Pharma 4 Q
Pharma 4 Q
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2. L-Deprenyl (Eldepryl) is prescribed for a client with Parkinson’s disease who had a poor response to levodopa
therapy. When teaching the client and family about this drug, the nurse should explain that:
a. If a severe headache occurs it should be reported to the physician immediately
b. The side effects of levodopa will decrease when these drugs are taken concurrently
c. The dosage of the drug can be adjusted daily depending on the client’s response that day
d. Blood studies should be performed monthly to measure therapeutic blood levels of the drug
3. Dexamethasone (Decadron) is ordered for the early management of a client’s cerebral edema. This treatment
is effective because it:
a. Acts as a hyperosmotic diuretic
b. Increase tissue resistance to infection
c. Reduces the inflammatory response of tissues
d. Decrease the formation of cerebral spinal fluid
4. A client is diagnosed as having myasthenia gravis and pyridostigmine bromide (Mestinon) therapy is started.
During the first week of therapy, while the dosage is being adjusted, the nurse’s priority intervention is to:
a. Administer the medication exactly on time
b. Administer the medication with food or with milk
c. Evaluate the client’s psychological responses between doses
d. Evaluate the client’s muscle strength hourly after administration
5. A client with myasthenia gravis is admitted to the emergency room in crisis. To distinguish between
myasthenic crisis and cholinergic crisis the nurse should prepare to administer:
a. Atropine sulfate c. Naloxone (Narcan)
b. Protamine sulfate d. Edrophonium chloride (Tensilon)
6. The physician orders neostigmine (Prostigmin) for a client with myasthenia gravis. The nurse would know that
the client understands the teaching about this drug when the client says:
a. “I should keep the drug refrigerated in a tight container.”
b. “I should take the drug at the exact time specified by my doctor.”
c. “The peak action of the drug occurs 3 to 4 hours after ingestion.”
d. “The drug should be taken between meals to promote it’s absorption.”
7. The nurse teaches the parents of a child on long-term phenytoin (Dilantin) therapy about care pertinent to this
medication. The nurse recognizes that the teaching is effective when they say, “We should:
a. Give our child the medication 2 hours after breakfast and dinner.”
b. Supplement the diet with high-caloric foods and encourage fluids.”
c. Provide oral hygiene, especially gum massage and flossing of teeth.”
d. Observe our child’s urine for the complication of a reddish brown discoloration.”