Clinical Pharmacology Exam Bank
Course Introduction
Clinical Pharmacology is a branch of medical science that explores the interactions between drugs and the human body, with a focus on the mechanisms of drug action, therapeutic uses, side effects, and the principles of safe and effective medication management. This course provides students with a comprehensive understanding of pharmacokinetics, pharmacodynamics, drug metabolism, and the variation in drug response among different populations. Emphasis is placed on evidence-based prescribing, monitoring drug efficacy and safety, and practical decision-making in clinical settings across various disease states. Through case studies and applied learning, students gain the knowledge and skills required to integrate pharmacological principles into patient-centered care.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 8th Edition by Kee
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59 Chapters
928 Verified Questions
928 Flashcards
Source URL: https://quizplus.com/study-set/679
Page 2
Chapter 1: Drug Action: Pharmaceutic, Pharmacokinetic, and Pharmacodynamic Phases
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/13012
Sample Questions
Q1) The nurse gives 800 mg of a drug that has a half-life of 8 hours.How much drug will be left in the body in 24 hours if no additional drug is given?
A)None
B)50 mg
C)100 mg
D)200 mg
Answer: C
Q2) The nurse is preparing to administer a drug that is eliminated through the kidneys.The nurse reviews the patient's chart and notes that the patient has increased serum creatinine and blood urea nitrogen (BUN).The nurse will perform which action?
A)Administer the drug as ordered.
B)Anticipate a shorter than usual half-life of the drug.
C)Expect decreased drug effects when the drug is given.
D)Notify the provider and discuss giving a lower dose.
Answer: D
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Chapter 2: The Drug Approval Process
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13013
Sample Questions
Q1) A patient is prescribed a medication and asks the nurse if the drug is available in a generic form.The nurse understands that a generic medication will have a name that A)is a registered trademark.
B)is always capitalized.
C)describes the drug's chemical structure.
D)is non-proprietary.
Answer: D
Q2) The nurse is preparing to give a medication to a child.The child's parent asks whether the drug is safe for children.How will the nurse respond to the parent?
A)"Drugs are tested on adults and safe doses for children are based on weights compared to adult weights."
B)"Drugs are deemed safe for children over time when repeated use proves effectiveness and safety."
C)"Drugs are tested for both efficacy and safety in children in order to be marketed for pediatric use."
D)"Drugs are tested on children in postmarketing studies and on a limited basis." Answer: C
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Chapter 3: Cultural and Pharmacogenetic Considerations
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/13014
Sample Questions
Q1) The nurse is caring for an African-American patient who is taking warfarin (Coumadin)to prevent blood clots.The nurse will monitor this patient carefully for which effect?
A)Decreased therapeutic effects
B)Heightened risk for hemorrhage
C)Increased risk of hypersensitivity
D)Potential risk of paradoxical effects
Answer: A
Q2) The nurse is performing a pain assessment on a patient of Asian descent.The patient does not describe the pain when asked to do so and looks away from the nurse.What will the nurse do next?
A)Ask the patient's family member to evaluate the patient's pain.
B)Conclude that the patient's pain is minimal.
C)Evaluate the patient's non-verbal pain cues.
D)Suspect that the patient is experiencing severe pain.
Answer: C
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Chapter 4: Drug Interactions and Over-the-Counter Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13015
Sample Questions
Q1) A patient has been taking warfarin (Coumadin),which is highly protein-bound.The patient will begin taking gemfibrozil,which is also highly protein-bound.The nurse will observe the patient closely for
A)decreased effects of warfarin.
B)increased effects of warfarin.
C)decreased effects of gemfibrozil.
D)decreased effects of both drugs.
Q2) The provider has ordered amoxicillin with clavulanate (Augmentin)for a child who has otitis media.The child's parent asks why this drug is necessary when amoxicillin is less expensive.The nurse will explain that clavulanate is added to amoxicillin because it A)binds with albumin to increase the amount of available amoxicillin.
B)broadens the spectrum of amoxicillin by inhibiting bacterial enzymes.
C)inhibits hepatic blood flow,leading to increased serum drug levels of amoxicillin.
D)inhibits the excretion of amoxicillin by interfering with renal function.
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6
Chapter 5: Drugs of Abuse
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13016
Sample Questions
Q1) A patient is using the Commit lozenge 2 mg to help quit smoking and reports nausea and indigestion.The nurse will instruct the patient to perform which action?
A)Allow the lozenge to dissolve slowly over 20 to 30 minutes.
B)Chew the lozenge thoroughly before swallowing it.
C)Increase to 4 mg and use less often.
D)Take the lozenge with food and a full glass of water.
Q2) 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
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Chapter 6: Herbal Therapies
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13017
Sample Questions
Q1) A man is diagnosed with benign prostatic hypertrophy and wants to avoid surgery.He asks the nurse about using saw palmetto.What information will the nurse include when teaching this patient about this herb?
A)"Gastric disturbances are common while using this herb."
B)"Saw palmetto may help treat erectile dysfunction (ED) as well."
C)"Use saw palmetto for up to 30 days and stop taking it when effects occur."
D)"You should stop taking the herb 1 to 2 weeks prior to prostate-specific antigen (PSA) testing."
Q2) A pregnant woman tells the nurse that she is taking ginger to reduce morning sickness.What will the nurse tell this patient?
A)"Ginger can cause fetal birth defects."
B)"Ginger is not safe during pregnancy."
C)"Ginger can cause abortion in low doses."
D)"Ginger may be taken in low doses for up to 4 days."
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Chapter 7: Pediatric Pharmacology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13018
Sample Questions
Q1) The nurse is teaching a 15-year-old female patient and her parents about an antibiotic the adolescent will begin taking.The drug is known to decrease the effectiveness of oral contraceptive pills (OCPs).The nurse will A)ask the adolescent and her parents whether she is taking OCPs.
B)tell her parents privately that pregnancy may occur if she is taking OCPs.
C)tell her privately that the medication may decrease the effectiveness of OCPs.
D)warn her and her parents that she may get pregnant if she is relying on OCPs.
Q2) The provider has ordered that vitamin D drops be given to a newborn.Based on the knowledge of drug distribution in infants,the nurse understands that the infant may need A)a higher dose.
B)a lower dose.
C)less frequent dosing.
D)more frequent dosing.
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9
Chapter 8: Geriatric Pharmacology
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/13019
Sample Questions
Q1) An 80-year-old patient is being treated for an infection.An order for which type of antibiotic would cause concern for the nurse caring for this patient?
