, es
rs
Nu
ti cs
ce
ac ti
Pr eu
p
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P
: Additional Acute Care Drugs
Test Bank
Multiple Choice
1024. A patient was involved in a car accident and needs to have debris removed from his arm.
This requires an operation, but it is unnecessary for the patient to be unconscious during
surgery. What is the best anesthetic option?
a. Epidural anesthesia
b. Acetominophen oral
c. Dexmedetomidine
d. Regional opioid anesthesia
, es
Stuvia.com - The Marketplace to Buy and Sell your Study Material
rs
Nu
ti cs
ce
ac ti
Pr eu
p
ed ra
nc he
va ot
Ad ac
r rm
ANS: E
fo ha
P
Epidural anesthesia is not optimal due to length of action and size of the area being operated on.
Oral NSAIDs would not be effective at reducing the pain that a surgical procedure would produce
(i.e., noninflammatory pain). Dexmedetomidine is also not the best choice due to sedation.
Regional opioid anesthesia would be ideal due to potent painkilling properties and fast
kinetics.DIF: Cognitive Level: AnalysisREF: p. 1016TOP: Nursing Process: Planning MSC:
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
1025. A patient is considering getting epidural anesthesia during the delivery of her child. What
considerations should the nurse make her aware of before she agrees to the procedure?
a. Opioid analgesics can induce strong tolerance and withdrawal effects.
b. She will be unconscious during the delivery due to anesthesia.
c. Anesthetic drugs may enter systemic circulation and therefore reach the neonate.
d. Anesthetic drugs are metabolized very quickly and may lose effectiveness during delivery
ANS: C
Opioid analgesics are not involved in epidural anesthesia. Lidocaine is usually used. Epidural
anesthesia will not sedate a patient. It is important the patient fully understand the risks of each
procedure she agrees to, especially in obstetric patients.DIF: Cognitive Level: ApplicationREF: p.
1017TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
1026. Which of the following is not a component of diabetic ketoacidosis treatment?
a. Insulin IV
b. Saline IV
c. Potassium IV
d. Epinephrine IM
ANS: D
A patient experiencing DKA needs to immediately be given insulin, saline, and potassium.
Epinephrine would not assist in treatment.DIF: Cognitive Level: ComprehensionREF: p.
1026TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
1027. A patient with Crohn disease is having a hypertensive emergency. Patients with Crohn
disease often have a vitamin deficiency that affects thiocyanate metabolism.This metabolic
deficiency precludes what treatment?
a. Nitroprusside [Nitropress]
b. Fenoldopam [Corlopam]
c. Labetalol
, es
Stuvia.com - The Marketplace to Buy and Sell your Study Material
rs
Nu
ti cs
ce
ac ti
Pr eu
p
ed ra
nc he
va ot
Ad ac
r rm
fo ha
d. Clevidipine [Cleviprex]
P
ANS: A
Nitroprusside contains cyanide groups that normally are metabolized into thiocyanate in the liver.
Crohn patients often have vitamin B12 deficiency due to greatly altered gastrointestinal absorption
and bacterial ecology. Vitamin B12 is involved in thiocyanate metabolism, and thus a patient with
Crohn disease would have an elevated risk of cyanide toxicity if administered nitroprusside.DIF:
Cognitive Level: AnalysisREF: p. 1024TOP: Nursing Process: Planning MSC: NCLEX Client
Needs Category: Physiologic Integrity: Reduction of Risk Potential
1028. What is the most important question a nurse should ask a patient before administering
anticoagulant drugs like abciximab?
a. “Do you take any drugs that affect blood clotting?”
b. “Are you allergic to any anticoagulants?”
c. “How long have you been hypertensive?”
d. “Are you diabetic?”
