Medical-Surgical Nursing Pre-Test Questions - 1446 Verified Questions

Medical-Surgical Nursing Pre-Test Questions

Course Introduction

Medical-Surgical Nursing is a comprehensive course designed to provide students with the foundational knowledge and clinical skills necessary to care for adult patients experiencing common and complex health problems. The course covers a wide range of medical and surgical conditions, emphasizing the nursing process, critical thinking, and evidence-based practice in the assessment, planning, implementation, and evaluation of care. Students will learn about fluid and electrolyte balance, perioperative care, pain management, infection control, and the management of specific disorders affecting body systems. Additionally, the course fosters interdisciplinary collaboration, patient education, and advocacy to promote optimal patient outcomes in diverse healthcare settings.

Recommended Textbook

Lehnes Pharmacology for Nursing Care 9th Edition by Burchum

Available Study Resources on Quizplus

110 Chapters

1446 Verified Questions

1446 Flashcards

Source URL: https://quizplus.com/study-set/469

Page 2

Chapter 1: Orientation to Pharmacology

Available Study Resources on Quizplus for this Chatper

5 Verified Questions

5 Flashcards

Source URL: https://quizplus.com/quiz/8394

Sample Questions

Q1) The nurse is teaching a patient how a medication works to treat an illness. To do this,the nurse will rely on knowledge of which topic?

A) Clinical pharmacology

B) Drug efficacy

C) Pharmacokinetics

D) Pharmacotherapeutics

Answer: D

Q2) What are the properties of an ideal drug? (Select all that apply.)

A) Irreversible action

B) Predictability

C) Ease of administration

D) Chemical stability

E) A recognizable trade name

Answer: B,C,D

Q3) What is a desired outcome when a drug is described as easy to administer?

A) It can be stored indefinitely without need for refrigeration.

B) It does not interact significantly with other medications.

C) It enhances patient adherence to the drug regimen.

D) It is usually relatively inexpensive to produce.

Answer: C

To view all questions and flashcards with answers, click on the resource link above. Page 3

Chapter 2: Application of Pharmacology in Nursing Practice

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8395

Sample Questions

Q1) A postoperative patient has orders for morphine sulfate 1 to 2 mg IV every 1 hour PRN for severe pain and acetaminophen-hydrocodone [Lortab] 7.5 mg PO every 4 to 6 hours

PRN for moderate pain. The patient reports pain at a level of 8 on a scale of 1 to 10,with 10 being the worst pain. Which action by the nurse is appropriate?

A) Administer acetaminophen-hydrocodone 7.5 mg PO every 4 hours.

B) Administer acetaminophen-hydrocodone 7.5 mg PO every 6 hours and change to every 4 hours if not effective.

C) Administer morphine sulfate 1 mg IV every 1 hour until pain subsides.

D) Administer morphine sulfate 2 mg IV and evaluate the patient's pain in 15 to 30 minutes.

Answer: D

Q2) The nurse is preparing to care for a patient who will be taking an antihypertensive medication. Which action by the nurse is part of the assessment step of the nursing process?

A) Asking the prescriber for an order to monitor serum drug levels

B) Monitoring the patient for drug interactions after giving the medication

C) Questioning the patient about over-the-counter medications

D) Taking the patient's blood pressure throughout the course of treatment

Answer: C

To view all questions and flashcards with answers, click on the resource link above. Page 4

Chapter 3: Drug Regulation, Development, Names, and Information

Available Study Resources on Quizplus for this Chatper

6 Verified Questions

6 Flashcards

Source URL: https://quizplus.com/quiz/8396

Sample Questions

Q1) A nurse is teaching nursing students about the use of nonproprietary names for drugs. The nurse tells them which fact about nonproprietary names?

A) They are approved by the FDA and are easy to remember.

B) They are assigned by the U.S. Adopted Names Council.

C) They clearly identify the drug's pharmacologic classification.

D) They imply the efficacy of the drug and are less complex.

Answer: B

Q2) The FDA Amendments Act (FDAAA)was passed in 2007 to address which aspect of drug safety?

A) Allowing pharmaceutical companies to identify off-label uses of medications approved for other uses

B) Evaluating drug safety information that emerges after a drug has been approved and is in use

C) Expediting the approval process of the U.S. Food and Drug Administration (FDA) so that needed drugs can get to market more quickly

D) Requiring manufacturers to notify patients before removing a drug from the market

Answer: B

To view all questions and flashcards with answers, click on the resource link above.

Page 5

Chapter 4: Pharmacokinetics

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8397

Sample Questions

Q1) A patient is given a prescription for azithromycin [Zithromax] and asks the nurse why the dose on the first day is twice the amount of the dose on the next 4 days. Which reply by the nurse is correct?

A) "A large initial dose helps to get the drug to optimal levels in the body faster."

B) "The first dose is larger to minimize the first pass effect of the liver."

C) "The four smaller doses help the body taper the amount of drug more gradually."

D) "Tubular reabsorption is faster with initial doses, so more is needed at first."

Q2) The nurse is preparing to administer penicillin G intramuscularly to a child. The child's parents ask why the drug cannot be given in an oral liquid form. What is the nurse's reply?

A) "This drug causes severe gastric upset if given orally."

B) "This drug has a narrow therapeutic range, and the dose must be tightly controlled."

C) "This drug is absorbed much too quickly in an oral form."

D) "This drug would be inactivated by enzymes in the stomach."

To view all questions and flashcards with answers, click on the resource link above.

6

Chapter 5: Pharmacodynamics

Available Study Resources on Quizplus for this Chatper

8 Verified Questions

8 Flashcards

Source URL: https://quizplus.com/quiz/8398

Sample Questions

Q1) A patient who is taking morphine for pain asks the nurse how a pain medication can also cause constipation. What does the nurse know about morphine?

A) It binds to different types of receptors in the body.

B) It can cause constipation in toxic doses.

C) It causes only one type of response, and the constipation is coincidental.

D) It is selective to receptors that regulate more than one body process.

Q2) The nurse administers naloxone [Narcan] to a patient who has received a toxic dose of morphine sulfate. The nurse understands that the naloxone is effective because of which action?

A) Countering the effects of morphine sulfate by agonist actions

B) Increasing the excretion of morphine sulfate by altering serum pH

C) Preventing activation of opioid receptors through antagonist actions

D) Regulating the sensitivity of opioid receptors by neurochemical alterations

To view all questions and flashcards with answers, click on the resource link above.

Chapter 6: Drug Interactions

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8399

Sample Questions

Q1) A young adult postoperative patient is receiving morphine 2 to 4 mg IV every 2 hours PRN pain. The last dose was 3 mg given 2 hours ago. The patient is asleep,and the nurse notes a heart rate of 86 beats per minute and a respiratory rate of 8 breaths per minute. Which PRN medication will the nurse give this patient?

A) Diphenhydramine [Benadryl] to counter morphine side effects

B) Morphine 4 mg for increased pain, as indicated by tachycardia

C) Naloxone [Narcan] to block the effects of the morphine

D) Nothing at this time, because the patient is resting comfortably

Q2) A child ingests a parent's aspirin tablets,and the prescriber orders sodium bicarbonate to block the toxic effects of the aspirin. The nurse caring for this patient knows that sodium bicarbonate is effective against the aspirin because it:

A) accelerates its passage through the intestine.

B) alters urinary pH to enhance renal excretion.

C) induces CYP isoenzymes to increase drug metabolism.

D) raises the pH of the interstitial fluid to facilitate passage out of the cells.

To view all questions and flashcards with answers, click on the resource link above.

8

Chapter 7: Adverse Drug Reactions and Medication Errors

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8400

Sample Questions

Q1) A nurse provides teaching to a patient who will begin taking a drug with a known risk of hepatotoxicity. Which statement by the patient indicates a need for further teaching?

A) "I should avoid taking acetaminophen while taking this drug."

B) "I will need periodic evaluation of aspartate aminotransferase and alanine aminotransferase levels."

C) "If I experience nausea, vomiting, or abdominal pain, I should call my provider."

D) "Routine testing and early detection of problems will prevent liver failure."

Q2) Which actions occur in 90% of fatal medication errors? (Select all that apply.)

A) Confusing drugs with similar packaging

B) Giving a drug intravenously instead of intramuscularly

C) Giving Nasarel instead of Nizoral

D) Using an infusion device that malfunctions

E) Writing a prescription illegibly

To view all questions and flashcards with answers, click on the resource link above.

Chapter 8: Individual Variation in Drug Responses

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8401

Sample Questions

Q1) A patient has been taking narcotic analgesics for chronic pain for several months. The nurse caring for this patient notes that the prescribed dose is higher than the recommended dose. The patient has normal vital signs,is awake and alert,and reports mild pain. What does the nurse recognize about this patient?

A) This patient exhibits a negative placebo effect with a reduced response to the drug.

B) This patient has developed a reaction known as tachyphylaxis because of repeated exposure to the drug.

C) This patient has developed pharmacodynamic tolerance, which has increased the minimal effective concentration (MEC) needed for analgesic effect.

D) This patient produces higher than normal hepatic enzymes as a result of prolonged exposure to the drug.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 9: Drug Therapy During Pregnancy and Breast-Feeding

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8402

Sample Questions

Q1) A nursing student asks the nurse why more is not known about the teratogenic effects of maternal medication ingestion during pregnancy. Which response by the nurse is correct?

A) "Clinical trials to assess this risk would put the fetus at risk."

B) "It is safer to recommend that pregnant women avoid medications while pregnant."

C) "Most women are reluctant to admit taking medications while they are pregnant."

D) "The relatively new MEPREP study will allow testing of medications during pregnancy in the future."

Q2) A patient has just given birth to a baby boy with a cleft palate. The nurse will review the patient's medication history with special emphasis on drugs taken during which period?

A) Before she became pregnant

B) During the first trimester

C) During the second trimester

D) During the third trimester

To view all questions and flashcards with answers, click on the resource link above.

11

Chapter 10: Drug Therapy in Pediatric Patients

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8403

Sample Questions

Q1) An infant is receiving a medication that has a narrow therapeutic range. The nurse reviews the medication information and learns that the drug is excreted by the kidneys. When giving the medication,the nurse will assess the infant for:

A) decreased effectiveness of the drug.

B) shorter period of the drug's effects.

C) signs of drug toxicity.

D) unusual CNS effects.

Q2) The parents of a child with asthma ask the nurse why their child cannot use oral corticosteroids more often,because they are so effective. The nurse will offer which information that is true for children?

A) Chronic steroid use can inhibit growth.

B) Frequent use of this drug may lead to a decreased response.

C) A hypersensitivity reaction to this drug may occur.

D) Systemic steroids are more toxic in children.

To view all questions and flashcards with answers, click on the resource link above.

12

Chapter 11: Drug Therapy in Geriatric Patients

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8404

Sample Questions

Q1) An older adult patient is admitted to the hospital for treatment of an exacerbation of a chronic illness. Admission laboratory work reveals an extremely low serum drug level of the drug used to treat this condition. The patient has brought the medication to the hospital,along with other medications taken. The patient's renal and hepatic function tests are normal. What might the nurse suspect as a likely cause of this finding?

A) Financial concerns

B) Inability to open drug containers

C) Increased tolerance to the drug's effects

D) Patient's conviction that the drug is unnecessary

Q2) A nurse is concerned about renal function in an 84-year-old patient who is taking several medications. What will the nurse assess?

A) Creatinine clearance

B) Sodium levels

C) Potassium levels

D) Serum creatinine

To view all questions and flashcards with answers, click on the resource link above.

13

Chapter 12: Basic Principles of Neuropharmacology

Available Study Resources on Quizplus for this Chatper

8 Verified Questions

8 Flashcards

Source URL: https://quizplus.com/quiz/8405

Sample Questions

Q1) A patient receives morphine and shows signs of toxicity. The prescriber orders naloxone [Narcan] to reverse the effects of the morphine. The nurse understands that the naloxone reverses morphine toxicity by which action on morphine receptor sites?

A) Blocking transmitter reuptake

B) Inhibiting transmitter release

C) Interfering with transmitter storage

D) Preventing activation of receptors

Q2) A nursing student asks about drugs that interfere with the termination of transmitter action. Which statement by the nurse is correct?

A) "Drugs act on this process by altering the diffusion of the transmitter away from the synaptic gap."

B) "Drugs can interfere with termination by either increasing or decreasing reuptake of the transmitter."

C) "Drugs in this category lead to decreased activation by the transmitter in the synapse."

D) "These drugs reduce either reuptake or degradation of the transmitter, causing an increase in receptor activation."

To view all questions and flashcards with answers, click on the resource link above.

14

Chapter 13: Physiology of the Peripheral Nervous System

Available Study Resources on Quizplus for this Chatper

9 Verified Questions

9 Flashcards

Source URL: https://quizplus.com/quiz/8406

Sample Questions

Q1) A nurse is explaining activation of beta₂ receptors to nursing students during a clinical rotation at the hospital. Which statement by a student demonstrates a need for further teaching?

A) "Beta₂ activation results in bronchodilation."

B) "Beta₂ activation results in contraction of uterine muscle."

C) "Beta₂ activation results in glycogenolysis."

D) "Beta₂ activation results in vasodilation of skeletal muscles."

Q2) A nurse is teaching a group of nursing students about neurotransmitters. Which statement by a student about acetylcholine indicates a need for further teaching?

A) "It activates three cholinergic receptor subtypes."

B) "It has effects in the parasympathetic, sympathetic, and somatic nervous systems."

