PHARMACOLO NU 120 Midterm Review: Questions With Correct Answers.1- A patient is recovering from abdominal surgery, which he had this morning. He
... [Show More] is
groggy but complaining of severe pain around his incision. What is the most important
thing for the nurse to consider during an assessment before administering a dose of
morphine sulfate to the patient?
- His respiration rate
2- A patient has been treated for lung cancer for 3 years. Over the past few months, she
has noticed that the opioid analgesic she has been taking is not helping as much as it
had previously and says she needs to take more medication for the same pain relief.
The nurse is aware that this patient is experiencing:
- Opioid Tolerance
- Opioid Addiction: The Pt is asking for more medication.
- Opioid Toxicity: The Pt become very sedated, respiratory rate of 8.
- Opioid Abstinence syndrome : The Pt become irritable. (withdraw symptom)
3- An older adult patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse
discovers that the patient has removed her gown and is attempting to get out of bed
without assistance. What type of medication effect is the patient exhibiting?
a. Allergic
b. Hypersensitivity
c. Paradoxical
d. Therapeutic
- A paradoxical effect may occur in older adult patients. This includes periods of
excitement, confusion, restlessness, and euphoria. Allergies to medications tend to
manifest in skin or respiratory symptoms. A patient who is hypersensitive to a hypnotic
would be difficult to rouse. A therapeutic effect for a hypnotic would be sedation.
4- The nurse is preparing discharge instructions for a patient with a history of diabetes
who has just been diagnosed with seizure disorder. The patient has been prescribed
hydantoin therapy. What will the patient most likely experience?
- Hyperglycemia
5- What is a guideline for the nurse when administering phenytoin (Dilantin)
intravenously?
a. Deliver rapidly.
b. Monitor for signs of tachycardia.
c. Assess for hypertensive crisis.
d. Administer without mixing with other medications. [Show Less]