Pharm final practice questions.docx - Question 9 Type MCSA...

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Question 9 Type: MCSA The patient comes to the emergency department after an overdose of lorazepam (Ativan). The nurse will plan to administer which medication? 1. Pralidoxime (Protopam) 2. Naloxone (Narcan) 3. Flumazenil (Romazicon) 4. Nalmefene (Revex) Correct Answer: 3 Rationale 1 : Should an overdose of benzodiazepines occur, flumazenil (Romazicon) is a specific benzodiazepine receptor antagonist that can be administered to reverse central nervous system (CNS) depression. Naloxone (Narcan) is indicated for treatment of opiate overdose. Nalmefene (Revex) is indicated for treatment of opiate overdose. Pralidoxime (Protopam) is indicated for treatment of organophosphate poisoning. Question 6 Type: MCSA The patient has a patient-controlled analgesia (PCA) pump following surgery. The nurse keeps naloxone (Narcan) in the patients room as per protocol. What does the nurse recognize as the rationale for this protocol?
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1. Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled analgesia (PCA) pump and increases analgesia. 2. Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the patient- controlled analgesia (PCA) pump occurs. 3. Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of the opioid in the patient-controlled analgesia (PCA) pump. 4. Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs. Correct Answer: 4 Rationale 1 : Naloxone (Narcan) is an opioid antagonist, and will reverse the effects of the narcotic in the pump if an overdose occurs. Naloxone (Narcan) does not enhance the effects of opioids. Naloxone (Narcan) is not used to treat anaphylactic reactions. Naloxone (Narcan) is not used to treat opioid-related constipation. The nurse would anticipate administering vitamin K (AquaMEPHYTON) to which of the following patients: (select all) A : a newborn infant & a patient who has taken an overdose of the oral anticoagulant warfarin Rationale: Vitamin K (AquaMEPHYTON) is given routinely to newborn infants to prevent bleeding
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post delivery. Vitamin K decreases the anticoagulant effects of warfarin (Coumadin). Options 2, 3, and 5 are incorrect. Vitamin K is not indicated as a therapeutic treatment for hearing impairment, acne, or diabetes. Question 17 Type: MCSA Stool softeners 1. break up fecal material. 2. decrease peristalsis. 3. promote water absorption in the intestine. 4. increase peristalsis.h Correct Answer: 3 Rationale 1: Stimulate laxatives break up fecal material. Rationale 2: None cause decrease in peristalsis. Rationale 3: Stool softeners cause more water and fat to be absorbed. Rationale 4: Stimulant laxatives increase peristalsis. Question 30 Type: MCMA The patient has been keeping a headache diary of her migraines. Upon review of this diary, the nurse notes that the headaches are described as mild and have happened four times in the last 3 months. The patient reports that she generally just lies down until they pass but that her new job will
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not allow that time. She is requesting information about pain medication. What medications would
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