C) "It is used at most junctions of the peripheral nervous system."

D) "Its transmission is terminated by reuptake into the cholinergic nerve terminal."

To view all questions and flashcards with answers, click on the resource link above. Page 15

Chapter 14: Muscarinic Agonists and Antagonists

Available Study Resources on Quizplus for this Chatper

9 Verified Questions

9 Flashcards

Source URL: https://quizplus.com/quiz/8407

Sample Questions

Q1) A patient who has esophageal cancer is experiencing dry mouth and the provider orders oral pilocarpine to treat this symptom. What will the nurse expect to teach this patient about this medication?

A) "This medication may cause rapid heart rate and elevated blood pressure."

B) "This medication may cause constipation and gastric discomfort in large doses."

C) "You should experience sweating with this medication and should not have other side effects."

D) "You will begin taking 5 mg three times daily and may increase the dose to 10 mg."

Q2) An older adult patient who lives alone and is somewhat forgetful has an overactive bladder (OAB)and reports occasional constipation. The patient has tried behavioral therapy to treat the OAB without adequate results. Which treatment will the nurse anticipate for this patient?

A) Oxybutynin short-acting syrup

B) Oxybutynin [Ditropan XL] extended-release tablets

C) Oxybutynin [Oxytrol] transdermal patch

D) Percutaneous tibial nerve stimulation (PTNS)

To view all questions and flashcards with answers, click on the resource link above. Page 16

Chapter 15: Cholinesterase Inhibitors and Their Use in

Myasthenia Gravis

Available Study Resources on Quizplus for this Chatper

9 Verified Questions

9 Flashcards

Source URL: https://quizplus.com/quiz/8408

Sample Questions

Q1) A patient with myasthenia gravis who is taking a cholinesterase inhibitor is being admitted to the intensive care unit and is on mechanical ventilation. The prescriber has ordered a challenge dose of edrophonium to distinguish between a myasthenic crisis and a medication overdose. The nurse will expect to do what?

A) Administer neostigmine if muscle strength decreases.

B) Be prepared to administer atropine and oxygen if muscle weakness increases.

C) Give a second dose of edrophonium if no improvement is seen.

D) Give pralidoxime [Protopam] if cholinergic symptoms worsen.

Q2) Two nurses are discussing the major differences between physostigmine [Antilirium] and neostigmine [Prostigmin]. One nurse correctly makes which statement about physostigmine [Antilirium]?

A) "It is not effective for treating poisoning by muscarinic blocking drugs."

B) "It can readily cross the blood-brain barrier."

C) "It does not cause any side effects."

D) "It can be given by all routes."

To view all questions and flashcards with answers, click on the resource link above. Page 17

Chapter 16: Drugs That Block Nicotinic Cholinergic

Transmission: Neuromuscular Blocking Agents

Available Study Resources on Quizplus for this Chatper

10 Verified Questions 10 Flashcards

Source URL: https://quizplus.com/quiz/8409

Sample Questions

Q1) A nurse is caring for an intubated patient who is receiving pancuronium for neuromuscular blockade. The patient's eyes are closed,and the patient is not moving any extremities. The heart rate is 76 beats per minute,and the blood pressure is 110/70 mm Hg. The nurse caring for this patient will do what?

A) Request an order for an antihistamine to prevent a further drop in blood pressure.

B) Request an order for serum electrolytes to evaluate for hyperkalemia.

C) Review the patient's chart for a history of myasthenia gravis (MG).

D) Talk to the patient while giving care and explain all procedures.

Q2) Which areas of the body show the effects of neuromuscular blockers last?

A) Levator muscle of the eyelids and the muscles of mastication

B) Muscles in the lower extremities

C) Muscles controlling the glottis

D) Muscles of respiration and the diaphragm

To view all questions and flashcards with answers, click on the resource link above. Page 18

Chapter 17: Adrenergic Agonists

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8410

Sample Questions

Q1) A patient is receiving dobutamine [Dobutrex] as a continuous infusion in the immediate postoperative period. The patient also is receiving a diuretic. What adverse drug reactions are possible in this patient? (Select all that apply.)

A) Angina

B) Dysrhythmias

C) Hypotension

D) Oliguria

E) Tachycardia

Q2) A nurse is administering intravenous dopamine [Intropin] to a patient in the intensive care unit. Which assessment finding would cause the most concern?

A) Blood pressure of 100/70 mm Hg

B) Increased urine output

C) Edema at the IV insertion site

D) Headache

To view all questions and flashcards with answers, click on the resource link above.

19

Chapter 18: Adrenergic Antagonists

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8411

Sample Questions

Q1) Which are conditions that may be treated using beta blockers? (Select all that apply.)

A) Cardiac dysrhythmias

B) Heart failure

C) Hypotension

D) Hypothyroidism

E) Stage fright

Q2) A patient taking a beta blocker complains of shortness of breath. The patient has respirations of 28 breaths per minute,a blood pressure of 162/90 mm Hg,and a pulse of 88 beats per minute. The nurse auscultates crackles in all lung fields. The nurse understands that these assessments are consistent with:

A) bronchoconstriction.

B) left-sided heart failure.

C) rebound cardiac excitation.

D) sinus bradycardia.

To view all questions and flashcards with answers, click on the resource link above. Page 20

Chapter 19: Indirect-Acting Antiadrenergic Agents

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8412

Sample Questions

Q1) A prescriber has ordered methyldopa for a female patient with hypertension. The nurse understands that which laboratory tests are important before beginning therapy with this drug? (Select all that apply.)

A) Coombs' test

B) Hemoglobin and hematocrit (H&H)

C) Liver function tests

D) Pregnancy test

E) Urinalysis

Q2) A prescriber has ordered clonidine [Catapres] for a patient who has hypertension. The nurse teaches the patient about side effects of this drug. Which statement by the patient indicates understanding of the teaching?

A) "I should chew sugar-free gum or drink water to reduce dry mouth."

B) "I should not drive as long as I am taking this drug."

C) "I should stand up slowly when taking this medication."

D) "I should stop taking this drug if I feel anxious or depressed."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 20: Introduction to Central Nervous System

Pharmacology

Available Study Resources on Quizplus for this Chatper

8 Verified Questions

8 Flashcards

Source URL: https://quizplus.com/quiz/8413

Sample Questions

Q1) A nurse is teaching a group of students about how CNS drugs are developed. Which statement by a student indicates a need for further teaching?

A) "Central nervous system drug development relies on observations of their effects on human behavior."

B) "Studies of new central nervous system drugs in healthy subjects can produce paradoxical effects."

C) "Our knowledge of the neurochemical and physiologic changes that underlie mental illness is incomplete."

D) "These drugs are developed based on scientific knowledge of CNS transmitters and receptors."

Q2) A psychiatric nurse is teaching a patient about an antidepressant medication. The nurse tells the patient that therapeutic effects may not occur for several weeks. The nurse understands that this is likely the result of:

A) changes in the brain as a result of prolonged drug exposure.

B) direct actions of the drug on specific synaptic functions in the brain.

C) slowed drug absorption across the blood-brain barrier.

D) tolerance to exposure to the drug over time.

To view all questions and flashcards with answers, click on the resource link above.

Page 22

Chapter 21: Drugs for Parkinsons Disease

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/8414

Sample Questions

Q1) The nurse provides teaching for a patient who will begin taking rotigotine [Neupro] to treat Parkinson's disease. What will the nurse include in teaching?

A) "If you develop nausea and vomiting, you should stop taking the medication."

B) "If you need to stop this drug, your provider will order a gradual withdrawal."

C) "You will start this drug regimen with a higher than usual loading dose."

D) "You will take this medication by mouth with food."

Q2) A patient with Parkinson's disease is taking levodopa/carbidopa [Sinemet] and reports occasional periods of loss of drug effect lasting from minutes to several hours. The nurse questions the patient further and discovers that these episodes occur at different times related to the medication administration. The nurse will contact the provider to discuss:

A) administering a catechol-O-methyltransferase (COMT) inhibitor, such as entacapone.

B) adding the DA-releasing agent amantadine to the regimen.

C) giving a direct-acting dopamine agonist.

D) shortening the dosing interval of levodopa/carbidopa.

To view all questions and flashcards with answers, click on the resource link above.

23

Chapter 22: Drugs for Alzheimers Disease

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8415

Sample Questions

Q1) A nurse is caring for an older adult man who has Alzheimer's disease (AD). The patient's daughter wants to know if testing can be done to determine her risk for developing the disease. What will the nurse tell her?

A) Female gender is known to increase the risk.

B) Genetic testing can provide a definitive measure of the risk.

C) Patients with the apolipoprotein E2 gene (apoE2) are more likely to develop the disease.

D) Advancing age and family history are known risk factors.

Q2) A nurse is preparing to administer memantine [Nemanda] to a patient and notes a slight elevation in the patient's creatinine clearance level. What will the nurse expect the provider to order for this patient?

A) Adding sodium bicarbonate to the patient's drug regimen

B) Continuing the memantine as ordered

C) Discontinuing the memantine

D) Reducing the dose of memantine

To view all questions and flashcards with answers, click on the resource link above.

24

Chapter 23: Drugs for Multiple Sclerosis

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8416

Sample Questions

Q1) A patient with multiple sclerosis is to begin treatment with interferon beta. The patient comes to the clinic to have pretreatment laboratory tests. Which statement by the patient indicates a need for further teaching about these tests?

A) "After the first year of treatment, I will need once yearly blood work."

B) "I will need to have lab tests done every 3 months for the first year."

C) "If my liver function tests are abnormal, I will need to stop using this drug."

D) "These lab tests will measure liver and bone marrow function."

Q2) A patient who stopped taking teriflunomide [Aubagio] 1 year prior tells the nurse that she has just found out she is pregnant. Which action by the nurse is correct?

A) Contact the provider to obtain an order for serum drug levels.

B) Reassure the patient that her fetus should be safe.

C) Suggest that she consider an abortion.

D) Tell her that she will not be able to nurse her baby when it is born.

To view all questions and flashcards with answers, click on the resource link above.

25

Chapter 24: Drugs for Epilepsy

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/8417

Sample Questions

Q1) A nurse counsels a patient who is to begin taking phenytoin [Dilantin] for epilepsy. Which statement by the patient indicates understanding of the teaching?

A) "I should brush and floss my teeth regularly."

B) "Once therapeutic blood levels are reached, they are easy to maintain."

C) "I can consume alcohol in moderation while taking this drug."

D) "Rashes are a common side effect but are not serious."

Q2) A patient with a form of epilepsy that may have spontaneous remission has been taking an AED for a year. The patient reports being seizure free for 6 months and asks the nurse when the drug can be discontinued. What will the nurse tell the patient?

A) AEDs must be taken for life to maintain remission.

B) Another AED will be substituted for the current AED.

C) The provider will withdraw the drug over a 6- to 12-week period.

D) The patient should stop taking the AED now and restart the drug if seizures recur.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 25: Drugs for Muscle Spasm and Spasticity

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8418

Sample Questions

Q1) A patient has localized muscle spasms after an injury. The prescriber has ordered tizanidine [Zanaflex] to alleviate the spasms. When obtaining the patient's health history,the nurse should be concerned about which possible reason for considering another drug?

A) Concomitant use of aspirin

B) A history of hepatitis

C) A history of malignant hyperthermia

D) Occasional use of alcohol

Q2) Which drugs are used to treat spasticity? (Select all that apply.)

A) Baclofen [Lioresal]

B) Dantrolene [Dantrium]

C) Diazepam [Valium]

D) Metaxalone [Skelaxin]

E) Tizanidine [Flexeril]

Q3) Which patient should receive dantrolene [Dantrium] with caution?

A) A 20-year-old woman with a spinal cord injury

B) A 45-year-old man with a history of malignant hyperthermia

C) A 55-year-old woman with multiple sclerosis

D) An 8-year-old child with cerebral palsy

To view all questions and flashcards with answers, click on the resource link above.

Page 27

Chapter 26: Local Anesthetics

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8419

Sample Questions

Q1) A patient receives an epidural anesthetic during labor and delivery. The nurse caring for the newborn in the immediate postpartum period will observe the infant for:

A) bradycardia.

B) hypoglycemia.

C) jitteriness.

D) tachypnea.

Q2) A nurse is assisting the physician during a procedure in which a local anesthetic is administered. Within a few minutes of administration of the anesthetic,the patient has a pulse of 54 beats per minute,respirations of 18 breaths per minute,and a blood pressure of 90/42 mm Hg. The nurse should monitor the patient for further signs of:

A) heart block.

B) anaphylaxis.

C) central nervous system excitation.

D) respiratory depression.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 27: General Anesthetics

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8420

Sample Questions

Q1) A patient in the postanesthesia recovery unit received ketamine [Ketalar] for right open reduction internal fixation surgery. What drug would be beneficial as a premedication to help minimize adverse reactions?

A) Methohexital [Brevital]

B) Sevoflurane [Ultane]

C) Atropine [Sal-Tropine]

D) Diazepam [Valium]

Q2) A patient is given nitrous oxide,along with another inhalation anesthetic. The nurse knows that the benefits of nitrous oxide include what? (Select all that apply.)

A) It is a potent analgesic.

B) It has high anesthetic potency.

C) It is less likely to cause nausea and vomiting.

D) It is less likely to precipitate malignant hyperthermia.

