Question 1 See full question 24s Report this Question The nurse notes on assessment after administration of a drug the client has developed itching and a skin rash. The nurse interprets these findings as indicating which possible reaction? You Selected: Allergic reaction Correct response: Allergic reaction Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 1: General Principles of Pharmacology, Allergic Drug Reactions, p. 25. Chapter 1: General Principles of Pharmacology - Page 25 Add a Note Question 2 See full question 19s Report this Question The nurse is counseling a group of women of childbearing age. Which risks of consuming alcohol during pregnancy should the nurse share? Select all that apply. You Selected: Infant addicted to alcohol Low birth weight Fetal alcohol syndrome Correct response: Low birth weight Fetal alcohol syndrome Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 1: General Principles of Pharmacology, pp. 10-11. Chapter 1: General Principles of Pharmacology - Page 10-11 Add a Note Question 3 See full question 31s Report this Question The nursing instructor teaching the 5 Rights +1 of medication administration, which include which methods designed to minimize medication errors? (Select all that apply.) You Selected: computerized order entry using a calculator bar coding Correct response: computerized order entry bar coding manual redundancy system Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 3: Making Drug Dosing Safer, p. 34. Chapter 3: Making Drug Dosing Safer - Page 34 Add a Note Question 4 See full question 1m 9s Report this Question The nurse is performing the intervention stage of the nursing process related to drug therapy? What actions should the nurse perform? Select all that apply. You Selected: Document the medication. Administer the medication. Correct response: Administer the medication. Document the medication. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 4: The Nursing Process, pp. 48-49. Chapter 4: The Nursing Process - Page 48-49 Add a Note Question 5 See full question 1m 8s Report this Question The nursing instructor is teaching the method to perform drug dose calculation where the focus is on the units of measure. This method is called which? You Selected: dimensional analysis Correct response: dimensional analysis Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 3: Making Drug Dosing Safer, p. 40. Chapter 3: Making Drug Dosing Safer - Page 40 Add a Note Question 6 See full question 1m 2s Report this Question A pediatric nurse is reading new medication orders for a school-aged client. How should the nurse best determine the correct dosage? You Selected: Weigh the client and apply Clark rule. Correct response: Consult a nomogram using body surface area. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 3: Making Drug Dosing Safer, p. 42. Chapter 3: Making Drug Dosing Safer - Page 42 Add a Note Question 7 See full question 46s Report this Question In an effort to promote safety, the nurse is collecting baseline data prior to initiating a client’s drug therapy. What domains should the nurse assess when collecting the client’s baseline data? Select all that apply. You Selected: weight allergies current medication regimen education level Correct response: education level allergies current medication regimen weight Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 4: The Nursing Process, p. 45. Chapter 4: The Nursing Process - Page 45 Add a Note Question 8 See full question 35s Report this Question Which are advantages of over-the-counter (OTC) medications? Select all that apply. You Selected: Greater autonomy to choose a medication Convenience to access the medications Less visits to the pharmacy or supermarket to obtain the medication Correct response: Greater autonomy to choose a medication Convenience to access the medications Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 1: General Principles of Pharmacology, p. 4. Chapter 1: General Principles of Pharmacology - Page 4 Add a Note Question 9 See full question 55s Report this Question The nurse is visiting with a client who has been prescribed a medication, the nurse identifies the client's understanding about his medication as reflected in which area? You Selected: Evaluation Correct response: Subjective Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 4: The Nursing Process, p. 45. Chapter 4: The Nursing Process - Page 45 Add a Note Question 10 See full question 2h 11m 33s Report this Question Before administering a prescription medication, the nurse should confirm what information on the drug label? Select all that apply. You Selected: brand name drug concentration expiration date generic name Correct response: brand name generic name drug concentration expiration date Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 1: General Principles of Pharmacology, p. 4. Chapter 1: General Principles of Pharmacology - Page 4 Add a Note Question 11 See full question 1m 40s Report this Question The nurse will maximize the efficacy of gentamicin by implementing which intervention? You Selected: administering the medication once daily Correct response: administering the medication once daily Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 8: Antibacterial Drugs That Interfere With Protein Synthesis, p. 96. Chapter 8: Antibacterial Drugs That Interfere With Protein Synthesis - Page 96 Add a Note Question 12 See full question 1m 6s Report this Question The nurse is caring for a client diagnosed with cytomegalovirus (CMV). What medication is only administered intravenously? You Selected: Valganciclovir Correct response: Foscarnet Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 11: Antiviral Drugs, p. 128. Chapter 11: Antiviral Drugs - Page 128 Add a Note Question 13 See full question 23s Report this Question The client is taking a fluoroquinolone and routinely takes cimetidine. The nurse identifies that cimetidine may have what affect on fluoroquinolones? You Selected: Decreased elimination of antibiotic Correct response: Decreased elimination of antibiotic Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 9: Antibacterial Drugs That Interfere With DNA/RNA Synthesis, p. 102. Chapter 9: Antibacterial Drugs That Interfere With DNA/RNA Synthesis - Page 102 Add a Note Question 14 See full question 1m 20s Report this Question A 