TEST BANK FOR ESSENTIALS OF PHARMACOLOGY FOR HEALTH PROFESSIONS, 8TH EDITION, BRUCE COLBERT, RUTH WOODROW.pdf
TEST BANK FOR ESSENTIALS OF PHARMACOLOGY FOR HEALTH PROFESSIONS, 8TH EDITION, BRUCE COLBERT, RUTH WOODROW.pdf
TEST BANK FOR ESSENTIALS OF PHARMACOLOGY FOR HEALTH PROFESSIONS, 8TH EDITION, BRUCE COLBERT, RUTH WOODROW.(Complete Version, All Chapters)TEST BANK FOR ESSENTIALS OF PHARMACOLOGY FOR HEALTH PROFESSIO...
All for this textbook (19)
Written for
Hesi
All documents for this subject (12235)
Seller
Follow
DylanGrades
Content preview
1) A nurse is caring for a client with 6.) The burn client is receiving treatments of
hyperparathyroidism and notes that the client's topical mafenide acetate (Sulfamylon) to the site of
serum calcium level is 13 mg/dL. Which medication injury. The nurse monitors the client, knowing that
should the nurse prepare to administer as prescribed which of the following indicates that a systemic
to the client? effect has occurred?
1. Calcium chloride 1.Hyperventilation
2. Calcium gluconate 2.Elevated blood pressure
3. Calcitonin (Miacalcin) 3.Local pain at the burn site
4. Large doses of vitamin D 4.Local rash at the burn site
2.) Oral iron supplements are prescribed for a 6- 7.) Isotretinoin is prescribed for a client with severe
year-old child with iron deficiency anemia. The acne. Before the administration of this medication,
nurse instructs the mother to administer the iron the nurse anticipates that which laboratory test will
with which best food item? be prescribed?
1. Milk 1. Platelet count
2. Water 2. Triglyceride level
3. Apple juice 3. Complete blood count
4. Orange juice 4. White blood cell count
3.) Salicylic acid is prescribed for a client with a 8.) A client with severe acne is seen in the clinic
diagnosis of psoriasis. The nurse monitors the and the health care provider (HCP) prescribes
client, knowing that which of the following would isotretinoin. The nurse reviews the client's
indicate the presence of systemic toxicity from this medication record and would contact the (HCP) if
medication? the client is taking which medication?
1. Tinnitus 1. Vitamin A
2. Diarrhea 2. Digoxin (Lanoxin)
3. Constipation 3. Furosemide (Lasix)
4. Decreased respirations 4. Phenytoin (Dilantin)
4.) The camp nurse asks the children preparing to 9.) The nurse is applying a topical corticosteroid to
swim in the lake if they have applied sunscreen. The a client with eczema. The nurse would monitor for
nurse reminds the children that chemical sunscreens the potential for increased systemic absorption of
are most effective when applied: the medication if the medication were being applied
1. Immediately before swimming to which of the following body areas?
2. 15 minutes before exposure to the sun 1. Back
3. Immediately before exposure to the sun 2. Axilla
4. At least 30 minutes before exposure to the sun 3. Soles of the feet
4. Palms of the hands
5.) Mafenide acetate (Sulfamylon) is prescribed for
the client with a burn injury. When applying the 10.) The clinic nurse is performing an admission
medication, the client complains of local discomfort assessment on a client. The nurse notes that the
and burning. Which of the following is the most client is taking azelaic acid (Azelex). Because of the
appropriate nursing action? medication prescription, the nurse would suspect
1. Notifying the registered nurse that the client is being treated for:
2. Discontinuing the medication 1. Acne
3. Informing the client that this is normal 2. Eczema
4. Applying a thinner film than prescribed to the 3. Hair loss
burn site 4. Herpes simplex
Page 1 of 36
, 11.) The health care provider has prescribed silver 15.) The client with small cell lung cancer is being
sulfadiazine (Silvadene) for the client with a partial- treated with etoposide (VePesid). The nurse who is
thickness burn, which has cultured positive for assisting in caring for the client during its
gram-negative bacteria. The nurse is reinforcing administration understands that which side effect is
information to the client about the medication. specifically associated with this medication?
