Online Nursing Practice Test about Pharmacology (31-35)

31. 60-year old man is receiving Tagamet/IV. After 30 minutes of infusion, he complains of headache and dizziness. Which of the following actions should the nurse take first?

a) stop infusion
b) call the physician
c) take vital signs
d) elevate the head of bed

32. The client is receiving Gentamycin sulfate (garamycin), an amoniglycoside. Which of the following laboratory tests should the nurse monitor?

a) BUN, serum creatinine
b) SGOT, SGPT
c) serum glucose levels
d) complete blood count

33. Which of the following statements by the client indicates effectiveness of benzodiazepines?

a) my appetite to eat has greatly improved
b) I am less confused than before
c) I can remember things better now
d) I am now sleeping more than I used to

34. Which of the following assessment indicates the need for Dilantin (phenytoin) administration after dialysis?

a) headache, nausea, vomiting
b) hypertension, headache, restlessness
c) nausea, vomiting, restlessness
d) dizziness, headache, restlessness

35. The client is on Mestinon therapy. Which of the following signs and symptoms when experienced by the client need to be reported to the physician? Select all that apply

a) weakness
b) diarrhea
c) reduced tremors
d) increased muscle strength
e) nausea and vomiting
f) abdominal cramps
g) headache, dizziness



ANSWERS AND RATIONALE

31) A
- these are sins of adverse reaction to the medication. Therefore the nurse should stop the infusion.

32) A
- gentamycin is an aminoglycoside. The most common side effect of gentamycin is nephrotoxicity. BUN and serum creatinine are indicators of renal function.

33) D
- benzodiazepines (e.g. diazepam, alprozalam, and lorazepam) are sedative hypnotics, so they can promote sleep.

34) C
- twitching indicates seizure. Therefore dilantin, an anticonvulsant is indicated.

35) A, B, D, E, F
- these are signs and symptoms of cholinergic crisis and should be reported. Mestinon is a cholinergic medication, indicated in clients with myasthenia gravis. It is used to relieve muscle weakness.


Related Topics:

• Online Nursing Practice Test about Pharmacology (36-40)
• Go back to Online Nursing Practice Test about Pharmacology (1-5) to start the test from the beginning.