Mastery EAQ Ch. 13

A  Onset after the age 7 years. Learning disability with signs of depression. Acting out during school or in the home

B  Lack of ability to control impulses. Symptoms lasting at least 6 months. Short attention span for the child’s age

C  Onset after the age 7 years. Short attention span for the child’s age. Acting out during school or in the home

D  Symptoms lasting at least 6 months. Learning disability with signs of depression. Acting out during school or in the home

A  Activity level

B  Vital signs

C  Pain status

D  Dietary intake

A  Carbon dioxide arterial blood gas levels increase

B  Responds to command to use incentive spirometer

C  Pulse of 98 beats per minute

D  Respiratory rate of 16 breaths per minute

A  Hangover effect

B  Caffeine withdrawal

C  Serotonin syndrome

D  Rebound headache

A  Onset of confusion, Slurred speech, History of chronic headache, Two previous sumatriptan injections at 0800 and 1200

B  Onset of confusion, History of chronic headache, Blood pressure of 168/94 mmHg, Two previous sumatriptan injections at 0800 and 1200

C  Onset of confusion, Slurred speech, Blood pressure of 168/94 mmHg, History of chronic headache

D  Onset of confusion, Slurred speech, Blood pressure of 168/94 mmHg, Two previous sumatriptan injections at 0800 and 1200

A  Schedule I

B  Schedule II

C  Schedule III

D  Schedule IV

A  Phenobarbitone

B  Diazepam

C  Caffeine

D  Morphine

A  Sleeplessness

B  Mood swings

C  Addiction

D  Suicidal tendencies

A  Sumatriptan

B  Atomoxetine

C  Caffeine

D  Orlistat

A  Methylphenidate

B  Amphetamine aspartate

C  Atomoxetine

D  Dextroamphetamine sulfate

A  End-stage heart failure and Peptic ulcer disease

B  Bronchopulmonary dysplasia and Migraines

C  Postanesthetic respiratory depression and Migraines

D  Postanesthetic respiratory depression and Bronchopulmonary dysplasia

A  Relaxes the bronchial smooth muscle. Promotes constriction of the bronchi. Increases the production of surfactant.

B  Promotes constriction of the bronchi. Blocks the action of cerebral adenosine. Increases the production of surfactant.

C  Promotes constriction of the bronchi. Increases the production of surfactant. Increases sensitivity to carbon dioxide.

D  Relaxes the bronchial smooth muscle. Increases sensitivity to carbon dioxide. Supports a regular pattern of breathing. Blocks the action of cerebral adenosine.

A  Dextroamphetamine for narcolepsy

B  Modafinil for shift work sleep disorder

C  Orlistat for weight loss management

D  Atomoxetine for attention-deficit/hyperactivity disorder

A  Before breakfast on weekdays

B  Early afternoon when restlessness occurs

C  Preceding morning school activities daily

D  At least 4 hours before bedtime

A  Take the medication with an antacid.

B  Limit dietary intake of fat to less than 30% of total calories.

C  Supplement the diet with fat-soluble vitamins.

D  Increase fluid and fiber in the diet.

A  Phentermine

B  Modafinil

C  Naratriptan

D  Orlistat

A  Take acetaminophen.

B  Take the medication with a lot of fluids.

C  Take ice chips for relief of headache.

D  Do not take phentermine.

A  Armodafinil

B  Orlistat

C  Amphetamine aspartate

D  Methylphenidate

A  Respiratory therapy

B  Pain management

C  Substance abuse treatment

D  Dietary referral

A  Switch the child to caffeine, which is a more natural stimulant.

B  Talk to the health care provider about instituting “drug holidays.”

C  Reduce the dose of the medication slightly.

D  Use deep breathing exercises instead of medication to keep the child calm.

A  “You should consult a child psychiatrist immediately.”

B  “This is the normal behavior of a 7-year-old child.”

C  “Your child has attention-deficit/hyperactivity disorder.”

D  “You should continue to observe the child’s behavior for 4 months.”

A  “You should follow a nutrition and exercise regimen for weight management.”

B  “Ask the primary health care provider to prescribe an oral hypoglycemic medication.”

C  “Ask the primary health care provider to prescribe an anorexiant because it will reduce obesity.”

D  “You should drink coffee and alcohol once a week to reduce obesity.”

A  The patient has not followed the dosing schedule as prescribed.

B  The patient has been taking reduced doses of medication.

C  The patient has taken the medication with excess amounts of fluids.

D  The patient has been taking this medication for a long time.

A  Phentermine

B  Methamphetamine

C  Orlistat

D  Benzphetamine

A  “This drug causes hallucinations.”

B  “This drug has a high risk of abuse.”

C  “This drug has many side effects.”

