NR567 Advanced Pharmacology
A patient is taking aminophylline for their
COPD. The patient is about to under-
Monitor the patient very closely for sign
go emergency surgery and will receive
of early arousal and return of muscle
a neuromuscular junction (NMJ) blocker
function.
as part of the procedure. It is important
for the nurse to take what action?
The nurse is caring for a patient who is
being maintained on a mechanical venti-
lator. Atracurium is administered to limit Bradycardia
the resistance to mechanical ventilation.
What is the nurse's priority assessment?
The nurse is preparing a patient for
surgery who will receive a neuromuscu-
lar junction blocker during the procedure.
Calcium channel blockers
It is important for the nurse to review the
patient's medication history for concur-
rent use of what?
An elderly patient has received a
neuromuscular junction blocker during
Risk for impaired skin integrity
surgery, What would be an appropriate
nursing diagnosis for this patient?
To facilitate endotracheal intubation
What are the primary uses of neuromus- To prevent injury during electroconvul-
cular junction blockers (NMJ blockers)? sive therapy
To facilitate mechanical ventilation
The pharmacology instructor is dis-
cussing nondepolarizing neuromuscular
junction blockers (NMJ blockers) with the Acts like Ach then prevents repolariza-
nursing class. How would the instruc- tion
tor explain the action on nondepolarizing
NMJ blockers?
According to the sliding filament theory, Actin and myosin molecules react with
what is the initial action in a muscle con- each other sliding along the filament and
traction? making it shorter.
A patient is to have surgery and it is
Acts as an antagonist to acetylcholine
planned that atracurium (Tracrium) is to
, NR567 Advanced Pharmacology
be used as an adjunct to general anes-
thesia. How will the atracurium work?
The nurse is caring for a patient who is
receiving pancuronium (Pavulon) to facil-
itate mechanical ventilation. The patient
If given together, a precipitate may form.
is also receiving a barbiturate. How will
the nurse administer these two medica-
tions?
The nurse is caring for a patient who
is scheduled for abdominal surgery in
the morning and is scheduled to receive
This drug is associated with pulmonary
rocuronium (Zemuron). The patient asks
hypertension
the nurse to describe the adverse effects
of rocuronium. What would the nurse de-
scribe for the patient?
The PACU nurse is caring for a patient
that had succinylcholine (Anectine) as
an adjunct to anesthesia. What is the Temperature
nurse's priority assessment while caring
for this patient?
The nurse is caring for a patient sched-
uled for abdominal surgery in the morn-
ing. The patient confides that they
watched a movie last week about some-
one who had surgery and the anesthetic Fear related to paralysis
did not work but no one knew because
that patient could not move, What nurs-
ing diagnosis will the nurse include in this
patient's plan of care?
The nurse is caring for a patient in the in-
tensive care unit who has been receiving
-The patient's muscles need to get their
neuromuscular junction (NMJ) blockers,
strength back again.
sedatives, and analgesics for the past
-This is a common occurrence in situa-
2 weeks. The NMJ blocker therapy has
tions like this.
been discontinued and the other medica-
-He is likely to breathe better each day.
tions have been reduced gradually. The
patient is now alert and awake, commu-
, NR567 Advanced Pharmacology
nicating with family by using paper and
pencil. The family asks why the patient -He will not be takne off the mechanical
cannot sustain normal respirations. What ventilator until he is ready.
is the nurse's best response?
The nurse is caring for a very anxious
33-year-old female patient scheduled for
abdominal surgery today. The patient
said the anesthesiologist said she would
30 to 60 seconds
receive succinylcholine (anactine) dur-
ing surgery and asks the nurse how long
it will take before the medication starts to
work. What is the nurse's best response?
The patient returns from surgery com-
plaining about muscle pain after receiv-
ing succinylcholine during the procedure
Aspirin
After reviewing the postoperative orders,
which of these ordered analgesics will
the nurse administer to treat this pain?
A student asks the pharmacology in-
structor how succinylcholine differs from Succinylcholine is not broken down in-
acetylcholine (Ach). What should the in- stantly.
structor respond?
