Test Bank and Solutions For Davis's Drug Guide for Nurses 17th Edition By April Hazard Vallerand

1. The nurse is providing care for a patient scheduled to take acarbose (Precose)25 mg 3times daily with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the following actions by the nurse is best? A. Reassure the patient that these are common side effects with the medication. B. Call the pharmacy to report an adverse drug reaction. C. Check the patient’s blood glucose level. D. Determine if the patient has a history of anemia. ANS: C See Assessment for acarbose: Observe the patient for signs and symptoms of hypoglycemia. Acarbose alone does not cause hypoglycemia; however, other concurrently administered hypoglycemic agents may produce hypoglycemia, requiring treatment. Ignoring these symptoms would be dangerous, but it is not considered an adverse drug reaction requiring an official report. The patient is experiencing symptoms of hypoglycemia not anemia. KEY: Cognitive Level: Analysis DIF: Medium TOP: Therapeutic Classification: Antidiabetics REF: D 2. While responding to a rapid response called on the cardiac step-down unit, the nurse from intensive care observes the unit nurse massaging a patient’s neck and instructing the patient to bear down. Which of the following medications will most likely be used if the patient’s pulse does not return to normal? A. Adenosine (Adenocard) B. Epinephrine (Adrenaline) C. Atenolol (Tenormin) D. Asenapine (Saphris) ANS: A See Indications for adenosine: Adenosine is used for the conversion of paroxysmal supraventricular tachycardia (PVST) to normal sinus rhythm when vagal maneuvers are unsuccessful.Epinephrine is a bronchodilator used in the management of reversible airway disease.Atenolol is a betablocker used in the management of hypertension.Asenapine is an antipsychotic mood stabilizer used in the acute treatment of schizophrenia or manic/mixed episodes associated with bipolar I disorder. KEY: Cognitive Level: Application DIF: Medium TOP: Therapeutic Classification: Antiarrhythmics REF: Page 112 | Page 505 | Page 191 | Page 188 lOMoARcPSD| Davis's Drug Guide for Nurses 3. The nurse is instructing the parent of a 6-year-old patient recently started on an albuterol (ProAir HFA) inhaler for exercise-induced asthma. The nurse recognizes that further teaching is necessary by which of the following client statements? A. “He may feel like his heart is racing after he takes his inhaler.” B. “He can use the inhaler as many times during football practice as he needs it.” C. “He should avoid cola and other caffeinated drinks since they may increase his heart rate.” D. “He should take 2puffs about 15 min before gym class.” ANS: B See Contraindications/Precautions, Interactions, and Dosage for albuterol.Excess inhaler use may lead to tolerance and paradoxical bronchospasm.Use with caffeine-containing herbs (cola nut, guarana, tea, coffee) increases stimulant effect.Two inhalations every 4–6 hr or 2inhalations 15 min prior to exercise). Tachycardia is an expected side effect with this medication. KEY: Cognitive Level: Analysis DIF: Easy TOP: Therapeutic Classification: Bronchodilators REF: Page117