E) It can significantly reduce the dose of inhalation anesthetic.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 28:

Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8421

Sample Questions

Q1) A patient with moderate to severe chronic pain has been taking oxycodone [OxyContin] 60 mg every 6 hours PRN for several months and tells the nurse that the medication is not as effective as before. The patient asks if something stronger can be taken. The nurse will contact the provider to discuss:

A) administering a combination opioid analgesic/acetaminophen preparation.

B) changing the medication to a continued-release preparation.

C) confronting the patient about drug-seeking behaviors.

D) withdrawing the medication, because physical dependence has occurred.

Q2) A patient who has had abdominal surgery has been receiving morphine sulfate via a patient-controlled analgesia (PCA)pump. The nurse assesses the patient and notes that the patient's pupils are dilated and that the patient is drowsy and lethargic. The patient's heart rate is 84 beats per minute,the respiratory rate is 10 breaths per minute,and the blood pressure is 90/50 mm Hg. What will the nurse do?

A) Discuss possible opiate dependence with the patient's provider.

B) Encourage the patient to turn over and cough and take deep breaths.

C) Note the effectiveness of the analgesia in the patient's chart.

D) Prepare to administer naloxone and possibly ventilatory support.

To view all questions and flashcards with answers, click on the resource link above. Page 30

Chapter 29: Pain Management in Patients with Cancer

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/8422

Sample Questions

Q1) A patient is taking hydrocodone and ibuprofen for cancer pain and is admitted to the hospital for chemotherapy. The nurse anticipates that the prescriber will ____ ibuprofen.

A) reduce the dose of B) discontinue the C) increase the dose of D) order aspirin (ASA) instead of

Q2) A nursing student caring for a patient with cancer tells the nurse that the patient seems to be exaggerating when reporting the degree of pain. Which statement by the nurse is an appropriate response to this concern?

A) "Evaluation of the patient's vital signs can help you tell if this patient is exaggerating."

B) "It is important to give pain medication as ordered for the degree of pain the patient reports."

C) "We may need to evaluate the patient for the development of metastasis or infection."

D) "You should monitor this patient's behavior and facial expressions for a more accurate assessment."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 30: Drugs for Headache

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8423

Sample Questions

Q1) A patient arrives in the emergency department complaining of numbness in the extremities. The nurse notes that the patient's hands and feet are cool and pale. When conducting a health history,the nurse learns that the patient has a history of migraine headaches. The nurse recognizes this patient's symptoms as:

A) ergotamine withdrawal.

B) ergotism.

C) severe migraine symptoms.

D) sumatriptan side effects.

Q2) A patient who has occasional migraine headaches tells a nurse that the abortive medication works well,but she would like to do more to prevent the occurrence of these headaches. The nurse will suggest that the patient:

A) ask the provider about an adjunct medication, such as prochlorperazine.

B) discuss the use of prophylactic medications with the provider.

C) keep a headache diary to help determine possible triggers.

D) take the abortive medication regularly instead of PRN.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 31: Antipsychotic Agents and Their Use in Schizophrenia

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8424

Sample Questions

Q1) A parent reports being afraid that a child may have schizophrenia because of disorganized speech and asocial behaviors. The nurse will tell this parent that which of the following must also be present to make a diagnosis? (Select all that apply.)

A) A decrease in self-care, job, or school function

B) A history of substance abuse

C) A 1-month duration of active phase symptoms

D) Continuous signs of disturbance for longer than 6 months

E) The presence of manic episodes

Q2) A nurse in a mental health hospital finds a patient with schizophrenia who takes haloperidol [Haldol] lying rigid in bed with a temperature of 41.3°C. A cardiac monitor shows cardiac dysrhythmias. What will be included in the treatment of this patient? (Select all that apply.)

A) Anticholinergic medications

B) Beta blockers

C) Dantrolene

D) Intravenous fluids

E) Withdrawal of haloperidol

To view all questions and flashcards with answers, click on the resource link above.

Page 33

Chapter 32: Antidepressants

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/8425

Sample Questions

Q1) A patient who has fibromyalgia is diagnosed with major depression. The provider orders a TCA. The nurse will teach this patient to:

A) avoid foods containing tyrosine.

B) consume alcohol in moderation.

C) sit or lie down when feeling lightheaded.

D) take the medication in the morning.

Q2) A patient who has been taking an SSRI tells the nurse that the drug has caused reduced sexual performance,weight gain,and sedation. The nurse will suggest that the patient ask the provider about using which drug?

A) Bupropion [Wellbutrin]

B) Imipramine [Tofranil]

C) Isocarboxazid [Marplan]

D) Trazodone [Oleptro]

Q3) Which patients are candidates for MAOIs? (Select all that apply.)

A) Patients who have not responded to SSRIs and TCAs

B) Patients with atypical depression

C) Patients with bulimia nervosa

D) Patients with hypotension

E) Patients with postpartum depression

To view all questions and flashcards with answers, click on the resource link above.

Page 34

Chapter 33: Drugs for Bipolar Disorder

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8426

Sample Questions

Q1) A patient with bipolar disorder who is taking divalproex sodium [Valproate] has just been admitted to the hospital. During the admission assessment,the patient tells the nurse about recent suicidal ideation. The nurse observes several areas of bruising over soft tissue areas and notes a weight gain of 10 pounds since the last admission 1 year ago. What will the nurse do?

A) Ask the patient whether the bruises are self-inflicted.

B) Contact the provider to report these findings.

C) Give the patient information about weight loss.

D) Request an order for an increased dose to help with depressive symptoms.

Q2) A patient with bipolar disorder who wants to minimize the need for drug therapy asks the nurse what else can be done to treat the disorder. The nurse will recommend which measures? (Select all that apply.)

A) Electroconvulsive therapy

B) Moderate use of alcohol to reduce stress

C) Psychotherapy

D) Regular sleep and exercise

E) Using a chart to monitor mood changes

To view all questions and flashcards with answers, click on the resource link above. Page 35

Chapter 34: Sedative-Hypnotic Drugs

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8427

Sample Questions

Q1) A patient who has been using secobarbital for several months to treat insomnia tells the nurse that the prescriber has said the prescription will be changed to temazepam [Restoril] because it is safer. The patient asks why this agent is safer. The nurse is correct in telling the patient that temazepam:

A) does not depress the central nervous system.

B) shows no respiratory depression, even in toxic doses.

C) mimics the actions of a central nervous system inhibitory neurotransmitter.

D) potentiates endogenous gamma-aminobutyric acid (GABA) producing a finite CNS depression.

Q2) A patient complains of chronic insomnia and reports being tired of being tired all the time. The patient is reluctant to try pharmacologic remedies and asks the nurse what to do. What will the nurse suggest?

A) "Eat a large meal in the evening to induce drowsiness."

B) "Get out of bed for a while if you can't fall asleep."

C) "Have a glass of wine at bedtime to relax."

D) "Take a short nap early in the afternoon every day."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 35: Management of Anxiety Disorders

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8428

Sample Questions

Q1) An agitated,extremely anxious patient is brought to the emergency department. The prescriber orders a benzodiazepine. The nurse understands that benzodiazepines are used in this clinical situation based on which principle?

A) Benzodiazepines have a very short half-life.

B) Physical dependence is not a risk when taking benzodiazepines.

C) Benzodiazepines are known to cure generalized anxiety.

D) Benzodiazepines have a rapid onset of action.

Q2) A nurse is performing an admission assessment on a patient. The patient reports taking alprazolam [Xanax] for "nerves." The nurse knows that this patient is most likely being treated for which condition?

A) Generalized anxiety disorder

B) Obsessive-compulsive disorder (OCD)

C) Panic disorder

D) Post-traumatic stress disorder (PTSD)

To view all questions and flashcards with answers, click on the resource link above.

Chapter 36: Central Nervous System Stimulants and

Attention-Deficit/Hyperactivity Disorder

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8429

Sample Questions

Q1) A child has been taking SD methylphenidate [Ritalin],10 mg at 0800 and 1200 and 5 mg at 1600,for 2 months. The parents tell the nurse that the child sometimes misses the noon dose while at school. The child's appetite is normal. The teacher has reported a slight improvement in hyperactivity and impulsivity. What will the nurse do?

A) Ask the prescriber whether this child could be given methylphenidate [Concerta].

B) Contact the prescriber to suggest using a nonstimulant medication.

C) Reinforce the need to take all doses as prescribed.

D) Suggest drug holidays for the child on weekends.

Q2) An adult patient will begin taking atomoxetine [Strattera] for attention-deficit/hyperactivity disorder. What will the nurse teach this patient?

A) Appetite suppression does not occur, because this drug is not a stimulant.

B) Stopping the drug abruptly will cause an abstinence syndrome.

C) Suicidal thoughts may occur and should be reported to the provider.

D) Therapeutic effects may not be felt for 1 to 3 weeks after beginning therapy.

To view all questions and flashcards with answers, click on the resource link above.

38

Chapter 37: Drug Abuse I: Basic Considerations

Available Study Resources on Quizplus for this Chatper

8 Verified Questions

8 Flashcards

Source URL: https://quizplus.com/quiz/8430

Sample Questions

Q1) A patient is ready for discharge home from a lengthy hospital stay after a motor vehicle accident. The patient suffered multiple fractures and required large doses of morphine for several weeks. The nurse preparing the patient for discharge notes that the patient requests the maximum dose of the oral opioid analgesic at the exact intervals it is prescribed. The nurse is correct to suspect that what has occurred?

A) Addiction

B) Compulsive drug seeking

C) Cross-tolerance

D) Drug tolerance

Q2) A nursing student is caring for a patient who is addicted to several drugs. The student tells the nurse that the patient "got this way on purpose." Which response by the nurse is most appropriate?

A) "Peer pressure and social factors determine individual choices."

B) "Physical dependence is necessary for addiction to occur."

C) "Preexisting psychopathology underlies most drug abuse."

D) "Some individuals are more vulnerable to drug abuse than others."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 38: Drug Abuse II: Alcohol

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/8431

Sample Questions

Q1) A patient who has undergone treatment for alcoholism several times,with relapse occurring shortly after each treatment,has just completed detoxification. The patient requests a medication to help maintain abstinence. Which drug will the nurse expect the provider to prescribe?

A) Acamprosate [Campral]

B) Chlordiazepoxide [Librium]

C) Disulfiram [Antabuse]

D) Naltrexone [ReVia]

Q2) A male patient tells a nurse that he drinks a six-pack of beer a day. When the nurse begins to question him further about his alcohol consumption,he says,"You sound like my wife. She's always nagging me to quit. It's only beer!" Which response by the nurse is most appropriate?

A) "Because the alcohol in beer is diluted in a larger volume, it is absorbed more slowly."

B) "Have you considered switching to wine? It has chemicals that protect your heart."

C) "The amount you drink is equivalent to six shots of whiskey each day."

D) "You could try to cut the amount in half to a level that is better for your health."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 39: Drug Abuse III: Nicotine and Smoking

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8432

Sample Questions

Q1) A patient who wants to quit smoking has begun taking varenicline [Chantix]. The patient reports experiencing mood swings and depression and a desire to cause harm to herself. What will the nurse tell this patient?

A) "These symptoms are common and will disappear over time."

B) "These symptoms may indicate an underlying psychiatric disorder."

C) "You may need an increased dose to overcome these symptoms of nicotine withdrawal."

D) "You should notify your provider of these symptoms immediately."

Q2) A patient with a desire to stop smoking asks a nurse about nicotine chewing gum [Nicorette]. The patient currently smokes 30 cigarettes per day. Which statement by the nurse is correct?

A) "Stop using the gum 6 months after you stop using cigarettes."

B) "Use the 4-mg strength gum and chew one piece every 2 to 3 hours."

C) "Use the gum whenever you feel a craving for a cigarette."

D) "You should start with 30 pieces of the 2-mg strength gum per day."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 40: Drug Abuse IV: Major Drugs of Abuse Other

Than Alcohol and Nicotine

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/8433

Sample Questions

Q1) A patient who is agitated and profoundly anxious is brought to the emergency department. The patient acts paranoid and keeps describing things in the room that do not exist. A cardiac monitor shows an irregular ventricular tachycardia. Which medication will the nurse expect to administer?

A) Anticocaine vaccine

B) Diazepam [Valium]

C) Disulfiram [Antabuse]

D) Vigabatrin [Sabril]

Q2) Which factors make meperidine an opioid of choice among nurses and physicians who abuse opioids? (Select all that apply.)

A) Easy access to syringes for administration of the drug

B) Highly effective oral dosing

C) Increased effects on smooth muscle function

D) Less pupillary constriction than other opioids

E) Shorter half-life than other opioids

To view all questions and flashcards with answers, click on the resource link above.

42

Chapter 41: Diuretics

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8434

Sample Questions

Q1) A patient who is taking digoxin is admitted to the hospital for treatment of congestive heart failure. The prescriber has ordered furosemide [Lasix]. The nurse notes an irregular heart rate of 86 beats per minute,a respiratory rate of 22 breaths per minute,and a blood pressure of 130/82 mm Hg. The nurse auscultates crackles in both lungs. Which laboratory value causes the nurse the most concern?

A) Blood glucose level of 120 mg/dL

B) Oxygen saturation of 90%

C) Potassium level of 3.5 mEq/L

D) Sodium level of 140 mEq/L

Q2) A patient is brought to the emergency department with shortness of breath,a respiratory rate of 30 breaths per minute,intercostal retractions,and frothy,pink sputum. The nurse caring for this patient will expect to administer which drug?

