Pharmacology for Nurses Test Bank
Course Introduction
This course provides nursing students with a comprehensive introduction to the principles of pharmacology and its application in patient care. Students will explore the classification, actions, therapeutic uses, side effects, and nursing implications of major drug groups. Emphasis is placed on safe medication administration, dosage calculations, pharmacokinetics, pharmacodynamics, and the legal and ethical responsibilities of nurses in medication administration. The course also covers drug interactions, patient education, and monitoring for adverse effects, equipping students with essential knowledge and skills to optimize pharmacological care across diverse patient populations.
Recommended Textbook
Essentials of Pharmacology for Health Professions 7th Edition by Ruth Woodrow
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27 Chapters
675 Verified Questions
675 Flashcards
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Chapter 1: Consumer Safety and Drug Regulations
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Sample Questions
Q1) In what context are you most likely to see references to USP/NF?
A)Characterization of addiction and abuse potential
B)Identification of indications and contraindications
C)Discussion of drug standards
D)Warning labels
Answer: C
Q2) What agency was established by the Federal Food,Drug,and Cosmetic Act?
A)The Schedule of Controlled Substances Oversight Committee
B)The United States Pharmacopeia and National Formulary
C)The Drug Enforcement Administration
D)The Food and Drug Administration
Answer: D
Q3) Quinn hears on the news that the FDA has asked a company to withdraw a medication.Under what circumstances can the FDA do this?
A)when more effective alternatives are available
B)never,because only the DEA can do this
C)when it is no longer profitable
D)when the benefits of a drug outweigh its risks
Answer: D
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Page 3
Chapter 2: Drug Names and References
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Sample Questions
Q1) Under what heading would you likely find the statement that a drug should be used "for the treatment of attention deficit hyperactivity disorder (ADHD)and narcolepsy"?
A)cautions
B)indications
C)actions
D)contraindications
Answer: B
Q2) Lakyn is taking an antitussive.What is the primary action of this drug?
A)To relieve anxiety
B)To neutralize stomach acid
C)To increase urinary output
D)To prevent or relieve coughing
Answer: D
Q3) Trade names are assigned by the .
A)manufacturer before development begins
B)manufacturer when the drug is first submitted to the FDA for approval
C)FDA after the drug is tested and approved
D)manufacturer after the drug has been tested and approved by the FDA
Answer: D
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Page 4
Chapter 3: Sources and Bodily Effects of Drugs
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Sample Questions
Q1) In the 1990s,an investigational new drug was developed to slow the progression of Alzheimer's,but it was subsequently removed from the market due to liver toxicity.What was this drug?
A)Cognex
B)Retrovir
C)Caduet
D)Roferon
Answer: A
Q2) Will visits the emergency room because of a badly broken leg.He is given a narcotic pain killer,but quickly becomes extremely dizzy and disoriented,and vomits.Will is then given another medication,naloxone,and soon begins to feel better.The effect of naloxone on the narcotic pain killer is known as .
A)undesirable antagonism
B)desirable antagonism
C)desirable potentiation
D)undesirable potentiation
Answer: B
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Chapter 4: Medication Preparations and Supplies
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Q1) You are expected to attend an upcoming family reunion,which is being held on a cruise ship.Unfortunately,you are prone to violent seasickness,but fortunately,you respond well to medications for motion sickness.If you want to keep a constant level of medication in your blood stream throughout the cruise,what delivery method is likely to be most effective?
A)IVs as needed
B)regularly scheduled IM injections
C)oral
D)transdermal patch
Q2) A large volume of fluids that is administered continually into a vein,often with drugs added,is called an IV .
A)piggyback
B)push
C)drip
D)injection
Q3) Hank is getting an insulin pump.Where will it be placed?
A)just below the skin near blood vessels for easy absorption
B)by his pancreas with a direct route into the islet cells
C)next to a large artery with insulin directed into the artery
D)in a large muscle mass or large fat pad for safety
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Chapter 5: Abbreviations and Systems of Measurement
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Sample Questions
Q1) The correct abbreviation for "every four hours" is .
A)ea4h
B)x4
C)q4h
D)ea4hr
Q2) The primary problem with the household measuring system is that it is .
A)difficult to understand
B)difficult to implement
C)inaccurate
D)obsolete
Q3) The physician's order indicates the medication is to be administered prn.What does this mean?
