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MODULE 3 EXAM PHARMACOLOGY

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Ques 3 / 3 pts tion 1 Absorption of bile acid-binding resins Is increased by food Is decreased by food Occurs primarily in the small intestine Does not occur; the drug is not absorbed Correct! Good work MODULE 3 EXAM PHARMACOLOGY Ques 3 / 3 pts tion 2 The site of action of antiemetics may include all of the following EXCEPT: The chemoreceptor trigger zone The cerebral cortex The emetic center The spinal cord Correct! Good work Ques 3 / 3 pts tion 3 Mrs. Smith has been started on warfarin (Coumadin) and has been instructed to avoid foods high in vitamin K. These include Carrots, potatoes, squash Apricots, peaches, cantaloupe Meat, whole milk, margarine Green leafy vegetables, wheat bran Correct! Good work Ques 3 / 3 pts tion 4 All of the following would be contraindications to the use of a thrombolytic agent except CVA (stroke) within the last 2 months Acute MI (heart attack) within the last 3 hours Correct! Recent, serious gastrointestinal bleeding Obstetrical delivery Good work Ques 3 / 3 pts tion 5 A common side effect of loperamide (Imodium) is: Fatigue Correct! Flatulence Disorientation Tremors Good work Ques 3 / 3 pts tion 6 The antidote for acetaminophen (Tylenol) poisoning is Acetylcysteine (Mucomyst) Correct! Allopurinol (Zyloprim) Ascorbic acid (Vitamin C) Amphojel Good work Ques 3 / 3 pts tion 7 Tylenol #3 consists of acetaminophen (Tylenol) and Codeine Correct! Aspirin Ibuprofen Methadone Good work Ques 3 / 3 pts tion 8 When administering pain medication to a patient, all of the following are appropriate except Maintain a positive outlook in anticipation of pain relief Encourage the patient to relax and allow the drug to work Wait until the patient shows signs of pain before administering the drug Correct! Take advantage of the placebo effect of the drug Good work Ques 3 / 3 pts tion 9 TPA (Alteplase) suppresses coagulation by: Inactivating thrombin Decreasing synthesis of clotting factors Decreasing platelet aggregation Promoting fibrin digestion Correct! Good work Ques 3 / 3 pts tion 10 Antiplatelet drugs block the aggregation of platelets and keep blood vessels open. These drugs would NOT be useful in Maintaining the patency of grafts Decreasing the risk of fatal MI Preventing reinfarction after an MI Dissolving a pulmonary embolus (blood clot) and improving oxygenation Correct! Good work Ques 3 / 3 pts tion 11 Which of the following would you consider the most adverse effect from ibuprofen (Motrin)? Blood in the stool Correct! Fever Headache Dry mouth Good work Ques 3 / 3 pts tion 12 Tylenol #3 consists of acetaminophen (Tylenol) and Codeine Correct! Aspirin Ibuprofen Methadone Good work Ques 3 / 3 pts tion 13 Psyllium hydrophilic mucilloid (Metamucil) is a laxative that works by which of the following methods? Reduces the surface tension of bowel contents Irritates the intestinal mucosa, thus increasing intestinal motility Increases mass and water content of stool, promoting evacuation Correct! Creates a barrier between the colon wall and feces Good work Q 3 / 3 pts uestion 14 The best way to evaluate pain response after administering an analgesic is to Observe the patient when he or she is not aware you are watching Use a pain assessment tool before and 30 minutes after medication administration Correct! Ask the nurse¿s aide to find out if the medication worked If a family member is present, ask him or her if the medication worked Good work Q 3 / 3 pts uestion 15 You know that your patient needs additional teaching regarding anticoagulants if he states, ¿I will Carry a Medic Alert card with me.¿ Report to the lab once a month.¿ Use aspirin for arthritis pain.¿ Correct! Use an electric razor.¿ Good work Ques 3 / 3 pts tion 16 The effects of warfarin sodium (Coumadin) are monitored by the following laboratory test RBC aPTT PT and INR Correct! Platelet count Good work Ques 3 / 3 pts tion 17 Most absorption of food occurs in the Mouth Stomach Large intestine Small intestine Correct! Good work Ques 3 / 3 pts tion 18 The most widely used cholesterol lowering agents are reductase inhibitors. The action of these drugs is to: Prevent the absorption of bile acids from the intestine Block the enzymes that convert angiotensin I to angiotensin II Block the action of HMG coenzyme A Correct! Prevent the absorption of lipids from the intestine Good work Ques 3 / 3 pts tion 19 As a group, antacids act by: Reducing gastric acid secretions Absorbing pancreatic enzymes Stimulating an alkaline secretion Raising the gastric pH Correct! Good work Ques 3 / 3 pts tion 20 To minimize the flushing associated with nicotinic acid, the patient should: Take the medication with meals Take ASA 30 minutes before the medication Correct! Drink citrus juice with the medication Take it at bedtime with milk Good work Ques 3 / 3 pts tion 21 Bulk forming laxatives such as Metamucil Produce harmful nutritional side effects Expand as water is absorbed into the fecal contents Correct! Empty both the large and small intestines Interfere with Vitamin A absorption Good work Ques 3 / 3 pts tion 22 Bleeding resulting from the administration of heparin is treated with

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