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11. A patient who is known to be a narcotic abuser is involved in an automobile accident and has extensive surgery. In planning for analgesia post-surgery, the nurse should be aware that this patient is likely to:
a) tolerate pain than a patient who is not a drug abuser
b) require greater doses of medication before pain is relieved
c) refuse medication to prove addiction is not a problem
d) tolerate oral medication better than intravenous doses
12. When a patient is taking an antianxiety drug, such as Alprazolam (Xanax), the nurse should instruct the patient to:
a) avoid alcoholic beverages
b) increase potassium intake
c) discontinue use of drugs like tylenol
d) check for signs of edema
13. A client is to receive morphine sulfate 10mg IM. The morphine for injection is available in 8 mg per 1 ml. How many ml should the client receive?
14. A newborn baby boy was given Aquamephyton. The mother asks the purpose of the medication. Which of the following is most appropriate explanation to the mother?
a) this is given to prevent infectious diseases in the future
b) this is given to prevent blood clot formation
c) this is given to enhance immune system function
d) this is given to prevent bleeding
15. The patient is admitted for treatment of Garamycin IV drip. After 24 hours of receiving the medication, which of the following laboratory results are to be checked? Select all that apply
a) BUN
b) creatinine
c) peak and through
d) glucose
e) protein
f) hemoglobin
g) CBC
ANSWERS AND RATIONALE
11) B
- narcotic tolerance requires greater doses of the medication to obtain the desired therapeutic effect.
12) A
- alcohol is a CNS depressant. It enhances sedative effect of benzodiazepines like Alprazolam. Therefore, the patient should avoid alcoholic beverages when he is taking benzodiazepines.
13) 1.25 ml
D/S x dilution = quantity of drug
10 mg/8 mg x 1ml = 1.25 ml
14) D
- aquamephyton is a vitamin K preparation. It promotes synthesis of prothrombin and other clotting factors. Therefore, it will prevent bleeding.
15) A, B, C, E, F, G
- garamaycin is ototoxic, nephrotoxic, may cause agranulocytosis, thrombocytopenia, anemia, proteinura, and photosensitivity. Peak and through levels are determined to serve as basis for determining and adjusting dosage of the medication.
Related Topics:
- Online Nursing Practice Test about Pharmacology (16-20)
- Go back to Online Nursing Practice Test about Pharmacology (1-5) to start the test from the beginning.
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