A) Furosemide [Lasix]

B) Hydrochlorothiazide [HydroDIURIL]

C) Mannitol [Osmitrol]

D) Spironolactone [Aldactone]

To view all questions and flashcards with answers, click on the resource link above. Page 43

Chapter 42: Agents Affecting the Volume and Ion Content of Body Fluids

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8435

Sample Questions

Q1) While performing an admission assessment on a patient,the nurse learns that the patient is taking furosemide [Lasix],digoxin,and spironolactone [Aldactone]. A diet history reveals the use of salt substitutes. The patient is confused and dyspneic and complains of hand and foot tingling. Which is an appropriate nursing action for this patient?

A) Contact the provider to request orders for an electrocardiogram and serum electrolyte levels.

B) Evaluate the patient's urine output and request an order for intravenous potassium.

C) Hold the next dose of furosemide and request an order for intravenous magnesium sulfate.

D) Request an order for intravenous insulin to help this patient regulate extracellular potassium.

To view all questions and flashcards with answers, click on the resource link above.

44

Chapter 43: Review of Hemodynamics

Available Study Resources on Quizplus for this Chatper

7 Verified Questions

7 Flashcards

Source URL: https://quizplus.com/quiz/8436

Sample Questions

Q1) A nurse is caring for a patient who is receiving a drug that causes constriction of arterioles. The nurse expects to observe which effect from this drug?

A) Decreased stroke volume

B) Increased stroke volume

C) Decreased myocardial contractility

D) Increased myocardial contractility

Q2) A patient with a history of hypertension is admitted for a procedure. If the patient's arterial pressure decreases,which clinical manifestation would the nurse expect to see?

A) Decreased heart rate

B) Increased heart rate

C) Decreased blood pressure

D) Syncope

Q3) A patient is taking a drug that interferes with venous constriction. The nurse will tell the patient to:

A) ask for assistance when getting out of bed.

B) expect bradycardia for a few days.

C) notify the provider if headache occurs.

D) report shortness of breath.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 44: Drugs Acting on the

Renin-Angiotensin-Aldosterone System

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8437

Sample Questions

Q1) A female patient who begins taking spironolactone [Aldactone] as an adjunct to furosemide [Lasix] complains that her voice is deepening. What will the nurse do?

A) Contact the provider to obtain an order for a complete blood count (CBC) and liver function tests.

B) Explain that this drug binds with receptors for steroid hormones, causing this effect.

C) Report this side effect to the provider and request another medication for this patient.

D) Teach the patient to report any associated cough, which may indicate a more severe side effect.

Q2) A nurse is reviewing a patient's medications before administration. Which drug-to-drug interactions will most concern the nurse in a patient with a history of heart failure and a potassium level of 5.5 mEq/L?

A) Furosemide [Lasix] and enalapril [Vasotec]

B) Amlodipine [Norvasc] and spironolactone [Aldactone]

C) Captopril [Capoten] and spironolactone [Aldactone]

D) Metoprolol [Lopressor] and furosemide [Lasix]

To view all questions and flashcards with answers, click on the resource link above. Page 46

Chapter 45: Calcium Channel Blockers

Available Study Resources on Quizplus for this Chatper

7 Verified Questions

7 Flashcards

Source URL: https://quizplus.com/quiz/8438

Sample Questions

Q1) A patient who took an overdose of verapamil has been treated with gastric lavage and a cathartic. The emergency department nurse assesses the patient and notes a heart rate of 50 beats per minute and a blood pressure of 90/50 mm Hg. The nurse will anticipate:

A) administering intravenous norepinephrine (NE) and atropine and glucagon.

B) assisting with direct-current (DC) cardioversion.

C) placing the patient in an upright position.

D) preparing to administer a beta blocker.

Q2) A nurse is teaching a patient who will begin taking verapamil [Calan] for hypertension about the drug's side effects. Which statement by the patient indicates understanding of the teaching?

A) "I may become constipated, so I should increase fluids and fiber."

B) "I may experience a rapid heart rate as a result of taking this drug."

C) "I may have swelling of my hands and feet, but this will subside."

D) "I may need to increase my digoxin dose while taking this drug."

To view all questions and flashcards with answers, click on the resource link above. Page 47

Chapter 46: Vasodilators

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8439

Sample Questions

Q1) A nurse is reviewing the phenomenon of reflex tachycardia with a group of nursing students. Which statement by a student indicates understanding of this phenomenon?

A) "Baroreceptors in the aortic arch stimulate the heart to beat faster."

B) "Reflex tachycardia can negate the desired effects of vasodilators."

C) "Reflex tachycardia is more likely to occur when beta blockers are given."

D) "Venous dilation must occur for reflex tachycardia to occur."

Q2) A nursing student asks a nurse why a patient in hypertensive crisis is receiving both intravenous sodium nitroprusside [Nitropress] and oral hydralazine. The nurse will explain that this is done to prevent:

A) cyanide poisoning.

B) fluid retention.

C) rebound hypertension.

D) reflex tachycardia.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 47: Drugs for Hypertension

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/8440

Sample Questions

Q1) A patient with hypertension will begin taking an alpha₁ blocker. What will the nurse teach this patient?

A) A persistent cough is a known side effect of this drug.

B) Eat foods rich in potassium while taking this drug.

C) Move slowly from sitting to standing when taking this drug.

D) Report shortness of breath while taking this drug.

Q2) A nurse has provided education for a patient newly diagnosed with hypertension who is just beginning therapy with antihypertensive medications. Which statement by the patient indicates a need for further teaching?

A) "I may experience serious long-term problems even if I am not having symptoms."

B) "I should report side effects to the provider since other drugs may be substituted."

C) "I will need to take medications on a long-term basis."

D) "When my symptoms subside, I may discontinue the medications."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 48: Drugs for Heart Failure

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/8441

Sample Questions

Q1) A patient with heart failure who has been given digoxin [Lanoxin] daily for a week complains of nausea. Before giving the next dose,the nurse will:

A) assess the heart rate (HR) and give the dose if the HR is greater than 60 beats per minute.

B) contact the provider to report digoxin toxicity.

C) request an order for a decreased dose of digoxin.

D) review the serum electrolyte values and withhold the dose if the potassium level is greater than 3.5 mEq/L.

Q2) A nurse is preparing to administer digoxin [Lanoxin] to a patient. The patient's heart rate is 62 beats per minute,and the blood pressure is 120/60 mm Hg. The last serum electrolyte value showed a potassium level of 5.2 mEq/L. What will the nurse do?

A) Contact the provider to request an increased dose of digoxin.

B) Give the dose of digoxin and notify the provider of the potassium level.

C) Request an order for a diuretic.

D) Withhold the dose and notify the provider of the heart rate.

To view all questions and flashcards with answers, click on the resource link above.

50

Chapter 49: Antidysrhythmic Drugs

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/8442

Sample Questions

Q1) A nurse is providing teaching to a patient who is admitted to the hospital for initiation of treatment with amiodarone [Cordarone] for atrial fibrillation that has been refractory to other medications. Which statement by the patient indicates a need for further teaching?

A) "I may have itching, malaise, and jaundice, but these symptoms will subside."

B) "I need to use sunblock to help keep my skin from turning bluish gray."

C) "I should not drink grapefruit juice while taking this medication."

D) "I should report shortness of breath and cough and stop taking the drug immediately."

Q2) A prescriber orders verapamil [Covera-HS] for a patient who is taking digoxin [Lanoxin] and warfarin. The nurse will expect the prescriber to ____ the dose of ____.

A) lower; digoxin

B) increase; digoxin

C) lower; warfarin

D) increase; warfarin

To view all questions and flashcards with answers, click on the resource link above.

Chapter 50: Prophylaxis of Atherosclerotic Cardiovascular Disease:

Drugs That Help Normalize Cholesterol and Triglyceride Levels

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/8443

Sample Questions

Q1) A patient is being started on nicotinic acid [Niaspan] to reduce triglyceride levels. The nurse is providing patient education and should include teaching about which adverse effects? (Select all that apply.)

A) Facial flushing

B) Constipation

C) Hypoglycemia

D) Gastric upset

E) Itching

Q2) Which is a possible benefit of taking fish-oil supplements?

A) A decrease in low-density lipoprotein and triglyceride levels

B) Decreased risk of thrombotic stroke

C) Prevention of heart disease in high-risk patients

D) Reduced risk of dysrhythmia in patients after myocardial infarction

Q3) A patient taking gemfibrozil [Lopid] and rosuvastatin [Crestor] concurrently begins to complain of muscle aches,fatigue,and weakness. What should the nurse monitor?

A) For tendon tenderness

B) For a lupus-like syndrome

C) The patient's liver function test results

D) The patient's creatinine kinase levels

To view all questions and flashcards with answers, click on the resource link above. Page 52

Chapter 51: Drugs for Angina Pectoris

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/8444

Sample Questions

Q1) A nursing student is helping to care for a patient who takes verapamil for stable angina. The nurse asks the student to explain the purpose of verapamil in the treatment of this patient. Which statement by the student indicates a need for further teaching?

A) "It relaxes coronary artery spasms."

B) "It reduces peripheral resistance to reduce oxygen demands."

C) "It reduces the heart rate, AV conduction, and contractility."

D) "It relaxes the peripheral arterioles to reduce afterload."

Q2) A patient with new-onset exertional angina has taken three nitroglycerin sublingual tablets at 5-minute intervals,but the pain has intensified. The nurse notes that the patient has a heart rate of 76 beats per minute and a blood pressure of 120/82 mm Hg. The electrocardiogram is normal. The patient's lips and nail beds are pink,and there is no respiratory distress. The nurse will anticipate providing:

A) an angiotensin-converting enzyme (ACE) inhibitor.

B) intravenous nitroglycerin and a beta blocker.

C) ranolazine (Ranexa) and quinidine.

D) supplemental oxygen and intravenous morphine.

To view all questions and flashcards with answers, click on the resource link above.

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/8445

Sample Questions

Q1) A patient who takes warfarin [Coumadin] is brought to the emergency department after accidentally taking too much warfarin. The patient's heart rate is 78 beats per minute and the blood pressure is 120/80 mm Hg. A dipstick urinalysis is normal. The patient does not have any obvious hematoma or petechiae and does not complain of pain. The nurse will anticipate an order for:

A) vitamin K (phytonadione).

B) protamine sulfate.

C) a PTT.

D) a PT and an INR.

Q2) A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse notifies the provider,who orders lab work revealing a PT of 42 seconds and an INR of 3.5. The nurse will expect to administer:

A) phytonadione (vitamin K1) 1 mg IV over 1 hour.

B) phytonadione (vitamin K1) 2.5 mg PO.

C) protamine sulfate 20 mg PO.

D) protamine sulfate 20 mg slow IV push.

To view all questions and flashcards with answers, click on the resource link above. Page 54

Chapter 53: Management of ST-Elevation Myocardial Infarction

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8446

Sample Questions

Q1) A patient is admitted to the coronary care unit from the emergency department after initial management of STEMI. A primary percutaneous coronary intervention has been performed. The nurse notes an initial heart rate of 56 beats per minute and a blood pressure of 120/80 mm Hg. The patient has a history of stroke and a previous myocardial infarction. Which order will the nurse question?

A) Aspirin

B) Beta blocker

C) Clopidogrel

D) Heparin

Q2) A patient who is receiving reperfusion therapy has a history of heparin-induced thrombosis (HIT). The patient has a creatinine clearance of 28 mL/min. In addition to the fibrinolytic agent,which medication will the nurse expect to administer to this patient?

A) Aspirin

B) Bivalirudin [Angiomax]

C) Clopidogrel [Plavix]

D) Fondaparinux [Arixtra]

To view all questions and flashcards with answers, click on the resource link above. Page 55

Chapter 54: Drugs for Hemophilia

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8447

Sample Questions

Q1) A child with severe hemophilia A receives factor VIII. The nurse expects this drug to be given:

A) on demand when bleeding occurs.

B) on demand when plasma factor VIII activity is less than 1% above normal.

C) prophylactically once weekly to maintain normal factor VIII activity.

D) prophylactically three times weekly to maintain factor VIII activity above 1% of normal.

Q2) A patient who is receiving a factor VIII concentrate to treat hemophilia A develops hives,a low-grade temperature elevation,and a stuffy nose. The nurse will prepare to:

A) administer subcutaneous epinephrine.

B) give an antipyretic medication.

C) give oral diphenhydramine.

D) provide respiratory support.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 55: Drugs for Deficiency Anemias

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8448

Sample Questions

Q1) The nurse is taking a medication history on a newly admitted patient. The patient reports taking folic acid and vitamin B₁₂. The nurse notifies the provider because of the concern that folic acid can:

A) cause fetal malformation.

B) mask the signs of vitamin B₁₂ deficiency.

C) negatively affect potassium levels.

D) worsen megaloblastic anemia.

Q2) A patient with vitamin B₁₂deficiency is admitted with symptoms of hypoxia,anemia,numbness of hands and feet,and oral stomatitis. The nurse expects the prescriber to order which of the following therapies?

A) IM cyanocobalamin and folic acid

B) IM cyanocobalamin and antibiotics

C) PO cyanocobalamin and folic acid

D) PO cyanocobalamin and blood transfusions

To view all questions and flashcards with answers, click on the resource link above.

Chapter 56: Hematopoietic Agents

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8449

Sample Questions

Q1) A nursing student asks a nurse why patients with chronic renal failure (CRF)have low erythrocyte counts. Which response by the nurse is correct?

A) "Damage to the renal tubules increases serum blood loss."