The CRNA documents the anesthesia
plan as using a depolarizing NMJ blocker
as adjunct to other anesthetics on the pa-
Succinylcholine (Anectine, Quelicin)
tient when they go to surgery. The nurse
would understand from this note that the
patient will receive what drug?
The nurse administers pancuronium to
the mechanically ventilated patient in the
pediatric ventilated patient in the pedi-
atric intensive care unit. What assess- Bronchospasm
ment finding would the nurse suspect
is an adverse effect resulting from the
drug?
The nursing student asks the mental
health nurse why pancuronium was ad-
, NR567 Advanced Pharmacology
ministered to the patient before electro-
convulsive therapy was performed. What To reduce the intensity of muscle con-
is the mental health nurse's best re- tractions.
sponse?
When a nondepolarizing neuromuscular
junction blocker is used as an adjunct
to surgery, what classification of medica-
Xanthines
tions could reverse the neuromuscular
blockage leading to early arousal and
return of muscle function?
When causing depolarization of the mus-
cle membranes, what neurotransmitter
interacts with the nicotinic cholinergic re- Acetylcholine
ceptors leading to the release of calcium
ions?
The nurse, working in the preoperative
holding area, is caring for a 70-year-old
patient who is scheduled to receive suc-
Bone fracture
cinylcholine as part of general anesthe-
Malnutrition
sia. When collecting the nursing history,
Narrow-angle glaucoma
what condition would require the nurse
to notify the anesthesiologist of the need
for caution?
The nurse is caring for a patient who
received succinylcholine during surgery.
The nurse would expect the patient to
spend more time in the post anesthesia Alaskan Eskimos
care unit due to prolonged paralysis and
inability to breathe if the patient was from
what ethnic group?
A patient scheduled for surgery is to
have a nondepolarizing neuromuscular
junction (NMJ) blocker as adjunctive
anesthesia. The nurse will have cause An aminoglycoside
for concern about prolonged paralysis if
the patient has been taking what med-
ication?
A patient is taking aminophylline for their
COPD. The patient is about to under-
Monitor the patient very closely for sign
go emergency surgery and will receive
of early arousal and return of muscle
a neuromuscular junction (NMJ) blocker
function.
as part of the procedure. It is important
for the nurse to take what action?
The nurse is caring for a patient who is
being maintained on a mechanical venti-
lator. Atracurium is administered to limit Bradycardia
the resistance to mechanical ventilation.
What is the nurse's priority assessment?
The nurse is preparing a patient for
surgery who will receive a neuromuscu-
lar junction blocker during the procedure.
Calcium channel blockers
It is important for the nurse to review the
patient's medication history for concur-
rent use of what?
An elderly patient has received a
neuromuscular junction blocker during
Risk for impaired skin integrity
surgery, What would be an appropriate
nursing diagnosis for this patient?
To facilitate endotracheal intubation
What are the primary uses of neuromus- To prevent injury during electroconvul-
cular junction blockers (NMJ blockers)? sive therapy
To facilitate mechanical ventilation
The pharmacology instructor is dis-
cussing nondepolarizing neuromuscular
junction blockers (NMJ blockers) with the Acts like Ach then prevents repolariza-
nursing class. How would the instruc- tion
tor explain the action on nondepolarizing
NMJ blockers?
According to the sliding filament theory, Actin and myosin molecules react with
what is the initial action in a muscle con- each other sliding along the filament and
traction? making it shorter.
A patient is to have surgery and it is
Acts as an antagonist to acetylcholine
planned that atracurium (Tracrium) is to
, NR567 Advanced Pharmacology
be used as an adjunct to general anes-
thesia. How will the atracurium work?
The nurse is caring for a patient who is
receiving pancuronium (Pavulon) to facil-
itate mechanical ventilation. The patient
If given together, a precipitate may form.
is also receiving a barbiturate. How will
the nurse administer these two medica-
tions?
