UTA NURS3365 2021 October Module 10 Quiz Latest

NURS3365 Pharmacology in Nursing Practice

Module 10 Quiz

Question 1A client is prescribed a cholinergic medication. What assessment finding would be of most concern to the nurse?

  Heart rate of 50 beats per minute

  Urinary frequency

  Increased tear production

  Blood pressure 104/64

Question 2The family of a client diagnosed with Alzheimer’s disease asks how the newly prescribed donepezil works. What is the best response by the nurse?

  “It prevents the breakdown of the neurotransmitter responsible for memory recall.”

  “It stimulates the receptor sites in the brain responsible for memory recall.”

  “By allowing more acetylcholine in the brain, this medication cures Alzheimer’s disease.”

  “It blocks the cholinergic receptor sites in the brain which allows for memory recall.”

Question 3A client is prescribed an anticholinergic medication. What information in the past medical history would be of most concern to the nurse?

  Glaucoma

  Asthma

  Diabetes

  Bradycardia

Question 4You are caring for a client post-operatively. The indwelling urinary catheter was removed in the post-anesthesia care unit per the surgeon’s orders. The client is unable to urinate, and a bladder scan reveals 500 mL in in the bladder. What prescribed medication should you administer?

  Bethanechol

  Metoclopramide

  Atropine

  Tolterodine

Question 5A client is to have a major in-patient surgery and the nurse administered scopolamine transdermal patch behind the ear. The client asks, “What is that for? Why do I need a band aid behind my ear?” What is the best response by the nurse?

  “This medication is used to help dry up secretions to prevent aspiration during surgery.”

  “The patch behind your ear will help decrease motion sickness on your ride home.”

  “This medication helps with pain control after your surgery is completed.”

  “The patch behind your ear will help prevent complications of glaucoma.”

Question 6A client was brought into the emergency department with symptomatic bradycardia and has received multiple doses of atropine.  What clinical manifestations would the nurse identify as being potential symptoms of atropine toxicity? SELECT ALL THAT APPLY

  Confusion

  Flushing of the face and neck

  Diaphoresis

  Miosis

  Excessive salivation

  Urinary frequency

Question 7A client has been diagnosed with myasthenia gravis and is placed on pyridostigmine. Thirty minutes after taking the first dose of medication, the nurse suspects cholinergic crisis. What clinical manifestations would the nurse identify as being potential symptoms of cholinergic crisis? SELECT ALL THAT APPLY

  Confusion

  Miosis

  Diaphoresis

  Mydriasis

  Excessive salivation

  Lacrimation

Question 8A client is prescribed scopolamine transdermal patch to help with motion sickness while on a cruise. What education should the nurse provide the client to alleviate the common side effects of the medication? SELECT ALL THAT APPLY

  Wear sunglasses when going outside

  Chew sugar free gum

  Increase fluid and fiber

  Urinary incontinence may occur, use caution

  Avoid exercise to avoid fatigue

Question 9A client has been placed on high-dose therapy of selegiline. What foods should the nurse educate the client to avoid or limit while on this treatment regimen?  SELECT ALL THAT APPLY

  Sharp cheddar cheese

  Summer sausage

  Red wine

  Hamburger and french fries

  Fish and chips

Question 10A client is prescribed carbidopa-levodopa and the nurse is providing education on this new medication. What information should the nurse provide to help prevent injury?

  Rise slowly, in stages

  Drink 3 liters of fluid each day

  Increase intake of foods high in protein

  Decrease intake of dietary fiber

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