B) "Dialysis accelerates the breakdown of red blood cells."

C) "Erythropoietin is no longer produced by cells in the kidneys."

D) "Patients with CRF are deficient in iron, folic acid, and vitamin B₁₂."

Q2) A patient with CRF who will begin receiving an erythropoiesis stimulating agent (ESA)is admitted to the hospital. The nurse notes that the patient's heart rate is 82 beats per minute,and the blood pressure is 140/100 mm Hg. A complete blood count reveals a hemoglobin of 8 gm/dL and a hematocrit of 29%. What will the nurse do?

A) Administer the ESA and request an order for a blood transfusion.

B) Withhold the ESA and request an order for an antihypertensive medication.

C) Request an order to increase the dose of ESA to raise the hemoglobin more quickly.

D) Suggest initiating dialysis while giving the ESA.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 57: Drugs for Diabetes Mellitus

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/8450

Sample Questions

Q1) Which statement is accurate about the long-term complications of diabetes?

A) Long-term complications are almost always the result of hypoglycemia and ketoacidosis.

B) The complication rates for patients with optimally controlled type 2 diabetes are the same as for those whose disease is not optimally controlled.

C) Optimal control of type 1 diabetes produces excessive episodes of life-threatening hypoglycemia.

D) Optimal control of both types of diabetes reduces the risk of eye, kidney, and nerve damage.

Q2) A nurse is educating the staff nurses about ketoacidosis. To evaluate the group's understanding,the nurse asks,"Which sign or symptom would not be consistent with ketoacidosis?" The group gives which correct answer?

A) Blood glucose level of 600 mg/dL

B) Blood glucose level of 60 mg/dL

C) Acidosis

D) Ketones in the urine

To view all questions and flashcards with answers, click on the resource link above.

Chapter 58: Drugs for Thyroid Disorders

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8451

Sample Questions

Q1) A patient has a free T₄ level of 0.6 ng/dL and a free T₃ of 220 pg/dL. The patient asks the nurse what these laboratory values mean. How will the nurse respond?

A) "These laboratory values indicate that you may have Graves' disease."

B) "These results suggest you may have hyperthyroidism."

C) "We will need to obtain a total T₄ and a total T₃ to tell for sure."

D) "We will need to obtain a TSH level to better evaluate your diagnosis."

Q2) A patient with hypothyroidism begins taking PO levothyroxine [Synthroid]. The nurse assesses the patient at the beginning of the shift and notes a heart rate of 62 beats per minute and a temperature of 97.2°F. The patient is lethargic and difficult to arouse. The nurse will contact the provider to request an order for which drug?

A) Beta blocker

B) Increased dose of PO levothyroxine

C) Intravenous levothyroxine

D) Methimazole [Tapazole]

To view all questions and flashcards with answers, click on the resource link above.

Chapter 59: Drugs Related to Hypothalamic and Pituitary Function

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8452

Sample Questions

Q1) A child with Prader-Willi syndrome (PWS)has short stature,and the provider is considering treatment with growth hormone. Which aspect of this child's history should the nurse report to the provider?

A) Behavior problems

B) Low muscle tone

C) Mental impairment

D) Sleep apnea

Q2) A patient with acromegaly asks the nurse about treatments for this condition. What will the nurse tell the patient?

A) Drugs are generally used after surgical and radiation therapies have been tried.

B) Drug therapy is easy to administer.

C) Drug therapy is inexpensive.

D) Drug therapy is generally short term.

Q3) What are the effects of prolactin secretion in males? (Select all that apply.)

A) Breast development

B) Decreased libido

C) Delayed puberty

D) Galactorrhea

E) Infertility

To view all questions and flashcards with answers, click on the resource link above.

Chapter 60: Drugs for Disorders of the Adrenal Cortex

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8453

Sample Questions

Q1) A patient with arthritis is admitted to the hospital. The patient's serum glucose level is 350 gm/dL,and the blood pressure is 182/98 mm Hg. The nurse notes that the patient's face appears rounded and puffy. The patient complains of feeling weak. What will the nurse do?

A) Ask which drugs the patient takes for arthritis.

B) Contact the provider to discuss whether the patient has a pituitary carcinoma.

C) Request an order for ketoconazole [Nizoral].

D) Suspect that this patient has Addison's disease.

Q2) A patient with Cushing's syndrome has undergone surgery and radiation treatment. The nurse will expect to teach the patient about which medication?

A) Cosyntropin

B) Dexamethasone

C) Fludrocortisone acetate [Florinef]

D) Ketoconazole [Nizoral]

To view all questions and flashcards with answers, click on the resource link above.

Chapter 61: Estrogens and Progestins: Basic Pharmacology and

Noncontraceptive Applications

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8454

Sample Questions

Q1) A nurse provides teaching to a patient who has had a hysterectomy and is about to begin hormone therapy to manage menopausal symptoms. Which statement by the patient indicates understanding of the teaching?

A) "Because I am not at risk for uterine cancer, I can take hormones indefinitely."

B) "I can take estrogen to reduce my risk of cardiovascular disease."

C) "I should take the lowest effective dose for the shortest time needed."

D) "I will need a progestin/estrogen combination since I have had a hysterectomy."

Q2) The nurse is providing patient education for a postmenopausal patient who is considering EPT. Which risks associated with EPT should the nurse discuss with the patient? (Select all that apply.)

A) Increased colon cancer

B) Stroke

C) Deep vein thrombosis

D) Ovarian cancer

E) Decreased bone density

To view all questions and flashcards with answers, click on the resource link above.

63

Chapter 62: Birth Control

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/8455

Sample Questions

Q1) A patient calls the nurse to report that she forgot to take a combination OC pill during the third week of her cycle. She tells the nurse that she missed another pill earlier that week. The nurse will tell her to:

A) continue the pack, skip the inert pills, and use an additional form of contraception for 7 days.

B) not to worry, because up to 7 days can be missed without an increased risk of pregnancy.

C) take a pill immediately, continue the pack, and use an additional form of contraception for 1 month.

D) take a pill now, continue the pack, skip the placebo pills, and start a new pack on week 4.

Q2) A woman has been taking a progestin-only oral contraceptive and will begin using a vaginal ring. The nurse will teach the patient to insert the ring:

A) the day the last pill is taken and use backup contraception for 7 days.

B) 1 week before taking the last pill.

C) 1 to 5 days after taking the last pill and use backup contraception for 2 days.

D) within 7 days after taking the last pill.

To view all questions and flashcards with answers, click on the resource link above.

Page 64

Chapter 63: Drug Therapy of Infertility

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8456

Sample Questions

Q1) A patient receiving menotropins [Repronex] for infertility comes to the clinic for evaluation on the ninth day of treatment. Her serum estrogen level is 200 pg/mL per maturing follicle. An ultrasound reveals that follicles have enlarged to 22 mm. The patient complains of left lower abdominal pain. What will the nurse do?

A) Administer human chorionic gonadotropin, because the ovary has ripened.

B) Assess for abdominal fullness and distension and auscultate lung sounds.

C) Inform the patient that the pain is associated with ovulation.

D) Recommend ibuprofen for pain and administer the next dose of menotropins.

Q2) A patient with endometriosis is being treated with the gonadotropin-releasing hormone (GnRH)agonist leuprolide [Lupron Depot]. A nurse is teaching the patient about the drug. Which statement by the patient indicates understanding of the teaching?

A) "I can continue to take the medication if I get pregnant."

B) "I can expect the medication to cure my symptoms."

C) "I may have menopausal-like symptoms when taking this medication."

D) "I will need to take the medication for several years."

To view all questions and flashcards with answers, click on the resource link above.

65

Chapter 64: Drugs That Affect Uterine Function

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8457

Sample Questions

Q1) A pregnant patient is being induced with oxytocin,which has been infusing for 1 hour. The initial rate was 6 milliunits/min,and the rate now is 18 milliunits/min. The nurse notes regular contractions occurring every 3 minutes,each lasting 35 seconds. The nurse will:

A) increase the rate of infusion by 1 to 2 milliunits/min every 15 to 40 minutes.

B) increase the rate of infusion by 3 to 6 milliunits/min every 15 to 40 minutes.

C) interrupt the infusion and continue to monitor the patient before restarting.

D) interrupt the infusion and notify the provider of potential oxytocin toxicity.

Q2) A patient is admitted to the obstetric unit in preterm labor at 36 weeks' gestation. The prescriber orders a tocolytic agent. When teaching the patient about this medication,the nurse will tell her that tocolytics:

A) are given until term to reduce fetal mortality.

B) are used to help the fetal lungs mature.

C) help delay delivery while glucocorticoids are given.

D) help treat the infections that cause preterm labor.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 65: Androgens

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8458

Sample Questions

Q1) A 12-year-old male patient diagnosed with hypogonadism will begin testosterone injections. What will the nurse include when teaching the family about this therapy?

A) Annual x-rays of the hands and wrists are necessary to monitor epiphyseal closure.

B) Gynecomastia may occur and is a common side effect.

C) Injections are given every 2 to 4 weeks for 3 to 4 years.

D) Use of this drug may lead to prostate cancer later in life.

Q2) A nurse is providing education to a patient who is beginning therapy with AndroGel testosterone gel. What statement made by the patient demonstrates a need for further teaching?

A) "I should not shower or swim for at least 5 to 6 hours after application."

B) "I should avoid direct skin-to-skin contact with my spouse where the medication was applied."

C) "I should have my blood drawn for laboratory tests in 14 days."

D) "I should apply the medication to my genitals for best results."

To view all questions and flashcards with answers, click on the resource link above.

67

Chapter 66: Drugs for Erectile Dysfunction and Benign

Prostatic Hyperplasia

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8459

Sample Questions

Q1) A healthy male patient who does not have erectile dysfunction asks about medications to improve sexual stamina. What will the nurse tell this patient?

A) "Medications for ED can improve the duration of erection in healthy men."

B) "Medications for ED can improve the quality of erection in healthy men."

C) "Medications for ED have no effect on erections in healthy men."

D) "Medications for ED will cause priapism in healthy men."

Q2) Which are contraindications for taking sildenafil [Viagra]? (Select all that apply.)

A) Patients who are taking nitroglycerin for angina pectoris

B) Patients with nonarteritic ischemic optic neuropathy (NAION) in one eye

C) Patients with BPH who are taking alpha₁-adrenergic antagonists

D) Patients with a blood pressure of 100/60 mm Hg

E) Patients with a history of myocardial infarction (MI) in the past 6 months

Q3) A nurse is teaching a patient about the use of sildenafil [Viagra] for erectile dysfunction. Which statement by the patient indicates understanding of the teaching?

A) "If my erection lasts longer than 4 hours, I should contact my provider."

B) "I should not use nitroglycerin within 12 hours of using sildenafil."

C) "I should take this drug about 15 minutes before sexual activity."

D) "This drug may cause me to have an erection when I don't want one."

To view all questions and flashcards with answers, click on the resource link above. Page 68

Chapter 67: Review of the Immune System

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8460

Sample Questions

Q1) A nurse is reviewing the immune system with a group of nursing students. One student asks about the difference between cell-mediated immunity and humoral immunity. What should the nurse reply?

A) "Humoral immunity does not involve helper T cells in the immune response."

B) "Humoral immunity does not have a role in hypersensitivity reactions."

C) "Humoral immunity requires cytolytic T cells that attack antigens directly."

D) "Humoral immunity uses cells produced by B lymphocytes in the immune response."

Q2) A patient who breast-feeds her infant asks the nurse about the immunity the infant receives from breast milk. What does the nurse tell the patient about immunity through breast-feeding?

A) "The immunity protects the infant from hypersensitivity reactions."

B) "The immunity provides phagocytes to help the infant fight infections."

C) "The immunity results from the transfer of IgA through the breast milk."

D) "The immunity protects the infant from respiratory and gastrointestinal (GI) microbes."

To view all questions and flashcards with answers, click on the resource link above.

69

Chapter 68: Childhood Immunization

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/8461

Sample Questions

Q1) A 1-year-old child is scheduled to receive the MMR vaccine,pneumococcal vaccine (PCV),Varivax,and hepatitis A vaccine. The child's parents request that the MMR vaccine not be given,saying that,even though there is no demonstrated link with autism,they are still concerned about toxic levels of mercury in the vaccine. Which response by the nurse is correct?

A) "Most U.S.-made vaccines have zero to low amounts of mercury."

B) "Other vaccine preparations contain mercury as well."

C) "Thimerosal is a nontoxic form of mercury."

D) "You can get more mercury from breast milk and many foods on the market."

Q2) Which are recommended measures to help minimize pain associated with vaccine administration? (Select all that apply.)

A) Administer acetaminophen or ibuprofen before the vaccine is given.

B) Apply a topical anesthetic to the injection site before the vaccine is given.

C) Give intramuscular vaccines rapidly without aspiration.

D) Have the child lie down while the vaccine is given.

E) Provide tactile stimulation as a diversion.

To view all questions and flashcards with answers, click on the resource link above. Page 70

Chapter 69: Immunosuppressants

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8462

Sample Questions

Q1) A patient with a history of lung transplantation is admitted for treatment for a respiratory infection. The patient has been taking cyclosporine [Sandimmune],prednisone,and azathioprine [Imuran] for 8 months. The provider has ordered azithromycin [Zithromax] to treat the infection and acetaminophen [Tylenol] as needed for fever. The nurse will contact the provider to:

A) ask whether a different antibiotic can be used.

