Deck 3: Pharmacological Concepts and Medications: A Comprehensive Guide

Question 1

For intubation, a client received 0.5 mg/kg of succinylcholine (Anectine) with a repeat dose of 0.7 mg/kg. The client weighs 154 lb. How many milligrams of the medication did the client receive for both doses?
Record your answer rounding to the nearest whole number.

Answer 1

84

Question 2

A client is receiving tiotropium. Which element in the client's history would be a contraindication for this medication?

A) Bronchospasm
B) Hypertension
C) Type 2 diabetes mellitus
D) Constipation

Answer 2

A

Question 3

Which is the primary effect of a ganglionic blocker such as mecamylamine?

A) Lowers intraocular pressure (IOP)
B) Improves motor response
C) Lowers blood pressure
D) Elevates mood

Answer 3

C

Question 4

The nurse is caring for a client who is prescribed a muscarinic antagonist. When teaching a client about the medication, what is important to include?

A) "Muscarinic antagonists are referred to as anticholinergics."
B) "Nicotinic antagonists block the muscarinic synapses."
C) "Parasympatholytics are used to assist with cardiac rhythm disorders."
D) "The central nervous system is not affected by the muscarinic antagonists."

Question 5

The nurse is administering a transdermal patch of tobacco to a client. What effects will the nurse most likely assess in this client?
Select all that apply.

A) Increased alertness
B) Increased heart rate
C) Increased blood pressure
D) Nausea
E) Muscle pain

Question 6

The nurse is preparing to administer pyridostigmine to a client with myasthenia gravis. What will the nurse identify as characteristics of this medication?
Select all that apply.

A) It affects nicotinic acetylcholine synapses in skeletal muscle.
B) It is the prototype drug.
C) It does not cross the placenta.
D) It decreases peristalsis and causes bronchodilation.
E) It must be used with caution in heart failure.

Question 7

The nurse is discussing nicotine replacement therapy (NRT) with a client who wants to stop smoking but is afraid of the withdrawal symptoms. Which are symptoms of nicotine withdrawal?
Select all that apply.

A) Increased alertness
B) Difficulty sleeping
C) Depression
D) Nausea
E) Headaches

Question 8

The nurse educator is reviewing the process of synaptic transmission across the neuroeffector junction with a student. In which order will the nurse explain the steps of synaptic transmission?

Question 9

A client overhears the healthcare team talking about pharmacogenomics. The client asks the nurse what that means. Which statement provides the best example of pharmacogenomics?

A) "The study of individuals' history of a penicillin allergy and the use of gene transplants to change the allergy."
B) "The study of individuals' genetic background and how it affects their response to drug therapy."
C) "The study of individuals' genetic history and how it affects their genetic polymorphisms."
D) "The study of individuals' ability to determine their genetic predisposition and prevent chronic diseases."