NURS 133 MEDS FINAL EXAM QUESTIONS AND CORRECT ANSWERS 2024/2025
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Course
NURS 133
Institution
NURS 133
NURS 133 MEDS FINAL EXAM
QUESTIONS AND CORRECT ANSWERS
2024/2025
A 72-year-old patient presents at the emergency department with respiratory
depression and excessive sedation. The family tells the nurse that the patient has
been taking medication throughout the evening. The nurse suspects...
NURS 133 MEDS FINAL EXAM
QUESTIONS AND CORRECT ANSWERS
2024/2025
A 72-year-old patient presents at the emergency department with respiratory
depression and excessive sedation. The family tells the nurse that the patient has
been taking medication throughout the evening. The nurse suspects
benzodiazepine overdose and would expect what drug to be ordered?
A) Valium
B) Phenergan
C) Hydroxyzine
D) Flumazenil - ANSWERS D ~ Toxic effects of benzodiazepines include excessive
sedation, respiratory depression, and coma. Flumazenil is an antidote for the
benzodiazepines. Hydroxyzine is an antihistamine with anticholinergic effects and
would not be appropriate for this patient. Valium would enhance the effects of
benzodiazepines. Phenergan is not indicated for this patient; it is similar in actions
to hydroxyzine.
A 75-year-old patient is brought to the emergency department by his family. The
family relates that the patient is complaining of confusion, seizures, and abnormal
perception of movement. The nurse reviews all of the medication bottles found in
the house and suspects the patient overdosed on what medication?
A) Benzodiazepine
B) Antihypertensive
C) Sedative
,D) Analgesic - ANSWERS A ~ Common manifestations of benzodiazepine toxicity
include increased anxiety, psychomotor agitation, insomnia, irritability, headache,
tremor, and palpitations. Less common but more serious manifestations include
confusion, abnormal perception of movement, depersonalization, psychosis, and
seizures. These symptoms are not found in association with options B, C, or D.
A client admitted to the hospital gives the nurse a bottle of clomipramine
(anafranil) . The nurse notes that the medication has not been taken by the client
in 2 months. Which behavior observed in the client would validate noncompliance
with this medication? - ANSWERS OCD rituals
A client arrives at the health care clinic and tells the nurse that they have been
doubling their daily dosage of bupropion hydrochloride to help them get better
faster. The nurse understands that the client is now at risk for which problem? -
ANSWERS Seizure activity
A client diagnosed with chronic schizophrenia presents in an emergency
department (ED) with uncontrollable tongue movements, stiff neck, and difficulty
swallowing. The nurse would expect the physician to recognize which condition
and implement which treatment?
A. Neuroleptic malignant syndrome and treat by discontinuing antipsychotic
medications
B. Agranulocytosis and treat by administration of clozapine (Clozaril)
C. Extrapyramidal symptoms and treat by administration of benztropine
(Cogentin)
D. Tardive dyskinesia and treat by discontinuing antipsychotic medications
ANS: DThe nurse should expect that an ED physician would diagnose the client
with tardive dyskinesia and discontinue antipsychotic medications. Tardive
dyskinesia is a condition of abnormal involuntary movements of the mouth,
,tongue, trunk, and extremities that can be an irreversible side effect of typical
antipsychotic medications. - ANSWERS ANS: D
The nurse should expect that an ED physician would diagnose the client with
tardive dyskinesia and discontinue antipsychotic medications. Tardive dyskinesia
is a condition of abnormal involuntary movements of the mouth, tongue, trunk,
and extremities that can be an irreversible side effect of typical antipsychotic
medications.
A client diagnosed with generalized anxiety disorder is placed on clonazepam
(Klonopin) and buspirone (BuSpar). Which client statement indicates teaching has
been effective?
1. The client verbalizes that the clonazepam (Klonopin) is to be used for long-
termtherapy in conjunction with buspirone (BuSpar).
2. The client verbalizes that buspirone (BuSpar) can cause sedation and should
betaken at night.
3. The client verbalizes that clonazepam (Klonopin) is to be used short-term until
thebuspirone (BuSpar) takes full effect.
4. The client verbalizes that tolerance can result with long-term use of
buspirone(BuSpar). - ANSWERS 3. Clonazepam would be used for shortterm
treatment while waiting for the buspirone to take full effect, which can take 4 to 6
weeks.
TEST-TAKING HINT: To answer this question correctly, the test taker must note
appropriate teaching needs for clients prescribed different classifications of
antianxiety medications.
A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which
client symptoms related to the side effects of this medication should prompt a
nurse to intervene immediately?
A. Sore throat, fever, and malaise
B. Akathisia and hypersalivation
, C. Akinesia and insomnia
D. Dry mouth and urinary retention - ANSWERS ANS: A
The nurse should intervene immediately if the client experiences a sore throat,
fever, and malaise when taking the atypical antipsychotic drug clozapine
(Clozaril). Clozapine can have a serious side effect of agranulocytosis, in which a
potentially fatal drop in white blood cells can occur. Symptoms of infectious
processes would alert the nurse to this potential.
A client diagnosed with schizophrenia is slow to respond and appears to be
listening to unseen others. Which medication should a nurse expect a physician to
order to address this type of symptom?
A. Haloperidol (Haldol) to address the negative symptom
B. Clonazepam (Klonopin) to address the positive symptom
C. Risperidone (Risperdal) to address the positive symptom
D. Clozapine (Clozaril) to address the negative symptom - ANSWERS ANS: CT
The nurse should expect the physician to order risperidone (Risperdal) to address
the positive symptoms of schizophrenia. Risperidone (Risperdal) is an atypical
antipsychotic used to reduce positive symptoms, including disturbances in
content of thought (delusions), form of thought (neologisms), or sensory
perception (hallucinations).
A client is brought to the emergency department unconscious. The clients spouse
tells the nurse that the client was found in bed with an empty pill bottle nearby.
The clients spouse believes that there were 20 to 25 diazepam (Valium) pills in the
bottle. What represents an appropriate nursing priority?
a. Administer an emetic agent followed by activated charcoal.
b. Lavage the stomach using a nasogastric tube.
c. Prepare the client for emergency surgery.
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