Autonomic Drugs Nursing Classifications

Autonomic Drugs Nursing Classifications Related

Review Autonomic Drugs Nursing Classifications related questions and content

The nurse is caring for a patient who is chronically irritable and anxious and prone to violent behaviors. The patient has several teeth missing and has dental caries in the remaining teeth. The nurse suspects previous chronic use of which drug?

  • A. Alcohol
  • B. Cocaine
  • C. LSD
  • D. Methamphetamine
Correct Answer: D

Rationale: Methamphetamine causes tooth decay ('meth mouth') and agitation; cocaine less so. Patients previously exposed to methamphetamine use will exhibit these symptoms, and the physical effects of extended methamphetamine use are notable tooth decay and dermatologic deterioration.

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Patient teaching related to amlodipine includes:

  • A. Increase calcium intake to prevent osteoporosis from a calcium blockade.
  • B. Do not crush the tablet; it must be given in liquid form if the patient has trouble swallowing it.
  • C. Avoid grapefruit juice as it affects the metabolism of this drug.
  • D. Rise slowly from a supine position to reduce orthostatic hypotension.
Correct Answer: C

Rationale: Grapefruit juice inhibits CYP3A4, increasing amlodipine levels.

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

  • A. Serum glucose
  • B. Stool culture
  • C. Folate levels
  • D. Vitamin B12
Correct Answer: A

Rationale: Corticosteroids raise glucose, requiring monitoring; stool or vitamins aren't routine.

Which of the following drug can cause hypoglycemia:

  • A. Acarbose
  • B. Glipizide
  • C. Metformin
  • D. Pramlintide
Correct Answer: B

Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia by excessively stimulating insulin release from pancreatic beta cells.

Aminoglycosides lack activity against streptococci.

  • A. TRUE
  • B. FALSE
Correct Answer: B

Rationale: Aminoglycosides are effective against some streptococci (e.g., when combined with cell wall-active agents), though they are primarily used for gram-negative bacteria.

During which phase of pharmacokinetics could a significant drug-drug interaction occur, resulting in one drug stimulating or blocking the metabolism of the other drug?

  • A. Absorption
  • B. Distribution
  • C. Biotransformation
  • D. Excretion
Correct Answer: C

Rationale: During biotransformation, a drug may be metabolized quicker if taken at the same time as another drug, and higher doses of the drug will be needed to achieve the desired effect. During absorption, one drug can prevent or accelerate absorption of the other drug. During distribution, one drug competes for the protein-binding site of another drug so the second drug cannot be transported to the reactive tissue. During excretion, one drug competes for excretion with the other drug, leading to accumulation and toxic effects of one of the drugs.

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