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BSC203_Review_Week3-4

Total questions: 30

Worksheet time: 30mins

Name
Class
Date
1.

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.

a)

Severe acute pain

b)

Mild acute pain

c)

Moderate acute pain

d)

Neuropathic pain

2.

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)

A patient with acute bronchial asthma

b)

A patient with an acute myocardial infarction

c)

A patient with a traffic accident injury

d)

A patient after a cardiac surgery

3.

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

a)

Pain assessment

b)

Allergy history

c)

Respiratory health

d)

Past and current medications

4.

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.

a)

Body weight

b)

Dosage

c)

Pain level

d)

Kidney function

e)

Age

5.

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?

a)

Naloxone

b)

Hydrocodone

c)

Codein

d)

Methadone

6.

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

a)

Respiratory rate of less than 10 breaths/min

b)

Blood pressure of about 90/65 mm Hg

c)

Pain assessment of moderate level

d)

Body temperature showing a mild fever

7.

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.

a)

Gastrointestinal motility suppression

b)

Central nervous system depression

c)

Liver enzyme suppression

d)

Kidney function depression

8.

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.

a)

Brachial plexus block

b)

Epidural block

c)

Local infiltration anesthesia

d)

General anesthesia

9.

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.

a)

Antihypertensives

b)

Opioid analgesics

c)

Anti-anxiety agents

d)

Antiemetics

e)

H1 antihistamines

10.

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.

a)

Oral

b)

Inhalation

c)

Topical

d)

IV

e)

IM

11.

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.

a)

Dizziness

b)

Confusion

c)

Ataxia (dis-coordinated movement)

d)

Hypertension

12.

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?

a)

Falling

b)

Bleeding

c)

Allergy

d)

Hypertension

13.

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.

a)

Heart rate

b)

Blood pressure

c)

Gastrointestinal activity (motility and secretion)

d)

Muscle movement

e)

Memory

14.

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.

a)

Alpha receptors

b)

Beta receptors

c)

Delta receptors

d)

Gamma receptors

15.

Adrenergic drugs (adrenaline, noradrenaline, dopamine) would be administered to patients with which of the following conditions? Select all that apply.

a)

Hypovolemic shock

b)

Hypotension shock

c)

Severe allergy (anaphylactic reactions)

d)

Cardiac arrest

e)

Hypertension

16.

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?

a)

Vasoconstriction of peripheral blood vessels

b)

Decreased gastrointestinal tract secretions

c)

Increased rate and force of myocardial contractions

d)

Bronchodilation

17.

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?

a)

Vasoconstriction of peripheral blood vessels

b)

Decreased gastrointestinal tract secretions

c)

Increased rate and force of myocardial contractions

d)

Bronchodilation

18.

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?

a)

Vasoconstriction of peripheral blood vessels

b)

Decreased gastrointestinal tract secretions

c)

Increased rate and force of myocardial contractions

d)

Bronchodilation

19.

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.

a)

Angiotensin-converting enzyme inhibitors

b)

alpha1-adrenergic blockers

c)

beta1-adrenergic blockers.

d)

Angiotensin receptor blockers

e)

Diuretics

20.

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?

a)

Liver

b)

Pancreas

c)

Lung

d)

Skin

21.

The nurse would identify which drug as an example of a beta-adrenergic blocker? Select all that apply.

a)

Propranolol

b)

Metoprolol

c)

Labetalol

d)

Prazosin

e)

Captopril

22.

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?

a)

Doxazosin (Cardura)

b)

Tamsulosin (Flomax)

c)

Alfuzosin (Uroxatral)

d)

Bisoprolol (Bisoloc)

23.

In which of the following situations would a nurse caring for a hospitalized patient hold the dose of propranolol (Inderal)? Select all that apply.

a)

Pulse less than 60 bpm

b)

Systolic pressure less than 90 mm Hg

c)

Patient exhibits bronchospasm

d)

Blood glucose less than 100 mg/dL

24.

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?

a)

Angiotensin-converting enzyme inhibitors (captopril, enalapril, ramipril,...)

b)

Calcium channel blockers

c)

Beta-adrenergic blockers

d)

Diuretics

25.

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.

a)

Sit on the bed for 1 or 2 minutes when rising from a lying position.

b)

Rise quickly from a chair when moving to a standing position.

c)

Have someone assist the client if dizziness or weakness occurs.

d)

Take the antihypertensive less frequently if hypotension occurs.

e)

Increase salt intake to counteract the hypotension.

26.

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?

a)

“Never discontinue use of the antihypertensive drug even the blood pressure has been become normal.”

b)

“Revisit the physician IMMEDIATELY if the blood pressure has been not become normal after a day.”

c)

"Discontinue the use of antihypertensive drug when the blood pressure has been become normal and revisit the physician."

d)

"Must continue to take the antihypertensive drug even some side effects such as allergy or angioedema develop.”

27.

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.

a)

Angioedema

b)

Pregnancy

c)

Diabetes

d)

Hyperlipidemia

e)

Sudden anuria (no or very little urine volume)

28.

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?

a)

Patient's adherence

b)

Patient's safety

c)

Patient's blood pressure monitoring method.

d)

Patient's knowledge about drug's efficacy

29.

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.

a)

Relaxation of blood vessels

b)

Decreased blood pressure rapidly

c)

Cause reflex bradycardia

d)

Cause headache and flushing feeling

30.

The nurse understands that the use of diuretics (such as furosemide) is contraindicated in patients with which of the following? Select all that apply

a)

Hyponatremia

b)

Hypokalemia

c)

Emergency hypertension

d)

Congestive heart failure

e)

Anuria (no or very little urine volume)