67-year-old client with a history of chronic illness is receiving penicillin therapy. The client’s age and health history indicate an increased susceptibility to pseudomembranous colitis. The nurse would be alert for which finding? Select all that apply. You Selected: rectal bleeding bloody diarrhea Correct response: bloody diarrhea rectal bleeding Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 7: Antibacterial Drugs That Disrupt the Bacterial Cell Wall, p. 77. Chapter 7: Antibacterial Drugs That Disrupt the Bacterial Cell Wall - Page 77 Add a Note Question 15 See full question 29m 43s Report this Question An older adult client is prescribed intravenous ciprofloxacin for the treatment of a urinary tract infection. What nursing assessment should the nurse prioritize to identify potential adverse effects? You Selected: blood glucose monitoring Correct response: blood glucose monitoring Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 9: Antibacterial Drugs That Interfere With DNA/RNA Synthesis, p. 105. Chapter 9: Antibacterial Drugs That Interfere With DNA/RNA Synthesis - Page 105 Add a Note Question 16 See full question 35s Report this Question The nurse monitors the older client for liver dysfunction following which antitubercular medications? Select all that apply. You Selected: Pyrazinamide Rifampin Correct response: Rifampin Pyrazinamide Isoniazid Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 10: Antitubercular Drugs, p. 113. Chapter 10: Antitubercular Drugs - Page 113 Add a Note Question 17 See full question 1m 34s Report this Question A nursing instructor is developing a teaching plan for class on retroviruses and how they are different from viruses. Which information would the instructor include in the teaching plan? Select all that apply. You Selected: RNA is the primary component of the retrovirus instead of DNA. Retroviruses contain an enzyme called reverse transcriptase. Human immunodeficiency virus is an example of a retrovirus. Correct response: Human immunodeficiency virus is an example of a retrovirus. Retroviruses contain an enzyme called reverse transcriptase. RNA is the primary component of the retrovirus instead of DNA. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 11: Antiviral Drugs, p. 122. Chapter 11: Antiviral Drugs - Page 122 Add a Note Question 18 See full question 11s Report this Question The nurse is caring for a client taking sulfonamides. The nurse observes sloughing of the skin and mucous membranes. The nurse suspects which hypersensitivity reaction? You Selected: Pruritis Correct response: Toxic epidermal necrolysis Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 6: Antibacterial DrugsSulfonamides, p. 63. Chapter 6: Antibacterial Drugs-Sulfonamides - Page 63 Add a Note Question 19 See full question 3s Report this Question To maximize the prevention of an incisional infection, when will the nurse administer the prophylactic antibiotic therapy prescribed for a surgical client? You Selected: 1 hour prior to the first planned skin incision Correct response: 1 hour prior to the first planned skin incision Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018. Add a Note Question 20 See full question 4s Report this Question After 3 weeks of drug therapy for TB, a client is not showing reduction of symptoms. Repeated lab work shows positive cultures. What issues should the nurse consider? (Select all that apply.) You Selected: Defective medication Intermittent administration Correct response: Client noncompliance Drug resistance Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 10: Antitubercular Drugs, p. 110. Chapter 10: Antitubercular Drugs - Page 110 Add a Note Question 21 See full question 2s Report this Question How should the nurse counsel a client concerning a new prescription for celecoxib and its affect on long-standing low-dose acetylsalicylic acid therapy? You Selected: “Take the acetylsalicylic acid within 4 hours of taking the celecoxib.” Correct response: “Continue both therapies as prescribed.” Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018. Add a Note Question 22 See full question 4s Report this Question A client with a history of migraine headaches self-medicates with an over-the-counter (OTC) medication that contains a commonly combined combination of drugs. The nurse recognizes the client is medicating with a combination of which drugs? Select all that apply. You Selected: aspirin naproxen Correct response: acetaminophen aspirin caffeine Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018. Add a Note Question 23 See full question 3s Report this Question A client has received a narcotic agonist for pain relief. The nurse should monitor the client for what? You Selected: hypertension. Correct response: pupil constriction. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 15: Opioid Analgesics, p. 174. Chapter 15: Opioid Analgesics - Page 174 Add a Note Question 24 See full question 3s Report this Question A nursing instructor is preparing a teaching plan for a nursing class on opioid analgesics. Which body system would the nursing instructor describe as not adapting to and compensating for the secondary effects of this class of drugs? You Selected: GI system Correct response: GI system Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 15: Opioid Analgesics, p. 174. Chapter 15: Opioid Analgesics - Page 174 Add a Note Question 25 See full question 3s Report this Question A nurse is preparing to teach a caregiver of a client with AD about memantine. The nurse will explain that memantine exerts a change on which substance? You Selected: Dopamine Correct response: Glutamate Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 19: Cholinesterase Inhibitors, Actions, p. 4. Chapter 19: Cholinesterase Inhibitors - Page 4 Add a Note Question 26 See full question 5s Report this Question A client is admitted to the emergency department with suspect salicylism. The client’s plasma salicylate level is 300 mcg/mL. Which sign/symptom would the nurse expect to assess? Select all that apply. You Selected: flushing headache thirst Correct response: headache thirst flushing Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 13: Nonopioid Analgesics: Salicylates and Nonsalicylates, p. 149. Chapter 13: Nonopioid Analgesics: Salicylates and Nonsalicylates - Page 149 Add a Note Question 27 See full question 3s Report this Question What order for naloxone would be appropriate for the nurse to administer for reversal of opioid effects? You Selected: 0.1 mg IV repeat every 2 to 3 minutes Correct response: 0.1 mg IV repeat every 2 to 3 minutes Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 16: Opioid Antagonists, p. 189. Chapter 16: Opioid Antagonists - Page 189 Add a Note Question 28 See full question 2s Report this Question The nurse should provide further teaching when a client taking alprazolam (Xanax) for insomnia and anxiety makes which of the following statements? You Selected: “I haven’t been drinking my usual two glasses of wine a day for the past few months.” Correct response: “I’ve been on this medication for six months now, but it doesn’t relax me anymore.” Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 21: Sedatives and Hypnotics, p. 230. Chapter 21: Sedatives and Hypnotics - Page 230 Add a Note Question 29 See full question 4s Report this Question The client is concerned about taking nonsteroidal anti-inflammatory drugs (NSAIDs) for pain due to possible GI upset. The nurse identifies which medication causes the least gastrointestinal distress? You Selected: Celecoxib Correct response: Celecoxib Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 14: Nonopioid Analgesics: Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Migraine Headache Medications, p. 161. Chapter 14: Nonopioid Analgesics: Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Migraine Headache Medications - Page 161 Add a Note Question 30 See full question 3s Report this Question The nurse is preparing a client for epidural administration of an opioid analgesic. The nurse describes which reaction as a benefit of this type of administration? You Selected: decrease in respiratory difficulty Correct response: development of fewer adverse reactions Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 15: Opioid Analgesics, p. 180. Chapter 15: Opioid Analgesics - Page 180 Add a Note Question 31 See full question 26s Report this Question When planning abortive therapy for a client who experiences migraines, what goal should the nurse prioritize? You Selected: The client will take migraine-related medications on a regular schedule. Correct response: The client will obtain rapid relief of migraine symptoms. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 14: Nonopioid Analgesics: Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Migraine Headache Medications, p. 164. Chapter 14: Nonopioid Analgesics: Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Migraine Headache Medications - Page 164 Add a Note Question 32 See full question 5s Report this Question Which ongoing assessments are the most appropriate interventions a nurse should perform for a client who is receiving salicylate therapy? Select all that apply. You Selected: Record the body temperature every 45 minutes after administration of drug. Assess and record the symptoms of anxiety. Correct response: Report adverse reactions, such as prolonged bleeding. Document the severity, location, and intensity of the pain. Monitor for decrease in inflammation and mobility in joints. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 13: Nonopioid Analgesics: Salicylates and Nonsalicylates, p. 153. Chapter 13: Nonopioid Analgesics: Salicylates and Nonsalicylates - Page 153 Add a Note Question 33 See full question 1m 9s Report this Question The nurse should include which client teaching points when discussing the use of sedatives or hypnotics, and interactions with other drugs? (Select all that apply.) You Selected: Doses of antidepressants need to be increased. Phenothiazine use usually results in hyperactivity. Opioid analgesics should be used cautiously. Alcohol use can increase sedative effects. Correct response: Opioid analgesics should be used cautiously. Alcohol use can increase sedative effects. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 21: Sedatives and Hypnotics, p. 228. Chapter 21: Sedatives and Hypnotics - Page 228 Add a Note Question 34 See full question 1m 28s Report this Question A nursing student correctly identifies which of the following categories as nonopioid analgesics? (Check all that apply.) You Selected: NSAIDs salicylates nonsalicylates Correct response: salicylates nonsalicylates NSAIDs Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 13: Nonopioid Analgesics: Salicylates and Nonsalicylates, p. 147. Chapter 13: Nonopioid Analgesics: Salicylates and Nonsalicylates - Page 147 Add a Note Question 35 See full question 19s Report this Question A nursing student indicates the need for further instruction on barbiturates when stating: You Selected: "I can give the client in pain a barbiturate and this will help the client sleep." Correct response: "I can give the client in pain a barbiturate and this will help the client sleep." Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 21: Sedatives and Hypnotics, p. 231. Chapter 21: Sedatives and Hypnotics - Page 231 Add a Note Question 36 See full question 1m 7s Report this Question Specific effects of direct-acting cholinergic drugs include all of the following EXCEPT: You Selected: Decreased tone and contractility of smooth muscle in the urinary bladder and relaxation of the sphincter. Correct response: Decreased tone and contractility of smooth muscle in the urinary bladder and relaxation of the sphincter. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 26: Cholinergic Drugs, p. 287. Chapter 26: Cholinergic Drugs - Page 287 Add a Note Question 37 See full question 53s Report this Question What information should the nurse provide a client who is about to begin long term therapy with a atenolol? You Selected: Abrupt discontinuation of the medication will likely erase any positive effects the medication achieved. Correct response: Discontinuing the medication too quickly can result in sensitization of the heart muscle. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 25: Adrenergic Blocking Drugs, p. 280. Chapter 25: Adrenergic Blocking Drugs - Page 280 Add a Note Question 38 See full question 3m Report this Question The client has been prescribed norepinephrine. While the nurse is teaching the client about this medication, the client asks the nurse what is it for. What is the nurse's best response? You Selected: "It is a neurotransmitter that keeps the nerve message going from the brain to the organ." Correct response: "It is a neurotransmitter that keeps the nerve message going from the brain to the organ." Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 24: Adrenergic Drugs, p. 263. Chapter 24: Adrenergic Drugs - Page 263 Add a Note Question 39 See full question 1m 45s Report this Question After teaching a group of nursing students about sympatholytic drugs, the instructor determines that the teaching was successful when the students correctly choose which groups as an example? Select all that apply. You Selected: Beta-adrenergic blockers Alpha-adrenergic blockers Correct response: Alpha-adrenergic blockers Beta-adrenergic blockers Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 25: Adrenergic Blocking Drugs, Autonomic Terminology, pp. 274-275. Chapter 25: Adrenergic Blocking Drugs - Page 274-275 Add a Note Question 40 See full question 38s Report this Question A client is to receive atropine prior to surgery. The nurse would teach the client about what as possible adverse effects? (Select all that apply.) You Selected: Dizziness Blurred vision Dry mouth Sensitivity to light Correct response: Dry mouth Blurred vision Dizziness Sensitivity to light Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27: Cholinergic Blocking Drugs, p. 298. Chapter 27: Cholinergic Blocking Drugs - Page 298 Add a Note Question 41 See full question 50s Report this Question The nurse is administering an adrenergic agonist to a client. The nurse realizes that this medication will cause stimulation of the sympathetic nervous system. Which effects will it produce? Select all that apply. You Selected: Decreased bladder tone Bronchodilation Correct response: Bronchodilation Decreased bladder tone Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 24: Adrenergic Drugs, p. 264. Chapter 24: Adrenergic Drugs - Page 264 Add a Note Question 42 See full question 56s Report this Question The nurse educates a client diagnosed with Parkinson disease and the client's family about managing the chronic condition and important aspects about the prescribed medications. Which client statement indicates the need for further clarification? You Selected: “I will take my meds with meals to decrease gastrointestinal symptoms.” Correct response: “I will have my family journal about any facial grimacing, protruding tongue, exaggerated chewing, head movements and report it at the next visit to my provider.” Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 28: Antiparkinson Drugs, Monitoring and Managing Patient Needs, p. 308. Chapter 28: Antiparkinson Drugs - Page 308 Add a Note Question 43 See full question 1m 4s Report this Question When reviewing the medical record of a client receiving levodopa, what client factors should alert the nurse to the need for closer monitoring after administering the drug? You Selected: The client has peptic ulcer disease and takes bronchodilators for the treatment of asthma Correct response: The client has peptic ulcer disease and takes bronchodilators for the treatment of asthma Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 28: Antiparkinson Drugs, p. 305. Chapter 28: Antiparkinson Drugs - Page 305 Add a Note Question 44 See full question 1m 3s Report this Question A client has been administered phenobarbital during seizure activity. When assessing for adverse effects after resolution of the seizure, what assessment should the nurse prioritize? You Selected: assessment of orientation Correct response: assessment of orientation Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 29: Antiepileptics, p. 315. Chapter 29: Antiepileptics - Page 315 Add a Note Question 45 See full question 2m 47s Report this Question A client with multiple sclerosis is experiencing painful muscle spasticity and has been prescribed a centrally acting skeletal muscle relaxant. What should the nurse include in the client's plan of care? You Selected: Monitor for signs and symptoms of bone marrow suppression. Correct response: Implement non-pharmacologic pain relief measures as needed. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 30: Skeletal Muscle, Bone, and Joint Disorder Drugs, p. 330. Chapter 30: Skeletal Muscle, Bone, and Joint Disorder Drugs - Page 330 Add a Note Question 46 See full question 1m 19s Report this Question The nurse is conducting an ongoing assessment after administering an antiepileptic. The nurse determines the client has a risk of increased CNS depression after noting the client is also administered which additional medication? Select all that apply. You Selected: Oral contraceptives Alcohol Correct response: Analgesics Alcohol Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 29: Antiepileptics, Interactions, p. 316. Chapter 29: Antiepileptics - Page 316 Add a Note Question 47 See full question 46s Report this Question First-generation antihistamines frequently cause what adverse effect? Select all that apply. You Selected: dry mouth blurred vision Correct response: urinary retention blurred vision dry mouth Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 31: Upper Respiratory System Drugs, p. 341. Chapter 31: Upper Respiratory System Drugs - Page 341 Add a Note Question 48 See full question 1m 16s Report this Question The client has stopped taking an immunomodulator seven months ago. The nurse educates the client on which? You Selected: Coughing, wheezing, and throat irritation are adverse reactions. Correct response: A anaphylactic reaction can occur up to one year. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 32: Lower Respiratory System Drugs, p. 363. Chapter 32: Lower Respiratory System Drugs - Page 363 Add a Note Question 49 See full question 1m 15s Report this Question A hospital client's medication administration record specifies concurrent doses of nebulized ipratropium and albuterol at 08:00 and 20:00. When administering these drugs, the nurse should base the intervention on which fact? You Selected: The two drugs can be mixed in the nebulizer immediately before administration. Correct response: The two drugs can be mixed in the nebulizer immediately before administration. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 32: Lower Respiratory System Drugs, p. 365. Chapter 32: Lower Respiratory System Drugs - Page 365 Add a Note Question 50 See full question 1m 38s Report this Question Which condition requires cautious administration of an adrenergic bronchodilator? You Selected: respiratory constriction Correct response: seizure disorder Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 32: Lower Respiratory System Drugs, p. 353. Chapter 32: Lower Respiratory System Drugs - Page 353 Add a Note Question 51 See full question 1m 21s Report this Question When evaluating an 82-year-old client receiving hydrochlorothiazide, what laboratory value is most likely to result from the medication? You Selected: Elevated uric acid levels Correct response: Elevated uric acid levels Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 33: Diuretics, p. 375. Chapter 33: Diuretics - Page 375 Add a Note Question 52 See full question 1m 3s Report this Question A client has just begun therapy with furosemide, and the nurse is instructing the client about the need to include foods high in potassium in the diet. What foods should the nurse recommend? Select all that apply. You Selected: Watermelon Lima beans Prunes Correct response: Prunes Watermelon Lima beans Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 33: Diuretics, p. 377. Chapter 33: Diuretics - Page 377 Add a Note Question 53 See full question 2m Report this Question A nurse is preparing to administer colesevelam to a client with hyperlipidemia. The nurse determines cautious administration is warranted after noting which condition in the client's history? You Selected: Liver disease Correct response: Liver disease Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 34: Antihyperlipidemic Drugs, Bile Acid Resins: Contraindications and Precautions, p. 391. Chapter 34: Antihyperlipidemic Drugs - Page 391 Add a Note Question 54 See full question 2m 45s Report this Question The nurse is giving discharge instructions to a client with an upper respiratory infection. The client has been advised to take an over-the-counter (OTC) topical nasal decongestant. What should the nurse teach the client in order to prevent rhinitis medicamentosa? You Selected: Use the medication for as short a time as possible Correct response: Use the medication for as short a time as possible Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 31: Upper Respiratory System Drugs, p. 345. Chapter 31: Upper Respiratory System Drugs - Page 345 Add a Note Question 55 See full question 1m Report this Question The nurse is engaged in client teaching about a newly prescribed bile acid sequestrant, stating, “You can mix this with soda or seltzer if you’d prefer.” What bile acid sequestrant is the nurse describing? You Selected: Cholestyramine Correct response: Colestipol Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 34: Antihyperlipidemic Drugs, p. 390. Chapter 34: Antihyperlipidemic Drugs - Page 390 Add a Note Question 56 See full question 3m 4s Report this Question The nurse is conducting a preadministration assessment on a client prescribed simvastatin. Which factors should the nurse prioritize? Select all that apply. You Selected: Blood glucose Input and output Correct response: Dietary history Vital signs Weight Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 34: Antihyperlipidemic Drugs, Preadministration Assessment, p. 388. Chapter 34: Antihyperlipidemic Drugs - Page 388 Add a Note Question 57 See full question 16s Report this Question A client experiences an overdose of warfarin. Which would the nurse expect to administer? You Selected: Alteplase Correct response: Phytonadione Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 37: Anticoagulant and Thrombolytic Drugs, p. 431. Chapter 37: Anticoagulant and Thrombolytic Drugs - Page 431 Add a Note Question 58 See full question 4s Report this Question The nurse is working in the Emergency Department (ED) of a small rural hospital. A 54year-old man arrives in your ED and it is determined that he is having an acute myocardial infarction. Before transferring the client to a larger facility that has a heart catheterization laboratory, what drug will the nurse administer? You Selected: Anagrelide (Agrylin) Correct response: Alteplase Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 37: Anticoagulant and Thrombolytic Drugs, p. 431. Chapter 37: Anticoagulant and Thrombolytic Drugs - Page 431 Add a Note Question 59 See full question 3s Report this Question The nurse recognizes that which finding is associated with right-sided heart failure? You Selected: Crackles in the lungs Correct response: Nocturia Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 38: Cardiotonic and Inotropic Drugs, p. 434. Chapter 38: Cardiotonic and Inotropic Drugs - Page 434 Add a Note Question 60 See full question 16s Report this Question The nurse suspects the client may have toxic levels of digoxin in the bloodstream when what is assessed? Select all that apply. You Selected: Peripheral edema Anorexia Correct response: Irregular heart rhythms Nausea Anorexia Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 38: Cardiotonic and Inotropic Drugs, p. 438. Chapter 38: Cardiotonic and Inotropic Drugs - Page 438 Add a Note Question 61 See full question 5s Report this Question A client with hypertension is prescribed atenolol. Which assessment findings on the ongoing assessment should the nurse evaluate first? Select all that apply. You Selected: Cough Bradycardia Dizziness Correct response: Bradycardia Dizziness Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 35: Antihypertensive Drugs, Summary Drug Table, p. 404. Chapter 35: Antihypertensive Drugs - Page 404 Add a Note Question 62 See full question 1m 3s Report this Question After teaching a group of students about nitrates, the instructor determines that the teaching was successful when the students identify what as a contraindication? You Selected: Hypovolemia Correct response: Cerebral hemorrhage Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 36: Antianginal and Vasodilating Drugs, p. 412. Chapter 36: Antianginal and Vasodilating Drugs - Page 412 Add a Note Question 63 See full question 4s Report this Question A client has been diagnosed with hypertension and prescribed ramipril. When planning this client’s care, what outcome should the nurse identify? You Selected: A blood pressure of ≤110/70 mm Hg Correct response: Close adherence to the prescribed regimen Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 35: Antihypertensive Drugs, p. 403. Chapter 35: Antihypertensive Drugs - Page 403 Add a Note Question 64 See full question 4s Report this Question The nurse is caring for a client receiving propranolol. What problems reported by the client should the nurse suspect are being caused by the drug? Select all that apply. You Selected: Bronchospasm Atrioventriuclar (AV) block Correct response: Atrioventriuclar (AV) block Bronchospasm Bizarre Dreams Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 45: Antiarrhythmic Agents. Add a Note Question 65 See full question 3s Report this Question What is the rationale for administering adenosine as a bolus? You Selected: Bolus administration lessens the risk of potential adverse effects. Correct response: It has an exceptionally short half-life. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 39: Antiarrhythmic Drugs, p. 444. Chapter 39: Antiarrhythmic Drugs - Page 444 Add a Note Question 66 See full question 37s Report this Question When teaching a group of students about antiarrhythmic therapy, the instructor determines that the teaching was successful when the students identify what as the goal of antiarrhythmics? You Selected: Enhanced automaticity Correct response: Altered conductivity Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 39: Antiarrhythmic Drugs, p. 442. Chapter 39: Antiarrhythmic Drugs - Page 442 Add a Note Question 67 See full question 6s Report this Question The client asks the nurse why he cannot remain on a laxative indefinitely. Which of the following is the correct response? You Selected: The client is incorrect and can remain on a laxative. Correct response: Chronic use of laxatives can lead to constipation. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Lower Gastrointestinal System Drugs, p. 474. Chapter 41: Lower Gastrointestinal System Drugs - Page 474 Add a Note Question 68 See full question 25s Report this Question A nurse is preparing to administer a drug that reduces the secretion of gastric acid by inhibiting the action of histamine at H2 receptors in the stomach. Which medication might the nurse be preparing to administer? Select all that apply. You Selected: Calcium carbonate Esomeprazole Correct response: Famotidine Ranitidine Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 40: Upper Gastrointestinal System Drugs, p. 455. Chapter 40: Upper Gastrointestinal System Drugs - Page 455 Add a Note Question 69 See full question 3s Report this Question A client who is postoperative day one following a metatarsal amputation is experiencing nausea and vomiting. Consequently, the nurse has administered an intravenous dose of metoclopramide. This drug will relieve the client's nausea by: You Selected: blocking the effect of histamine at H2 receptors. Correct response: stimulating the motility of the client's upper GI tract. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 40: Upper Gastrointestinal System Drugs, p. 457. Chapter 40: Upper Gastrointestinal System Drugs - Page 457 Add a Note Question 70 4s See full question Report this Question An older client has been prescribed a proton pump inhibitor. When addressing the medication's effect on nutrient absorption and the resulting risks, which medical condition should the nurse discuss with the client? You Selected: Hypermagnesemia Correct response: Pernicious anemia Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 40: Upper Gastrointestinal System Drugs, p. 456. Chapter 40: Upper Gastrointestinal System Drugs - Page 456 Add a Note Question 71 See full question 50s Report this Question The nurse is scheduled to administer sucralfate 1 gram po four times daily to a pregnant client admitted with gastroesophageal reflux disease (GERD). What is the priority teaching that would be provided regarding this medication? You Selected: The drug may cause constipation, so eat foods high in fiber. Correct response: Take the medicine one hour before meals and at bedtime. Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 40: Upper Gastrointestinal System Drugs, Miscellaneous Acid Reducers, p. 457. Chapter 40: Upper Gastrointestinal System Drugs - Page 457 Add a Note Question 72 See full question 4s Report this Question After teaching a group of nursing students about antidiabetic drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as producing the glucose-lowering effects by delaying the digestion and absorption of carbohydrates in the intestine? Select all that apply. You Selected: Metformin Pioglitazone Correct response: Miglitol Acarbose Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 42: Antidiabetic Drugs, Alphaglucosidase inhibitors, p. 488. Chapter 42: Antidiabetic Drugs - Page 488 Add a Note Question 73 See full question 4s Report this Question A hospital client with a diagnosis of type 1 diabetes is prescribed Humulin R on a sliding scale. Based on the client's blood glucose reading, the nurse administered 8 units of insulin at 07:45. The nurse should consequently check the client's blood glucose level at what time to monitor peak effectiveness of the medication? You Selected: 08:15 Correct response: between 09:45 and 10:45 Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 42: Antidiabetic Drugs, p. 494. Chapter 42: Antidiabetic Drugs - Page 494 Add a Note Question 74 See full question 9s Report this Question The nurse's assessment of a client who has presented to the emergency department reveals hyperglycemia. Which type of insulin will have the most rapid effect on the client's blood sugar levels? You Selected: Regular Correct response: Aspart Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 42: Antidiabetic Drugs, p. 484. Chapter 42: Antidiabetic Drugs - Page 484 Add a Note Question 75 See full question 52s Report this Question Minimizing the effects of what process is typically the primary goal of alternate-day administration of corticosteroids? You Selected: suppression of normal adrenal function Correct response: suppression of normal adrenal function Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Pituitary and Adrenocortical Hormones, p. 513. Chapter 43: Pituitary and Adrenocortical Hormones - Page 513 Add a Note Question 76 See full question 5s Report this Question The control mechanisms for most metabolic functions of the body, as well as the maintenance of