B) ask that the prednisone be discontinued until the infection clears.

C) suggest increasing the dose of cyclosporine.

D) suggest using ibuprofen instead of acetaminophen.

Q2) The nurse is caring for a patient after recent renal transplantation. The patient is taking sirolimus [Rapamune] to prevent transplant rejection. What other medications would the nurse expect the patient to be taking?

A) Rifampin and ketoconazole

B) Carbamazepine and phenobarbital

C) Cyclosporine and glucocorticoids

D) Amphotericin B and erythromycin

To view all questions and flashcards with answers, click on the resource link above. Page 71

Chapter 70: Antihistamines

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8463

Sample Questions

Q1) A patient will begin taking fexofenadine [Allegra] for hay fever. The nurse teaching this patient will tell the patient that:

A) fexofenadine should be taken with food to prevent gastrointestinal (GI) symptoms.

B) the medication may be taken once or twice daily.

C) tolerance to sedation will occur in a few weeks.

D) with renal impairment, this drug should be taken every other day.

Q2) A patient is brought to the emergency department after ingesting a handful of diphenhydramine [Benadryl] tablets. The patient has dilated pupils,a flushed face,and tremors. The patient is agitated and has a heart rate of 110 beats per minute. The nurse may anticipate administering which agents? (Select all that apply.)

A) Activated charcoal

B) Atropine

C) Cathartics

D) Lorazepam

E) Second-generation H₁ antagonists

To view all questions and flashcards with answers, click on the resource link above.

72

Chapter 71: Cyclooxygenase Inhibitors: Nonsteroidal

Anti-inflammatory Drugs and Acetaminophen

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8464

Sample Questions

Q1) A woman who has arthritis is breast-feeding her infant and asks the nurse if it is safe to take NSAIDs while nursing. What will the nurse tell this patient?

A) NSAIDs are safe to take while breast-feeding.

B) NSAIDs are not safe, even in small amounts.

C) She should take only COX-2 inhibitors while breast-feeding.

D) She should request a prescription for narcotic analgesics.

Q2) A patient who reports regular consumption of two or three alcoholic beverages per day asks about taking acetaminophen when needed for occasional recurrent pain. What will the nurse tell the patient?

A) "Do not take more than 2 gm of acetaminophen a day."

B) "Do not take more than 3 gm of acetaminophen a day."

C) "Do not take more than 4 gm of acetaminophen a day."

D) "Do not take a fixed-dose preparation with opioid analgesics."

Q3) A patient who takes daily doses of aspirin is scheduled for surgery next week. The nurse should advise the patient to:

A) continue to use aspirin as scheduled.

B) reduce the aspirin dosage by half until after surgery.

C) stop using aspirin immediately.

D) stop using aspirin 3 days before surgery.

Page 73

To view all questions and flashcards with answers, click on the resource link above.

Chapter 72: Glucocorticoids in Nonendocrine Disorders

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/8465

Sample Questions

Q1) Which disorders may be treated with glucocorticoids? (Select all that apply.)

A) Allergic rhinitis

B) Anaphylaxis

C) Bronchiolitis

D) Gout

E) Ulcerative colitis

Q2) A patient who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes that the patient's cheeks appear full and that a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which test(s)?

A) Liver function tests

B) Serum electrolytes

C) Tuberculin skin test

D) Vitamin D levels

To view all questions and flashcards with answers, click on the resource link above.

74

Chapter 73: Drug Therapy of Rheumatoid Arthritis

Available Study Resources on Quizplus for this Chatper

8 Verified Questions

8 Flashcards

Source URL: https://quizplus.com/quiz/8466

Sample Questions

Q1) A child who has juvenile idiopathic arthritis and who has been taking methotrexate [Rheumatrex] will begin a course of abatacept [Orencia]. What will the nurse include when teaching the child's family about this drug?

A) That abatacept and methotrexate must both be taken to be effective

B) To continue getting vaccinations during therapy with abatacept

C) That signs of infection may warrant immediate discontinuation of abatacept

D) That a tumor necrosis factor (TNF) antagonist may be added if this therapy is not effective

Q2) A patient who has been diagnosed with rheumatoid arthritis (RA)for 1 month and has generalized symptoms is taking high-dose nonsteroidal anti-inflammatory drugs (NSAIDs)and an oral glucocorticoid. The provider has ordered methotrexate [Rheumatrex]. The patient asks the nurse why methotrexate is necessary since pain and swelling have been well controlled with the other medications. The nurse will tell the patient that:

A) a methotrexate regimen can reduce overall costs and side effects of treatment.

B) starting methotrexate early can help delay joint degeneration.

C) starting methotrexate now will help increase life expectancy.

D) with methotrexate, doses of NSAIDs can be reduced to less toxic levels.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 74: Drug Therapy of Gout

Available Study Resources on Quizplus for this Chatper

9 Verified Questions

9 Flashcards

Source URL: https://quizplus.com/quiz/8467

Sample Questions

Q1) A patient is admitted for treatment of gout that has been refractory to treatment with allopurinol and probenecid. The patient is taking colchicine,and the prescriber orders pegloticase [Krystexxa]. Before administering this drug,the nurse will expect to:

A) administer an antihistamine and a glucocorticoid.

B) discontinue the colchicine.

C) increase the dose of colchicine.

D) prepare to administer a bronchodilator if needed.

Q2) A patient who has gout will begin taking febuxostat [Uloric] and colchicine. What will the nurse include when teaching this patient about this drug regimen?

A) "You are taking both drugs in order to prevent hepatic side effects."

B) "You may stop taking the febuxostat after your uric acid levels decrease."

C) "You will have to take both drugs indefinitely to treat your symptoms."

D) "You will stop taking the colchicine within 6 months after starting therapy."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 75: Drugs Affecting Calcium Levels and Bone

Mineralization

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/8468

Sample Questions

Q1) A postmenopausal patient is at high risk for developing osteoporosis. The patient's prescriber orders raloxifene [Evista],and the nurse provides teaching about this drug. Which statement by the patient indicates understanding of the teaching?

A) "I may experience breast tenderness while taking this drug."

B) "I may experience fewer hot flashes while taking this drug."

C) "I should discontinue this drug several weeks before any surgery."

D) "I should walk as much as possible during long airline flights."

Q2) A nurse provides teaching for a woman who will begin taking supplemental calcium. Which statement by the woman indicates understanding of the teaching?

A) "Chewable calcium tablets are not absorbed well and are not recommended."

B) "I should not take more than 600 mg of calcium at one time."

C) "I should take enough supplemental calcium to provide my total daily requirements."

D) "If I take calcium with green, leafy vegetables, it will increase absorption."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 76: Drugs for Asthma and Chronic Obstructive Pulmonary Disease

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/8469

Sample Questions

Q1) A patient with severe,chronic COPD uses an inhaled LABA/glucocorticoid but continues to have frequent exacerbations of symptoms. The nurse will contact the provider to discuss:

A) adding roflumilast [Daliresp] once daily.

B) changing to oral theophylline twice daily.

C) prescribing oral steroids once daily.

D) Using an ipratropium/albuterol combination twice daily.

Q2) A patient with COPD is prescribed tiotropium [Spiriva]. After the initial dose,the patient reports only mild relief within 30 minutes. What will the nurse tell the patient?

A) "You may have another dose in 4 hours."

B) "You may need to take two inhalations instead of one."

C) "You should have peak effects in about 6 hours."

D) "You should see improved effects within the next week."

Q3) Which drugs are used to treat COPD? (Select all that apply.)

A) Anticholinergic medications

B) Glucocorticoids

C) Leukotriene modifiers

D) Long-acting beta₂ agonists

E) Monoclonal antibodies

To view all questions and flashcards with answers, click on the resource link above. Page 78

Chapter 77: Drugs for Allergic Rhinitis, Cough, and Colds

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8470

Sample Questions

Q1) A patient admitted to the hospital has been using phenylephrine nasal spray [Neo-Synephrine],2 sprays every 4 hours,for a week. The patient complains that the medication is not working,because the nasal congestion has increased. What will the nurse do?

A) Request an order for an oral decongestant to replace the intranasal phenylephrine.

B) Request an order for an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.

C) Tell the patient to increase the dose of phenylephrine to 4 sprays every 4 hours.

D) Tell the patient to stop using the phenylephrine and begin using an intranasal antihistamine.

Q2) A parent asks a nurse about giving diphenhydramine [Benadryl] to a child to relieve cold symptoms. Which response by the nurse is correct?

A) "Benadryl must be given in higher doses to provide relief for cold symptoms."

B) "Intranasal glucocorticoids are more effective for treating cold symptoms."

C) "Nasal antihistamines are more effective for treating cold symptoms."

D) "Because histamine doesn't cause cold symptoms, Benadryl would not be effective."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 78: Drugs for Peptic Ulcer Disease

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8471

Sample Questions

Q1) A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs)for arthritis asks a nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using which medication?

A) Antibiotics

B) Histamine-2 receptor antagonists

C) Proton pump inhibitors

D) Mucosal protectants

Q2) Which non-pharmaceutical intervention can be used to reduce symptoms of gastroesophageal reflux disease? (Select all that apply.)

A) Avoiding late-night meals

B) Consuming a glass of wine with meals

C) Drinking soft drinks

D) Losing weight

E) Stopping smoking

To view all questions and flashcards with answers, click on the resource link above.

Chapter 79: Laxatives

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8472

Sample Questions

Q1) A nurse is taking a history on a clinic patient who reports being constipated. Upon further questioning,the nurse learns that the patient's last stool was 4 days ago,that it was of normal,soft consistency,and that the patient defecated without straining. The patient's abdomen is not distended,and bowel sounds are present. The patient reports usually having a stool every 1 to 2 days. What will the nurse do?

A) Ask about recent food and fluid intake.

B) Discuss the use of polyethylene glycol [MiraLax].

C) Recommend a bulk laxative.

D) Suggest using a bisacodyl [Dulcolax] suppository.

Q2) A patient is admitted with lower abdominal pain and nausea. The nurse performing the initial assessment notes that the patient's abdomen is distended and firm,and hypoactive bowel sounds are present. The patient has not had a stool for 3 days. The nurse will contact the provider,who will:

A) order a bulk-forming laxative.

B) order extra fluids and fiber.

C) perform diagnostic tests.

D) prescribe a cathartic laxative.

To view all questions and flashcards with answers, click on the resource link above. Page 81

Chapter 80: Other Gastrointestinal Drugs

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/8473

Sample Questions

Q1) A pregnant patient who is taking ondansetron [Zofran] for morning sickness tells the nurse she is experiencing headache and dizziness. What will the nurse tell her?

A) It is not safe to take this drug during pregnancy.

B) These are common side effects of ondansetron.

C) She should stop taking the ondansetron immediately.

D) She should report these adverse effects to her provider.

Q2) A patient is preparing to travel to perform missionary work in a region with poor drinking water. The provider gives the patient a prescription for ciprofloxacin [Cipro] to take on the trip. What will the nurse instruct this patient to do?

A) Combine the antibiotic with an antidiarrheal medication, such as loperamide.

B) Start taking the ciprofloxacin 1 week before traveling.

C) Take 1 tablet of ciprofloxacin with each meal for best results.

D) Use the drug if symptoms are severe or do not improve in a few days.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 81: Vitamins

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/8474

Sample Questions

Q1) A nursing student asks a nurse about the recommendations for vitamin supplements to prevent cancer. Which statement by the student indicates a need for further teaching?

A) "Foods rich in antioxidant vitamins may confer protection by other means."

B) "Observational studies provide clear proof that some antioxidants reduce the risk of cancer."

C) "Randomized controlled studies have not demonstrated cancer prevention benefits."

D) "Some vitamins have an increased cancer risk associated with too low and too high amounts."

Q2) Which B vitamin deficiency is associated with cheilosis,glossitis,vascularization of the cornea,and itchy dermatitis of the scrotum and vulva?

A) Niacin (nicotinic acid)

B) Pyridoxine (vitamin B₆)

C) Riboflavin (vitamin B₂)

D) Thiamine (vitamin B₁)

To view all questions and flashcards with answers, click on the resource link above.

Chapter 82: Drugs for Weight Loss

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8475

Sample Questions

Q1) A patient asks a nurse which weight-loss diet is most effective. Which response by the nurse is appropriate?

A) "Low-fat diets may be easiest for weight loss, because fat has a higher concentration of calories than proteins and carbohydrates."

B) "Most diets don't work very well for long-term maintenance, so you should ask your provider about medications to lose weight."

C) "You should be able to lose 30 to 40 pounds in the first 6 months of an effective weight-loss diet."

D) "You should select a diet that has a higher fat ratio to prevent hunger between meals."

Q2) A patient has been taking phentermine and topiramate [Osymia] for 6 months for weight loss. The nurse weighs the patient and notes a 3% weight loss since beginning the drug. The nurse will expect the prescriber to:

A) continue the current dosage for 4 more weeks.

B) discontinue the drug.

C) increase the drug dosage.

D) switch to another nonamphetamine agent.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 83: Basic Principles of Antimicrobial Therapy

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8476

Sample Questions

Q1) A patient has a localized skin infection,which is most likely caused by a gram-positive cocci. Until the culture and sensitivity results are available,the nurse will expect the provider to order a ____-spectrum ____ agent.

A) broad; systemic

B) broad; topical

C) narrow; systemic

D) narrow; topical

Q2) A parent asks a nurse if the provider will prescribe an antibiotic for a child who attends school with several children who have strep throat. The child is complaining of a sore throat and has a fever. What will be the nurse's response?

