Nur 350 Pharm Test 3 Quiz Questions and Correct Answers
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Course
NUR 350
Institution
NUR 350
A neonate is born to a patient who report taking venlafaxine (Effexor XR). The nurse caring for the infant will observe the infant for: A. Sustained mydriasis B. Serotonin syndrome C. Irritability, tremor, and respiratory depression D. Poor appetite and disturbed sleeping patterns c. Irritability, ...
Nur 350 Pharm Test 3 Quiz
Questions and Correct Answers
A neonate is born to a patient who report taking venlafaxine (Effexor XR). The nurse
caring for the infant will observe the infant for:
A. Sustained mydriasis
B. Serotonin syndrome
C. Irritability, tremor, and respiratory depression
D. Poor appetite and disturbed sleeping patterns ✅c. Irritability, tremor, and respiratory
distress
An older adult patient who is to begin taking imipramine (Tofranil) asks the nurse when
the drug should be taken. The nurse will instruct the patient to:
A. Take the medication once daily in the late afternoon
B. The the medication one daily in the morning
C. Divide the dose into two equal doses 12 hrs apart
D. Take the entire dose at bedtime to minimize sedative effects ✅c. Divide the dose
into two equal doses 12 hours apart
A patient whose spouse has dies recently reports feeling down most of the day for the
past 2 months. On further questioning, the nurse learns that the patient has quit
participating in church and social activities, has difficulty falling asleep and has lost 5
pounds. The patient reports feeling tired and confused all the time but does not have
suicidal thoughts. What does the nurse suspect?
A. Major depression
B. Situational depression
C. Grief and sadness
D. Hypomania ✅a. Major depression
A patient taking an MAOI is seen in the clinic with a blood pressure of 170/96 mm Hg.
What will the nurse ask this patient?
A. To list all foods eaten that day
B. Whether any antihypertensive medications are used
C. Whether the patient drinks grapefruit juice
D. Whether ssris are taken in addition to the MAOI ✅a. To list all foods eat that day
A hospitalized patient who is given one dose of flurazepam continues to show
drowsiness the next day. A nursing student asks the nurse the reason for this, because
the drug's half-life is only 2-3 hours. Which response by the nurse is correct?
A. This patient must have developed a previous tolerance to benzopiazepines
B. When this drug is metabolized, the resulting compound has longer lasting effects
C. Benzodiazepines commonly cause residual effects lasting into the day after the dose
is given
,D. The patient is having a paradoxical reaction to this drug ✅b. When this drug is
metabolized, the resulting compound has longer lasting effects
A patient has been taking high doses of clorazepate (Tranxene) for several months for
an anxiety disorder. The nurse assessing the patient observes that the patient is
agitated, euphoric, and anxious. What will the nurse do:
A. Suspect a possible paradoxical reaction to the clorazepate
B. Double check the chart to make sure the last dose was given
C. Withhold the next dose until a drug level can be drawn
D. Request an order for a longer-acting benzodiazepine ✅a. Suspect a possible
paradoxical reaction to the clorazepate
A patient who has been using secobarbital for several months to treat insomnia tells the
nurse that the prescriber has said the prescription will be changed to temazepam
(Restoril) because it is safer. The patient asks why this agent is safer. The nurse is
correct in telling the patient that temazepam:
A. Shows no respiratory depression, even in toxic doses
B. Potentiates the endogenous GABA, producing a finite CNS depression
C. Mimics the actions of CNS inhibitory neurotransmitter
D does not depress the CNS ✅b. Potentiates the endogenous GABA, producing a
finite CNS depression
Selective serotonin reuptake inhibitors are known to be effective for which disorders?
Select all that apply:
A. Panic disorder
B. Generalized anxiety disorder (GAD)
C. Social anxiety disorder (SAD)
D. Post-traumatic stress disorder (PTSD)
E. Obsessive-compulsive disorder (OCD) ✅a. Panic disorder
B. GAD
C. SAD
E. OCD
An agitated, extremely anxious patient is brought to the emergency department. The
prescriber orders a benzodiazepine. The nurse understands that benzodiazepines are
used in this clinical situation based on which principle?
A. Benzodiazepines have a rapid onset of action
B. Benzodiazepines are known to cure generalized anxiety
C. Benzodiazepines have a very short half-life
D. Physical dependence is not a risk when taking benzodiazepines ✅a.
Benzodiazepines have a rapid onset of action
A patient reports having occasional periods of tremors, palpations, nausea, and a sense
of fear, which usually dissipate within 30 minutes. To treat this condition, the nurse
anticipates the provider will prescribe a drug in which drug class?
A. Tricyclic antidepressant
, B. Monoamine oxidase inhibitor
C. Selective serotonin reuptake inhibitor
D. Benzodiazepine ✅selective serotonin reuptake inhibitors
A patient who has been taking an SSRI tells the nurse that the drug has caused
reduced sexual performance, weight gain, and sedation. The nurse will suggest that the
patient ask the provider about using which drug? ✅Bupropria (wellbutrin)
A provider has indicated that a serotonin/norepinephrine reuptake inhibitor (SNRI) will
be prescribed for a patient who is experiencing major depression. When conducting a
pretreatment health history, the nurse learns that the patient has a recent history of
alcohol abuse. Which SNRI would be contraindicated for this patient?
A. Vanlafaxine (Effexor SR)
B. Desvelafaxine (Pristiq)
C. Duloxetine (Cymbalta
D. Escitalopram (Lexapro) ✅c. Dolexetine (Cymbalta)
A patient has been taking an SSRI antidepressant for major depression and reports
having headaches and jaw pain. What will the nurse tell the patient?
A. This represents an irreversible extrapyramidal side effect
B. Discuss discontinuing with the provider
C. Try stress-relieving methods and relaxation techniques
D. Discuss these symptoms with a dentist ✅d. Discuss these symptoms with a dentist
A nurse recognizes that the actions of benzodiazepines include which findings? Select
all that apply
A. Suppression of seizures and/or seizure activity
B. Relief of general anxiety
C. Increase in muscle spasms
D. Development of tardive dyskinesia
E. Sleep deprivation ✅a. Suppression of seizures and/or seizure activity
B. Relief of general anxiety
A patient with a history of depression and suicidal ideation is taking fluoxetine (prozac).
The patient reports difficulty maintaining sleep and is prescribed secobarbital (Seconal)
as a sedative-hypnotic. The nurse preparing this patient for discharge from the hospital
will:
A. Contact the provider to suggest an order for ramelteon (Rozerem)
B. Request an order to change to trazodone (Desyrel) for sleep
C. Instruct the patient to use alcohol in moderation
D. Suggest that the patient try alternative remedies for sleep ✅b. Request an order the
change to trazodone (Desyrel) for sleep
A patient who is experiencing alcohol withdrawal is given a benzodiazepine. The nurse
understands that this drug is effective because:
A. The alcohol does not interfere with the benzodiaepine
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