Question

49. The patient is on chronic treatment with lihium. Which laboratory test must be monitored constantly? A Hemoglobin and hematocrit B. ithium level in the blood C. urine for culture and sensitivity D. blood sugar E0 Isoniazid is the medication for treatment of tuberculosis. What is wel-known adverse effect of isoniazid and how it could be prevented? A cardiotoxicity: no known prevention B. toxicity against red blood cells; no known prevention C. toxic etfect on skin; no known prevention D. neuroloxicity: prevention- vitamin B6 51. Following are the groups of antidepressants, EXCEPT: A. SSRIS B. TCAS C. MAOIS D. Neuroleptics 52. A confused 29 year old male with blood pressure 10060 mm Hg, pinpoint pupils and respiratory rate of 10 per minute was brought in to the ER by EMS. Order for what medication should the RN expect? A. N-acetylcysteine B. Normal saline C. Flumazenil D. Naloxone 53. The patient started treatment with phenytoin. When the RN educated the patient about this medication, she recommended regular visits lo dentist. What was the reason for such an advice? A. phenytoin causes ulcers in the mouth B. phenytoin causes caries C. phenyloin causes toothache D. phenytoin can cause hyperplasia of the gums 54. Significant increase in blood pressure (hypertensive crisis) is a side effect of medications from which group of antidepressants? A. TCAS B. MAOIS C. SSRI's D. none of the above

Answer 1

49. the patient is on chronic treatment with lithium.  the lithium level in the blood is the laboratory test which should be monitored constantly.

the reason for monitoring is lithium overdose can cause lithium toxicity.so we have to regularly monitor the level of lithium in the blood.

50. isoniazid is the medication for the treatment of tuberculosis the known adverse of isoniazid its a toxic effect on the skin which has no known prevention.

51. SSRIs (selective serotonin reuptake inhibitors), TCAs(tricyclic antidepressants), MAOIs(monoamine oxidase inhibitors). these all are the group of antidepressants.

but neuroleptics drug is not an antidepressant.

52. a 29-year male comes to ER, with blood pressure 100/60 mm/hg, pinpoint pupil and slow respiratory rate.

It looks like opioid poisoning.

So, RN expect Naloxone (Which reduce the effect of opioids)

53. If the patient started treatment of phenytoin, RN should educate the patient for the regular visit of the dentist because of phenytoin cause hyperplasia of the gums.