Mastery EAQ Ch. 20

A  Administer with fruit juices.

B  Administer after meals.

C  Administer after dissolving in water.

D  Administer 30 minutes before meals.

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

B  Peptic ulcer, Parkinsonism, Hyperthyroidism, Coronary artery disease

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

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

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

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

C  “This medication will enhance your memory.”

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

A  Atropine

B  Dopamine

C  Lidocaine

D  Epinephrine

A  Pupil dilation

B  Pupil constriction

C  Decreased heart rate

D  Elevated heart rate

A  Moist oral mucous membranesn

B  Improved vision

C  Relief of dry skin

D  Increased muscle strength

A  Able to walk long distances

B  Increased muscle strength

C  Improved memory

D  No longer dizzy

A  Hypertension and Syncope

B  Constipation and Mydriasis

C  Hair loss and Constipation

D  Hair loss and Mydriasis

A  Administration of a second drug

B  Assessment of blood pressure

C  Assessment of bowel sounds

D  Administration of another dose in an hour

A  Decreased gastric motility and Pupil dilation

B  Decreased gastric motility and Decreased sweat gland secretion

C  Decreased heart rate and Increased respiratory secretions

D  Pupil dilation and Decreased sweat gland secretion

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

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

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

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

A  Increased responsibility for self-care

B  Add more stimuli to the environment

C  A walking program at least once a week

D  Limit sleep during the day

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

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

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

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

A  Bleeding and Cramps

B  Ataxia and Cramps

C  Ataxia and Bleeding

D  Diarrhea and Syncope

A  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.

B  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.

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. Stop the medication if you have headaches. Tell your health care provider if you have stomach pains.

A  Peptic ulcer and nonobstructive urinary retention

B  Urinary retention from neurogenic atony of the bladder

C  Decreased urination with possible renal calculi

D  Post orthopedic surgery, low urinary output and bronchial wheezing

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

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

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

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

A  “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.”

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

C  “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.”

D  “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.”

A  7 mg

B  12 mg

C  18 mg

D  10 mg

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

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

A  Dyspnea, Bronchoconstriction, Orthostatic hypotension

B  Bronchoconstriction, Hypoglycemia, Hypothyroidism

C  Hypoglycemia, Hypothyroidism, Dyspnea

D  Orthostatic hypotension, Hypoglycemia, Hypothyroidism

A  5 mg

B  2 mg

C  7 mg

D  10 mg

A  Gradual decrease in cognitive function

B  Cognitive stabilization for a few months

C  Rapid cognitive changes with decline

D  Temporary improvement in cognitive skills

A  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.

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

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

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

B  “Take the medication 30 minutes after eating.”

C  “Do not eat solid food.”

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

A  Emphysema, Psoriatic arthritis.

B  Emphysema, Hypothyroidism

C  Asthma, Coronary artery disease

D  Hypothyroidism, Psoriatic arthritis.

A  Gastrointestinal (GI) upset, Ataxia, Dyspnea

B  Ataxia, Dyspnea, Hypotension

C  Ataxia, Insomnia, Dyspnea

D  Insomnia, Hypotension, Gastrointestinal (GI) upset

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

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

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

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

A  Bowel sounds

B  Body mass index

C  Blood glucose level

D  Vital signs

A  Memantine

B  Rivastigmine

C  Donepezil

D  Galantamine

A  Call for someone before rising.

B  Take ibuprofen before rising.

C  Increase fluid intake to increase blood volume.

D  Move from a sitting to standing position slowly.

A  Bethanechol

B  Edrophonium

C  Memantine

D  Physostigmine

A  Blood pressure 150/95 mm Hg

B  Heart rate 30 beats/min

C  Constipation

D  Respiratory rate 24 breaths/min

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

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

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

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

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

B  “Do not take this medication with food.”

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

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

A  Neostigmine, Pyridostigmine, Physostigmine

B  Donepezil, Neostigmine, Memantine

C  Physostigmine, Donepezil, Memantine

D  Donepezil, Memantine, Pyridostigmine

A  Blood pressure 70/40 mm Hg

B  Respiratory rate 30 breaths/min

C  Raised, erythematous rash

D  Inability to sleep

A  Dry cough, Dizziness, Bradycardia, Hypotension

B  Sweating, Dizziness, Dry cough, Hypotension

C  Sweating, Dizziness, Bradycardia, Dry cough

D  Sweating, Dizziness, Bradycardia, Hypotension

A  An antihistamine intravenously

B  Physostigmine intravenously

C  Dextrose solution intravenously

D  A high dose of donepezil orally

A  Musculoskeletal

B  Urinary

C  Gastrointestinal

D  Neurologic

A  Galantamine and Edrophonium

B  Neostigmine and Edrophonium

C  Neostigmine and Galantamine

D  Pilocarpine and Succinylcholine

A  Wakefulness

B  Increased cognition

C  Relaxed muscles

D  Urination

A  Gastric atony

B  Urinary retention

C  Chronic refractory heartburn

D  Hyperthyroidism

A  Memantine

B  Donepezil

C  Pyridostigmine

D  Bethanechol

A  Intramuscular

B  Intravenous

C  Ocular

D  Oral

A  Assess the patient’s breath sounds.

B  Monitor the patient’s heart rate.

C  Administer epinephrine.

D  Measure the patient’s urinary output.

A  Donepezil

B  Bethanechol

C  Cevimeline

D  Succinylcholine

A  Epinephrine

B  Rivastigmine

C  Atropine

D  Memantine

A  Neostigmine

B  Succinylcholine

C  Pilocarpine

D  Rivastigmine

A  Echothiophate

B  Donepezil

C  Pyridostigmine

D  Atropine

A  Tacrine

B  Memantine

C  Physostigmine

D  Carbachol

A  Glaucoma

B  Cataracts

C  Dry eye syndrome

D  Macular degeneration

A  Donepezil

B  Atropine

C  Rivastigmine

D  Memantine

A  Respiratory atelectasis

B  Postoperative hypotension

C  Postoperative ischemic colitis

D  Urinary atony

A  Ability to swallow without difficulty

B  Decreased respiration

C  Increased arm strength

D  Ability to speak clearly

A  Increased responsibility for self-care

B  Add more stimuli to the environment

C  A walking program at least once a week

D  Limit sleep during the day

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

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

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

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. Electroencephalogram ready to place.

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.Blood pressure equipment for frequent monitoring.

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

A  Dry mouth and Hypoactive bowel sounds

B  Nausea and Apical pulse of 56 beats per minute

C  Urinary retention and Hypoactive bowel sounds

D  Urinary retention and Dry mouth

A  Nasal spray

B  Liquid oral solutions

C  Subcutaneous infusions

D  Oral disintegrating tablets