A)Aminoglycoside
B)Cephalosporin
C)Penicillin
D)Sulfonamide
Q2) The nurse is performing an admission assessment on an 80-year-old patient who has frequent hospital admissions.The patient appears more disoriented and confused than usual.Which action by the nurse is correct?
A)Asking about medication doses
B)Asking for a neurologist consult
C)Requesting orders for liver function tests
D)Suspecting impaired renal function
Q3) To assist an older,confused patient to adhere to a multidrug regimen,the nurse will provide which recommendation?
A)Avoid the use of over-the-counter medications.
B)Bring all medications to each clinic visit.
C)Review the manufacturer's information insert about each medication.
D)Save money by getting each drug at the pharmacy with the lowest price.
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Page 10
Chapter 9: Collaboration in Community Settings
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13020
Sample Questions
Q1) The nurse is teaching a patient about a new medication that will be administered using a metered-dose inhaler.To evaluate the patient's understanding about how to use the device,what will the nurse do?
A)Ask the patient to give a return demonstration using the inhaler.
B)Give the patient written instructions to review as needed.
C)Offer the patient an Internet web address with information about the product.
D)Provide information about drug effects and adverse reactions.
Q2) A nursing student is working as a home health aide.The patient asks the aide to give a medication,and the aide calls the nurse for permission to perform this task.Which is the correct response by the nurse?
A)"I can authorize you to give this medication."
B)"If you have taken a pharmacology course,you may give the medication."
C)"You may assist the patient to self-administer the medication."
D)"You should never assist with medications in the home setting."
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Chapter 10: The Role of the Nurse in Drug Research
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13021
Sample Questions
Q1) The nurse is enrolling subjects for a clinical drug trial in which subjects will be randomly assigned to either a treatment or a placebo group.The pills in both groups will be in identical packaging with identical appearance.This is an example of which type of study?
A)Crossover
B)Double-blind
C)Open-label
D)Single-blind
Q2) The nurse is obtaining consent from a subject newly recruited for a clinical drug trial that will last for 6 months.All subjects will be given gift certificates for participating.One subject says,"Well,I guess if the drug doesn't work,I'll just have to put up with the symptoms for 6 months." What will the nurse tell the subject?
A)"Participation for the duration of the study is required."
B)"Participation may end at any time without penalty."
C)"Withdrawal from the study may end at any time,but the gift certificate will not be given."
D)"You can request placement in the treatment group."
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Page 12
Chapter 11: The Nursing Process in Patient-Centered Pharmacotherapy
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/13022
Sample Questions
Q1) Which assessment is categorized as objective data?
A)A list of herbal supplements regularly used
B)Lab values associated with drugs the patient is taking
C)The ages and relationship to the patient of all household members
D)Usual dietary patterns and intake
Q2) A school-age child will begin taking a medication to be administered 5 mL three times daily.The child's parent tells the nurse that,with a previous use of the drug,the child repeatedly forgot to bring the medication home from school,resulting in missed evening doses.What will the nurse recommend?
A)Asking the provider if the medication may be taken before school,after school,and at bedtime
B)Putting a note on the child's locker to encourage the child to take responsibility for medication administration
C)Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be taken in the evening so that the correct amount is given daily
D)Taking the noon dose to school every day and giving it to the school nurse to administer
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Page 13
Chapter 12: Safety and Quality in Pharmacotherapy
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/13023
Sample Questions
Q1) The nurse is preparing to administer a medication from a unit-dose system.The nurse verifies that the medication,dose,and time are correct and that the expiration date was the day prior.Which action is correct?
A)Administer the medication and observe for adequate drug effects.
B)Notify the pharmacist and provider of a medication error.
C)Return the medication to the pharmacy to be replaced.
D)Verify the right patient and administer the medication.
Q2) When the nurse practices the "5-plus-5" rights of medication administration,what does it ensure?
A)Adequate information is given
B)Cost-effective use of medications
C)Informed consent for drug administration
D)Safe administration of medications
Q3) Which is a violation of a nurse's right when administering medications?
A)A hospital policy for off-label drug uses
B)A medication preparation area at the unit secretary's desk
C)A multiple-dose drug vial requiring the nurse to calculate and measure the dose
D)A new drug ordered that the nurse must look up in a drug manual
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Page 14
Chapter 13: Medication Administration
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13024
Sample Questions
Q1) The nurse is performing tuberculin testing on a patient.Which action by the nurse is correct?
A)Insert the needle,bevel up,at a 30-degree angle.
B)Massage the area gently after the injection.
C)Measure the diameter of the area of erythema when reading the result.
D)Use a 25-gauge,3/8" needle.
Q2) A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer.The patient asks why the spacer is necessary.The nurse will explain that the spacer
A)allows a larger dose to be given safely.
B)distributes medication to target tissues.
C)minimizes adverse effects of the steroid.
D)prevents contamination of the metered-dose inhaler.
Q3) The nurse is teaching a patient about using sublingual nitroglycerin at home.Which statement by the patient indicates understanding of the teaching?
A)"I may put the tablet in food if I don't like the taste."
B)"I may take a sip of water after placing the tablet in my mouth."
C)"I will place the tablet between my cheek and gum."
D)"I will place the tablet under my tongue and let it absorb."
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Page 15
Chapter 14: Medications and Calculations
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/13025
Sample Questions
Q1) Order: trimethoprim-sulfamethoxazole (Bactrim)160/800 mg,PO,b.i.d.
Available: Bactrim 80/400-mg tablets
How many tablets will be given per dose?
Q2) Order: amoxicillin (Amoxil)300 mg,PO,b.i.d.
Available: Amoxil 400 mg/5 mL
How many mL will be given per dose?
Q3) Order: cefuroxime axetil (Ceftin)200 mg,PO,b.i.d.
Available: Ceftin 250 mg/5 mL
How many mL will the patient receive per dose?
Q4) Order: midazolam (Versed)3 mg,IM,STAT
Available: Versed 10 mg/2 mL
How many mL will be given?
Q5) Order: levetiracetam (Keppra),PO,20 mg/kg/day,divided b.i.d.
Available: Keppra 100 mg/mL
Patient weight: 20 kg
How many mL will the patient receive per dose?
Q6) Order: 1000 mL of lactated Ringer's (LR)solution to be administered in 6 hours
Available: 1 L LR Macrodrip set labeled 10 gtt/mL
a.How many mL of LR will be infused in 1 hour?
b.How many drops per minute (gtt/min)will the patient receive?
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Chapter 15: Vitamin and Mineral Replacement
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13026
Sample Questions
Q1) A patient asks the nurse about whether it is necessary to take vitamin supplements.The patient is a 26-year-old female who is contemplating pregnancy.The nurse will recommend which supplement?