The nurse is caring for a patient who
is scheduled for abdominal surgery in
the morning and is scheduled to receive
This drug is associated with pulmonary
rocuronium (Zemuron). The patient asks
hypertension
the nurse to describe the adverse effects
of rocuronium. What would the nurse de-
scribe for the patient?
The PACU nurse is caring for a patient
that had succinylcholine (Anectine) as
an adjunct to anesthesia. What is the Temperature
nurse's priority assessment while caring
for this patient?
The nurse is caring for a patient sched-
uled for abdominal surgery in the morn-
ing. The patient confides that they
watched a movie last week about some-
one who had surgery and the anesthetic Fear related to paralysis
did not work but no one knew because
that patient could not move, What nurs-
ing diagnosis will the nurse include in this
patient's plan of care?
The nurse is caring for a patient in the in-
tensive care unit who has been receiving
-The patient's muscles need to get their
neuromuscular junction (NMJ) blockers,
strength back again.
sedatives, and analgesics for the past
-This is a common occurrence in situa-
2 weeks. The NMJ blocker therapy has
tions like this.
been discontinued and the other medica-
-He is likely to breathe better each day.
tions have been reduced gradually. The
patient is now alert and awake, commu-
, NR567 Advanced Pharmacology
nicating with family by using paper and
pencil. The family asks why the patient -He will not be takne off the mechanical
cannot sustain normal respirations. What ventilator until he is ready.
is the nurse's best response?
The nurse is caring for a very anxious
33-year-old female patient scheduled for
abdominal surgery today. The patient
said the anesthesiologist said she would
30 to 60 seconds
receive succinylcholine (anactine) dur-
ing surgery and asks the nurse how long
it will take before the medication starts to
work. What is the nurse's best response?
The patient returns from surgery com-
plaining about muscle pain after receiv-
ing succinylcholine during the procedure
Aspirin
After reviewing the postoperative orders,
which of these ordered analgesics will
the nurse administer to treat this pain?
A student asks the pharmacology in-
structor how succinylcholine differs from Succinylcholine is not broken down in-
acetylcholine (Ach). What should the in- stantly.
structor respond?
The CRNA documents the anesthesia
plan as using a depolarizing NMJ blocker
as adjunct to other anesthetics on the pa-
Succinylcholine (Anectine, Quelicin)
tient when they go to surgery. The nurse
would understand from this note that the
patient will receive what drug?
The nurse administers pancuronium to
the mechanically ventilated patient in the
pediatric ventilated patient in the pedi-
atric intensive care unit. What assess- Bronchospasm
ment finding would the nurse suspect
is an adverse effect resulting from the
drug?
The nursing student asks the mental
health nurse why pancuronium was ad-
, NR567 Advanced Pharmacology
ministered to the patient before electro-
convulsive therapy was performed. What To reduce the intensity of muscle con-
is the mental health nurse's best re- tractions.
sponse?
When a nondepolarizing neuromuscular
junction blocker is used as an adjunct
to surgery, what classification of medica-
Xanthines
tions could reverse the neuromuscular
blockage leading to early arousal and
return of muscle function?
When causing depolarization of the mus-
cle membranes, what neurotransmitter
interacts with the nicotinic cholinergic re- Acetylcholine
ceptors leading to the release of calcium
ions?
The nurse, working in the preoperative
holding area, is caring for a 70-year-old
patient who is scheduled to receive suc-
Bone fracture
cinylcholine as part of general anesthe-
Malnutrition
sia. When collecting the nursing history,
Narrow-angle glaucoma
what condition would require the nurse
to notify the anesthesiologist of the need
for caution?
The nurse is caring for a patient who
received succinylcholine during surgery.
The nurse would expect the patient to
spend more time in the post anesthesia Alaskan Eskimos
care unit due to prolonged paralysis and
inability to breathe if the patient was from
what ethnic group?
A patient scheduled for surgery is to
have a nondepolarizing neuromuscular
junction (NMJ) blocker as adjunctive
anesthesia. The nurse will have cause An aminoglycoside
for concern about prolonged paralysis if
the patient has been taking what med-
ication?
