BZDs may be used in following situations EXCEPT:
- A. Anaesthesia
- B. Anxiety
- C. Floppy infant syndrome
- D. Epilepsy
Correct Answer: C
Rationale: Benzodiazepines (BZDs) are used in anesthesia, anxiety, and epilepsy, but floppy infant syndrome is a side effect of maternal BZD use, not a condition treated with them.
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To prevent life-threatening events from rapid withdrawal of a beta blocker:
- A. The dosage interval should be increased by 1 hour each day.
- B. An alpha blocker should be added to the treatment regimen before withdrawal.
- C. The dosage should be tapered over a period of weeks.
- D. The dosage should be decreased by one-half every 4 days.
Correct Answer: C
Rationale: Tapering over weeks prevents rebound hypertension or ischemia.
A 27-year-old man is admitted to the emergency department (ED) after a serious motorcycle accident. The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the intensive care unit (ICU). The nurse who is going to care for this patient in the ICU knows that a priority responsibility in regard to drug therapy is what?
- A. Support vital functions
- B. Continue curative treatment
- C. Institute life-saving treatment
- D. Monitor patient's response
Correct Answer: D
Rationale: Monitoring response ensures therapy adjusts to the patient's critical condition, a priority in ICU.
A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications?
- A. Neostigmine
- B. Naloxone
- C. Dantrolene
- D. Vecuronium
Correct Answer: A
Rationale: Neostigmine reverses nondepolarizing neuromuscular blockers by increasing acetylcholine.
You need to administer 200 mL of a drug over 30 minutes using microdrip tubing (60 gtt/mL). What is the flow rate in drops per minute?
- A. 60 gtt/min
- B. 120 gtt/min
- C. 400 gtt/min
- D. 240 gtt/min
Correct Answer: C
Rationale: Flow rate = (200 mL 60 gtt/mL) ÷ 30 = 12,000 ÷ 30 = 400 gtt/min, matching option C.
An overdose of amitriptyline may precipitate all the following adverse effects EXCEPT:
- A. Cardiac arrhythmias
- B. Hypotension
- C. Sedation
- D. Jaundice
Correct Answer: D
Rationale: Amitriptyline overdose does not typically cause jaundice; it causes anticholinergic and cardiac effects.