NUR 3145 Exam 4 Questions With Complete Solutions
• Risperdal- atypical 1st generation anti-psychotic Correct
Answers o Used to treat schizophrenia and bipolar disorder
o Cause a lesser degree of movement (extrapyramidal) side
effects and constipation bc atypical
o The exact mechanism of action of risperidone is not known,
but, like other anti-psychotics, it is believed that risperidone
affects the way the brain works by interfering with
communication among the brain's nerves
o Side effects
♣ anxiety
♣ changes in vision, including blurred vision
♣ difficulty concentrating
♣ difficulty speaking or swallowing
♣ inability to move the eyes
♣ increase in amount of urine
♣ loss of balance control
♣ mask-like face
1st generation anti-depressants action? Correct Answers
corrected imbalance in neurotransmitters dopamine, serotonin
and norepinephrine; blocked reuptake of the neurotransmitters
2nd generation anti depressants should not be taken with use of
MAOI in the past ____ days Correct Answers 2nd generation
anti depressants should not be taken with use of MAOI in the
past 14 days
2nd generation anti-depressants adverse effects Correct
Answers insomnia
,weight gain
sexual dysfunction
highly bound to albumin
will compete with other drugs for albumin binding site
A patient is receiving dobutamine for shock and is complaining
of feeling more "skipping beats" than yesterday. What will the
nurse do next? Correct Answers Discontinue the dobutamine
immediately
A-L-B-M Correct Answers Amantadine
levodopa
bromocriptine
MAO-inhibtors
Adrenergic Medications
mimic effects of the ____ neurotransmitters Correct Answers
Adrenergic Medications
mimic effects of the SNS neurotransmitters
Adrenergics given with tricyclic antidepressants and _______
may cause a hypertensive crisis Correct Answers Adrenergics
given with tricyclic antidepressants and MAO inhibitors may
cause a hypertensive crisis
adverse effects of adjunct meds for parkinson? Correct Answers
urinary retention, confusion, visual blurring, palpitations, and
increased intraocular pressure
, adverse effects of amantadine (Symmetrel) Correct Answers
dizziness, insomnia and nausea; this med has anticholinergic
effects, if used with other anticholinergic meds will have
additive effects
Adverse effects of talcapone or entacapone Correct Answers
GI upset
urine discoloration associated with severe liver failure
alpha 1 receptor sites located in
alpha 2 receptor sites located in Correct Answers Alpha 1 -
postsnaptic effector cells on target organ
Alpha 2 - presnaptic nerve terminals; both control release of
neurotransmitters
both located in peripheral blood vessels and smooth muscles
Alpha-Adrenergic Antagonists: Cardura Correct Answers alpha
blocker that will also affect BPH
(doxazosin)
Alpha-Adrenergic Antagonists: Flomax Correct Answers
(tamsulosin) - BPH; relax smooth muscle
anti-cholinergic drug-Cogentin (benztropine): Correct Answers
secondary drug for tremor/muscle rigidity;
action is to block acetylcholine;
does not help bradykinesia; meds can cross the Blood brain
barrier
anti cholinergic for parkinsons
• Risperdal- atypical 1st generation anti-psychotic Correct
Answers o Used to treat schizophrenia and bipolar disorder
o Cause a lesser degree of movement (extrapyramidal) side
effects and constipation bc atypical
o The exact mechanism of action of risperidone is not known,
but, like other anti-psychotics, it is believed that risperidone
affects the way the brain works by interfering with
communication among the brain's nerves
o Side effects
♣ anxiety
♣ changes in vision, including blurred vision
♣ difficulty concentrating
♣ difficulty speaking or swallowing
♣ inability to move the eyes
♣ increase in amount of urine
♣ loss of balance control
♣ mask-like face
1st generation anti-depressants action? Correct Answers
corrected imbalance in neurotransmitters dopamine, serotonin
and norepinephrine; blocked reuptake of the neurotransmitters
2nd generation anti depressants should not be taken with use of
MAOI in the past ____ days Correct Answers 2nd generation
anti depressants should not be taken with use of MAOI in the
past 14 days
2nd generation anti-depressants adverse effects Correct
Answers insomnia
,weight gain
sexual dysfunction
highly bound to albumin
will compete with other drugs for albumin binding site
A patient is receiving dobutamine for shock and is complaining
of feeling more "skipping beats" than yesterday. What will the
nurse do next? Correct Answers Discontinue the dobutamine
immediately
A-L-B-M Correct Answers Amantadine
levodopa
bromocriptine
MAO-inhibtors
Adrenergic Medications
mimic effects of the ____ neurotransmitters Correct Answers
Adrenergic Medications
mimic effects of the SNS neurotransmitters
Adrenergics given with tricyclic antidepressants and _______
may cause a hypertensive crisis Correct Answers Adrenergics
given with tricyclic antidepressants and MAO inhibitors may
cause a hypertensive crisis
adverse effects of adjunct meds for parkinson? Correct Answers
urinary retention, confusion, visual blurring, palpitations, and
increased intraocular pressure
, adverse effects of amantadine (Symmetrel) Correct Answers
dizziness, insomnia and nausea; this med has anticholinergic
effects, if used with other anticholinergic meds will have
additive effects
Adverse effects of talcapone or entacapone Correct Answers
GI upset
urine discoloration associated with severe liver failure
alpha 1 receptor sites located in
alpha 2 receptor sites located in Correct Answers Alpha 1 -
postsnaptic effector cells on target organ
Alpha 2 - presnaptic nerve terminals; both control release of
neurotransmitters
both located in peripheral blood vessels and smooth muscles
Alpha-Adrenergic Antagonists: Cardura Correct Answers alpha
blocker that will also affect BPH
(doxazosin)
Alpha-Adrenergic Antagonists: Flomax Correct Answers
(tamsulosin) - BPH; relax smooth muscle
anti-cholinergic drug-Cogentin (benztropine): Correct Answers
secondary drug for tremor/muscle rigidity;
action is to block acetylcholine;
does not help bradykinesia; meds can cross the Blood brain
barrier
anti cholinergic for parkinsons