A) "Because strep throat is likely, your child should be treated empirically."

B) "With good hand washing, your child should not get strep throat."

C) "Your child probably has strep throat, so your provider will order an antibiotic."

D) "Your child should come to the clinic to have a throat culture done today."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 84: Drugs That Weaken the Bacterial Cell Wall I:

Penicillins

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8477

Sample Questions

Q1) A nurse assisting a nursing student with medications asks the student to describe how penicillins (PCNs)work to treat bacterial infections. The student is correct in responding that penicillins:

A) disinhibit transpeptidases.

B) disrupt bacterial cell wall synthesis.

C) inhibit autolysins.

D) inhibit host cell wall function.

Q2) A nurse is preparing to administer intramuscular penicillin to a patient who is infected with T. pallidum and notes that the order is for sodium penicillin G. Which action is correct?

A) Administer the drug as prescribed.

B) Contact the provider to discuss administering the drug intravenously.

C) Contact the provider to discuss changing the drug to benzathine penicillin G.

D) Request an order for piperacillin instead of penicillin G.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 85: Drugs That Weaken the Bacterial Cell Wall II:

Cephalosporins, Carbapenems, Vancomycin, Telavancin, Aztreonam, and Fosfomycin

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8478

Sample Questions

Q1) A patient is to undergo orthopedic surgery,and the prescriber will order a cephalosporin to be given preoperatively as prophylaxis against infection. The nurse expects the provider to order which cephalosporin?

A) First-generation cephalosporin

B) Second-generation cephalosporin

C) Third-generation cephalosporin

D) Fourth-generation cephalosporin

Q2) Besides the cost of administering a given drug,which are considerations when a provider selects a cephalosporin to treat an infection? (Select all that apply.)

A) Adverse effects

B) Antimicrobial spectrum

C) Brand name

D) Manufacturer

E) Pharmacokinetics

Q3) Which cephalosporin may be used to treat meningitis?

A) Cefaclor

B) Cefazolin

C) Cefoxitin

D) Cefotaxime

To view all questions and flashcards with answers, click on the resource link above. Page 87

Chapter 86: Bacteriostatic Inhibitors of Protein Synthesis:

Tetracyclines, Macrolides, and Others

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/8479

Sample Questions

Q1) Which side effect of clindamycin [Cleocin] causes the most concern and may warrant discontinuation of the drug?

A) Diarrhea

B) Headache

C) Nausea

D) Vomiting

Q2) A child with an upper respiratory infection caused by B. pertussis is receiving erythromycin ethylsuccinate. After 2 days of treatment,the parent asks the nurse why the child's symptoms have not improved. Which response by the nurse is correct?

A) "Erythromycin eliminates the bacteria that causes the infection, but not the toxin that causes the symptoms."

B) "We may need to add penicillin or another antibiotic to increase the antimicrobial spectrum."

C) "We will need to review the culture sensitivity information to see whether a different antibiotic is indicated."

D) "Your child may have developed a suprainfection that we need to culture and treat."

To view all questions and flashcards with answers, click on the resource link above.

88

Chapter 87: Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/8480

Sample Questions

Q1) A patient who has been receiving intravenous gentamicin for several days reports having had a headache for 2 days. The nurse will request an order to:

A) discontinue the gentamicin.

B) obtain a gentamicin trough before the next dose is given

C) give an analgesic to control headache discomfort.

D) obtain renal function tests to evaluate for potential nephrotoxicity.

Q2) A patient has a Pseudomonas aeruginosa infection that is sensitive to aminoglycosides,and the prescriber orders gentamicin. The patient tells the nurse that a friend received amikacin [Amikin] for a similar infection and wonders why amikacin was not ordered. What will the nurse tell the patient?

A) "Amikacin is given when infectious agents are resistant to other aminoglycosides."

B) "Amikacin is more vulnerable to inactivation by bacterial enzymes."

C) "Amikacin is a narrow-spectrum drug and will probably not work for this infection."

D) "Gentamicin is less toxic to the ears and the kidneys."

To view all questions and flashcards with answers, click on the resource link above.

89

Chapter 88: Sulfonamides and Trimethoprim

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8481

Sample Questions

Q1) A nurse is caring for a patient who takes an ACE inhibitor and an ARB medication who will begin taking TMP/SMZ to treat a urinary tract infection. Which serum electrolyte will the nurse expect to monitor closely?

A) Calcium

B) Chloride

C) Potassium

D) Sodium

Q2) A patient with second-degree burns is treated with silver sulfadiazine [Silvadene]. A nursing student asks the nurse about the differences between silver sulfadiazine and mafenide [Sulfamylon],because the two are similar products,and both contain sulfonamides. What does the nurse tell the student about silver sulfadiazine?

A) It causes increased pain when the medication is applied.

B) It has a broader spectrum of antimicrobial sensitivity.

C) It has antibacterial effects related to release of free silver.

D) It suppresses renal excretion of acid, causing acidosis.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 89: Drug Therapy of Urinary Tract Infections

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8482

Sample Questions

Q1) Nitrofurantoin [Macrodantin] is prescribed for an adolescent female patient with acute cystitis. What should the nurse include in the teaching for this patient? (Select all that apply.)

A) "Make sure you tell your prescriber if you might be pregnant."

B) "If you experience any tingling or numbness, stop taking the drug and call the clinic immediately."

C) "Headaches and drowsiness can occur and are mild side effects."

D) "You should not take sulfonamides while taking this medication."

E) "Your urine may have a brown tinge while you are taking this drug."

Q2) A patient with a history of renal calculi has fever,flank pain,and bacteriuria. The nurse caring for this patient understands that it is important for the provider to:

A) begin antibiotic therapy after urine culture and sensitivity results are available.

B) give prophylactic antibiotics for 6 weeks after the acute infection has cleared.

C) initiate immediate treatment with broad-spectrum antibiotics.

D) refer the patient for intravenous antibiotics and hospitalization.

To view all questions and flashcards with answers, click on the resource link above.

91

Chapter

Tuberculosis, Leprosy, and Mycobacterium avium Complex

Infection

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/8483

Sample Questions

Q1) A hospitalized patient is being treated for tuberculosis with a drug regimen that includes pyrazinamide. The patient complains of pain in the knee and shoulder joints. The nurse will contact the provider to request an order for:

A) ibuprofen.

B) renal function tests.

C) discontinuation of the pyrazinamide.

D) measurement of uric acid levels.

Q2) A patient who is taking drugs to treat HIV has tuberculosis and has been on a four-drug regimen for 3 months without improvement in symptoms. Which drug will the nurse anticipate that the provider will add to this patient's regimen?

A) bedaquiline [Sirturo]

B) capreomycin [Capastat Sulfate]

C) ethionamide [Trecator]

D) pyridoxine

To view all questions and flashcards with answers, click on the resource link above.

Chapter 91: Miscellaneous Antibacterial Drugs:

Fluoroquinolones, Metronidazole, Daptomycin, Rifampin, Rifaximin, Bacitracin, and Polymyxins

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8484

Sample Questions

Q1) Which antibiotics may be administered topically? (Select all that apply.)

A) Bacitracin

B) Daptomycin

C) Ofloxacin

D) Polymyxin B

E) Rifampin

Q2) A provider orders intravenous moxifloxacin [Avelox] for a patient who has sinusitis. Before administering the drug,the nurse will review this patient's chart for:

A) a history of asthma.

B) concurrent use of digoxin.

C) concurrent use of warfarin.

D) recent serum electrolyte levels.

Q3) A patient will receive oral ciprofloxacin [Cipro] to treat a urinary tract infection. The nurse provides teaching for this patient. Which statement by the patient indicates a need for further teaching?

A) "I may have abdominal pain and nausea, but these are usually mild."

B) "I should take this medication with food or milk to improve absorption."

C) "I should stop taking the medication immediately if I experience heel pain."

D) "I will need to use sunscreen every time I go outdoors."

To view all questions and flashcards with answers, click on the resource link above. Page 93

Chapter 92: Antifungal Agents

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/8485

Sample Questions

Q1) Which superficial mycosis is generally treated with oral antifungal agents?

A) Tinea capitis

B) Tinea corporis

C) Tinea cruris

D) Tinea pedis

Q2) Ketoconazole is used as an alternative to amphotericin B for less severe systemic mycosis. Which are the primary reasons for choosing ketoconazole? (Select all that apply.)

A) It can be given orally.

B) It can be used safely in patients with hepatic dysfunction.

C) It can be given once weekly rather than daily.

D) It is effective for severe, acute infections.

E) It is less toxic.

Q3) A nursing student asks a nurse to explain the differences between amphotericin B [Abelcet] and the azoles group of antifungal agents. Which statement by the nurse is correct?

A) "Amphotericin B can be given orally or intravenously."

B) "Amphotericin B increases the levels of many other drugs."

C) "Azoles have lower toxicity than amphotericin B."

D) "Only the azoles are broad-spectrum antifungal agents."

To view all questions and flashcards with answers, click on the resource link above. Page 94

Chapter 93: Antiviral Agents I: Drugs for Non-HIV Viral

Infections

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/8486

Sample Questions

Q1) A patient has a positive test for hepatitis C and is admitted to the hospital. The admission laboratory tests reveal a normal ALT,and a liver biopsy is negative for hepatic fibrosis and inflammation. The nurse will prepare this patient for:

A) dual therapy with pegylated interferon alfa and ribavirin.

B) no medication therapy at this time.

C) pegylated interferon alfa only until ALT levels are elevated.

D) triple drug therapy with pegylated interferon alfa, ribavirin, and boceprevir.

Q2) A patient with HIV contracts herpes simplex virus (HSV),and the prescriber orders acyclovir [Zovirax] 400 mg PO twice daily for 10 days. After 7 days of therapy,the patient reports having an increased number of lesions. The nurse will expect the provider to:

A) extend this patient's drug therapy to twice daily for 12 months.

B) give intravenous foscarnet every 8 hours for 2 to 3 weeks.

C) increase the acyclovir dose to 800 mg PO 5 times daily.

D) order intravenous valacyclovir [Valtrex] 1 gm PO twice daily for 10 days.

To view all questions and flashcards with answers, click on the resource link above.

95

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8487

Sample Questions

Q1) The nurse is caring for a patient who is HIV positive and has a previous history of drug and alcohol abuse. The patient is being treated with combination therapies,including didanosine [Videx]. Which laboratory findings would most concern the nurse?

A) Increased serum amylase and triglycerides and decreased serum calcium

B) Decreased serum amylase and serum triglycerides and increased serum calcium

C) Decreased hemoglobin and hematocrit

D) Increased serum amylase, decreased triglycerides, and increased platelets

Q2) After starting an antiviral protease inhibitor,a patient with HIV telephones the nurse,complaining,"I'm so hungry and thirsty all the time! I'm urinating 10 or 12 times a day." The nurse recognizes these findings to be consistent with:

A) pancreatic infiltration by HIV.

B) allergic reaction.

C) nonadherence to the antiviral regimen.

D) hyperglycemia.

To view all questions and flashcards with answers, click on the resource link above.

96

Chapter 95: Drug Therapy of Sexually Transmitted Diseases

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8488

Sample Questions

Q1) A patient is diagnosed with pelvic inflammatory disease (PID). Which treatment regimen is most appropriate for reducing the risk of sterility in this patient?

A) Azithromycin [Zithromax], 1 gm PO once, and cefoxitin, 2 gm IM once in the clinic

B) Ceftriaxone [Rocephin], 250 mg IM once, with doxycycline [Vibramycin], 100 mg PO twice daily for 14 days as an outpatient

C) Doxycycline [Vibramycin], 100 mg IV twice daily, and cefoxitin, 2 gm IV every 6 hours in the hospital

D) Doxycycline [Vibramycin], 100 mg PO twice daily for 14 days, and metronidazole [Flagyl], 500 mg PO twice daily for 14 days in the hospital

Q2) A patient admitted to the hospital is using metronidazole [Flagyl] 0.75% gel. The nurse understands that this agent is used to treat which condition?

A) Chlamydia trachomatis

B) Gardnerella vaginalis

C) Haemophilus ducreyi

D) Trichomonas vaginalis

To view all questions and flashcards with answers, click on the resource link above.

Chapter 96: Antiseptics and Disinfectants

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8489

Sample Questions

Q1) A patient has an abrasion,and the nurse is preparing to cleanse the area with iodine. Which preparation will the nurse use?

A) Free elemental iodine

B) Iodine solution

C) Iodine tincture

D) Povidone iodine

Q2) A nursing student asks a nurse why systemic antibiotics and not topical antiseptic agents are used to treat localized skin infections. Which statement by the student indicates a need for further teaching?

A) "Systemic agents are not affected by wound exudates."

B) "Systemic agents penetrate to the site of infection."

C) "Topical agents can damage inflamed or abraded tissues."

D) "Topical agents work only against established local infections."

Q3) Which compound can be used to treat localized skin infections and to irrigate wounds?

A) Benzalkonium chloride (BAC)

B) Hexachlorophene (pHisoHex)

C) Oxychlorosene sodium (Clorpactin WCS90)

D) Sodium hypochlorite

To view all questions and flashcards with answers, click on the resource link above.

Page 98

Chapter 97: Anthelmintics

Available Study Resources on Quizplus for this Chatper

9 Verified Questions

9 Flashcards

Source URL: https://quizplus.com/quiz/8490

Sample Questions

Q1) A patient with strongyloidiasis is being treated with ivermectin [Stromectol]. What will the nurse expect to teach this patient?