D  “This drug causes amenorrhea.”

A  Modafinil

B  Atomoxetine

C  Methylphenidate

D  Benzphetamine

A  Almotriptan

B  Dextroamphetamine

C  Phentermine

D  Caffeine

A  Modafinil and doxapram

B  Atomoxetine and orlistat

C  Modafinil and sumatriptan

D  Doxapram and sumatriptan

A  Administer the medication after meals. Administer the medication before sending the child to school. Administer the medication 2 hours before going to bed.

B  Avoid administering medications on weekends. Avoid dissolving the sustained-release medications in water. Administer the medication before sending the child to school.

C  Administer the medication after meals. Administer the medication 2 hours before going to bed. Avoid administering medications on weekends.

D  Avoid dissolving the sustained-release medications in water. Administer the medication after meals. Administer the medication 2 hours before going to bed.

A  “I will give these drugs 30 to 45 minutes before meals to improve absorption.”

B  “If I notice side effects of these medications, I should stop giving the drug immediately and notify the provider.”

C  “I may dispense these medications to nursing staff if needed.”

D  “It is permissible to crush extended-release medications for patients who have difficulty swallowing pills.”

A  Diarrhea

B  Enhanced urinary output

C  Chest congestion

D  Fecal incontinence

A  Ergotamine and Sibutramine

B  Naratriptan and Zolmitriptan

C  Diazepam and Ergotamine

D  Diazepam and Atomoxetine

A  The patient is taking antiviral medications.

B  The patient has glaucoma.

C  The patient is taking monoamine oxidase inhibitors (MAOIs).

D  The patient has diabetes.

A  Bradycardia

B  Hypotension

C  Insomnia

D  Decreased mental alertness

A  Drowsiness

B  Increased blood pressure

C  Bradycardia

D  Syncope

A  Nasal irritation, Tingling, Flushing

B  Tingling, Dizziness, Flushing

C  Tingling, Flushing, Numbness

D  Dizziness, Numbness, Nasal irritation

A  Gastric ulcers

B  Hyperglycemia

C  Insomnia

D  Nutrition deficiency

A  Dexmethylphenidate does not improve attention.

B  Dexmethylphenidate induces sedation in the child.

C  Dexmethylphenidate has more addictive properties.

D  Dexmethylphenidate is contraindicated in pediatric patients.

A  Daytime sleepiness, Photophobia, Skeletal muscle weakness

B  Photophobia, Phonophobia, Pulsating headache

C  Pulsating headache, Daytime sleepiness, Skeletal muscle weakness

D  Phonophobia, Daytime sleepiness, Skeletal muscle weakness

A  Increased appetite, Insomnia, Decreased blood pressure

B  Insomnia, Headache, Weight loss

C  Headache, Increased appetite, Decreased blood pressure

D  Weight loss, Increased appetite, Decreased blood pressure

A  Headache, Severe hypertension

B  Headache, Severe hypertension

C  Headache, Severe hypertension

D  Seizures, Insomnia, Dysrhythmias

A  Glaucoma, Drug allergies, Bulimia nervosa

B  Hypotension, Bulimia nervosa, Hypothyroidism

C  Hypotension, Hypothyroidism, Glaucoma

D  Drug allergies, Hypotension, Hypothyroidism

A  “They increase the effect of norepinephrine.”

B  “I should not take these medications at least 1 day per week.”

C  “It may decrease my heart rate.”

D  “They block the reuptake of dopamine.”

A  50 mg as a single dose

B  120 mg at each meal

C  20 mg after lunch

D  5 mg before breakfast and lunch

A  Modafinil

B  Orlistat

C  Dextroamphetamine

D  Sumatriptan

A  Ergot alkaloids

B  Serotonin receptor agonists

C  Lipase inhibitors

D  Phosphodiesterase inhibitors

A  Cerebrovascular system

B  Cerebral cortex

C  Medulla and brainstem

D  Hypothalamic and limbic regions

A  Theophylline

B  Aminophylline

C  Doxapram

D  Caffeine

A  100 mg

B  200 mg

C  40 mg

D  32 mg

A  To reduce uric acid levels. To reduce blood pressure

B  To reduce blood pressure. To reduce blood glucose level.

C  To reduce blood glucose level. To reduce uric acid levels.

D  To increase the rate of respiration. To increase the depth of respiration

A  Phentermine

B  Sumatriptan

C  Modafinil

D  Atomoxetine

A  Pulsating headache

B  Hyperactivity

C  Skeletal muscle weakness

D  High body mass index (BMI)

A  Attention-deficit/hyperactivity disorder

B  Narcolepsy

C  Postanesthetic respiratory depression

D  Migraine

A  Phentermine

B  Amphetamine

C  Orlistat

D  Atomoxetine