A)Calcium and vitamin D
B)Folic acid (folate)
C)Iron
D)Vitamin C
Q2) A young woman tells the nurse that she has a strong family history of osteoporosis and that she has been taking calcium supplements.Which vitamin will the nurse recommend as an adjunct to calcium supplementation?
A)Vitamin A
B)Vitamin D
C)Vitamin E
D)Vitamin K
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Chapter 16: Fluid and Electrolyte Replacement
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/13027
Sample Questions
Q1) The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac dysrhythmia.The patient takes hydrochlorothiazide (HydroDIURIL)and reports regular use of over-the-counter laxatives.Before administering the first dose of digoxin,the nurse will review the patient's electrolytes with careful attention to the levels of which electrolytes?
A)Calcium and magnesium
B)Sodium and calcium
C)Potassium and chloride
D)Potassium and magnesium
Q2) A patient is admitted after experiencing vomiting and diarrhea for several days.The provider orders intravenous lactated Ringer's solution.The nurse understands that this fluid is given for which purpose?
A)To increase interstitial and intracellular hydration
B)To maintain plasma volume over time
C)To pull water from the interstitial space into the extracellular fluid
D)To replace water and electrolytes
Q3) A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?
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Page 18
Chapter 17: Nutritional Support
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13028
Sample Questions
Q1) The nurse assumes care for a patient who is being treated with enteral feeding.When performing the initial assessment,the nurse finds the patient supine and asleep.The nurse will perform which action?
A)Elevate the head of the bed 30 degrees.
B)Flush the tubing with water.
C)Position the patient to the left side.
D)Temporarily discontinue the infusion.
Q2) The nurse is preparing a patient who will receive intermittent enteral nutrition at home with a hyperosmolar solution.What information will the nurse include when teaching this patient?
A)How to perform the Valsalva maneuver
B)The need to consume extra fluids between feedings
C)The need to decrease dietary fiber
D)The need to remain supine during infusion of the enteral solution
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19
Chapter 18: Adrenergic Agonists and Adrenergic Blockers
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13029
Sample Questions
Q1) A patient who has asthma is diagnosed with hypertension.The nurse understands that which drug will be safe to give this patient?
A)Pindolol (Visken)
B)Metoprolol (Lopressor)
C)Nadolol (Corgard)
D)Propranolol (Inderal)
Q2) The nurse is caring for a patient who will begin taking atenolol (Tenormin).What information will the nurse include when teaching the patient about taking this medication?
A)The drug must be taken twice daily.
B)The patient must rise slowly from a chair or bed.
C)The medication is safe to take during pregnancy.
D)Use NSAIDs as needed for mild to moderate pain.
Q3) A patient will begin taking albuterol (Proventil)to treat asthma.When teaching the patient about this drug,the nurse will make which recommendation?
A)Report rapid or irregular heart rate.
B)Drink 8 to 16 extra ounces of fluid each day.
C)Monitor serum glucose daily.
D)Take a calcium supplement.
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Page 20
Chapter 19: Cholinergic Agonists and Anticholinergics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13030
Sample Questions
Q1) The nurse is preparing to administer benztropine (Cogentin)to a patient who has Parkinson's disease.When performing an assessment,which aspect of the patient's history would cause the nurse to hold the medication and notify the provider?
A)Asthma
B)Glaucoma
C)Irritable bowel syndrome
D)Motion sickness
Q2) A patient who has Parkinson's disease will begin treatment with benztropine (Cogentin).Which symptom of Parkinson's disease would be a contraindication for this drug?
A)Drooling
B)Muscle rigidity
C)Muscle weakness
D)Tardive dyskinesia
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21
Chapter 20: Central Nervous System Stimulants
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13031
Sample Questions
Q1) The nurse is working in a neonatal intensive care unit and is caring for an infant who is experiencing multiple periods of apnea and bradycardia.Which drug will the nurse expect to administer?
A)Albuterol (Proventil)
B)Caffeine (Cafcit)
C)Doxapram (Dopram)
D)Methylphenidate (Ritalin)
Q2) The nurse is caring for a 7-year-old child who has difficulty concentrating and completing tasks and who cannot seem to sit still.Which diagnostic test may be ordered to assist with a diagnosis of attention deficit/hyperactivity disorder (ADHD)in this child?
A)Computerized tomography (CT) of the head
B)Electrocardiogram (ECG)
C)Electroencephalogram (EEG)
D)Magnetic resonance imaging (MRI) of the brain
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Chapter 21: Central Nervous System Depressants
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13032
Sample Questions
Q1) A patient who has been taking butabarbital (Butisol)for several weeks reports being drowsy and having difficulty performing tasks at work most mornings.The nurse suspects that which drug effects have occurred?
A)Dependence
B)Hangover
C)Tolerance
D)Withdrawal
Q2) An older adult patient reports frequent nighttime awakening because of arthritis pain and asks the nurse about taking an over-the-counter product to help with this problem.The nurse will recommend that the patient discuss which medication with the provider?
A)Ibuprofen (Motrin)
B)Nytol
C)Sominex
D)Tylenol PM
Q3) Children who experience nightmares have these during which stage of sleep?
A)Early morning sleep
B)Nonrapid eye movement sleep
C)Rapid eye movement sleep
D)Sleep induction
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Chapter 22: Anticonvulsants
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13033
Sample Questions
Q1) The nurse is preparing to administer phenytoin to an 80-year-old patient and notes the following order: IVP phenytoin 50 mg.The nurse will perform which action?
A)Administer the undiluted drug through a Y-tube over two minutes.
B)Contact the provider to question the route and the dose.
C)Dilute the drug in dextrose solution and infuse over 15 to 20 minutes.
D)Request an order to administer the drug intramuscularly.
Q2) An intubated child is brought to the emergency department while having a seizure that has been progressing for 20 minutes.Which drug will the nurse anticipate administering to this patient?
A)Diazepam (Valium)
B)Phenobarbital (Luminal)
C)Phenytoin (Dilantin)
D)Valproic acid (Depakote)
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Chapter 23: Drugs for Neurological Disorders: Parkinsonism and
Alzheimers Disease
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13034
Sample Questions
Q1) The nurse is preparing to administer a first dose of benztropine (Cogentin)to a patient diagnosed with parkinsonism.The nurse would notify the patient's provider if the patient had a history of which condition?
A)Asthma
B)Glaucoma
C)Hypertension
D)Irritable bowel disease
Q2) Which antiviral medication improves symptoms of Parkinson's disease in some patients?
