Pharm Exam study guide
A patient’s heart rate is found to be 72 beats per minute and regular. The nurse evaluates which situation in the patient’s
... [Show More] peripheral nervous system?
Standard Text: Select all that apply.
1. The sympathetic system is in control.
2. The parasympathetic system is dominating.
3. Both parasympathetic and sympathetic systems are influencing cardiac status.
4. The autonomic nervous system is affecting cardiac status.
5. The somatic nervous system is affecting cardiac status.
2. A nurse is reading about the development of drugs that inhibit the parasympathetic nervous system. The nurse would look for articles about which drug classes?
Standard Text: Select all that apply.
1. Anticholinergics
2. Parasympathomimetics
3. Parasympatholytics
4. Cholinergics
5. Muscarinic blockers
Question 3
Type: Hot Spot
Mark the site of the ganglionic synapse on this diagram.
1. A
2. B
3. C
4. D
Question 4
Type: MCMA
A patient has been prescribed an oral drug containing atropine. The nurse would hold the drug and
Contact the prescriber if which patient statements are made?
Standard Text: Select all that apply.
1. “I would like to wait a few minutes to take this as I just drank some aloe juice.”
2. “Can I take this at the same time as my procainamide?”
3. “I have had a headache this morning.”
4. “I am allergic to penicillin.”
5. “My gallbladder surgery is scheduled for next week.”
Question 5
Type: MCSA
The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for the patient with myasthenia gravis. The nurse determines that learning has occurred when the patient makes which statement?
1. "My heart may beat slower while I am on this drug."
2. "I will need to increase my fluid intake with this medication."
3. "I must take this medication immediately before eating a full meal."
4. "It is really important to take my medication on time."
Question 6
Type: MCSA
The physician has ordered bethanechol (Urecholine), a cholinergic drug, for the patient with urinary retention. The patient also has an enlarged prostate gland. What is the priority action by the nurse?
1. Hold the drug and prepare to catheterize the patient.
2. Administer the drug and measure urinary output.
3. Administer the drug and push fluids.
4. Hold the drug and contact the physician.
Question 7
Type: MCSA
The preop patient will be receiving glycopyrrolate (Robinul), an anticholinergic drug, and asks the nurse, "Why do I need to have that shot?" What is the best response by the nurse?
1. "It will decrease your respiratory secretions during surgery."
2. "It will increase your urinary output during surgery."
3. "It will help you breathe better during surgery."
4. "It will help maintain your blood pressure during surgery."
Question 8
Type: MCSA
The nurse is preparing to administer medications to a group of patients. One of the medications is benztropine (Cogentin), an anticholinergic drug. This drug is contraindicated in which patient?
1. The patient with a fractured femur
2. The patient with tachycardia
3. The patient with an irritable colon
4. The patient with diarrhea
Question 9
Type: MCSA
The nurse is preparing to administer medications to a group of patients. One of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which patient?
1. The patient with glaucoma
2. The patient with hyperthyroidism
3. The patient with a hiatal hernia
4. The patient with lung cancer
Question 10
Type: MCSA
The physician orders dicyclomine (Bentyl), an anticholinergic drug, for a patient. What is the nurse's priority assessment prior to administering this drug?
1. Does the patient have light sensitivity?
2. Is the patient able to urinate?
3. Does the patient have a history of alcoholism?
4. Is the patient dizzy upon standing?
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