A)It should be administered as needed by the patient.
B)It should be administered according to the standard protocol.
C)It should be administered only in an emergency.
D)It should be administered based on the nurse's judgment.
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Chapter 6: Safe Dosage Preparation
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Q1) The narcotics drawer contains vials of meperidine (Demerol)labeled 75 mg in 1 mL.The preoperative order reads Demerol 60 mg IM on call.If you use the basic calculation method,what is OH?
A)75 mg
B)75 mL
C)60 mg
D)1 mL
Q2) When calculating doses,what should you do with fractions?
A)Use whatever method the physician orders.
B)Round to one decimal place.
C)The method depends on the specific circumstances.
D)Round to two decimal places.
Q3) A trimethoprim/sulfamethoxazole suspension contains 40 mg / 5 mL.The order is for 120 mg.If you use the ratio and proportion method,the formula should be set up as follows: .
A)5 mL : 120 mg : 40 mg : X mL
B)120 mg : 40 mg = 5 mL : X mL
C)40 mg : X mL = 120 mg : 5 mL
D)40 mg : 5 mL = 120 mg : X mL
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Page 8
Chapter 7: Responsibilities and Principles of Drug Administration
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Sample Questions
Q1) What is the ultimate goal of safe medication administration?
A)Maximize the effectiveness of the drug with the least discomfort to the patient.
B)Do no harm.
C)Ensure the proper dose is given at the proper time to the proper patient.
D)Cure disease or minimize symptoms if a cure is not possible.
Q2) Luca,a new nurse at the nursing home,explains to you that he injured his hands over the weekend with some garage tools.He is responsible for medication administration and asks you to open all of the unit dose packages for him before he makes rounds.What should you tell him?
A)Of course.Nurses need to be able to rely on each other.
B)No,but I will get you a sharp blade so that you can open the packages more easily before rounds.
C)No.Unit dose packages should only be opened when the patient is ready to take them,not before.
D)Yes,but only for drugs that are not controlled substances.
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Page 9
Chapter 8: Administration by the Gastrointestinal Route
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Q1) Medication administered by nasogastric tube should be .
A)administered for at least 30 minutes
B)allowed to flow in through gravity
C)pushed in using the syringe plunger
D)injected in the tube as quickly as possible
Q2) Administration by NG tube is preferable to intravenous administration when a patient is .
A)unable to swallow for prolonged periods of time because of illness,trauma,surgery,or unconsciousness
B)unable to lie down for long periods of time and appears to be emotionally distraught
C)is unlikely to ever regain the ability to swallow
D)is unlikely to live much longer
Q3) Your patient vomits administered medication whole less than a minute later after taking it.What should you do?
A)Report the incident to the person in charge.
B)Administer an antiemetic.
C)Administer another dose in a soothing food such as pudding.
D)Skip the dose until the patient feels better.
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Chapter 9: Administration by the Parenteral Route
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Q1) Larger syringes may have a metal attachment at the tip that fastens the needle securely to the syringe.This device is called a(n) .
A)Carpuject
B)Z-ject
C)Luer-Lok
D)safety cap
Q2) Tuberculin syringes are used for .
A)administering subcutaneous fluids
B)intradermal injections of very small volumes
C)intramuscular injections
D)obtaining specimens of pulmonary secretions
Q3) What type of needles should be recapped?
A)used
B)sterile
C)all needles
D)safety
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Chapter 10: Poison Control Part II: Drug Classifications
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Sample Questions
Q1) During a hike in the desert,your friend is bitten by a rattlesnake.You are preparing her for transport to an emergency facility.What guideline should you follow?
A)You should be sure the tourniquet is as tight as tolerable.
B)Your friend should be transported lying down.
C)The bitten area should be wrapped in a compression bandage and held above the heart.
D)You should pack the bite in ice.
Q2) Derek is preparing a talk on poisoning and because his time is limited,wants to cover only the most common route.On what route should he focus?
A)injection
B)absorption
C)inhalation
D)ingestion
Q3) Families of very young children may label poisons with stickers showing .
A)a skull and crossbones
B)Mr.Yuk
C)the word poison in red
D)a biohazard symbol
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Chapter 11: Vitamins, Minerals, and Herbs
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Q1) Megan has been taking 65,000 units of vitamin A per day.What is she risking with this dosage?