A)Acyclovir (Zovirax)
B)Amantadine HCl (Symmetrel)
C)Interferon (INF)
D)Zanamivir (Relenza)
Q3) The nurse is teaching a patient who has Parkinson's disease about the side effects of carbidopa-levodopa.Which statement by the patient indicates a need for further teaching?
A)"I may experience urinary retention,dry mouth,and constipation."
B)"I may feel dizzy at first,but this side effect will go away with time."
C)"I should report nightmares and mental disturbances to my provider."
Page 25
D)"I should take the drug with food to increase absorption."
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Chapter 24: Drugs for Neuromuscular Disorders:
Myasthenia Gravis, Multiple Sclerosis, and Muscle Spasms
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13035
Sample Questions
Q1) The nurse is caring for a patient who has recurrent muscle spasms.The provider has ordered metaxalone (Skelaxin)to treat the spasms.The nurse learns that the patient has a history of drug and alcohol abuse.The nurse will contact the provider to discuss switching this patient to which medication?
A)Carisoprodol (Soma)
B)Chlorzoxazone (Parafon forte DSC)
C)Cyclobenzaprine (Flexeril)
D)Methocarbamol (Robaxin)
Q2) The nurse is preparing to care for a patient who has myasthenia gravis.The nurse will be alert to symptoms affecting which body system in this patient?
A)Cardiovascular system and postural muscles
B)Central nervous system (CNS),memory,and cognition
C)Gastrointestinal system (GI) and lower extremity muscles
D)Respiratory system and facial muscles
Q3) Which muscle relaxant is used in surgery as a skeletal muscle relaxant?
A)Baclofen (Lioresal)
B)Chlorzoxazone (Parafon forte)
C)Pancuronium bromide (Pavulon)
D)Methocarbamol (Robaxin)
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Chapter 25: Antiinflammatory Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13036
Sample Questions
Q1) The nurse is caring for a patient who has rheumatoid arthritis and who is receiving infliximab (Remicade)IV every 8 weeks.Which laboratory test will the nurse anticipate that this patient will need?
A)Calcium level
B)Complete blood count
C)Electrolytes
D)Potassium
Q2) Which antigout medication is used to treat chronic tophaceous gout?
A)Allopurinol (Zyloprim)
B)Colchicine
C)Probenecid (Benemid)
D)Sulfinpyrazone (Anturane)
Q3) A patient who is taking aspirin for arthritis pain asks the nurse why it also causes gastrointestinal upset.The nurse understands that this is because aspirin
A)increases gastrointestinal secretions.
B)increases hypersensitivity reactions.
C)inhibits both COX-1 and COX-2.
D)is an acidic compound.
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Chapter 26: Nonopioid and Opioid Analgesics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13037
Sample Questions
Q1) The nurse is teaching a female patient who will begin taking 2 tablets of 325 mg acetaminophen every 4 to 6 hours as needed for pain.Which statement by the patient indicates understanding of the teaching?
A)"I may take acetaminophen up to 6 times daily if needed."
B)"I should increase the dose of acetaminophen if I drink caffeinated coffee."
C)"If I take oral contraceptive pills,I should use back-up contraception."
D)"It is safe to take acetaminophen with any over-the-counter medications."
Q2) The nurse is caring for a postoperative older patient who received PO hydrocodone with acetaminophen (Lortab)45 minutes prior after reporting a pain level of 8 on a scale of 1 to 10.The patient reports a pain level of 4,and the nurse notes a respiratory rate of 20 breaths per minute,a heart rate of 92 beats per minute,and a blood pressure of 170/95 mm Hg.Which action will the nurse take?
A)Contact the provider and request an order for a more potent opioid analgesic.
B)Reassess the patient in 30 minutes.
C)Request an order for ibuprofen to augment the opioid analgesic.
D)Suggest that the patient use nonpharmacologic measures to relieve pain.
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Chapter 27: Antipsychotics and Anxiolytics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13038
Sample Questions
Q1) A patient arrives in the emergency department complaining of difficulty breathing,dizziness,sweating,and heart palpitations.The patient reports having had similar episodes previously.The nurse will expect the provider to order which medication?
A)Flumazenil (Romazicon)
B)Haloperidol (Haldol)
C)Lorazepam (Ativan)
D)Propranolol (Inderal)
Q2) The nurse is performing a medication history on a patient who reports taking lorazepam (Ativan)for the past 6 months to treat an anxiety disorder.The patient states that the medication is not working as well as previously.The nurse will
A)contact the provider to discuss changing to another benzodiazepine.
B)notify the provider and discuss increasing the dose of lorazepam.
C)suspect worsening of the anxiety disorder.
D)understand that the patient has developed tolerance to this drug.
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Chapter 28: Antidepressants and Mood Stabilizers
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13039
Sample Questions
Q1) A patient who is taking amitriptyline (Elavil)reports constipation and dry mouth.The nurse will give the patient which instruction?
A)Increase fluid intake.
B)Notify the provider.
C)Request another antidepressant.
D)Stop taking the medication immediately.
Q2) The nurse provides teaching for a patient who will begin taking lithium (Lithibid).Which statement by the patient indicates understanding of the teaching?
A)"I may drink tea or cola but not coffee."
B)"I may stop taking the drug when mania symptoms subside."
C)"I should consume a sodium-restricted diet."
D)"I should drink 2 to 3 liters of fluid each day."
Q3) A patient who has a history of migraine headaches is diagnosed with bipolar disorder.The nurse might expect the provider to order which medication for this patient?
A)Carbamazapine (Tegretol)
B)Divalproex (Valproate)
C)Lamotrigine (Lamictal)
D)Lithium citrate (Eskalith)
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Chapter 29: Penicillins and Cephalosporins
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13040
Sample Questions
Q1) The patient will begin taking penicillin G procaine (Wycillin).The nurse notes that the solution is milky in color.What action will the nurse take?
A)Call the pharmacist and report the milky color.
B)Add normal saline to dilute the medication.
C)Call the physician and report the milky appearance.
D)Administer the medication as ordered by the physician.
Q2) A patient is receiving high doses of a cephalosporin.Which laboratory values will this patient's nurse monitor closely?
A)Blood urea nitrogen (BUN),serum creatinine,and liver function tests
B)Complete blood count and electrolytes
C)Serum calcium and magnesium
D)Serum glucose and lipids
Q3) The nurse is providing teaching to a patient who will begin taking a cephalosporin to treat an infection.Which statement by the patient indicates a need for further teaching?
A)"I may stop taking the medication if my symptoms clear up."
B)"I should eat yogurt while taking this medication."
C)"I should stop taking the drug and call my provider if I develop a rash."
D)"I will not consume alcohol while taking this medication."