Which statement made by the client indicates a lack 1. Alopecia
of understanding about the treatments? 2. Chest pain
1. "The medication is an antibacterial." 3. Pulmonary fibrosis
2. "The medication will help heal the burn." 4. Orthostatic hypotension
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the 16.) The clinic nurse is reviewing a teaching plan
wound." for the client receiving an antineoplastic
medication. When implementing the plan, the nurse
12.) A nurse is caring for a client who is receiving tells the client:
an intravenous (IV) infusion of an antineoplastic 1. To take aspirin (acetylsalicylic acid) as needed
medication. During the infusion, the client for headache
complains of pain at the insertion site. During an 2. Drink beverages containing alcohol in moderate
inspection of the site, the nurse notes redness and amounts each evening
swelling and that the rate of infusion of the 3. Consult with health care providers (HCPs) before
medication has slowed. The nurse should take receiving immunizations
which appropriate action? 4. That it is not necessary to consult HCPs before
1. Notify the registered nurse. receiving a flu vaccine at the local health fair
2. Administer pain medication to reduce the
discomfort. 17.) The client with ovarian cancer is being treated
3. Apply ice and maintain the infusion rate, as with vincristine (Oncovin). The nurse monitors the
prescribed. client, knowing that which of the following
4. Elevate the extremity of the IV site, and slow the indicates a side effect specific to this medication?
infusion. 1. Diarrhea
2. Hair loss
13.) The client with squamous cell carcinoma of 3. Chest pain
the larynx is receiving bleomycin intravenously. 4. Numbness and tingling in the fingers and toes
The nurse caring for the client anticipates that
which diagnostic study will be prescribed? 18.) The nurse is reviewing the history and physical
1. Echocardiography examination of a client who will be receiving
2. Electrocardiography asparaginase (Elspar), an antineoplastic agent. The
3. Cervical radiography nurse consults with the registered nurse regarding
4. Pulmonary function studies the administration of the medication if which of the
following is documented in the client's history?
14.) The client with acute myelocytic leukemia is 1. Pancreatitis
being treated with busulfan (Myleran). Which 2. Diabetes mellitus
laboratory value would the nurse specifically 3. Myocardial infarction
monitor during treatment with this medication? 4. Chronic obstructive pulmonary disease
1. Clotting time
2. Uric acid level 19.) Tamoxifen is prescribed for the client with
3. Potassium level metastatic breast carcinoma. The nurse understands
4. Blood glucose level that the primary action of this medication is to:
1. Increase DNA and RNA synthesis.
2. Promote the biosynthesis of nucleic acids.
3. Increase estrogen concentration and estrogen
response.
Page 2 of 36
,4. Compete with estradiol for binding to estrogen in 3. Injects air into NPH insulin vial first
tissues containing high concentrations of receptors. 4. Injects an amount of air equal to the desired dose
of insulin into the vial
20.) The client with metastatic breast cancer is
receiving tamoxifen. The nurse specifically 25.) A home care nurse visits a client recently
monitors which laboratory value while the client is diagnosed with diabetes mellitus who is taking
taking this medication? Humulin NPH insulin daily. The client asks the
1. Glucose level nurse how to store the unopened vials of insulin.
2. Calcium level The nurse tells the client to:
3. Potassium level 1. Freeze the insulin.
4. Prothrombin time 2. Refrigerate the insulin.
3. Store the insulin in a dark, dry place.
21.) A nurse is assisting with caring for a client 4. Keep the insulin at room temperature.
with cancer who is receiving cisplatin. Select the
adverse effects that the nurse monitors for that are 26.) Glimepiride (Amaryl) is prescribed for a client
associated with this medication. Select all that with diabetes mellitus. A nurse reinforces
apply. instructions for the client and tells the client to
1. Tinnitus avoid which of the following while taking this
2. Ototoxicity medication?
3. Hyperkalemia 1. Alcohol
4. Hypercalcemia 2. Organ meats
5. Nephrotoxicity 3. Whole-grain cereals
6. Hypomagnesemia 4. Carbonated beverages
22.) A nurse is caring for a client after 27.) Sildenafil (Viagra) is prescribed to treat a
thyroidectomy and notes that calcium gluconate is client with erectile dysfunction. A nurse reviews the
prescribed for the client. The nurse determines that client's medical record and would question the
this medication has been prescribed to: prescription if which of the following is noted in the
1. Treat thyroid storm. client's history?
2. Prevent cardiac irritability. 1. Neuralgia
3. Treat hypocalcemic tetany. 2. Insomnia
4. Stimulate the release of parathyroid hormone. 3. Use of nitroglycerin
4. Use of multivitamins
23.) A client who has been newly diagnosed with
diabetes mellitus has been stabilized with daily 28.) The health care provider (HCP) prescribes
insulin injections. Which information should the exenatide (Byetta) for a client with type 1 diabetes
nurse teach when carrying out plans for discharge? mellitus who takes insulin. The nurse knows that
1. Keep insulin vials refrigerated at all times. which of the following is the appropriate
2. Rotate the insulin injection sites systematically. intervention?
3. Increase the amount of insulin before unusual 1. The medication is administered within 60
exercise. minutes before the morning and evening meal.
