The patient will require oral phenytoin rather than intravenous administration.   

Question 6

A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of


A.            no nursing action unless the patient experiences a “bad trip.”


B.            nonpharmacologic interventions combined with an exercise program.


C.            aggressive respiratory assistance


D.            drug therapy with bromocriptine (Parlodel).

1 points

Question 7

A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to


A.            assess the patient’s psychosocial status.


B.            administer oxygen therapy.


C.            provide an emesis basin.


D.            administer epinephrine.

1 points

Question 8

A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia?


A.            Visual hallucinations


B.            Auditory hallucinations


C.            Delusional thinking


D.            Lack of interest in normal activities

1 points

Question 9

A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient’s characteristics likely to influence possible treatment with phenytoin?


A.            The patient’s heavy alcohol use will compete with phenytoin for binding sites and he will require a higher-than-normal dose.


B.            The patient’s protein deficit will likely increase the levels of the free drug in his blood.


C.            Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects.


D.            The patient will require oral phenytoin rather than intravenous administration.

1 points

Question 10

The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be


A.            “I’ll ask the nurse practitioner if the dosage can be increased.”


B.            “Continue the prescribed dose. It may take several days to work.”


C.            “I’ll ask the nurse practitioner if the haloperidol can be discontinued and another drug started.”


D.            “I’ll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol.”

1 points


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