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Chapter 30: Macrolides, Tetracyclines, Aminoglycosides, and Fluoroquinolones
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13041
Sample Questions
Q1) The nurse is caring for a 70-kg patient who is receiving gentamicin (Garamycin)85 mg 4 times daily.The patient reports experiencing ringing in the ears.The nurse will contact the provider to discuss
A)decreasing the dose to 50 mg QID.
B)giving the dose 3 times daily.
C)obtaining a serum drug level.
D)ordering a hearing test.
Q2) A patient is diagnosed with mycoplasma pneumonia.Which antibiotic will the nurse expect the provider to order to treat this infection?
A)Azithromycin (Zithromax)
B)Clarithromycin (Biaxin)
C)Erythromycin (E-Mycin)
D)Fidaxomicin (Dificid)
Q3) The nurse is caring for a 7-year-old patient who will receive oral antibiotics.Which antibiotic order will the nurse question for this patient?
A)Azithromycin (Zithromax)
B)Clarithromycin (Biaxin)
C)Clindamycin (Cleocin)
D)Tetracycline (Sumycin)
Page 32
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Chapter 31: Sulfonamides
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/13042
Sample Questions
Q1) A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ)(Bactrim,Septra)to treat a urinary tract infection reports vaginal itching and discharge.The nurse will perform which action?
A)Ask the patient if she might be pregnant.
B)Reassure the patient that this is a normal side effect.
C)Report a possible superinfection to the provider.
D)Suspect that the patient is having a hematologic reaction.
Q2) A patient taking trimethoprim-sulfamethoxazole (TMP-SMX)to treat a urinary tract infection complains of a sore throat. The nurse will contact the provider to request an order for which laboratory test(s)?
A)Complete blood count with differential
B)Throat culture
C)Urinalysis
D)Coagulation studies
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Chapter 32: Antituberculars, Antifungals, Peptides, and
Metronidazole
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13043
Sample Questions
Q1) A patient who is taking metronidazole (Flagyl)reports reddish-brown urine.Which action will the nurse take?
A)Obtain an order for BUN and creatinine levels.
B)Reassure the patient that this is a harmless effect.
C)Request an order for a urinalysis.
D)Test her urine for occult blood.
Q2) A young adult female who is taking metronidazole (Flagyl)to treat trichomoniasis calls the nurse to report severe headache,flushing,palpitations,cramping,and nausea.What will the nurse do next?
A)Ask about alcohol consumption.
B)Reassure her that these are harmless side effects.
C)Tell her that this signals a worsening of her infection.
D)Tell her to go to the emergency department immediately.
Q3) A patient is diagnosed with tinea capitis.The provider will order which systemic antifungal medication for this patient?
A)Anidulafungin (Eraxis)
B)Fluconazole (Diflucan)
C)Griseofulvin (Fulvicin)
D)Ketoconazole (Nizoral)
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Chapter 33: Antivirals, Antimalarials, and Anthelmintics
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13044
Sample Questions
Q1) The nurse receives an order to administer a purine nucleoside antiviral medication.The nurse understands that this medication treats which type of virus?
A)Hepatitis virus
B)Herpes virus
C)HIV
D)Influenza virus
Q2) Which diseases are caused by herpes viruses? (Select all that apply.)
A)Chicken pox
B)Hepatitis
C)Influenza
D)Mononucleosis
E) Shingles
Q3) The nurse is teaching a patient who will receive acyclovir for a herpes virus infection.What information will the nurse include when teaching this patient?
A)Blood cell counts should be monitored closely.
B)Dizziness and confusion are harmless side effects.
C)Increase fluid intake while taking this medication.
D)Side effects are rare with this medication.
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Chapter 34: Drugs for Urinary Tract Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13045
Sample Questions
Q1) Which side effects are common to most urinary antiseptics?
A)Dyspnea and chest pain
B)Nausea and vomiting
C)Peripheral neuritis
D)Visual disturbances
Q2) The nurse provides teaching for a patient who will begin taking nitrofurantoin (Macrodantin)to treat a urinary tract infection.Which statement by the patient indicates understanding of the teaching?
A)"If I experience gastrointestinal upset,I may take an antacid."
B)"I should notify my provider immediately if my urine is brown."
C)"I should take the drug with food and increase my fluid intake."
D)"Tingling of my fingers is a harmless side effect of this drug."
Q3) The nurse is preparing to administer methenamine (Hiprex)to a patient who is diagnosed with a urinary tract infection.The nurse reviews the patient's chart and notes a urinary pH of 6.0.Which action will the nurse take?
A)Administer the drug as ordered.
B)Obtain an order for 8 ounces of cranberry juice 3 times daily.
C)Request an order for an increased dose.
D)Restrict fluids to concentrate the patient's urine.
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Page 36
Chapter 35: HIV- and AIDS-Related Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13046
Sample Questions
Q1) A patient who will begin antiretroviral therapy reports having trouble sticking with drug regimens in the past.Which action will the nurse take?
A)Ask the patient's family members to administer the medications.
B)Avoid discussing adverse effects to prevent focus on negative aspects of ART.
C)Give a detailed list of medications and stress the need to adhere to the schedule.
D)Offer written and verbal information about each drug's purpose.
Q2) A patient who is newly diagnosed with HIV infection after a recent exposure calls to report fever,sore throat,myalgia,and night sweats.The nurse will notify the provider that this patient is most likely experiencing
A)acute retroviral syndrome.
B)AIDS.
C)an increased viral load.
D)an opportunistic infection.
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Chapter 36: Vaccines
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13047
Sample Questions
Q1) A 4-year-old child is receiving amoxicillin (Amoxil)to treat otitis media and is in the clinic for a well-child checkup on the last day of antibiotic therapy.The provider orders varicella (Varivax); mumps,measles,and rubella (MMR); inactivated polio (IPV); and diphtheria,tetanus,and acellular pertussis (DTaP)vaccines to be given.Which action by the nurse is correct?
A)Administer the vaccines as ordered.
B)Discuss giving the MMR vaccine in 4 weeks.
C)Hold all vaccines until 2 weeks after antibiotic therapy.
D)Recommend aspirin for fever and discomfort.
Q2) A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive typhoid vaccines.Which vaccines will be given to the parent and child?
A)Four capsules of live,oral vaccine to both patients
B)Four capsules of live,oral vaccine for the parent and the IM polysaccharide vaccine for the child
C)Four capsules of live,oral vaccine for the child and the IM polysaccharide vaccine for the parent
D)IM polysaccharide for both patients
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Chapter 37: Anticancer Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13048
Sample Questions
Q1) The nurse is caring for a patient who is receiving vincristine (Oncovin),a plant alkaloid chemotherapeutic agent,to treat non-Hodgkin's lymphoma.The nurse observes that the patient has difficulty walking.What action will the nurse take?
