
“Revisit the physician IMMEDIATELY if the blood pressure has been not become normal after a day.”
"Discontinue the use of antihypertensive drug when the blood pressure has been become normal and revisit the physician."
"Must continue to take the antihypertensive drug even some side effects such as allergy or angioedema develop.”
The use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are contraindicated in clients with which of the following medical conditions? Select all that apply.
Angioedema
Pregnancy
Diabetes
Hyperlipidemia
Sudden anuria (no or very little urine volume)
When providing education to a patient with hypertension who is discharging from the hospital with a prescription of antihypertensive therapy, which component would be the highest priority?
Patient's adherence
Patient's safety
Patient's blood pressure monitoring method.
Patient's knowledge about drug's efficacy
A patient with hypertension is to receive a calcium channel blocker, nifedipine. The nurse understands that this class of drug leads to which of the following? Select all that apply.
Relaxation of blood vessels
Decreased blood pressure rapidly
Cause reflex bradycardia
Cause headache and flushing feeling
The nurse understands that the use of diuretics (such as furosemide) is contraindicated in patients with which of the following? Select all that apply
Hyponatremia
Hypokalemia
Emergency hypertension
Congestive heart failure
Anuria (no or very little urine volume)
