Question 1

Which nursing action is accurate when administering colchicine?

Accepted Answer

A) Administer the medication subcutaneously. 
B) Maintain fluid intake of at least eight 8 ounce glasses daily. 
C) Increase fiber in the diet to prevent constipation. 
D) Inform the patient that pain will be alleviated in 2 weeks. 
A) Administer the medication subcutaneously. 
B) Maintain fluid intake of at least eight 8 ounce glasses daily. 
C) Increase fiber in the diet to prevent constipation. 
D) Inform the patient that pain will be alleviated in 2 weeks. B

Question 2

Which condition(s) and/or circumstance(s) warrant caution when colchicine is used for a patient with gout? (Select all that apply.)

Accepted Answer

A) Older adult 
B) Compromised immunity 
C) Psychosis 
D) Renal failure 
E) Cardiac compromise 
A) Older adult 
B) Compromised immunity 
C) Psychosis 
D) Renal failure 
E) Cardiac compromise A, D, E

Question 3

Which common adverse effect will the nurse expect to assess in a patient recently prescribed tacrine (Cognex)?

Accepted Answer

A) Dyspepsia 
B) Bradycardia 
C) Jaundice 
D) Rash 
A) Dyspepsia 
B) Bradycardia 
C) Jaundice 
D) Rash A

Question 4

The nurse receives an order to administer colchicine 0.6 mg every 1 to 2 hours until the patient exhibits adverse effects.The nurse will monitor for which adverse effect?

Accepted Answer

A) Diminished fever 
B) Diarrhea or nausea 
C) Increased urination 
D) Decrease in erythema 
A) Diminished fever 
B) Diarrhea or nausea 
C) Increased urination 
D) Decrease in erythema

Question 5

A nurse working in a long term care facility is caring for a resident diagnosed with moderate dementia.The physician recently started the resident on tacrine (Cognex).Baseline serum ALT levels were completed.The nurse will ensure that follow up ALT levels will be done:

Accepted Answer

A) every other week for 16 weeks, then monthly. 
B) once a month then yearly. 
C) every 6 months. 
D) once a year. 
A) every other week for 16 weeks, then monthly. 
B) once a month then yearly. 
C) every 6 months. 
D) once a year.

Question 6

The nurse is caring for a patient diagnosed with gout who has elevated uric acid levels.Which medication will likely be administered?

Accepted Answer

A) Allopurinol (Zyloprim) 
B) Disulfiram (Antabuse) 
C) Lactulose (Cephulac) 
D) Memantine (Namenda) 
A) Allopurinol (Zyloprim) 
B) Disulfiram (Antabuse) 
C) Lactulose (Cephulac) 
D) Memantine (Namenda)

Question 7

The nurse is providing information to a patient with chronic gout arthritis who is prescribed probenecid.Which information by the nurse is accurate regarding the action of this drug?

Accepted Answer

A) It prevents uric acid crystal formation. 
B) It promotes uric acid excretion. 
C) It provides analgesia. 
D) It treats acute gout attacks. 
A) It prevents uric acid crystal formation. 
B) It promotes uric acid excretion. 
C) It provides analgesia. 
D) It treats acute gout attacks.

Question 8

What condition is allopurinol (Zyloprim) used to treat?

Accepted Answer

A) Gout resulting from antineoplastic therapy 
B) Acute attacks of gouty arthritis 
C) Cholelithiasis 
D) First time gout attacks 
A) Gout resulting from antineoplastic therapy 
B) Acute attacks of gouty arthritis 
C) Cholelithiasis 
D) First time gout attacks

Question 9

Which laboratory test result would the nurse observe when a patient has hepatotoxicity?

Accepted Answer

A) Decreased bilirubin 
B) Increased albumin 
C) Decreased alkaline phosphatase 
D) Increased alanine aminotransferase (ALT) 
A) Decreased bilirubin 
B) Increased albumin 
C) Decreased alkaline phosphatase 
D) Increased alanine aminotransferase (ALT)

Question 10

The nurse is caring for a patient with a new prescription for donepezil (Aricept) for symptoms of mild dementia.Which symptom exhibited by the patient should the nurse report to the physician immediately?

Accepted Answer

A) Bradycardia 
B) Vomiting 
C) Diarrhea 
D) Dyspepsia 
A) Bradycardia 
B) Vomiting 
C) Diarrhea 
D) Dyspepsia

Question 11

A patient is prescribed memantine (Namenda) 10 mg by mouth daily in liquid form.When preparing this medication, the nurse observes that memantine (Namenda) oral solution has 2 mg/mL in 360 mL.How many milliliters will the nurse prepare?

Accepted Answer

A) 2.5 
B) 5 
C) 10 
D) 15 
A) 2.5 
B) 5 
C) 10 
D) 15

Question 12

A patient is admitted to the Alzheimer's unit with moderate dementia.Before beginning tacrine (Cognex) therapy, which baseline nursing assessment(s) should be completed? (Select all that apply.)

Accepted Answer

A) CBC, differential, and uric acid level 
B) Gastrointestinal (GI) assessment 
C) Liver function tests 
D) Blood pressure, pulse, respirations 
E) Presenting symptoms 
A) CBC, differential, and uric acid level 
B) Gastrointestinal (GI) assessment 
C) Liver function tests 
D) Blood pressure, pulse, respirations 
E) Presenting symptoms

Question 13

A patient with early Alzheimer's disease is started on tacrine (Cognex), an acetylcholinesterase inhibitor.How will the nurse evaluate that the drug has been effective?