A)Ask about numbness or tingling in the fingers and toes.
B)Assess heart rate and blood pressure to evaluate for orthostatic hypotension.
C)Assess the temperature to evaluate for infection.
D)Request an order for a complete blood count and electrolytes.
Q2) A woman who has advanced breast cancer will begin receiving androgen therapy.The nurse will explain to the patient that androgen therapy is used to
A)enhance her own estrogen production.
B)give her a sense of well-being.
C)minimize hot flashes.
D)promote regression of her tumor.
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Chapter 38: Targeted Therapies to Treat Cancer
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/13049
Sample Questions
Q1) The nurse is preparing to administer intravenous monoclonal antibodies to a patient who has cancer.What is an important nursing action for this patient?
A)Having resuscitation equipment readily available
B)Monitoring the patient's renal function during the infusion
C)Observing the patient closely for development of a rash
D)Performing careful intake and output
Q2) The nurse is teaching a patient who will begin receiving targeted therapy for cancer.The patient asks how targeted therapy differs from other types of chemotherapies.The nurse will explain that targeted therapy
A)damages cancer cell DNA to prevent cell replication.
B)directly kills or damages cancerous cells.
C)interferes with specific molecules in cancer cells.
D)prevents metastasis of cancer cells.
Q3) The patient asks the nurse what apoptosis means.The nurse will explain that apoptosis refers to
A)alteration of cellular functions.
B)inhibition of cell division.
C)prevention of cell phase progression.
D)slow,planned cellular death.
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Page 40
Chapter 39: Biologic Response Modifiers
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13050
Sample Questions
Q1) Prior to administration of interferon alpha,the nurse will administer which medications?
A)Acetaminophen and diphenhydramine
B)Heparin and meperidine
C)Lorazepam and furosemide
D)Narcotic analgesics and loratadine
Q2) The nurse is teaching a young adult patient who will begin receiving interferon.Which statement by the patient indicates understanding of the teaching?
A)"I may have a low-grade fever while taking this medication."
B)"I may have serious cardiovascular side effects because of this drug."
C)"I should take antiemetics prior to each dose of this medication.
D)"I may need to avoid people who are sick while I'm taking this drug."
Q3) A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen).The patient reports abdominal pain in the left upper quadrant.The nurse will perform which action?
A)Administer acetaminophen 650 mg.
B)Administer an antiemetic medication.
C)Report a potentially life-threatening event.
D)Request an order for cardiac enzyme levels.
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Page 41
Chapter 40: Drugs for Upper Respiratory Disorders
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13051
Sample Questions
Q1) A patient is admitted to the hospital after developing pneumonia.During the admission assessment,the patient reports having used a nasal decongestant spray for the past few weeks but thinks the nasal congestion is getting worse.The nurse will
A)request an order for a systemic decongestant medication.
B)request an order so the patient can continue to use the decongestant spray.
C)tell the patient the congestion will clear up after stopping the spray.
D)tell the patient to increase oral fluid intake.
Q2) The patient who has nasal congestion asks the nurse to recommend a decongestant medication.The nurse performs a medication history and learns that the patient takes a beta blocker to treat hypertension.Which over-the-counter product will the nurse recommend?
A)Diphenhydramine (Benadryl)
B)Ephedrine HCl (Pretz-D)
C)Phenylephrine nasal (NeoSynephrine Nasal)
D)Loratadine (Claritin)
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42
Chapter 41: Drugs for Lower Respiratory Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13052
Sample Questions
Q1) A patient who has been taking theophylline at home reports having palpitations and jitteriness.What action will the nurse take?
A)Ask the patient if herbal medications are used.
B)Notify the provider to report theophylline toxicity.
C)Recommend that the patient increase fluid intake.
D)Request an order for renal function studies.
Q2) The nurse provides teaching for patient who will begin taking montelukast sodium (Singulair).The patient reports sensitivity to aspirin.Which statement by the patient indicates a need for further teaching?
A)"I will need to have periodic laboratory tests while taking this medication."
B)"I will not take ibuprofen for pain or fever while taking this drug."
C)"I will take one tablet daily at bedtime."
D)"I will use this as needed for acute symptoms."
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Chapter 42: Cardiac Glycosides, Antianginals, and Antidysrhythmics
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13053
Sample Questions
Q1) A patient is diagnosed with heart failure,and the prescriber has ordered digoxin.The patient asks what lifestyle changes will help in the management of this condition.The nurse will recommend which changes?
A)Aerobic exercise and weight lifting 2 or 3 times weekly
B)Changing from cigarette smoking to pipe smoking
C)Consuming 2 teaspoons or less of salt every day
D)Having no more than one alcoholic beverage per day
Q2) A patient who uses transdermal nitroglycerin reports having headaches.The nurse will counsel the patient to perform which action?
A)Call 911 when this occurs.
B)Notify the provider.
C)Reapply the patch three times daily.
D)Take acetaminophen as needed.
Q3) A patient who has atrial fibrillation is taking digoxin.The nurse expects which medication to be given concurrently to treat this condition?
A)Hydrochlorothiazide (HydroDIURIL)
B)Inamrinone (Inocor)
C)Milrinone (Primacore)
D)Warfarin (Coumadin)
Page 44
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Chapter 43: Diuretics
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13054
Sample Questions
Q1) The nurse is teaching a patient who will begin taking furosemide.The nurse learns that the patient has just begun a 2-week course of a steroid medication.What will the nurse recommend?
A)Consume licorice to prevent excess potassium loss.
B)Report a urine output greater than 600 mL/24 hours.
C)Obtain an order for a potassium supplement.
D)Take the furosemide at bedtime.
Q2) A patient has been taking spironolactone (Aldactone)to treat heart failure.The nurse will monitor for A)hyperkalemia.
B)hypermagnesemia.
C)hypocalcemia.
D)hypoglycemia.
Q3) A patient has begun taking spironolactone (Aldactone)in addition to a thiazide diuretic.With the addition of the spironolactone,the nurse will counsel this patient to A)continue taking a potassium supplement daily.
B)recognize that abdominal cramping is a transient side effect.
C)report decreased urine output to the provider.
D)take these medications at bedtime.
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Page 45
Chapter 44: Antihypertensives
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13055
Sample Questions
Q1) The nurse is caring for an African-American patient who has been taking a beta blocker to treat hypertension for several weeks with only slight improvement in blood pressure.The nurse will contact the provider to discuss
A)adding a diuretic medication.
