Deck 50: Miscellaneous Agents

Question 1

Which common adverse effect will the nurse expect to assess in a patient recently prescribed tacrine (Cognex)?

A)Dyspepsia
B)Bradycardia
C)Jaundice
D)Rash

Answer 1

Dyspepsia

Question 2

A nurse working in a long term care facility is caring for a resident diagnosed with moderate dementia.The physician recently started the resident on tacrine (Cognex).Baseline serum ALT levels were completed.The nurse will ensure that follow up ALT levels will be done:

A)every other week for 16 weeks, then monthly.
B)once a month then yearly.
C)every 6 months.
D)once a year.

Answer 2

every other week for 16 weeks, then monthly.

Question 3

Which laboratory test result would the nurse observe when a patient has hepatotoxicity?

A)Decreased bilirubin
B)Increased albumin
C)Decreased alkaline phosphatase
D)Increased alanine aminotransferase (ALT)

Answer 3

Increased alanine aminotransferase (ALT)

Question 4

Which nursing action is accurate when administering colchicine?

A)Administer the medication subcutaneously.
B)Maintain fluid intake of at least eight 8 ounce glasses daily.
C)Increase fiber in the diet to prevent constipation.
D)Inform the patient that pain will be alleviated in 2 weeks.

Question 5

The nurse receives an order to administer colchicine 0.6 mg every 1 to 2 hours until the patient exhibits adverse effects.The nurse will monitor for which adverse effect?

A)Diminished fever
B)Diarrhea or nausea
C)Increased urination
D)Decrease in erythema

Question 6

A patient recently diagnosed with Alzheimer's disease is placed on memantine (Namenda).The family asks why this medication is given.Which explanation(s) by the nurse are accurate? (Select all that apply.)

A)Memantine prevents the neurodegeneration of the disease.
B)Memantine improves word recall.
C)Memantine increases the ability to do tasks.
D)Memantine improves sleep.
E)Memantine increases appetite.

Question 7

The nurse is caring for a patient diagnosed with gout who has elevated uric acid levels.Which medication will likely be administered?

A)Allopurinol (Zyloprim)
B)Disulfiram (Antabuse)
C)Lactulose (Cephulac)
D)Memantine (Namenda)

Question 8

What is the mechanism of action of memantine (Namenda)?

A)Increases production of dopamine
B)Decreases production of serotonin
C)Blocks N-methyl-D-aspartate (NMDA) receptors in the central nervous system (CNS)
D)Enhances reuptake of central neurotransmitters

Question 9

The nurse is providing information to a patient with chronic gout arthritis who is prescribed probenecid.Which information by the nurse is accurate regarding the action of this drug?

A)It prevents uric acid crystal formation.
B)It promotes uric acid excretion.
C)It provides analgesia.
D)It treats acute gout attacks.

Question 10

A patient is prescribed memantine (Namenda) 10 mg by mouth daily in liquid form.When preparing this medication, the nurse observes that memantine (Namenda) oral solution has 2 mg/mL in 360 mL.How many milliliters will the nurse prepare?

A)2.5
B)5
C)10
D)15

Question 11

The nurse is caring for a patient with a new prescription for donepezil (Aricept) for symptoms of mild dementia.Which symptom exhibited by the patient should the nurse report to the physician immediately?

A)Bradycardia
B)Vomiting
C)Diarrhea
D)Dyspepsia

Question 12

A patient with early Alzheimer's disease is started on tacrine (Cognex), an acetylcholinesterase inhibitor.How will the nurse evaluate that the drug has been effective?

A)Decrease in the patient's agitation
B)Improvement in the patient's cognitive skills
C)Slowing of disease progression by using a standardized tool
D)Less frequent repetitive behaviors

Question 13

A patient is admitted to the Alzheimer's unit with moderate dementia.Before beginning tacrine (Cognex) therapy, which baseline nursing assessment(s) should be completed? (Select all that apply.)

A)CBC, differential, and uric acid level
B)Gastrointestinal (GI) assessment
C)Liver function tests
D)Blood pressure, pulse, respirations
E)Presenting symptoms

Question 14

Which condition(s) and/or circumstance(s) warrant caution when colchicine is used for a patient with gout? (Select all that apply.)

A)Older adult
B)Compromised immunity
C)Psychosis
D)Renal failure
E)Cardiac compromise

Question 15

What condition is allopurinol (Zyloprim) used to treat?

A)Gout resulting from antineoplastic therapy
B)Acute attacks of gouty arthritis
C)Cholelithiasis
D)First time gout attacks