A) A Mazotti-type reaction is likely.

B) Hypotension is a common side effect of the drug.

C) The drug should be taken every 6 to 12 months until symptoms have cleared.

D) The drug should be taken with water for 1 to 2 days.

Q2) A child is seen in the clinic after complaining of intense perianal itching. The provider diagnoses the child with pinworms and orders mebendazole [Vermox]. The nurse will expect to teach the child's parents to:

A) administer the drug with a high-fat meal to improve absorption.

B) avoid driving or other hazardous activities until the drug's effects wear off.

C) give each family member one dose of the drug now and another dose in 2 weeks.

D) report serious adverse effects that can occur with death of the causative parasite.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 98: Antiprotozoal Drugs I: Antimalarial Agents

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8491

Sample Questions

Q1) A nurse is teaching a patient who is preparing to travel for a month-long missionary trip to Africa. The provider has ordered chloroquine [Aralen Phosphate] as suppressive therapy. Which statement by the patient indicates a need for further teaching?

A) "I should continue taking the drug for 2 weeks after returning home."

B) "I should take 500 mg of this drug once each week."

C) "I should take the first dose 1 week before leaving for Africa."

D) "I should take this drug with meals."

Q2) The nurse is caring for a newly admitted African American patient who has just returned from a mission trip to Africa. The patient contracted malaria and is being treated with primaquine. What will the nurse monitor?

A) The patient's blood for evidence of hyperlipidemia

B) The patient's eyes for evidence of icterus

C) The patient's skin for photosensitivity

D) The patient's urinary output for evidence of darkening urine

To view all questions and flashcards with answers, click on the resource link above.

Chapter 99: Antiprotozoal Drugs II: Miscellaneous Agents

Available Study Resources on Quizplus for this Chatper

9 Verified Questions

9 Flashcards

Source URL: https://quizplus.com/quiz/8492

Sample Questions

Q1) The nurse is monitoring a patient who is receiving an inhalation treatment with pentamidine [NebuPent]. The patient begins to cough and states that he is having trouble breathing. What is the best action by the nurse?

A) Administer a PRN dose of a bronchodilator.

B) Discontinue the inhalation treatment.

C) Nothing, because these are expected adverse effects of pentamidine.

D) Reduce the rate of the inhalation treatment.

Q2) A family has just returned from a camping trip,and all family members have diarrhea and colicky abdominal pain after eating. The parents report that they drank water from a well while on the camping trip. While awaiting stool cultures,the nurse will expect the provider to order which agent empirically?

A) Iodoquinol [Yodoxin]

B) Metronidazole [Flagyl]

C) Miltefosine [Impavido]

D) Sodium stibogluconate [Pentostam]

To view all questions and flashcards with answers, click on the resource link above.

Chapter 100: Ectoparasiticides

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8493

Sample Questions

Q1) A nurse is teaching a class at a community center on communicable diseases. Which statement by a member of the class best demonstrates understanding of the epidemiology of head lice?

A) "All socioeconomic groups are at risk for this infestation."

B) "Head lice affect only people in crowded environments."

C) "Head lice are transmitted only by direct person-to-person contact."

D) "The infestation can be acquired from house pets."

Q2) A nurse is teaching a group of nursing students how to examine children in a day care center for pediculus humanus capitis (head lice). Which statement by a student indicates understanding of this teaching?

A) "Adult lice are easily visible on the hair shaft."

B) "Children from lower socioeconomic families are more likely to have lice."

C) "I may observe hives, boils, and impetigo on the child's scalp if lice are present."

D) "I should be careful to prevent the lice from jumping into my hair."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 101: Basic Principles of Cancer Chemotherapy

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/8494

Sample Questions

Q1) A nurse is teaching a group of nursing students about how cytotoxic anticancer drugs affect normal cells. Which statement by a student indicates an understanding of this teaching?

A) "Cytotoxic drugs lack tissue specificity."

B) "Cytotoxic drugs have a high degree of selective toxicity."

C) "Differences between cancer cells and normal cells are qualitative."

D) "Neoplastic cells and normal tissue cells are very different."

Q2) A patient with cancer who is receiving chemotherapy develops a fever. The patient's chest radiograph is normal. The patient's neutrophil count is 750/mm³. The nurse expects the provider to:

A) begin empiric therapy with intravenous antibiotics.

B) obtain cultures and wait for results before prescribing antibiotics.

C) order colony-stimulating factor to minimize neutrophilia.

D) reassure the patient that serious infection is unlikely.

Q3) These patients are receiving chemotherapy. Which patient should the nurse see first?

A) The patient with lightly bleeding gums

B) The patient with nausea and vomiting

C) The patient with a fever of 100.3°F

D) The patient with diarrhea and stomatitis

To view all questions and flashcards with answers, click on the resource link above. Page 103

Chapter 102: Anticancer Drugs I: Cytotoxic Agents

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/8495

Sample Questions

Q1) A nurse provides teaching to a patient who will begin taking oral cyclophosphamide to treat non-Hodgkin's lymphoma. Which statement by the patient indicates an understanding about how to minimize side effects while taking this drug?

A) "I don't need to worry about bone marrow suppression with this drug."

B) "I should drink plenty of fluids while taking this drug."

C) "I should take this drug on an empty stomach."

D) "If I shampoo less often, I can prevent hair loss."

Q2) A patient with non-Hodgkin's lymphoma is about to begin chemotherapy with a massive dose of methotrexate [Rheumatrex]. The nurse will expect to administer which medication concurrently with this drug?

A) Dexamethasone

B) Folic acid

C) Leucovorin

D) Vitamin B₁₂

To view all questions and flashcards with answers, click on the resource link above.

Chapter 103: Anticancer Drugs II: Hormonal Agents,

Targeted Drugs, and Other Noncytotoxic Anticancer Drugs

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/8496

Sample Questions

Q1) The nurse would be correct to state that the purpose of angiogenesis inhibitors is to:

A) kill existing cancer cells directly.

B) suppress the formation of new blood vessels in tumors.

C) enhance the size of collateral vessels.

D) enhance red cell development in the bone marrow.

Q2) A premenopausal woman has ER-positive breast cancer,and her prescriber has ordered tamoxifen [Nolvadex]. She asks the nurse if anastrozole [Arimidex] would work better for her. What will the nurse tell her?

A) Anastrozole is more likely to cause hot flushes than tamoxifen.

B) Anastrozole is more likely to promote endometrial carcinoma.

C) Cancer recurrence is higher with anastrozole.

D) Until she is postmenopausal, anastrozole will not be effective.

Q3) A 43-year-old patient with a strong family history of breast cancer considers taking tamoxifen [Nolvadex] for cancer prevention. Which assessment finding is a possible contraindication?

A) History of deep vein thrombosis (DVT)

B) History of osteoporosis

C) Hyperlipidemia

D) Prior hysterectomy

To view all questions and flashcards with answers, click on the resource link above. Page 105

Chapter 104: Drugs for the Eye

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/8497

Sample Questions

Q1) A patient with severe allergic conjunctivitis who has been using cromolyn ophthalmic drops for 2 days calls the nurse to report persistence of the symptoms. When the nurse explains that it takes several weeks for maximum benefit to occur,the patient asks if there is something else to use in the meantime. The nurse will suggest that the patient discuss which drug with the provider?

A) An ophthalmic demulcent

B) H₁-receptor antagonists

C) Glucocorticoid drops

D) Ocular decongestants

Q2) A nurse administers timolol [Timoptic] ophthalmic drops to a patient who has glaucoma. The patient reports stinging of the eyes shortly after the drops were administered. What will the nurse do?

A) Monitor the patient's heart rate, respiratory rate, and blood pressure.

B) Notify the provider that the patient shows signs of angle-closure glaucoma.

C) Reassure the patient that these are localized, reversible effects of the drug.

D) Request an order for an antihistamine to treat this allergic response to the drug.

To view all questions and flashcards with answers, click on the resource link above.

106

Chapter 105: Drugs for the Skin

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/8498

Sample Questions

Q1) An infant has a severe contact diaper dermatitis. The provider orders triamcinolone acetonide [Kenalog] 0.1% cream to be applied 3 times daily. When teaching the infant's parents about this medication,the nurse will instruct them to apply:

A) a thick layer and massage the cream into the skin.

B) a thin layer and leave the diaper open as much as possible.

C) the cream and place an occlusive dressing over the area.

D) the cream and put the infant's diaper on tightly.

Q2) A 50-year-old patient receives botulinum toxin type A [Botox] injections for the first time on her forehead and around her eyes. One week later,she calls the clinic to report that she is experiencing droopy eyelids. The nurse will tell the patient that this effect:

A) is normal and will resolve in a few days.

B) may persist for 3 to 6 months but will resolve.

C) may progress to cause drooling and dysphagia.

D) represents an adverse effect that may be permanent.

To view all questions and flashcards with answers, click on the resource link above. Page 107

Chapter 106: Drugs for the Ear

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/8499

Sample Questions

Q1) An adolescent patient who is on the school swim team asks a nurse about ways to prevent swimmer's ear. The nurse will tell the patient to:

A) allow the ears to drain well after every swim and shower.

B) clean the ears with a cotton-tipped applicator after swimming.

C) keep the ear canals free of cerumen.

D) use antifungal ear drops before and after swimming.

Q2) The nurse is administering ear drops to a patient with acute bacterial otitis externa. Which procedure would assist drug penetration into the ear canal?

A) Administering refrigerated drops

B) Inserting a sponge wick into the ear canal and then administering the drops

C) Cleaning out the earwax with a cotton-tipped swab before giving the drops

D) Inserting earplugs after administering the drops

Q3) Which are components of otitis externa management? (Select all that apply.)

A) Ciprofloxacin and hydrocortisone otic drops

B) Cleaning the ear canals with a cotton-tipped applicator

C) Keeping the external ear canal dry after swimming

D) Taking systemic antibiotics, such as amoxicillin/clavulanate [Augmentin]

E) Using a solution of alcohol and acetic acid to dry and acidify the ear

To view all questions and flashcards with answers, click on the resource link above.

Page 108

Chapter 107: Additional Noteworthy Drugs

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8500

Sample Questions

Q1) The nurse provides teaching for a patient who will begin taking bosentan [Tracleer] for pulmonary arterial hypertension (PAH). Which statement by the patient indicates a need for further teaching about this medication?

A) "I may take this medication with or without food."

B) "I may develop irreversible liver damage while taking this drug."

C) "I should not take cyclosporine while taking this medication."

D) "I will need to have lab tests every month while taking this drug."

Q2) A patient with a history of heart disease develops pulmonary arterial hypertension (PAH),and the provider is considering prescribing sildenafil [Revatio]. The nurse caring for this patient will perform a careful drug history and notify the provider if the patient is taking which medication?

A) A beta blocker

B) A calcium channel blocker

C) Nitroglycerin

D) Warfarin

To view all questions and flashcards with answers, click on the resource link above.

Chapter 108: Dietary Supplements

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/8501

Sample Questions

Q1) A nursing student asks a nurse what the NMBER system that rates dietary supplements means. The nurse responds that the NMBER system:

A) describes the chemistry, toxicology, pharmacology, and uses of supplements.

B) helps consumers evaluate the safety and efficacy of products.

C) provides free information about clinical trials and epidemiologic studies of products.

D) provides funding for research on complementary and alternative medicine.

Q2) Which claim may be made by manufacturers of dietary supplements? (Select all that apply.)

A) "Energizes and rejuvenates"

B) "Promotes pulmonary health"

C) "Reduces pain and stiffness from arthritis"

D) "Reduces stress"

E) "Relieves hot flashes associated with menopause"

To view all questions and flashcards with answers, click on the resource link above.

Chapter 109: Management of Poisoning

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8502

Sample Questions

Q1) Which chelating agents can be used to treat iron toxicity? (Select all that apply.)

A) Calcium EDTA

B) Deferoxamine [Desferal]

C) Fomepizole [Antizole]

D) Penicillamine

E) Succimer [Chemet]

Q2) A child is admitted to the hospital after a routine lead screen reveals an elevated serum lead level. The prescriber has ordered edetate calcium disodium (calcium EDTA)as a chelating agent. During this drug treatment,the nurse will expect to:

A) collect a daily urine specimen.

B) give the medication on an empty stomach.

C) monitor the child's heart rate and blood pressure.

D) request orders for liver function tests.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 110: Potential Weapons of Biologic, Radiologic, and Chemical Terrorism

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/8503

Sample Questions

Q1) A nurse responds when a patient asks why the smallpox vaccine is no longer given. Which statement by the patient indicates a need for further teaching?

A) "The smallpox vaccine can cause serious side effects."

B) "The smallpox vaccine can confer protection when given after exposure."

C) "The smallpox vaccine is too expensive to give routinely."

D) "The smallpox vaccine may cause live virus to spread to others."

Q2) The nurse is caring for a patient who is receiving an infusion of botulinum antitoxin after consuming botulinum toxin in contaminated food. The patient has developed double vision,slurred speech,and upper body muscle weakness. The patient's spouse asks the nurse what the antitoxin will do. Which response is correct?

A) "The antitoxin is an antidote to the botulinum toxin."

B) "This medication helps restore strength in weakened muscles."

C) "This infusion will help prevent further nerve damage."

D) "The antitoxin will reverse the symptoms within a couple of days."

To view all questions and flashcards with answers, click on the resource link above.