B)changing to an ACE inhibitor.
C)decreasing the beta blocker dose.
D)doubling the beta blocker dose.
Q2) The nurse is preparing to care for a Native-American patient who has hypertension. The nurse understands that which antihypertensive medication would be most effective in this patient?
A)Acebutolol (Sectral)
B)Captopril (Capoten)
C)Carteolol HCl (Cartrol)
D)Metoprolol (Lopressor)
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Chapter 45: Anticoagulants, Antiplatelets, and Thrombolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13056
Sample Questions
Q1) The nurse is assessing a patient prior to administering thrombolytic therapy.Which is an important assessment for this patient?
A)Determining whether the patient has a history of diabetes
B)Finding out about a history of renal disease
C)Assessing which medications are taken for discomfort
D)Assessing whether the patient eats green,leafy vegetables
Q2) The nurse is caring for a patient who is receiving warfarin (Coumadin)and notes bruising and petechiae on the patient's extremities.The nurse will request an order for which laboratory test?
A)International normalized ratio (INR)
B)Platelet level
C)Partial thromboplastin time (PTT) and activated partial thromboplastin time (aPTT)
D)Vitamin K level
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Chapter 46: Antihyperlipidemics and Peripheral
Vasodilators
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13057
Sample Questions
Q1) A patient will begin taking simvastatin (Zocor)to decrease serum cholesterol.When teaching the patient about this medication,the nurse will counsel the patient to take which action?
A)Return to the clinic annually for laboratory testing.
B)Take care when rising from a sitting to standing position.
C)Take the medication in the evening for best effect.
D)Use ibuprofen as needed for muscle aches and pain.
Q2) A patient is admitted to the hospital,and the provider orders gemfibrozil (Lopid)600 mg twice daily,30 minutes prior to meals.The nurse learns that the patient takes warfarin (Coumadin)once daily.The nurse will contact the provider to discuss
A)decreasing the dose of gemfibrozil.
B)giving the warfarin at noon.
C)increasing the dose of warfarin.
D)ordering frequent INR levels.
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Chapter 47: Drugs for Gastrointestinal Tract Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/13058
Sample Questions
Q1) The child who is a candidate for treatment with syrup of ipecac after ingestion of a toxic substance or overdose is the child who has ingested which substance?
A)Acetaminophen elixir
B)Chlorine bleach
C)Kerosene
D)Toilet cleanser
Q2) The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide (Reglan)is not being used to suppress vomiting.The nurse will explain that,in children,this drug is more likely to cause which effect?
A)Excess sedation
B)Extrapyramidal symptoms
C)Paralytic ileus
D)Vertigo
Q3) An appropriate goal when teaching a patient who has diarrhea is that the patient
A)will have less frequent,more formed stools.
B)will not have a stool for 1 to 2 days.
C)will receive adequate intravenous fluids.
D)will receive appropriate antibiotic therapy.
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Chapter 48: Antiulcer Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13059
Sample Questions
Q1) The nurse is caring for a patient who will begin taking omeprazole (Prevacid)20 mg per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis.The nurse learns that the patient takes digoxin.The nurse will contact the provider for orders to A)decrease the dose of omeprazole.
B)increase the dose of digoxin.
C)increase the omeprazole to 60 mg per day.
D)monitor for digoxin toxicity.
Q2) A patient who has been instructed to use a liquid antacid medication to treat gastrointestinal upset asks the nurse about how to take this medication.What information will the nurse include when teaching this patient?
A)Take a laxative if constipation occurs.
B)Take 60 minutes after meals and at bedtime.
C)Take with at least 8 ounces of water to improve absorption.
D)Take with milk to improve effectiveness.
Q3) Which antacid is likely to cause acid rebound?
A)Aluminum hydroxide
B)Calcium carbonate
C)Magnesium hydroxide
D)Magnesium trisilicate
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Page 50
Chapter 49: Drugs for Eye and Ear Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13060
Sample Questions
Q1) The nurse is administering timolol (Timoptic)eye drops to a patient who has glaucoma.To prevent bradycardia,the nurse will perform which action?
A)Apply pressure to the lacrimal ducts.
B)Have the patient sit up after instilling the drops.
C)Prepare to administer an alpha-adrenergic agonist.
D)Wait 5 minutes between drops.
Q2) The nurse is preparing to administer dipivefrin (Propine)drops as a mydriatic agent.Which assessment would cause the nurse to withhold the drug and notify the provider?
A)Blood pressure of 140/90 mm Hg
B)Heart rate of 60 beats per minute
C)Respiratory rate of 12 breaths per minute
D)Temperature of 37.9° C
Q3) A patient has an infection of the eyelash follicles and in the gland on the eyelid margin.The nurse recognizes these symptoms as being consistent with which condition?
A)Blepharitis
B)Chalazion
C)Endophthalmitis
D)Hordoleum
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Page 51
Chapter 50: Drugs for Dermatologic Disorders
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/13061
Sample Questions
Q1) The nurse is providing teaching for an adolescent who has acne vulgaris.In addition to teaching about correct administration of the prescribed medications,the nurse will instruct this patient to
A)apply topical vitamin D3.
B)cleanse the skin gently several times a day.
C)scrub the affected skin vigorously twice daily.
D)take supplemental vitamin A.
Q2) A patient reports using benzoyl peroxide 2.5% for acne but doesn't feel that it is working.The nurse notes papules and nodules on the patient's face,neck,and back,consistent with moderate acne vulgaris.The nurse will counsel this patient to ask the provider about
A)adding isotretinoin (Amnesteem) to the treatment regimen.
B)increasing the benzoyl peroxide to a 5% solution.
C)taking systemic antibiotics until symptoms improve.
D)using benzoyl peroxide 10% and a topical antibiotic.
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Chapter 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and
Adrenal Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/13062
Sample Questions
Q1) The nurse is caring for a patient who is receiving desmopressin acetate (DDAVP).Which assessments are important while caring for this patient?
A)Blood pressure and serum potassium
B)Heart rate and serum calcium
C)Lung sounds and serum magnesium
D)Urine output and serum sodium
Q2) A patient is taking prednisolone and fludrocortisone (Florinef).When teaching this patient about dietary intake,the nurse will instruct the patient to consume a diet
A)high in carbohydrates.
B)high in fat.
C)high in protein.
D)low in potassium.
Q3) A patient is admitted to the hospital to treat hypothyroidism.For rapid improvement in symptoms,the nurse will expect to administer which medication?
