Question

bent is receiving morphine for pain after the surgery. How to prevent one of wel known adverse efects of this treatment? A stop treatment with morphine B switch treatment from morphine to aspirin c ontinue morphine as presented and take stool softeners as ordered D reassure and continue treatment with no modifications it has begun taking an antihistamine for the treatment of seasonal allergies. What die guidelines should the nurse provide to the client? Avoid drinking alcohol while taking antihistamines. Avoid grapefruit juice until at least 48 hours after treatment is complete C increase intake of foods that are high in vitamin C D Eat several small meals instead of three larger meals in case of Glupsel 69. The nurse is caring for a 38-year-old cient with asthma who has been started on albuterol. What assessment finding should the nurse most likely attbute to adverse medication effects? A The client reports excessive thirst B. The client's heart rate is 103 beats/minute. C. The client's oral temperature is 37.80C (1000F). D. The client had diarrhea this moming. 70. A dient has been diagnosed with asthma and preschbed inhaled steroids. What should the nurse teach the client about this treatment? A Inhaled corticosteroids should not be used on an emergency basis. B. Effective levels are usually reached within 72 hours of starting treatment C Systemic adverse effects should be expected and can be serious D. The drug will stimulate the sympathetic nervous system. 7L A nurse is educating a group of nursing students regarding Proton Pump Inhibitors (PPI) in the treatment of GastroEsophageal Reflux Disease (GERD). Which of the following drugs is consider a PPI? A Ranitidine 8. Omeprazole C Aluminum Hydroxide D. Metoclopramide (Reglan) 72 Which Selectively blocks the H2 receptors and blocks the release of HC A Pantoprazole 8. Sucralfate C. Ranitidine D. Misoprostol

Answer 1

Q67 .B .................            switching to aspirin to avoid dependance

q 68..A.....................,................Alcohol causes severe drowsyness and impaired motor skills if taken with antihistaminics

q 69 A........................ Dryness of mouth and palpitation common side effects

Q 70 D..............................Modulation of bronchial vascular tone (sympathetic action)

Q71    B..............................Omeprazole is inactive in neutral pH,at pH <5 it rearrranges to 2 charged cationic form which covalently reacts with SH group of H+ K+ ATPase enzyme and irreversibly inactivate it.After absorption in blood stream to parietal cells, give high degree of selectivity of omeprazole.Acid secretion resumes only when new H+K+ATPase enzyme molecule after say 18 20 hrs synthesized.

Q72.     A.               Pantoprazole is similar clinically potent and efficient as omeprazole