homeostasis, is the function of what organ? Select all that apply. You Selected: adrenal gland gonads Correct response: hypothalamus pituitary gland Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Pituitary and Adrenocortical Hormones, pp. 502-503. Chapter 43: Pituitary and Adrenocortical Hormones - Page 502-503 Add a Note Question 77 See full question 40s Report this Question Which of the following is not a pharmacologic effect of corticosteroid drugs? You Selected: Immunosupportive Correct response: Immunosupportive Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 43: Pituitary and Adrenocortical Hormones, p. 510. Chapter 43: Pituitary and Adrenocortical Hormones - Page 510 Add a Note Question 78 See full question 2s Report this Question A nurse is preparing an ordered dose of sodium iodide 131I. The nurse should proceed knowing that this drug will help to resolve hyperthyroidism by what means? You Selected: suppressing pituitary release of thyroid-stimulating hormone (TSH) Correct response: destroying thyroid tissue Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018. Add a Note Question 79 See full question 3s Report this Question A 32-year-old client who has been prescribed levothyroxine is being discharged. Which symptom should the nurse instruct this client to report to the health care provider? You Selected: Nervousness Correct response: Nervousness Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 44: Thyroid and Antithyroid Drugs, p. 525. Chapter 44: Thyroid and Antithyroid Drugs - Page 525 Add a Note Question 80 See full question 1m 5s Report this Question The nurse is caring for a client who is receiving nitrofurantoin for treatment of a urinary tract infection. Which symptoms of adverse reactions reported by the client would cause the nurse to contact the health care provider immediately? Select all that apply. You Selected: Diarrhea Chest pain Correct response: Chest pain Dyspnea Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 48: Urinary Tract Anti-Infectives and Other Urinary Drugs, p. 573. Chapter 48: Urinary Tract Anti-Infectives and Other Urinary Drugs - Page 573 Add a Note Question 81 See full question 44s Report this Question A client receiving anti-infective therapy asks the nurse about the best fluids to drink to help eliminate the infection. Which would the nurse suggest as most appropriate? Select all that apply. You Selected: cranberry juice orange juice Correct response: water cranberry juice prune juice Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 48: Urinary Tract Anti-Infectives and Other Urinary Drugs, p. 572. Chapter 48: Urinary Tract Anti-Infectives and Other Urinary Drugs - Page 572 Add a Note Question 82 2m See full question Report this Question A client has chosen to receive palliative care after lung cancer metastasized to the bones and liver. Which is the most appropriate during palliative cancer care? You Selected: the use of chemotherapy to reduce pain Correct response: the use of chemotherapy to reduce pain Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 50: Antineoplastic Drugs and Targeted Therapies, p. 607. Chapter 50: Antineoplastic Drugs and Targeted Therapies - Page 607 Add a Note Question 83 See full question 4s Report this Question The nurse is preparing a teaching session for a client who is to receive an antineoplastic drug. Which examples of immediate adverse reactions should the nurse include in the teaching? Select all that apply. You Selected: Cardiotoxicity Pulmonary fibrosis Correct response: Extravasation Nausea Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 50: Antineoplastic Drugs and Targeted Therapies, Cell Cycle-Nonspecific Drugs, Adverse Reactions, p. 596. Chapter 50: Antineoplastic Drugs and Targeted Therapies - Page 596 Add a Note Question 84 See full question 4s Report this Question Which laboratory value is necessary for the nurse to monitor in a client receiving darbepoetin alfa? You Selected: CBC Correct response: CBC Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 51: Immunomodulating Drugs, p. 617. Chapter 51: Immunomodulating Drugs - Page 617 Add a Note Question 85 See full question 4s Report this Question Which conditions in a client’s history should the nurse report to the health care provider who prescribed epoetin alfa? Select all that apply. You Selected: albumin allergy seizures Correct response: seizures hypertension congestive heart failure Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 51: Immunomodulating Drugs, p. 617. Chapter 51: Immunomodulating Drugs - Page 617 Add a Note Question 86 See full question 8s Report this Question The nurse is administering cyclosporine. The nurse should anticipate the client may report which adverse reaction? You Selected: Excessive hair growth Correct response: Excessive hair growth Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 51: Immunomodulating Drugs, p. 620. Chapter 51: Immunomodulating Drugs - Page 620 Add a Note Question 87 See full question 3s Report this Question Localized adverse reactions to corticosteroids include burning, itching, irritation, redness, and dryness of the skin. Which is likely to increase the occurrence of these reactions? You Selected: used in the form of aerosol spray Correct response: used with occlusive dressings Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 52: Skin Disorder Topical Drugs, p. 631. Chapter 52: Skin Disorder Topical Drugs - Page 631 Add a Note Question 88 See full question 5s Report this Question What are factors that can increase systemic absorption of topical agents? Select all that apply. You Selected: Application to inflamed skin Application to soles of feet Application to intact skin Correct response: Application to inflamed skin Application to the mucous membranes Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 52: Skin Disorder Topical Drugs, pp. 630 - 631. Chapter 52: Skin Disorder Topical Drugs - Page 630 - 631 Add a Note Question 89 See full question 6s Report this Question The pharmacology instructor asks a student to list the uses for topical enzymes. The student is correct when listing the following. (Select all that apply.) You Selected: Chronic dermal ulcers Psoriasis Impetigo Correct response: Chronic dermal ulcers Severely burned areas Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 52: Skin Disorder Topical