A 66-year-old man is admitted to the hospital with confusion, nausea, and blurred vision. He is currently on digoxin for the treatment of heart failure. On physical exam, his heart rate is 120 bpm. Further evaluation reveals a digoxin level of 5.3 ng/mL (normal range: 0.5-2 ng/mL). The doctor believes his symptoms are due to digoxin toxicity. Which parameter is used to indicate the ability of digoxin to produce the desired effect relative to a toxic effect?
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Question 2 of 47
When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3), instructions to the patient should include:
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Question 3 of 47
A nurse is caring for a client who has a new prescription for Niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of Niacin?(Select one that does not apply.)
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Question 4 of 47
Phenylephrine is useful for all of the following except
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Question 5 of 47
A 32-year-old female is dehydrated after running a marathon in hot and humid weather. She requires an IV fluid to increase the blood volume and rehydrate the cells. Which one of the following IV fluids would be appropriate for her condition?
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Question 6 of 47
Chlorpropamide metabolism is enhanced by
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Question 7 of 47
Thirty-two units of Humulin insulin is ordered for the patient. The insulin is supplied in a multidose vial that is labeled 100 units/mL. How much insulin would be needed to treat this patient?
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Question 8 of 47
Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also takes aspirin four or more times a day for arthritis pain. What are the symptoms of aspirin toxicity for which she would need to be evaluated?
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Question 9 of 47
Which statement is not correct regarding long acting medications:
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Question 10 of 47
A nurse is teaching a client who has a new prescription for Escitalopram for treatment of generalized Anxiety disorder. Which of the following statements by the client indicates understanding of the teaching?
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Question 11 of 47
Which of the following diagnostic studies would NOT indicate a problem related to a reductase inhibitor?
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Question 12 of 47
A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications?
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Question 13 of 47
The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?
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Question 14 of 47
Food can alter the pH of the stomach, leading to:
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Question 15 of 47
The nurse is caring for a client who has a nasogastric tube in place. The client is to receive an oral medication through the tube. Which action by the nurse would be most appropriate? (Select one that does not apply.)
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Question 16 of 47
When reviewing the phases of drug development, the nurse finds a discussion about the postmarketing surveillance phase. Which one of the following activities would the nurse expect to find as being carried out during this phase?
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Question 17 of 47
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
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Question 18 of 47
A 27-year-old man is admitted to the emergency department (ED) after a serious motorcycle accident. The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the intensive care unit (ICU). The nurse who is going to care for this patient in the ICU knows that a priority responsibility in regard to drug therapy is what?
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Question 19 of 47
An overdose of amitriptyline may precipitate all the following adverse effects EXCEPT:
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Question 20 of 47
Warfarin resistance may be seen in patients with VCORC1 mutation, leading to:
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Question 21 of 47
Which of the following is short acting insulin?
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Question 22 of 47
Which of the following can be used with parenteral route for the treatment of diabetes mellitus
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Question 23 of 47
Hepatitis B immune globulin is administered to provide passive immunity to:
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Question 24 of 47
Where would the procedures and treatments directed by the health care provider be found?
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Question 25 of 47
Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes:
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Question 26 of 47
A nurse is working as a member of a research team involved in exploring the unique response to drugs each individual displays based on genetic make-up. What is this area of study is called?
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Question 27 of 47
A non-competitive antagonist :
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Question 28 of 47
The nurse, assisting with Phase I drug studies, is talking with a woman who asks, Why cant I participate in this study? What would be the nurses best response?
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Question 29 of 47
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.)
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Question 30 of 47
Information technology can be a time-saving device in a busy practice if it is used wisely. One way to make it a help rather than a hindrance is to:
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Question 31 of 47
An Investigational New Drug is filed with the U.S. Food and Drug Administration:
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Question 32 of 47
Several processes enable a drug to reach a specific concentration in the body. Together they are called dynamic equilibrium. What are these processes? (Select one that does not apply.)
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Question 33 of 47
A patient who is taking metronidazole (Flagyl) reports reddish-brown urine. Which action will the nurse take?
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Question 34 of 47
Which of the following is a side effect of propylthiouracil?
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Question 35 of 47
To prevent life-threatening events from rapid withdrawal of a beta blocker:
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Question 36 of 47
Which drug reference contains monographs about virtually every single-entity drug available in the United States and describes therapeutic uses of drugs, including approved and unapproved uses?
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Question 37 of 47
BZDs may be used in following situations EXCEPT:
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Question 38 of 47
The nurse, providing patient teaching about home medication use to an older adult, explains that even when drugs are taken properly they can produce negative or unexpected effects. What are these negative or unexpected effects called?
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Question 39 of 47
A nursing is planning care for a client who is receiving Furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
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Question 40 of 47
All the following cross placenta except
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Question 41 of 47
You need to administer 200 mL of a drug over 30 minutes using microdrip tubing (60 gtt/mL). What is the flow rate in drops per minute?
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Question 42 of 47
You are evaluating the discharge teaching you have done with your patient concerning their drug therapy. What statement from the patient would indicate that teaching had been effective?
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Question 43 of 47
All the following induce hepatic enzymes except
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Question 44 of 47
When blood glucose levels are difficult to control in type 2 diabetes some form of insulin may be added to the treatment regimen to control blood glucose and limit complication risks. Which of the following statements is accurate based on research?
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Question 45 of 47
Why is diclofenac combined with misoprostol?
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Question 46 of 47
In clinical practice glucocorticoids are used for:
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Question 47 of 47
It is reasonable to recommend supplementation with in the treatment of hyperlipidemia.
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