ANS: A
Patients taking an anticoagulant are contraindicated for GP IIa/IIIb receptor antagonists due to the
possibility of excessive bleeding, including intracerebral hemorrhage.DIF: Cognitive Level:
ApplicationREF: p. 1019TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction of Risk Potential
rs
Nu
ti cs
ce
ac ti
Pr eu
p
ed ra
nc he
va ot
Ad ac
r rm
fo ha
P
: Additional Acute Care Drugs
Test Bank
Multiple Choice
1024. A patient was involved in a car accident and needs to have debris removed from his arm.
This requires an operation, but it is unnecessary for the patient to be unconscious during
surgery. What is the best anesthetic option?
a. Epidural anesthesia
b. Acetominophen oral
c. Dexmedetomidine
d. Regional opioid anesthesia
, es
Stuvia.com - The Marketplace to Buy and Sell your Study Material
rs
Nu
ti cs
ce
ac ti
Pr eu
p
ed ra
nc he
va ot
Ad ac
r rm
ANS: E
fo ha
P
Epidural anesthesia is not optimal due to length of action and size of the area being operated on.
Oral NSAIDs would not be effective at reducing the pain that a surgical procedure would produce
(i.e., noninflammatory pain). Dexmedetomidine is also not the best choice due to sedation.
Regional opioid anesthesia would be ideal due to potent painkilling properties and fast
kinetics.DIF: Cognitive Level: AnalysisREF: p. 1016TOP: Nursing Process: Planning MSC:
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
1025. A patient is considering getting epidural anesthesia during the delivery of her child. What
considerations should the nurse make her aware of before she agrees to the procedure?
a. Opioid analgesics can induce strong tolerance and withdrawal effects.
b. She will be unconscious during the delivery due to anesthesia.
c. Anesthetic drugs may enter systemic circulation and therefore reach the neonate.
d. Anesthetic drugs are metabolized very quickly and may lose effectiveness during delivery
ANS: C
Opioid analgesics are not involved in epidural anesthesia. Lidocaine is usually used. Epidural
anesthesia will not sedate a patient. It is important the patient fully understand the risks of each
procedure she agrees to, especially in obstetric patients.DIF: Cognitive Level: ApplicationREF: p.
1017TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
1026. Which of the following is not a component of diabetic ketoacidosis treatment?
a. Insulin IV
b. Saline IV
c. Potassium IV
d. Epinephrine IM
ANS: D
A patient experiencing DKA needs to immediately be given insulin, saline, and potassium.
Epinephrine would not assist in treatment.DIF: Cognitive Level: ComprehensionREF: p.
1026TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
1027. A patient with Crohn disease is having a hypertensive emergency. Patients with Crohn
disease often have a vitamin deficiency that affects thiocyanate metabolism.This metabolic
deficiency precludes what treatment?
a. Nitroprusside [Nitropress]
b. Fenoldopam [Corlopam]
c. Labetalol
, es
Stuvia.com - The Marketplace to Buy and Sell your Study Material
rs
Nu
ti cs
ce
ac ti
Pr eu
p
ed ra
nc he
va ot
Ad ac
r rm
fo ha
d. Clevidipine [Cleviprex]
P
ANS: A
Nitroprusside contains cyanide groups that normally are metabolized into thiocyanate in the liver.
Crohn patients often have vitamin B12 deficiency due to greatly altered gastrointestinal absorption
and bacterial ecology. Vitamin B12 is involved in thiocyanate metabolism, and thus a patient with
Crohn disease would have an elevated risk of cyanide toxicity if administered nitroprusside.DIF:
Cognitive Level: AnalysisREF: p. 1024TOP: Nursing Process: Planning MSC: NCLEX Client
Needs Category: Physiologic Integrity: Reduction of Risk Potential
1028. What is the most important question a nurse should ask a patient before administering
anticoagulant drugs like abciximab?
a. “Do you take any drugs that affect blood clotting?”
b. “Are you allergic to any anticoagulants?”
c. “How long have you been hypertensive?”
d. “Are you diabetic?”
ANS: A
Patients taking an anticoagulant are contraindicated for GP IIa/IIIb receptor antagonists due to the
possibility of excessive bleeding, including intracerebral hemorrhage.DIF: Cognitive Level:
ApplicationREF: p. 1019TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction of Risk Potential