Drugs, p. 632. Chapter 52: Skin Disorder Topical Drugs - Page 632 Add a Note Question 90 See full question 4s Report this Question A client presents to the clinic with bright red patches that are covered with scales on her elbows. The client states her friend had the same symptoms and was prescribed a medication for psoriasis. The nurse knows that the client's friend likely was given which topical medication? You Selected: acyclovir Correct response: anthralin Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 52: Skin Disorder Topical Drugs, p. 640. Chapter 52: Skin Disorder Topical Drugs - Page 640 Add a Note Question 91 See full question 13s Report this Question The nurse is educating a client diagnosed with bacterial conjunctivitis of the right eye in an outpatient clinic about the prescribed ophthalmic medication ciprofloxacin, 2 drops every 2 hours while awake for 2 days, then 2 drops every 4 hours while awake for 5 days. Which statement made by the client establishes the need for further clarification? You Selected: “I will continue to take the medication until the bottle is empty.” Correct response: “I will continue to take the medication until the bottle is empty.” Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 53: Otic and Ophthalmic Preparations, p. 653. Chapter 53: Otic and Ophthalmic Preparations - Page 653 Add a Note Question 92 See full question 13s Report this Question A nursing instructor is teaching a pharmacology class and informs the students that various preparations are used to treat ophthalmic disorders such as glaucoma. The instructor also states that other conditions of the eyes require treatment, including which of the following? (Select all that apply.) You Selected: nearsightedness Correct response: bacterial infections viral infections inflammatory conditions symptoms of allergies related to the eyes Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 53: Otic and Ophthalmic Preparations, p. 647. Chapter 53: Otic and Ophthalmic Preparations - Page 647 Add a Note Question 93 See full question 3s Report this Question A client asks the nurse what the cause of the primary form of open angle glaucoma is. What is the nurse’s best response? You Selected: “There is bacterial colonization of the aqueous humor which disrupts the blood flow to the rest of the eye.” Correct response: “Abnormality of the trabecular meshwork that controls the flow of aqueous humor into canal of Schlemm.” Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 53: Otic and Ophthalmic Preparations, p. 647. Chapter 53: Otic and Ophthalmic Preparations - Page 647 Add a Note Question 94 See full question 18s Report this Question The nurse understands that when instilling otic preparations into the external auditory canal, the drug is being used for which of the following reasons? (Select all that apply.) You Selected: relieve pain aid in the removal of cerumen eradicate the virus Correct response: relieve pain treat infection treat inflammation aid in the removal of cerumen Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 53: Otic and Ophthalmic Preparations, p. 644. Chapter 53: Otic and Ophthalmic Preparations - Page 644 Add a Note Question 95 See full question 6s Report this Question The nurse is providing health education for the parents of a child whose otitis media has warranted treatment with a neomycin–polymyxin B–hydrocortisone combination drug. The nurse should explain that this medication contains which component? Select all that apply. You Selected: a topical anesthetic an analgesic Correct response: an antibiotic a steroid Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 53: Otic and Ophthalmic Preparations, p. 653. Chapter 53: Otic and Ophthalmic Preparations - Page 653 Add a Note Question 96 See full question 6s Report this Question The nurse knows that hospitalized elderly clients receiving intravenous (IV) fluids are at increased risk for fluid volume overload for which reasons? (Select all that apply.) You Selected: Increased incidence of cardiac disease Lack of appetite Correct response: Increased incidence of cardiac disease Decreased renal function Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 54: Fluids, Electrolytes, and Parenteral Therapy, p. 672. Chapter 54: Fluids, Electrolytes, and Parenteral Therapy - Page 672 Add a Note Question 97 See full question 6s Report this Question A nurse is caring for client with a serum potassium level of 7 mEq/L. Which treatments does the nurse anticipate the prescriber to order? Select all that apply. You Selected: Magnesium sulfate and dextrose Glucose and insulin Correct response: Sodium bicarbonate Glucose and insulin Calcium gluconate Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 54: Fluids, Electrolytes, and Parenteral Therapy, p. 376. Chapter 54: Fluids, Electrolytes, and Parenteral Therapy - Page 376 Add a Note Question 98 See full question 8s Report this Question A nurse administers calcium IV slowly based on the understanding that rapid IV administration of calcium can lead to which adverse effects? You Selected: tachycardia Correct response: hypotension Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 54: Fluids, Electrolytes, and Parenteral Therapy, pp. 665-666. Chapter 54: Fluids, Electrolytes, and Parenteral Therapy - Page 665-666 Add a Note Question 99 See full question 41s Report this Question The nurse is caring for an older adult client who has type 2 diabetes and chronic kidney disease. Which drugs will be used with great caution in this client? (Select all that apply.) You Selected: Metformin (Glucophage) Acarbose (Precose) Correct response: Metformin (Glucophage) Acarbose (Precose) Miglitol (Glyset) Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 42: Antidiabetic Drugs, pp. 487-488. Chapter 42: Antidiabetic Drugs - Page 487-488 Add a Note Question 100 See full question 15s Report this Question Which risk factors should be the focus of the nursing assessment for a client requiring treatment for primary hypertension? Select all that apply. You Selected: Race Prior surgeries Correct response: Race Current medications Medical conditions Explanation: Reference: Ford, Susan M., Roach's Introductory Clinical Pharmacology, 11th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 35: Antihypertensive Drugs, p. 396. Chapter 35: Antihypertensive Drugs - Page 396