4. Monitor the urine acetone level to determine the 2. The medication is withheld and the HCP is called
insulin dosage. to question the prescription for the client.
3. The client is monitored for gastrointestinal side
24.) A nurse is reinforcing teaching for a client effects after administration of the medication.
regarding how to mix regular insulin and NPH 4. The insulin is withdrawn from the Penlet into an
insulin in the same syringe. Which of the following insulin syringe to prepare for administration.
actions, if performed by the client, indicates the
need for further teaching?
1. Withdraws the NPH insulin first
2. Withdraws the regular insulin first
Page 3 of 36
, 29.) A client is taking Humulin NPH insulin daily Select all that apply.
every morning. The nurse reinforces instructions for 1. Diarrhea can occur secondary to the metformin.
the client and tells the client that the most likely 2. The repaglinide is not taken if a meal is skipped.
time for a hypoglycemic reaction to occur is: 3. The repaglinide is taken 30 minutes before
1. 2 to 4 hours after administration eating.
2. 4 to 12 hours after administration 4. Candy or another simple sugar is carried and used
3. 16 to 18 hours after administration to treat mild hypoglycemia episodes.
4. 18 to 24 hours after administration 5. Metformin increases hepatic glucose production
to prevent hypoglycemia associated with
30.) A client with diabetes mellitus visits a health repaglinide.
care clinic. The client's diabetes mellitus previously 6. Muscle pain is an expected side effect of
had been well controlled with glyburide (DiaBeta) metformin and may be treated with acetaminophen
daily, but recently the fasting blood glucose level (Tylenol).
has been 180 to 200 mg/dL. Which medication, if
added to the client's regimen, may have contributed 34.) A client with Crohn's disease is scheduled to
to the hyperglycemia? receive an infusion of infliximab (Remicade). The
1. Prednisone nurse assisting in caring for the client should take
2. Phenelzine (Nardil) which action to monitor the effectiveness of
3. Atenolol (Tenormin) treatment?
4. Allopurinol (Zyloprim) 1. Monitoring the leukocyte count for 2 days after
the infusion
31.) A community health nurse visits a client at 2. Checking the frequency and consistency of bowel
home. Prednisone 10 mg orally daily has been movements
prescribed for the client and the nurse reinforces 3. Checking serum liver enzyme levels before and
teaching for the client about the medication. Which after the infusion
statement, if made by the client, indicates that 4. Carrying out a Hematest on gastric fluids after
further teaching is necessary? the infusion is completed
1. "I can take aspirin or my antihistamine if I need
it." 35.) The client has a PRN prescription for
2. "I need to take the medication every day at the loperamide hydrochloride (Imodium). The nurse
same time." understands that this medication is used for which
3. "I need to avoid coffee, tea, cola, and chocolate condition?
in my diet." 1. Constipation
4. "If I gain more than 5 pounds a week, I will call 2. Abdominal pain
my doctor." 3. An episode of diarrhea
4. Hematest-positive nasogastric tube drainage
32.) Desmopressin acetate (DDAVP) is prescribed
for the treatment of diabetes insipidus. The nurse 36.) The client has a PRN prescription for
monitors the client after medication administration ondansetron (Zofran). For which condition should
for which therapeutic response? this medication be administered to the postoperative
1. Decreased urinary output client?
2. Decreased blood pressure 1. Paralytic ileus
3. Decreased peripheral edema 2. Incisional pain
4. Decreased blood glucose level 3. Urinary retention
4. Nausea and vomiting
33.) The home health care nurse is visiting a client
who was recently diagnosed with type 2 diabetes
mellitus. The client is prescribed repaglinide
(Prandin) and metformin (Glucophage) and asks the
nurse to explain these medications. The nurse
should reinforce which instructions to the client?
Page 4 of 36
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DylanGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.60. You're not tied to anything after your purchase.