A)night blindness
B)joint and muscle pain
C)impaired immunity
D)delayed wound healing
Q2) Vitamin B is also called .
A)riboflavin
B)cobalimin
C)thiamine
D)pyridoxine
Q3) What is the percentage of sodium chloride in "normal" saline?
A)0.45%
B)1.8%
C)0.22%
D)0.9%
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Chapter 12: Skin Medications
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Q1) You can't help but check the contents of your new boyfriend's medicine cabinet.You notice a tube of Zovirax (Acyclovir)cream with his name and a very recent date on it.What do you suspect he has or has recently had?
A)lice
B)a fungal infection
C)cold sores
D)seborrhea
Q2) Docosanol is approved to .
A)treat impetigo caused by Staphylococcus aureus
B)shorten the healing time and duration of cold sore symptoms
C)treat fungal infections such as thrush
D)prevent the transmission of genital herpes
Q3) After many unsuccessful attempts to treat his acne with topical medications including antibiotics,Flynn's doctor has prescribed isotretinoin for him.What action is the isotretinoin likely to have?
A)It will decrease oil production.
B)It will increase male hormones.
C)It will decrease cortisol levels.
D)It will act as an antiviral.
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Page 14
Chapter 13: Autonomic Nervous System Drugs
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Sample Questions
Q1) Kirk has myasthenia gravis,a disease characterized by fluctuating weakness of voluntary muscles.If he is treated with a drug that acts via the autonomic nervous system,what drug will he likely receive?
A)pilocarpine
B)pyridostigmine
C)glycopyrrolate
D)atropine
Q2) Propranolol is a(n) .
A)adrenergic
B)beta blocker
C)cholinergic
D)anticholinergic
Q3) Payton is being treated for throat cancer and as a result of the radiation she is receiving,often has a very dry mouth.What drug might she be prescribed to treat this condition?
A)pyridostigmine
B)bethanechol
C)neostigmine
D)pilocarpine
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Chapter 14: Antineoplastic Drugs
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Sample Questions
Q1) Annika is in treatment for acute leukemia with an antitumor antibiotic that has lower levels of cardiotoxicity than other antitumor antibiotics.This medication is most likely .
A)doxorubicin
B)vincristine
C)daunorubicin
D)vinblastine
Q2) Emmaline has metastatic breast cancer and the tumor produces excess amounts of a protein called HER2.She is being treated with herceptin.What type of drug is herceptin?
A)antiestrogen
B)colony stimulating factor
C)monoclonal antibody
D)signal transduction inhibitor
Q3) Mitch is in treatment for lung cancer with doxorubicin.During the infusion,he should be closely monitored for .
A)hypotension
B)seizures
C)intravenous infiltration
D)hypoglycemia
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Chapter 15: Urinary System Drugs
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Q1) Parker is given colchicine during his acute grout attack.What is the action of colchicine?
A)It decreases uric acid clearance.
B)It relieves inflammation.
C)It decreases pain.
D)It increases uric acid production.
Q2) Kayley has all of the symptoms of a urinary tract infection over a holiday weekend.She recalls that in the past,the urinary analgesic,phenazopyridine,has relieved her symptoms very quickly,so she asks a friend to pick some up for her rather than braving a crowded health clinic.As before,Kayley gets rapid relief of her symptoms.Should Kayley be concerned about anything else?
A)Yes.Phenazopyridine treats the symptoms,but will not cure the infection,so she still needs to see her doctor.
B)Possibly.If the infection was caused by bacteria,she will be fine,but if it was caused by a virus,she will need to see her doctor.
C)No.If the phenazopyridine has alleviated the symptoms,she should be just fine.
D)Possibly.If she experiences a return of symptoms after taking the phenazopyridine for a week,she should see her doctor.
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Chapter 16: Gastrointestinal Drugs
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Sample Questions
Q1) Agnes has heartburn,which is also called .
A)IBS
B)dyspepsia
C)GERD
D)pyrosis
Q2) Pedro is stunned when he suddenly becomes violently dizzy,falls against the wall,and is nauseated.His doctor rules out infections and other possible causes and diagnoses Pedro with vertigo.What antiemetic is indicated for use with vertigo?
