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NR 565 Week 3 Quiz

1. Question: A patient prescribed morphine for postoperative pain management. Which of the following effects is most likely to be observed due to activation of the mu (μ) receptor?
2. Question: A patient taking round-the-clock opioids experiences breakthrough cancer pain. What criteria must be met for appropriate use of transmucosal fentanyl?
3. Question: Which category of drugs—such as methadone and buprenorphine—is used to substitute for the abused opioid in patients not ready for detoxification?
4. Question: What adverse psychological effects can occur with high doses of marijuana?
5. Question: What characterizes the second-phase withdrawal experienced by opioid addicts after the acute abstinence syndrome?
6. Question: What adverse effect associated with tramadol requires careful monitoring, especially in patients with neurologic disorders?
7. Question: Why might the degree of pain relief achieved with codeine be lower than with morphine, even at equivalent doses?
8. Question: A pregnant woman is experiencing chronic pain. What should the provider consider regarding opioid use during pregnancy?
9. Question: Why is respiratory depression a significant concern in the case of fentanyl overdose?
10. Question: How can opioid-induced constipation be managed pharmacologically?
    

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NR 565 Week 3 Quiz

1. Question: Adherence is improved when a drug can be given once daily. Which of the following oral cholinestesterase inhibitors can be given once daily?
2. Question: A 65-year-old male has been diagnosed with hypertension and benign prostatic hyperplasia (BPH). Doxazosin (Cardura) was prescribed to treat his hypertension and his BPH symptoms have improved. Why?
3. Question: There is a narrow margin between first appearance of adverse reaction to AChE inhibitors and serious toxic effects. Which of the following adverse reactions require immediate action?
4. Question: A 60-year old male is being treated for hypertension with a beta-adrenergicantagonist (beta-blocker). Which of the following is an expected cardiovascular effect of the beta- blocker class of drugs?
5. Question: Beta-2 receptors produce which of the following effects?
6. Question: To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagonist should do which of the following?
7. Question: A 70-year old male has a history of cardiac dysrhythmias and is prescribed nadolol (Corgard). Annual laboratory work reveals a CrCl of 25 ml/min. What action should the nurse practitioner take related to his nadolol (Corgard)?
8. Question: What effect do Alpha-1 receptors have?
9. Question: Which of the following test results can beta blocker use cause?
10. Question: Beta blockers are prescribed for diabetics with caution because of their ability to produce hypoglycemia and mask the common symptoms of it. Which of the following symptoms of hypoglycemia is not masked by beta-blockers?