Accepted Answer

A) Decrease in the patient's agitation 
B) Improvement in the patient's cognitive skills 
C) Slowing of disease progression by using a standardized tool 
D) Less frequent repetitive behaviors 
A) Decrease in the patient's agitation 
B) Improvement in the patient's cognitive skills 
C) Slowing of disease progression by using a standardized tool 
D) Less frequent repetitive behaviors

Question 14

A patient recently diagnosed with Alzheimer's disease is placed on memantine (Namenda).The family asks why this medication is given.Which explanation(s) by the nurse are accurate? (Select all that apply.)

Accepted Answer

A) Memantine prevents the neurodegeneration of the disease. 
B) Memantine improves word recall. 
C) Memantine increases the ability to do tasks. 
D) Memantine improves sleep. 
E) Memantine increases appetite. 
A) Memantine prevents the neurodegeneration of the disease. 
B) Memantine improves word recall. 
C) Memantine increases the ability to do tasks. 
D) Memantine improves sleep. 
E) Memantine increases appetite.

Question 15

What is the mechanism of action of memantine (Namenda)?

Accepted Answer

A) Increases production of dopamine 
B) Decreases production of serotonin 
C) Blocks N-methyl-D-aspartate (NMD
A)  receptors in the central nervous system (CNS) 
D) Enhances reuptake of central neurotransmitters 
A) Increases production of dopamine 
B) Decreases production of serotonin 
C) Blocks N-methyl-D-aspartate (NMD
A)  receptors in the central nervous system (CNS) 
D) Enhances reuptake of central neurotransmitters

Exam 50: Miscellaneous Agents

Which nursing action is accurate when administering colchicine?

Which condition(s) and/or circumstance(s) warrant caution when colchicine is used for a patient with gout? (Select all that apply.)

Which common adverse effect will the nurse expect to assess in a patient recently prescribed tacrine (Cognex)?

The nurse receives an order to administer colchicine 0.6 mg every 1 to 2 hours until the patient exhibits adverse effects.The nurse will monitor for which adverse effect?

A nurse working in a long term care facility is caring for a resident diagnosed with moderate dementia.The physician recently started the resident on tacrine (Cognex).Baseline serum ALT levels were completed.The nurse will ensure that follow up ALT levels will be done:

The nurse is caring for a patient diagnosed with gout who has elevated uric acid levels.Which medication will likely be administered?

The nurse is providing information to a patient with chronic gout arthritis who is prescribed probenecid.Which information by the nurse is accurate regarding the action of this drug?

What condition is allopurinol (Zyloprim) used to treat?

Which laboratory test result would the nurse observe when a patient has hepatotoxicity?

The nurse is caring for a patient with a new prescription for donepezil (Aricept) for symptoms of mild dementia.Which symptom exhibited by the patient should the nurse report to the physician immediately?

A patient is prescribed memantine (Namenda) 10 mg by mouth daily in liquid form.When preparing this medication, the nurse observes that memantine (Namenda) oral solution has 2 mg/mL in 360 mL.How many milliliters will the nurse prepare?

A patient is admitted to the Alzheimer's unit with moderate dementia.Before beginning tacrine (Cognex) therapy, which baseline nursing assessment(s) should be completed? (Select all that apply.)

A patient with early Alzheimer's disease is started on tacrine (Cognex), an acetylcholinesterase inhibitor.How will the nurse evaluate that the drug has been effective?

A patient recently diagnosed with Alzheimer's disease is placed on memantine (Namenda).The family asks why this medication is given.Which explanation(s) by the nurse are accurate? (Select all that apply.)

What is the mechanism of action of memantine (Namenda)?

Drug Definitions, Standards, and Information Sources

Basic Principles of Drug Action and Drug Interactions

Drug Action Across the Life Span

The Nursing Process and Pharmacology

Patient Education to Promote Health

A Review of Arithmetic

Principles of Medication Administration and Medication Safety

Percutaneous Administration

Enteral Administration

Parenteral Administration: Safe Preparation of Parenteral Medications

Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes

Parenteral Administration: Intravenous Route

Drugs That Affect the Central Nervous System

Drugs Used for Sleep

Drugs Used for Parkinsons Disease

Drugs Used for Anxiety Disorders

Drugs Used for Mood Disorders

Drugs Used for Psychoses

Drugs Used for Seizure Disorders

Drugs Used for Pain Management

Introduction to Cardiovascular Disease and Metabolic Syndrome

Drugs Used to Treat Dyslipidemias

Drugs Used to Treat Hypertension

Drugs Used to Treat Dysrhythmias

Drugs Used to Treat Angina Pectoris

Drugs Used to Treat Peripheral Vascular Disease

Drugs Used to Treat Thromboembolic Disorders

Drugs Used to Treat Heart Failure

Drugs Used for Diuresis

Drugs Used to Treat Upper Respiratory Disease

Drugs Used to Treat Lower Respiratory Disease

Drugs Used to Treat Oral Disorders

Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Diseases

Drugs Used to Treat Nausea and Vomiting

Drugs Used to Treat Constipation and Diarrhea

Drugs Used to Treat Diabetes Mellitus

Drugs Used to Treat Thyroid Disease

Corticosteroids

Gonadal Hormones

Drugs Used in Obstetrics

Drugs Used in Mens and Womens Health

Drugs Used to Treat Disorders of the Urinary System

Drugs Used to Treat Glaucoma and Other Eye Disorders

Drugs Used for Cancer Treatment

Drugs Used to Treat the Muscular System

Antimicrobial Agents

Nutrition

Herbal and Dietary Supplement Therapy

Substance Abuse

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