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NUR 635 Advanced Pharmacacology MIDTERM EXAM 2024/2025 Questions and Answers Graded A+ GCU
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NUR 635 Advanced Pharmacacology MIDTERM EXAM 2024/2025 Questions and Answers Graded A+ GCU
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NUR 635 Advanced Pharmacacology GCUNUR 635 Advanced Pharmacacology MIDTERM
EXAM 2024/2025 Questions and Answers Graded A+
GCU
A patient in an emergency department is given intravenous Valium for seizures.
When the seizure stopped, the nurse knows the patient is lethargic and confused
and has a respiratory rate of 10 breaths per minute. The nurse will expect to
administer which of the following drugs.
A. Flumazenil (Romazicon)
B. Gastric lavage
C. Respiratory support
D. Toxicology testing
flurazepam has a half-life of 2 to 3 hours, however, it's metabolite has a long half-
life, so giving the drug results and long lasting effects. Barbiturates, not
benzodiazepines, are commonly associated with residual, or hangover effects. A
paradoxical reaction to a sedative would manifest as insomnia, euphoria, and
excitation not drowsiness. Tolerance means that the patient would need increased
amounts of a drug to get the desired effects and would not have her long effects of
the medication.
A patient who is experiencing alcohol withdrawal was given a benzodiazepine.
The nurse understands that the drug is effective because:
A. the alcohol does not interact with the benzodiazepine
,NUR 635 Advanced Pharmacacology GCU
B. The benzodiazepine potential alcohol withdrawal symptoms
C. The benzodiazepine relieves muscle spasms and spasticity
D. The patient has a cross dependence to the benzodiazepine
The answer is D benzodiazepines are given to ease withdrawal from alcohol
because of cross dependence with these drugs and alcohol, enabling the
benzodiazepine to suppress withdrawal symptoms. Alcohol and benzodiazepines
can potentiate one another. The benzodiazepine does not potentiate withdrawal
symptoms.
sedative-hypnotic drugs:
A patient in the emergency department is given IV volume for seizures. When the
seizure stops the nurse notes that the patient is lethargic and confused and has a
respiratory of 10 breaths per minute. The nurse walks back to administer which of
the following?
A. Flumazenil
B. gastric lavage
C. Respiratory support
D. Toxicology testing
The answer is C when benzodiazepines are administered intravenously, severe
affects including profound hypotension, respiratory arrest, and cardiac arrest, can
occur. Respiration should be monitored, and the airway must be managed if
necessary. Flume as a noun as a competitive benzodiazepine receptor antagonist
and is used to reverse the sedative affects but name not reverse respiratory
depression. Gastric lavage would not be effective, because the benzodiazepine has
been given IV. Without further indication of the ingestion of other drugs,
toxicology testing is not a priority.
,NUR 635 Advanced Pharmacacology GCU
Sedative(Hypnotics)
A patient has been using Seco Barbitol for several months to treat insomnia Tolsa
nurse that's the prescriber has said the prescription will be changed to Tamazzipam
because it is safer. The patient asked why the agent is safer. The nurse is corrected
and telling the patient that temazapam:
A. Does not depress the central nervous system
B. She has no respiratory depression, even In toxic doses
C. Mimics the actions of a central nervous system inhibitory neurotransmitter
D. Potentiates into Janice gamma amino butyric acid Gaba producing a finite CNS
depression
The answer is D benzodiazepines potentiate the actions of GABA, and because of
the amount of GABA in the CNS is infinite these drugs depressive effect on the
CNS is limited. Benzodiazepines to press the CNS but not to the extent of the
Barbie bitch with you. Benzodiazepines are weak Respiratory depressants at
therapeutic process and moderate to Respiratory depressant a toxic doses.
Barbiturate mimic gabba, therefore because they produce CNS depression and the
effect is limited only by the amount a barbiturate administered
A patient with a new onset seizure disorder received a prescription for
phenobarbital. The patient reports being concerned about the sedation side effects
of this drug. Which response by the nurse is correct?
A.phenobarbital doses for seizures or nonsedating
, NUR 635 Advanced Pharmacacology GCU
B. this is a short acting barbiturate so sedative wears off quickly
C. tolerance to the date of a fax will develop in a few weeks
D. you may actually experience paradoxical effects of euphoria
The answer is a Phenobarbital are used for seizure disorders and suppress seizures
actresses that are non-sedated. Phenobarbital is a long acting barbiturate. I
therapeutic process, but it affects do not occur. Paradoxical drug effects associated
with benzodiazepines and an older adults and debilitative patients with
barbiturates.
A patient who travels frequently for business reports occasional instances of being
able to fall asleep. The patient tells the nurse that the job demands require staying
up late and getting up early for meetings. The nurse expects the provider will
prescribe which medication for this patient?
A. Flurazapam
B. Trazadone (Desryl)
C. Zaleplon (Sonesta)
D. Zolpidem (Ambien)
The answer is C sonata works well for people who have trouble falling asleep and
because of a short duration of action can be taken late at night without causing a
hangover or next day sedation early in the morning. Ambien has a longer duration
and is a good choice for patients who have difficulty maintaining sleep flurazepam
has a long duration of action. Trazodone causes daytime grogginess.
Sedative hypnotic drugs
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