A)dimenhydrinate
B)meclizine
C)mesalamine
D)lubiprostone
Q3) Wallace is a firm believer in a daily dose of milk of magnesia.It worked for his mother and it works for him.What type of drug is milk of magnesia?
A)osmotic laxative
B)saline laxative
C)bulk-forming laxative
D)stimulant laxative
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Chapter 17: Anti-Infective Drugs
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Q1) Your great-grandmother is hospitalized from a broken hip and has become critically ill with a methicillin-resistant Staphylococcus aureus (MRSA)infection.What is the first-line antibiotic for the treatment of MRSA?
A)vancomycin
B)ampicillin
C)amphotericin B
D)sulfamethoxazole
Q2) Jeremy,a healthy 30-year-old,is spring cleaning his garage and sees clear signs of mice having spent the winter months inside.Several weeks later,he experiences severe muscle pain,headache,and fever,and his symptoms progress to include a disconcerting inability to catch his breath.He is hospitalized and diagnosed with Hantavirus Pulmonary Syndrome.What antiviral might save his life?
A)ribavirin
B)oseltamivir
C)valacyclovir
D)zidovudine
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Chapter 18: Eye Medications
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Q1) You are providing medication education to Petra,who has been prescribed a prostaglandin analog for the treatment of glaucoma.What should you tell her about side effects?
A)Systemic side effects are rare,but can include upper respiratory infections.
B)Systemic side effects are common but typically mild.
C)Systemic side effects are so uncommon that it can be safely used in pregnant or nursing women.
D)Systemic side effects are common and often severe.
Q2) Mackenzie has an eye inflammation commonly that is called "pink" or "red" eye.She most likely has .
A)otitis
B)conjunctivitis
C)macularitis
D)blepharitis
Q3) Krissi is using eye drops for glaucoma.What can she do to help reduce the possibility of systemic effects?
A)Take multiple drops in quick succession.
B)Apply gentle pressure to inner canthus after instillation.
C)Rub vigorously after instillation.
D)Warm eye drops to body temperature before instilling.
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Chapter 19: Analgesics, Sedatives, and Hypnotics
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Q1) Zara has a morphine pump to help post-surgical control pain.What side effect occurs in more than 50% of patients on morphine and often requires treatment?
A)constipation
B)dependence
C)nausea
D)seizures
Q2) Vonda is concerned about the safety of over-the-counter medications for children.She knows that one particular drug has been associated with liver toxicity and that the manufacturers of this drug have voluntarily reduced the concentration used in children's formulations.What is this drug?
A)naproxen
B)ibuprofen
C)acetaminophen
D)aspirin
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Chapter 20: Psychotropic Medications, Alcohol, and Drug Abuse
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Q1) Marsha is preparing a report on the health effects of alcohol use.She has covered alcohol poisoning and alcoholism.In her section on positive effects,Marsha discusses the inverse association between alcohol consumption and .
A)cognitive function
B)diabetes risk
C)coronary heart disease
D)hepatic function
Q2) Lata is preparing a report on the abuse of ADHD medications in school settings,and is particularly interested in medications formulated in ways that reduce the risk of abuse.What prodrug should she include?
A)Daytrana
B)Concerta
C)Vyvanse
D)Adderall
Q3) Newborn Giana has sleep apnea.The medication of choice is .
A)methylphenidate
B)caffeine citrate
C)pseudoephedrine
D)lisdexamfetamine
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Chapter 21: Musculoskeletal and Anti-Inflammatory Drugs
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Q1) Ellis is having surgery and a neuromuscular blocking agent has been administered.What else must also be administered?
A)an antihypertensive
B)a loading dose of glucose
C)analgesics and sedatives
D)anticonvulsants
Q2) Lincoln has rheumatoid arthritis and a history of gastrointestinal bleeds.What characteristic of COX-2 inhibitors is important for Lincoln?
A)COX-2 inhibitors increase production of the prostaglandin that is good for the heart.
B)COX-2 inhibitors decrease production of the prostaglandin that is good for the heart,but not the one that is harmful.
C)COX-2 inhibitors increase production of the prostaglandin that is harmful for the heart,but not the one that is beneficial.
D)COX-2 inhibitors decrease production of the prostaglandins that are good and bad for the heart.
