Mastery EAQ Ch. 20

A  Administer after dissolving in water.

B  Administer after meals.

C  Administer with fruit juices.

D  Administer 30 minutes before meals.

A  Emphysema, Type 2 diabetes mellitus, Peptic ulcer, Parkinsonism,

B  Emphysema, Type 2 diabetes mellitus, Parkinsonism, Hyperthyroidism,

C  Peptic ulcer, Parkinsonism, Hyperthyroidism, Coronary artery disease

D  Hyperthyroidism, Coronary artery disease, Emphysema, Type 2 diabetes mellitus

A  “You will only need to take this medication for 3 months.”

B  “This medication will enhance your memory.”

C  “This medication should cure your Alzheimer’s disease.”

D  “This medication will increase your ability to sleep without dreaming.”

A  Epinephrine

B  Lidocaine

C  Atropine

D  Dopamine

A  Decreased heart rate

B  Elevated heart rate

C  Pupil constriction

D  Pupil dilation

A  Increased muscle strength

B  Relief of dry skin

C  Moist oral mucous membranesn

D  Improved vision

A  Able to walk long distances

B  No longer dizzy

C  Increased muscle strength

D  Improved memory

A  Hair loss and Constipation

B  Constipation and Mydriasis

C  Hypertension and Syncope

D  Hair loss and Mydriasis

A  Administration of another dose in an hour

B  Administration of a second drug

C  Assessment of blood pressure

D  Assessment of bowel sounds

A  Decreased heart rate and Increased respiratory secretions

B  Decreased gastric motility and Decreased sweat gland secretion

C  Decreased gastric motility and Pupil dilation

D  Pupil dilation and Decreased sweat gland secretion

A  “I hope to feel improvement in muscle strength.”

B  “I will review any over-the-counter medications with my health care provider.”

C  “I will take the medication 30 minutes before meals.”

D  “The medical alert in my health care record should cover me.”

A  Increased responsibility for self-care

B  Limit sleep during the day

C  Add more stimuli to the environment

D  A walking program at least once a week

A  Cardiovascular status, Gastrourinary (GU) status, Pain assessment, Complete blood count

B  Cardiovascular status, Pain assessment, Complete blood count, Neurologic status

C  Pain assessment, Complete blood count, Gastrourinary (GU) status, Assess for suicidal tendencies

D  Neurologic status, Cardiovascular status, Gastrourinary (GU) status, Assess for suicidal tendencies

A  Ataxia and Bleeding

B  Bleeding and Cramps

C  Diarrhea and Syncope

D  Ataxia and Cramps

A  Stop the medication if you have headaches. Eat something if you feel nauseated. You may have some trouble sleeping. Tell your health care provider if you have stomach pains.

B  Get up slowly. Eat something if you feel nauseated. Stop the medication if you have headaches. Tell your health care provider if you have stomach pains.

C  Get up slowly. Eat something if you feel nauseated. You may have some trouble sleeping. Stop the medication if you have headaches.

D  Get up slowly. Eat something if you feel nauseated. You may have some trouble sleeping. Tell your health care provider if you have stomach pains.

A  Decreased urination with possible renal calculi

B  Urinary retention from neurogenic atony of the bladder

C  Peptic ulcer and nonobstructive urinary retention

D  Post orthopedic surgery, low urinary output and bronchial wheezing

A  Diagnose and treat myasthenia gravis. An antidote in biochemical warfare. An antidote to tricyclic antidepressant toxicity

B  Relieve severe constriction of the bronchioles. Diagnose and treat myasthenia gravis. Treat a patient with a prolonged history of sleep deprivation

C  Relieve severe constriction of the bronchioles. Treat a patient with a prolonged history of sleep deprivation. An antidote in biochemical warfare

D  An antidote to tricyclic antidepressant toxicity. Relieve severe constriction of the bronchioles. Treat a patient with a prolonged history of sleep deprivation

A  “Tell your health care provider if you have gastric pain that does not subside.”
“Do not take the medication if you feel tired.”
“Take the medication on an empty stomach.”

