Pharmacology Exam 3 Questions with
Complete Solutions
Which condition will alert the nurse to a potential caution or contraindication
regarding the use of dopaminergic drug for treatment of mild Parkinson's disease?
A. diarrhea
B. Tremors
C. Angle-closure glaucoma
D. Unstable gait - ANSWER-C
A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's
disease. Which intervention by the nurse is appropriate at this time?
A. notify the patient that this drug causes discoloration of the urine
B. limit the patient's intake of tyramine containing foods
C. monitor the results of renal studies because this drug can seriously affect renal
function
D. Force fluid to prevent dehydraion - ANSWER-A
During a patient teaching session about antiparkinson drugs, the nurse will include
which statement?
A. "the drug will be stopped when tremors are weakness are relieved"
B. " if a dose is missed, take two doses to avoid significant decrease in blood levels"
C. " be sure to notify your physician if your urine turns a brownish-orange color"
D. "take care to change positions slowly to prevent falling due to a drop in blood
pressure" - ANSWER-D
A patient will be taking selegine (Eldepryl), 10 mg daily, in addition to dopamine
replacement therapy for Parkinson's disease. The nurse will implement which
precautions regarding selegiline?
A. teach the patient to avoid foods containing tyramine
B. monitor for dizziness
C. inform the patient that this drug may caue urine discoloration
D. monitor for palpitations and tachycardia - ANSWER-B
A patient with Parkinson's disease will start taking entcapone (Comtan) along with
the carbidopa-levodopa (Sinemet) he ahs been taking for a few years. The nurse
recognizes that the advantage of taking encapone is that
A. the entacapone can reduce the on-off effect
B. the levodopa may be stopped in a few days
C. there is less GI upset with entacapone
D. it does not cause the cheese effect - ANSWER-A
, The nurse is assessing a patient who has begun therapy with amantadine
(Symmetrel) for Parkinson's disease. The nurse will look for which possible adverse
effects (select all that apply)
A. nausea
B. palpitations
C. dizziness
D. insomnia
E. edema - ANSWER-A, C, D
In caring for a patient who is expiriencing ethanol withdrawl, the nurse expects to
administer which medication class as a treatment for this condition?
A. lithium (Eskalith)
B. Benzodiazepines
C. buspirone (BuSpar)
D. Antidepressants - ANSWER-B
Patient teaching for a patient receiving an MAOI would include instructions to the
patient to avoid which food product?
A. Orange juice
B. Milk
C. Shrimp
D. Swiss Cheese - ANSWER-D
After a patient has been treated for depression for 4 weeks, the nurse calls the
patient to schedule a follow-up visit. What concern will the nurse assess for during
the conversation with the patient?
A. weakness
B. Hallucinations
C. Suicidal ideations
D. difficulty with urination - ANSWER-C
The nurse is caring for a partient who has been taking clozapine (Clozaril) for 2
months. Which laboratory test should be performed regularly while the patient is
taking this medication?
A. platelet count
B. WBC count
C. liver function studies
D. renal function studies - ANSWER-B
The nurse is giving medications to a patient. Which drug or drug class, when
administered with lithium, increase the risk for lithium toxicity?
A. thiazides
B. levofloxacin
C. calcium citrate
D. beta blockers - ANSWER-A
A patient is experiencing withdrawal form opioids. The nurse expects ti see which
assessment finding most commonly associated with acute opioid withdrawl?
A. elevated blood pressure
B. decreased pulse
Complete Solutions
Which condition will alert the nurse to a potential caution or contraindication
regarding the use of dopaminergic drug for treatment of mild Parkinson's disease?
A. diarrhea
B. Tremors
C. Angle-closure glaucoma
D. Unstable gait - ANSWER-C
A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's
disease. Which intervention by the nurse is appropriate at this time?
A. notify the patient that this drug causes discoloration of the urine
B. limit the patient's intake of tyramine containing foods
C. monitor the results of renal studies because this drug can seriously affect renal
function
D. Force fluid to prevent dehydraion - ANSWER-A
During a patient teaching session about antiparkinson drugs, the nurse will include
which statement?
A. "the drug will be stopped when tremors are weakness are relieved"
B. " if a dose is missed, take two doses to avoid significant decrease in blood levels"
C. " be sure to notify your physician if your urine turns a brownish-orange color"
D. "take care to change positions slowly to prevent falling due to a drop in blood
pressure" - ANSWER-D
A patient will be taking selegine (Eldepryl), 10 mg daily, in addition to dopamine
replacement therapy for Parkinson's disease. The nurse will implement which
precautions regarding selegiline?
A. teach the patient to avoid foods containing tyramine
B. monitor for dizziness
C. inform the patient that this drug may caue urine discoloration
D. monitor for palpitations and tachycardia - ANSWER-B
A patient with Parkinson's disease will start taking entcapone (Comtan) along with
the carbidopa-levodopa (Sinemet) he ahs been taking for a few years. The nurse
recognizes that the advantage of taking encapone is that
A. the entacapone can reduce the on-off effect
B. the levodopa may be stopped in a few days
C. there is less GI upset with entacapone
D. it does not cause the cheese effect - ANSWER-A
, The nurse is assessing a patient who has begun therapy with amantadine
(Symmetrel) for Parkinson's disease. The nurse will look for which possible adverse
effects (select all that apply)
A. nausea
B. palpitations
C. dizziness
D. insomnia
E. edema - ANSWER-A, C, D
In caring for a patient who is expiriencing ethanol withdrawl, the nurse expects to
administer which medication class as a treatment for this condition?
A. lithium (Eskalith)
B. Benzodiazepines
C. buspirone (BuSpar)
D. Antidepressants - ANSWER-B
Patient teaching for a patient receiving an MAOI would include instructions to the
patient to avoid which food product?
A. Orange juice
B. Milk
C. Shrimp
D. Swiss Cheese - ANSWER-D
After a patient has been treated for depression for 4 weeks, the nurse calls the
patient to schedule a follow-up visit. What concern will the nurse assess for during
the conversation with the patient?
A. weakness
B. Hallucinations
C. Suicidal ideations
D. difficulty with urination - ANSWER-C
The nurse is caring for a partient who has been taking clozapine (Clozaril) for 2
months. Which laboratory test should be performed regularly while the patient is
taking this medication?
A. platelet count
B. WBC count
C. liver function studies
D. renal function studies - ANSWER-B
The nurse is giving medications to a patient. Which drug or drug class, when
administered with lithium, increase the risk for lithium toxicity?
A. thiazides
B. levofloxacin
C. calcium citrate
D. beta blockers - ANSWER-A
A patient is experiencing withdrawal form opioids. The nurse expects ti see which
assessment finding most commonly associated with acute opioid withdrawl?
A. elevated blood pressure
B. decreased pulse