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Chapter 22: Anticonvulsants, Antiparkinsonian Drugs,
Agents for Alzheimers Disease
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Q1) Roderick's terrified parents rush their 18 month-old son to the emergency room after he has a seizure that lasts about a minute.An investigation reveals Roderick has had a febrile seizure.What is the treatment of choice?
A)IV lorazepam
B)rectal diazepam gel
C)IV loading with phenytoin
D)identifcation of and treatment for the cause of the fever
Q2) Thelma has restless leg syndrome that has disrupted her sleep and left her drowsy during the day.What medication might be helpful?
A)levodopa
B)selegiline
C)pramipexole
D)benztropine
Q3) Ursula has seizures that are bilaterally symmetrical and without local onset.These seizures are .
A)generalized
B)partial
C)atypical
D)unclassified
Page 24
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Chapter 23: Endocrine System Drugs
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Q1) Erika has had a kidney transplant and is taking,among her many medications,corticosteroids.The corticosteroids are intended to .
A)improve immune response
B)increase red blood cells
C)prevent rejection
D)limit inflammation
Q2) Elisha has Type 1 diabetes and uses an analog insulin.What is an advantage of analog insulin?
A)decreased risk of hypoglycemia
B)less painful to inject
C)decreased risk of ketoacidosis
D)smaller amounts are needed for control
Q3) Karla knows that when her friend took thyroid replacement,her friend lost weight.Karla has normal levels of thyroid hormones,but wonders whether taking thyroid replacement would help her lose weight as well.What should you tell her?
A)Only as a last resort,after she has tried and failed at diet and exercise
B)Yes,but only for periods of less than six months
C)Possibly,but she must be monitored very closely
D)No.It is contraindicated,ineffective,and dangerous.
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Page 25
Chapter 24: Reproductive System Drugs
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Q1) Haylee is 38 weeks pregnant and has been hospitalized with severe preeclampsia.What medication can she be given to prevent and control seizures?
A)magnesium sulfate
B)terbutaline
C)misoprostol
D)dinoprostone
Q2) Brayan has inadequate androgen production,but his testicles are healthy and intact.The likely cause is a malfunctioning .
A)pituitary
B)pancreas
C)thyroid
D)adrenal
Q3) Marsha got a Depo-Provera injection for birth control.How long should she use backup contraception?
A)1 week
B)4 weeks
C)3 weeks
D)2 weeks
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Chapter 25: Cardiovascular Drugs
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Q1) What antiarrythmic agent acts by slowing AV nodal conduction and is also used in the treatment of hypertension and angina?
A)verapamil
B)lidocaine
C)procainamide
D)adenosine
Q2) Bernice is being treated with adenosine.She likely has .
A)an arrhythmia
B)heart failure
C)a clotting disorder
D)hypertension
Q3) Mateo takes an antiarrhythmic that acts by inhibiting adrenergic nerve receptors.He is most likely taking .
A)lidocaine
B)disopyramide
C)propafenone
D)propranolol
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Chapter 26: Respiratory System Drugs and Antihistamines
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Q1) Iona uses an inhaler that delivers her medication through the compression of a valve.What kind of inhaler does she use?
A)metered dose inhaler
B)dry-powder inhaler
C)intranasal inhaler
D)small volume nebulizer
Q2) Sapphire has rhinitis and has been prescribed an intranasal corticosteroid.What is important for her to know about its use?
A)The medication will relieve congestion but not inflammation.
B)The medication should be used only when symptoms occur.
C)The medication should be started before symptoms occur.
D)The medication should be used only after rinsing the mouth with mouthwash to avoid fungal infections.
Q3) Lewis uses an antihcolinergic for the prophylaxis of COPD.He is likely using what medication?
A)arformoterol
B)albuterol
C)racepinephrine
D)tiotropium
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Page 28
Chapter 27: Drugs and Older Adults
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Q1) Lela works in a nursing home and notices copies of The Beers List at nursing stations and in medication rooms.What does The Beers List list?
A)potentially inappropriate medications
B)Medicare formulary medications
C)first line medication choices
D)generally safe medications
Q2) In the United States,how many deaths are caused annually by medication-related problems?
A)200,000
B)75,000
C)150,000
D)100,000
Q3) Deann,79 years of age,simply doesn't drink as much water or other fluids as she used to when younger.What process might this affect?
A)excretion
B)distribution
C)metabolism
D)absorption
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