A)Levothyroxine sodium (Synthroid)
B)Liothyronine (Cytomel)
C)Liotrix (Thyrolar)
D)Thyroid desiccated (Armour Thyroid)
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Chapter 52: Antidiabetics
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/13063
Sample Questions
Q1) A patient who has type 1 diabetes mellitus asks the nurse about using a combination insulin product such as Humalog 75/25.The nurse will tell the patient that use of this product
A)depends on individual insulin needs.
B)is useful for patient with insulin resistance.
C)means less rotation of injection sites.
D)requires refrigeration at all times.
Q2) The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin administration.Which statement by the patient indicates a need for further teaching?
A)"I may use a chosen site daily for up to a week."
B)"I should give each injection a knuckle length away from a previous injection."
C)"I will not be concerned about a raised knot under my skin from injecting insulin."
D)"Insulin is absorbed better from subcutaneous sites on my abdomen.
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Chapter 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13064
Sample Questions
Q1) The nurse is caring for a patient who is 6 to 7 weeks pregnant and has moderate to severe vomiting.The provider has ordered doxylamine (Unisom)and intravenous fluids.The patient reports a history of asthma and type 2 diabetes mellitus.The nurse will hold the drug and contact the provider because doxylamine should not be given to patients who
A)are pregnant.
B)are in their first trimester.
C)have asthma.
D)have diabetes.
Q2) The nurse is teaching a woman who is pregnant about iron supplementation.Which statement by the woman indicates understanding of the teaching?
A)"I may take the iron with an antacid to reduce gastrointestinal upset."
B)"I should drink a glass of milk with iron to increase absorption."
C)"I should take the iron supplement with a glass of orange juice."
D)"I will stop taking the iron if my stools turn black and tarry."
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55
Chapter 54: Female Reproductive Cycle II: Labor, Delivery, and Preterm Neonatal Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13065
Sample Questions
Q1) The nurse is caring for a multipara woman during labor who has requested an epidural block.The nurse will tell the patient that the epidural block will be given when her cervix is dilated
A)1 to 2 cm.
B)3 to 4 cm.
C)5 to 6 cm.
D)7 to 8 cm.
Q2) The nurse examines a primipara woman who has received an epidural block.The woman's cervix has been dilated at 5 cm for an hour after having shown steady progression earlier.The nurse will notify the provider and anticipate a need for
A)caesarean section.
B)forceps delivery.
C)intravenous oxytocin.
D)vacuum extraction.
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56
Chapter 55: Postpartum and Newborn Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13066
Sample Questions
Q1) The nurse is caring for a postpartal patient who has just delivered her first baby by caesarean section.The mother's blood type is Rh-negative,and the infant's blood type is Rh-positive.The provider has ordered human D immune globulin (RhoGAM).The nurse understands that this patient will need
A)less than the usual RhoGAM dose.
B)more than the usual RhoGAM dose.
C)no RhoGAM.
D)the usual RhoGAM dose.
Q2) The nurse provides teaching for a postpartal woman who will take bisacodyl tablets to help with constipation.What information will the nurse include when teaching this patient about this medication?
A)"Crush the tablet if it is difficult to swallow."
B)"Store this medication in a cool,dry place."
C)"Take the tablet with a carbonated beverage."
D)"Take with milk if gastrointestinal upset occurs."
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Chapter 56: Drugs for Womens Reproductive Health and Menopause
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13067
Sample Questions
Q1) A woman who is using a NuvaRing transvaginal contraceptive product calls to report that the ring has slipped out while sleeping.The nurse will instruct the patient to rinse the ring with lukewarm water,reinsert the ring,and
A)abstain from sexual intercourse for 24 hours.
B)replace it with a new ring as soon as possible.
C)take an oral contraceptive product for 2 weeks.
D)use a backup method of contraception for 7 days.
Q2) A 35-year-old woman asks the nurse about oral contraceptives.The nurse learns that the patient smokes and has a family history of venous thromboembolism (VTE).The nurse will suggest that the patient
A)discuss a progestin-only oral contraceptive with her provider.
B)may want to consider having a tubal ligation.
C)use a transdermal contraceptive product.
D)will not be a candidate for oral contraceptive products.
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Chapter 57: Drugs for Mens Health and Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13068
Sample Questions
Q1) A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a pregnancy.The nurse will tell this patient that
A)androgen therapy will not harm the fetus.
B)he will need to increase his dose of testosterone to increase his sperm count.
C)it may take 3 months after cessation of androgen therapy to conceive.
D)there should be no problems conceiving while using androgen therapy.
Q2) A male patient wants to begin taking tadalifil (Cialis)to treat erectile dysfunction.Which aspect of this patient's history would be of concern?
A)Angina pectoris
B)Asthma
C)Benign prostatic hypertrophy
D)Color blindness
Q3) The oral antiandrogen drug flutamide (Eulexin)is used to treat which condition?
A)Benign prostatic hypertrophy (BPH)
B)Breast cancer
C)Male-pattern baldness
D)Metastatic prostate cancer
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Page 59
Chapter 58: Drugs for Disorders in Womens Health,
Infertility, and Sexually Transmitted Infections
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13069
Sample Questions
Q1) A woman who has menorrhagia is prescribed ibuprofen,and she asks the nurse how a pain medication can decrease uterine bleeding.The nurse will explain that this is most likely explained by ibuprofen's effects on
A)estrogen levels.
B)platelet aggregation.
C)prostaglandin production.
D)uterine endometrium.
Q2) A woman who is infertile has taken 50 mg of clomiphene citrate (Clomid)from days 5 through 9 of a cycle and has not ovulated.The nurse will anticipate that the provider will perform which action?
A)Begin recombinant follicle-stimulating hormone therapy.
B)Increase the dose to 100 mg on days 5 through 9 of her next cycle.
C)Order clomiphene citrate to be given throughout her next cycle.
D)Repeat the 50 mg of clomiphene citrate for 2 more cycles.
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Chapter 59: Adult and Pediatric Emergency Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13070
Sample Questions
Q1) During resuscitation of a 5-year-old child,the provider requests an intravenous dose of 1 mL of epinephrine to be given STAT.The nurse will perform which action?
A)Ask the provider to clarify the dose and the concentration.
B)Draw up the dose and give it as a rapid intravenous bolus.
C)Give the dose as a slow intravenous bolus and monitor vital signs.
D)Request an order to give the dose via endotracheal tube.
Q2) A patient who is experiencing chest pain and shortness of breath is brought to the emergency department.The nurse assesses a heart rate of 98 beats per minute,bilateral lung crackles,and an oxygen saturation of 93%.What drug will the nurse expect to administer initially to this patient?
A)Albuterol
B)Aspirin
C)Nitroglycerin
D)Oxygen
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