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- While assessing a patient who is to receive muromonabCD3, the nurse knows that which condition would be a contraindication for this drug? a) Acute myalgiab) Fluid overloadc) Polycythemiad )Diabetes mellitusA patient is receiving instructions regarding -arfarin therapy and asks the nurse about -hat medications she can take for headaches. The nurse -ill tell her to avoid -hich type of medication? a )Opioidsb )acetaminophen (Tylenol)c )NSAIDsd )There are no restrictions -hile taking -arfarinWhile teaching a patient who is about to receive cyclophosphamide (Cytoxan) chemotherapy, the nurse will instruct the patient to watch for potential adverse effects, such as a )cholinergic diarrhea.b )hemorrhagic cystitis.c )peripheral neuropathy.d) ototoxicity
- The nurse administering a cholinergic-blocking drug to a patient who is experiencing drug-induced extrapyramidal effects would assess for which therapeutic effect?a) Decreased muscle rigidity and tremorsb) Increased heart ratec) Decreased bronchial secretionsd) Decreased GI motility and peristalsisWhen assessing for adverse effects of cholinergic-blocking drug therapy, the nurse would expect to find that the patient complains of which drug effect?a) Diaphoresisb) Dry mouthc) Diarrhead) Urinary frequencyFor best results when treating se-ere pain associated with pathologic spinal fractures related to metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to administer the pain medication a )as needed. b) around the clock. c) on schedule during waking hours only. d )around the clock, with additional doses as needed for breakthrough pain.
- When assessing a patient who is to receive a decongestant, the nurse will recognize that a potential contraindication to this drug would be which condition? a )Glaucomab) Feverc) Peptic ulcer diseased )Allergic rhinitisA patient has a new order for glatiramer acetate. The patient has not had an organ transplant. The nurse knows that the patient is receiving this drug for which condition? a )Psoriasisb) Rheumatoid arthritisc )Irritable bowel syndrome d )Relapse-remitting multiple sclerosisThe nurse is preparing to administer a medication for sleep. Which intervention applies to the administration of a nonbenzodiazepine, such as zaleplon (Sonata)?a )These drugs need to be taken about 1 hour before bedtime.b) Because of their rapid onset, these drugs need to be taken just before bedtime.c )The patient needs to be cautioned about the high incidence of morning drowsiness that may occur after taking these drugsd) These drugs are less likely to interact with alcohol
- 1) What factor can lead to opioid overdose via a reduction in enzyme metabolism? a) Long-term opioid use decreases available enzymes compared to early use. b) Stress decreases the availability of opioid metabolizing enzymes compared to non-stressed conditions c) Opioid administration in a novel environment leads to fewer active enzymes than a familiar administration context d) Opioids and benzodiazepines bind to the same enzymes, and coadministration leads to slower metabolism of both drugs. 2) Mary is a non-smoker, and is prescribed monoamine oxidase (MAO) inhibitors to treat a mood disorder. The first time she tries a cigarette, how is her experience likely to differ from the standard experience of first-time smokers? a) She will have an increased heard rate and sweat more b) She will feel much worse during the experience and be less likely to smoke again c) She will feel less aversion to the experience and be more likely to smoke again d) She will have a slightly…Please answer the following questions 1) Vd of a drug will be high when it is distributed in the following tissues except-a) Adipose tissueb) Brain and spinal cordc) Skeletal muscle tissued) Visceral fate) Mesentery tissuef) fats covering kidney and spleen 2) In a 2-comp. open model system the rate of drug disposition between compartents follow-a) zero orderb) 1-orderc) 2-rderd) 3-ordere) mixed orderf) none of the above 3) The likely molecular wt. of a drug for oral absorption is-a) no more than 400b) no more than 350c) no more than 550d) no more than 700e) no more than 650f) no more than 500A patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. The nurse will plan to implement which interventions for this patient? (Select all that apply.) a )Doses of an oral benzodiazepineb )Doses of an intravenous benzodiazepine c) Restraints if the patient becomes confused, agitated, or a threat to himself or othersd )Thiamine supplementatione )Oral disulfiram (Antabuse) treatment f ) Monitoring in the intensive care unit