Karch's Focus on
Pharmacology 8th Ed. |
Chapter 20 Exam Questions
with Answers
The nurse is caring for a client who is receiving an intravenous barbiturate. What assessment should the
nurse prioritize? - Correct Answers: BP
Eszopiclone is thought to react with norepinephrine to achieve its action. - Correct Answers: False
A 75-year-old client is brought to the emergency department by the family. The family relates that the
client has confusion, seizures, and abnormal perception of movement. When the nurse looks at the
medication that the family has brought to the ED, the nurse discovers that twice the number of tablets
are missing from the vial as there should be if the prescription orders were being followed. What should
the nurse suspect is wrong with this client? - Correct Answers: Benzodiazepine toxicity
A truck driver has been diagnosed with a generalized anxiety disorder (GAD) and lorazepam has been
prescribed. The client asked the nurse how this medication will affect his job. The nurse would advise
him how? - Correct Answers: avoid driving until he is aware of the adverse effects.
A 70-year-old patient has just started taking lorazepam 10 days ago for anxiety issues related the death
of her husband. She is staying with her daughter for a couple of weeks. The patient's daughter has
noticed that her mother is having difficulty walking and seems to be confused at times and calls the
clinic to report this to the nurse. The nurse will inform the daughter that: - Correct Answers: a dose
adjustment should be made if these symptoms persist.
Rationale:
If the drug is stopped immediately, withdrawal symptoms may occur.
One week ago, a 74-year-old was started on a benzodiazepine for the treatment of an anxiety disorder.
The client comes into the clinic for a follow-up visit and states feeling nervous, is having trouble
sleeping, and feels hyperactive. What does the nurse understand may be occurring as a result of this
medication? - Correct Answers: paradoxical excitement
