Mastery EAQ Ch. 20

A  Administer with fruit juices.

B  Administer after dissolving in water.

C  Administer 30 minutes before meals.

D  Administer after meals.

A  Peptic ulcer, Parkinsonism, Hyperthyroidism, Coronary artery disease

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

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

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

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  Atropine

B  Lidocaine

C  Dopamine

D  Epinephrine

A  Decreased heart rate

B  Pupil constriction

C  Elevated heart rate

D  Pupil dilation

A  Relief of dry skin

B  Increased muscle strength

C  Moist oral mucous membranesn

D  Improved vision

A  Able to walk long distances

B  Increased muscle strength

C  Improved memory

D  No longer dizzy

A  Hair loss and Mydriasis

B  Constipation and Mydriasis

C  Hair loss and Constipation

D  Hypertension and Syncope

A  Administration of another dose in an hour

B  Assessment of bowel sounds

C  Assessment of blood pressure

D  Administration of a second drug

A  Pupil dilation and Decreased sweat gland secretion

B  Decreased gastric motility and Decreased sweat gland secretion

C  Decreased heart rate and Increased respiratory secretions

D  Decreased gastric motility and Pupil dilation

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

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

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

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

A  Limit sleep during the day

B  Add more stimuli to the environment

C  Increased responsibility for self-care

D  A walking program at least once a week

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

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

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

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

A  Diarrhea and Syncope

B  Ataxia and Cramps

C  Ataxia and Bleeding

D  Bleeding and Cramps

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  Post orthopedic surgery, low urinary output and bronchial wheezing

D  Decreased urination with possible renal calculi

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

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

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

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  “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.”

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  10 mg

C  12 mg

D  18 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. Provide a high-fiber diet. Administer a stool softener. Ambulate the patient as tolerated. Increase fluid intake as tolerated.

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

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

A  Dyspnea, Bronchoconstriction, Orthostatic hypotension

B  Orthostatic hypotension, Hypoglycemia, Hypothyroidism

C  Bronchoconstriction, Hypoglycemia, Hypothyroidism

D  Hypoglycemia, Hypothyroidism, Dyspnea

A  10 mg

B  2 mg

C  7 mg

D  5 mg

A  Gradual decrease in cognitive function

B  Rapid cognitive changes with decline

C  Cognitive stabilization for a few months

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

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

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

B  “Take the medication 30 minutes after eating.”

C  “Do not eat solid food.”

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

A  Emphysema, Hypothyroidism

B  Hypothyroidism, Psoriatic arthritis.

C  Asthma, Coronary artery disease

D  Emphysema, Psoriatic arthritis.

A  Insomnia, Hypotension, Gastrointestinal (GI) upset

B  Gastrointestinal (GI) upset, Ataxia, Dyspnea

C  Ataxia, Insomnia, Dyspnea

D  Ataxia, Dyspnea, Hypotension

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

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

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

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

A  Body mass index

B  Bowel sounds

C  Vital signs

D  Blood glucose level

A  Rivastigmine

B  Memantine

C  Donepezil

D  Galantamine

A  Take ibuprofen before rising.

B  Move from a sitting to standing position slowly.

C  Increase fluid intake to increase blood volume.

D  Call for someone before rising.

A  Memantine

B  Edrophonium

C  Physostigmine

D  Bethanechol

A  Respiratory rate 24 breaths/min

B  Blood pressure 150/95 mm Hg

C  Constipation

D  Heart rate 30 beats/min

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

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

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

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

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

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

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

D  “Do not take this medication with food.”

A  Physostigmine, Donepezil, Memantine

B  Donepezil, Neostigmine, Memantine

C  Donepezil, Memantine, Pyridostigmine

D  Neostigmine, Pyridostigmine, Physostigmine

A  Inability to sleep

B  Respiratory rate 30 breaths/min

C  Blood pressure 70/40 mm Hg

D  Raised, erythematous rash

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  Dextrose solution intravenously

C  A high dose of donepezil orally

D  Physostigmine intravenously

A  Neurologic

B  Musculoskeletal

C  Gastrointestinal

D  Urinary

A  Pilocarpine and Succinylcholine

B  Neostigmine and Galantamine

C  Neostigmine and Edrophonium

D  Galantamine and Edrophonium

A  Wakefulness

B  Relaxed muscles

C  Increased cognition

D  Urination

A  Hyperthyroidism

B  Chronic refractory heartburn

C  Urinary retention

D  Gastric atony

A  Pyridostigmine

B  Donepezil

C  Bethanechol

D  Memantine

A  Oral

B  Intramuscular

C  Ocular

D  Intravenous

A  Monitor the patient’s heart rate.

B  Assess the patient’s breath sounds.

C  Measure the patient’s urinary output.

D  Administer epinephrine.

A  Cevimeline

B  Succinylcholine

C  Donepezil

D  Bethanechol

A  Rivastigmine

B  Epinephrine

C  Memantine

D  Atropine

A  Neostigmine

B  Rivastigmine

C  Succinylcholine

D  Pilocarpine

A  Atropine

B  Pyridostigmine

C  Echothiophate

D  Donepezil

A  Memantine

B  Tacrine

C  Carbachol

D  Physostigmine

A  Cataracts

B  Macular degeneration

C  Glaucoma

D  Dry eye syndrome

A  Memantine

B  Rivastigmine

C  Atropine

D  Donepezil

A  Urinary atony

B  Postoperative ischemic colitis

C  Postoperative hypotension

D  Respiratory atelectasis

A  Ability to speak clearly

B  Ability to swallow without difficulty

C  Decreased respiration

D  Increased arm strength

A  Add more stimuli to the environment

B  Increased responsibility for self-care

C  Limit sleep during the day

D  A walking program at least once a week

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

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

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

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

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

B  Atropine available for immediate use. Epinephrine available for immediate use. Telemetry monitor on the patient.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  Urinary retention and Dry mouth

B  Dry mouth and Hypoactive bowel sounds

C  Nausea and Apical pulse of 56 beats per minute

D  Urinary retention and Hypoactive bowel sounds

A  Liquid oral solutions

B  Oral disintegrating tablets

C  Nasal spray

D  Subcutaneous infusions