Galen College Of Nursing Pharm EXAM 1 Units 1-3
Questions With Complete Solutions
A newly admitted patient has been taking Fluoxetine for two
years, what medication if any would cause a contraindication
and increase the serotonin levels if taken together?
a. Morphine
b. Tylenol
c. Narcan
d. Sumatriptan Correct Answers d. Sumatriptan
* This medication should not be taken with any other SSRI
because it induces the serotonin levels
A newly admitted patient is showing signs and symptoms of
sedation after administering a patient haloperidol, what is the
nurse's priority action?
a. Hold medication and call the doctor
b. Noting this is a normal side effect
c. Give the next dose in half
d. administer naloxone Correct Answers a. Hold medication and
call the doctor
A nurse is giving a patient, patient teaching regarding the use of
a new medication Fluoxetine, which of the following would be
accurate to inform the patient? (Select all that apply)
a. if you have a cluster migraine take Sumatriptan
b. No acidic fruit like grapefruit
c. Limit to no alcohol Correct Answers b. No acidic fruit like
grapefruit
c. Limit to no alcohol
,* sumatriptan increases the serotonin, and will lead to an
adverse reaction of serotonin syndrome
A patient has a new order for Valporic Acid what is priority for
the nurse to know when giving this medication?
a. Its hepatotoxic
b. causes red urine
c. causes tremors
d. used for Bipolar disorder Correct Answers a. It's hepatotoxic
* Monitor the LFTS, Depakote levels, Teratogenic( Decreasing
the effects on birth control and cause abnormalities in patients
whom become pregnant)
A patient has a new order for Zolpidem 0.5 mg and has been
taking for past four days, patient reports feeling drowsy upon
waking up, the nurse notes that?
a. this is a normal side effect
b. tell patient to stop taking and contact PCP
c. Abruptly stop taking the medication
d. use melatonin to help Correct Answers a. this is a normal
side effect
A patient has been admitted to the hospital, stating that he has
had a acute onset of tinnitus (hearing loss), this can be a possible
sign of toxicity of which medication?
a. Aspirin
b. Celecoxib
c. Senna
d. Ginger Correct Answers a. Aspirin
, A patient has been having Cluster headaches which of the
following medications does the nurse suspect will be ordered for
this patient?
a. Tylenol
b. Carbidopa
c. Morphine
d. Sumatriptan Correct Answers d. Sumatriptan
A patient has came into the clinic and states "I dont feel like this
depression medication is working, I have still been feeling sad
and I have been taking it on time for the past week" What is the
priority nursing intervention for the patient for the new
medication Fluoxetine?
a. Talk to the PCP about a new medication
b. Inform the patient it takes 4-6 weeks to become effective
c. Tell the patient to stop taking medication
d. Give the patient a pamphlet for a psychiatric doctor Correct
Answers b. Inform the patient it takes 4-6 weeks to become
effective
* Make sure to tell the patient that the symptoms typically go
away as well when you keep taking it
A patient is assessing a patient taking Haloperidol, what signs
and symptoms requires immediate follow up?
a. rolling tongue, high fever, and smacking lips
b. Bulging eyes
c. Low B/P
d. Ringing of the ears Correct Answers a. rolling tongue, high
fever, and smacking lips
* Extrapyramidal syndrome
Questions With Complete Solutions
A newly admitted patient has been taking Fluoxetine for two
years, what medication if any would cause a contraindication
and increase the serotonin levels if taken together?
a. Morphine
b. Tylenol
c. Narcan
d. Sumatriptan Correct Answers d. Sumatriptan
* This medication should not be taken with any other SSRI
because it induces the serotonin levels
A newly admitted patient is showing signs and symptoms of
sedation after administering a patient haloperidol, what is the
nurse's priority action?
a. Hold medication and call the doctor
b. Noting this is a normal side effect
c. Give the next dose in half
d. administer naloxone Correct Answers a. Hold medication and
call the doctor
A nurse is giving a patient, patient teaching regarding the use of
a new medication Fluoxetine, which of the following would be
accurate to inform the patient? (Select all that apply)
a. if you have a cluster migraine take Sumatriptan
b. No acidic fruit like grapefruit
c. Limit to no alcohol Correct Answers b. No acidic fruit like
grapefruit
c. Limit to no alcohol
,* sumatriptan increases the serotonin, and will lead to an
adverse reaction of serotonin syndrome
A patient has a new order for Valporic Acid what is priority for
the nurse to know when giving this medication?
a. Its hepatotoxic
b. causes red urine
c. causes tremors
d. used for Bipolar disorder Correct Answers a. It's hepatotoxic
* Monitor the LFTS, Depakote levels, Teratogenic( Decreasing
the effects on birth control and cause abnormalities in patients
whom become pregnant)
A patient has a new order for Zolpidem 0.5 mg and has been
taking for past four days, patient reports feeling drowsy upon
waking up, the nurse notes that?
a. this is a normal side effect
b. tell patient to stop taking and contact PCP
c. Abruptly stop taking the medication
d. use melatonin to help Correct Answers a. this is a normal
side effect
A patient has been admitted to the hospital, stating that he has
had a acute onset of tinnitus (hearing loss), this can be a possible
sign of toxicity of which medication?
a. Aspirin
b. Celecoxib
c. Senna
d. Ginger Correct Answers a. Aspirin
, A patient has been having Cluster headaches which of the
following medications does the nurse suspect will be ordered for
this patient?
a. Tylenol
b. Carbidopa
c. Morphine
d. Sumatriptan Correct Answers d. Sumatriptan
A patient has came into the clinic and states "I dont feel like this
depression medication is working, I have still been feeling sad
and I have been taking it on time for the past week" What is the
priority nursing intervention for the patient for the new
medication Fluoxetine?
a. Talk to the PCP about a new medication
b. Inform the patient it takes 4-6 weeks to become effective
c. Tell the patient to stop taking medication
d. Give the patient a pamphlet for a psychiatric doctor Correct
Answers b. Inform the patient it takes 4-6 weeks to become
effective
* Make sure to tell the patient that the symptoms typically go
away as well when you keep taking it
A patient is assessing a patient taking Haloperidol, what signs
and symptoms requires immediate follow up?
a. rolling tongue, high fever, and smacking lips
b. Bulging eyes
c. Low B/P
d. Ringing of the ears Correct Answers a. rolling tongue, high
fever, and smacking lips
* Extrapyramidal syndrome