B  “Do not take the medication if you feel tired.”
“Take the medication on an empty stomach.”
“Get up slowly from a sitting or lying position.”

C  “Do not take the medication if you feel tired.”
“Take the medication on an empty stomach.”
“Your drug dose will be gradually increased.”

D  “Your drug dose will be gradually increased.”
“Get up slowly from a sitting or lying position.”
“Tell your health care provider if you have gastric pain that does not subside.”

A  18 mg

B  7 mg

C  10 mg

D  12 mg

A  Inject bethanechol. Provide a high-fiber diet. Administer a stool softener. Ambulate the patient as tolerated. Increase fluid intake as tolerated.

B  Administer atropine. Provide a high-fiber diet. Administer a stool softener. Ambulate the patient as tolerated. Increase fluid intake as tolerated.

C  Inject bethanechol. Provide a high-fiber diet. Administer a stool softener. Administer atropine. Increase fluid intake as tolerated.

D  Inject bethanechol. Administer atropine. Administer a stool softener. Ambulate the patient as tolerated. Increase fluid intake as tolerated.

A  Bronchoconstriction, Hypoglycemia, Hypothyroidism

B  Hypoglycemia, Hypothyroidism, Dyspnea

C  Orthostatic hypotension, Hypoglycemia, Hypothyroidism

D  Dyspnea, Bronchoconstriction, Orthostatic hypotension

A  2 mg

B  7 mg

C  10 mg

D  5 mg

A  Temporary improvement in cognitive skills

B  Gradual decrease in cognitive function

C  Rapid cognitive changes with decline

D  Cognitive stabilization for a few months

A  Nicotinic-receptor stimulation causes dilation of the pupils. Muscarinic-receptor stimulation causes constriction of blood vessels. Muscarinic-receptor stimulation causes increased gastrointestinal motility.

B  Nicotinic-receptor stimulation causes dilation of the pupils. Muscarinic-receptor stimulation causes constriction of blood vessels. Nicotinic-receptor stimulation causes increased blood pressure.

C  Nicotinic-receptor stimulation causes increased contraction of skeletal muscle. Nicotinic-receptor stimulation causes dilation of the pupils. Muscarinic-receptor stimulation causes constriction of blood vessels.

D  Nicotinic-receptor stimulation causes increased blood pressure. Muscarinic-receptor stimulation causes increased gastrointestinal motility. Nicotinic-receptor stimulation causes increased contraction of skeletal muscle.

A  “Take the medication 30 minutes after eating.”

B  “Seek medical help if you develop nausea and vomiting.”

C  “Do not eat solid food.”

D  “Notify your health care provider if you have a headache.”

A  Emphysema, Psoriatic arthritis.

B  Asthma, Coronary artery disease

C  Hypothyroidism, Psoriatic arthritis.

D  Emphysema, Hypothyroidism

A  Ataxia, Insomnia, Dyspnea

B  Insomnia, Hypotension, Gastrointestinal (GI) upset

C  Gastrointestinal (GI) upset, Ataxia, Dyspnea

D  Ataxia, Dyspnea, Hypotension

A  “Sometimes family members aren’t the best at assessing these things.”

B  “Let me assess what other medications the patient is taking.”

C  “The medication has an onset of action of about 3 weeks.”

D  “I will call the health care provider and ask for the medication to be changed.”

A  Blood glucose level

B  Bowel sounds

C  Vital signs

D  Body mass index

A  Memantine

B  Galantamine

C  Rivastigmine

D  Donepezil

A  Increase fluid intake to increase blood volume.

B  Call for someone before rising.

C  Move from a sitting to standing position slowly.

D  Take ibuprofen before rising.

A  Memantine

B  Edrophonium

C  Bethanechol

D  Physostigmine

A  Blood pressure 150/95 mm Hg

B  Heart rate 30 beats/min

C  Respiratory rate 24 breaths/min

D  Constipation

A  “I have noticed that I have been urinating more frequently.”

B  “I can tell my muscle strength has gotten better.”

C  “My family says that my memory has improved.”

D  “I feel like I am coughing up more phlegm.”

A  “You will take this medication once per week.”

B  “Be cautious with activity until you know how the medication affects you.”

C  “Do not drink grapefruit juice while on this medication.”

D  “Do not take this medication with food.”

A  Donepezil, Neostigmine, Memantine

B  Donepezil, Memantine, Pyridostigmine

C  Neostigmine, Pyridostigmine, Physostigmine

D  Physostigmine, Donepezil, Memantine

A  Raised, erythematous rash

B  Blood pressure 70/40 mm Hg

C  Respiratory rate 30 breaths/min

D  Inability to sleep

A  Sweating, Dizziness, Bradycardia, Dry cough

B  Dry cough, Dizziness, Bradycardia, Hypotension

C  Sweating, Dizziness, Bradycardia, Hypotension

D  Sweating, Dizziness, Dry cough, Hypotension

A  An antihistamine intravenously

B  Physostigmine intravenously

C  A high dose of donepezil orally

D  Dextrose solution intravenously

A  Gastrointestinal

B  Neurologic

C  Musculoskeletal

D  Urinary

A  Neostigmine and Edrophonium

B  Neostigmine and Galantamine

C  Galantamine and Edrophonium

D  Pilocarpine and Succinylcholine

A  Urination

B  Increased cognition

C  Relaxed muscles

D  Wakefulness

A  Hyperthyroidism

B  Gastric atony

C  Urinary retention

D  Chronic refractory heartburn

A  Pyridostigmine

B  Donepezil

C  Memantine

D  Bethanechol

A  Intravenous

B  Ocular

C  Intramuscular

D  Oral

A  Administer epinephrine.

B  Monitor the patient’s heart rate.

C  Measure the patient’s urinary output.

D  Assess the patient’s breath sounds.

A  Donepezil

B  Bethanechol

C  Cevimeline

D  Succinylcholine

A  Epinephrine

B  Memantine

C  Rivastigmine

D  Atropine

A  Neostigmine

B  Succinylcholine

C  Pilocarpine

D  Rivastigmine

A  Pyridostigmine

B  Echothiophate

C  Donepezil

D  Atropine

A  Memantine

B  Carbachol

C  Physostigmine

D  Tacrine

A  Dry eye syndrome

B  Cataracts

C  Glaucoma

D  Macular degeneration

A  Atropine

B  Donepezil

C  Rivastigmine

D  Memantine

A  Postoperative ischemic colitis

B  Urinary atony

C  Postoperative hypotension

D  Respiratory atelectasis

A  Ability to swallow without difficulty

B  Ability to speak clearly

C  Decreased respiration

D  Increased arm strength

A  A walking program at least once a week

B  Add more stimuli to the environment

C  Increased responsibility for self-care

D  Limit sleep during the day

A  “I will take the medication 30 minutes before meals.”

B  “I hope to feel improvement in muscle strength.”

C  “The medical alert in my health care record should cover me.”

D  “I will review any over-the-counter medications with my health care provider.”

A  Atropine available for immediate use. Epinephrine available for immediate use. Telemetry monitor on the patient.Blood pressure equipment for frequent monitoring.

B  Atropine available for immediate use. Epinephrine available for immediate use. Electroencephalogram ready to place. Blood pressure equipment for frequent monitoring.

C  Atropine available for immediate use. Epinephrine available for immediate use. Telemetry monitor on the patient. Electroencephalogram ready to place.

D  Atropine available for immediate use. Electroencephalogram ready to place. Telemetry monitor on the patient. Blood pressure equipment for frequent monitoring.

A  Nausea and Apical pulse of 56 beats per minute

B  Urinary retention and Dry mouth

C  Urinary retention and Hypoactive bowel sounds

D  Dry mouth and Hypoactive bowel sounds

A  Subcutaneous infusions

B  Oral disintegrating tablets

C  Liquid oral solutions

D  Nasal spray