TEST BANK FOR:
Davis's Drug Guide for Nurses
Seventeenth Edition
by April Hazard Vallerand PhD Latest Version.
, DAVIS'S DRUG GUIDE FOR NURSES 17THEDITION BY
VALLERAND, SANOSKI
Multiple Choice
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.
Answer: 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: Drugguide.Com
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)
Answer: 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
,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.”
Answer: 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
4. While Providing Care For An Adolescent Patient Newly Prescribed Amitriptyline(Elavil), The
Nurse Shouldbe Most Concerned By Which Of The Following Patient Statements?
A. “My Mouth Seems Really Dry And I’m Thirsty All The Time.”
B. “I Take A Nap Most Afternoons Now Because I Feel Sleepy Sometimes.”
C. “I’m Not Sure Why We Should Even Bother Anymore; Everything Seems So Pointless.”
D. “I Drink A Cup Of Coffee Most Days With Breakfast.”
Answer: C
See Contraindications/Precautions For Amitriptyline: The Use Of This Medication May Increase The
Risk Of Suicide Attempt/Ideation Especially During Early Treatment Or Dose Adjustment; Risk May
Be Greater In Children Or Adolescents.Sedation Is An Expected Side Effect.Dry Mouth Is An Expected
Side Effect.There Is No Directive To Avoid Caffeine With This Medication.
Key: Cognitive Level: Analysis Dif:
Medium
Top: Therapeutic Classification: Antidepressants
Ref: Page 145
5. The Nurse Is Caring For A Patient With Otitis Media Who Reports An Allergy To Penicillin.
Orders Are Received For Amoxicillin 500 Mg Every 8 Hr. Which Of The Following Actions By
The Nurse Is Best?
A. Provide The Medication As Ordered.
B. Call The Pharmacist To Request A Substitution.
C. Ask The Patient If He Or She Has Taken Amoxicillin In The Past.
D. Hold The Medication.
Answer: D
, See Contraindications/Precautions For Amoxicillin. Contraindicated In Hypersensitivity To Penicillin. This
Medication Should Be Held Due To The Stated Allergy To Penicillin.
Key: Cognitive Level: Application
Dif: Easy
Top: Therapeutic Classification: Anti-Infectives
Ref: Page 148
6. While Caring For A Patient In Hospice Who Is Actively Dying, The Nurse Notes Moderate
Respiratory Distress, Copious Oral Secretion, And A Frequent Moist Cough. Which Of The
Following Prn Medications Would Most Promote Comfort For The Patient?
A. Morphine Sulfate (Morphine) 2mg Iv Bolus
B. Atropine (Atropen) 0.4 Mg Iv Bolus
C. Lorazepam (Ativan) 0.5 Mg Iv Bolus
D. Diphenhydramine (Benadryl) 25 Mg Iv Bolus
Answer: B
See Action For Atropine: Low Doses Decrease Sweating, Salivation, And Respiratory
Secretions.Morphine Is Used For Pain Control.Lorazepam Is Used For Anxiety.Benadryl Is Used For
Itching.
Key: Cognitive Level: Analysis Dif:
Medium
Top: Therapeutic Classification:Antiarrhythmics | Therapeutic Classification: Anticholinergics Ref:
Page 198
7. The Nurse Is Counseling A Patient Started On Azithromycin (Zithromax) For The Treatment Of
An Upper Respiratory Infection. The Nurse Recognizes That Teaching Has Been Effective By Which
Of The Following Patient Statements?
A. “The Med Pack Will Have 5pills, 1for Each Of The Next 5 Days.”
B. “If I Don’t Feel Better Next Week, I Can Get A Refill From The Pharmacist.”
C. “I Only Need To Take 1pill, But My Symptoms May Not Clear For 3 Days.”
D. “I Can Take This Medication Safely Even Though I’m Allergic To Erythromycin.”
Answer: A
See Route/Dosage For Azithromycin: 500 Mg On 1st Day, Then 250 Mg/Day For 4 More Days.Instruct
The Patent To Notify Healthcare Professional If Symptoms Do Not Improve.Teach The Patient To Take
Medication As Directed And To Finish The Drug Completely.Azithromycin Is Contraindicated In Patients
With An Allergy To Erythromycin.
Key: Cognitive Level: Analysis Dif:
Easy
Top: Therapeutic Classification: Anti-Infectives
Ref: Page 202
Davis's Drug Guide for Nurses
Seventeenth Edition
by April Hazard Vallerand PhD Latest Version.
, DAVIS'S DRUG GUIDE FOR NURSES 17THEDITION BY
VALLERAND, SANOSKI
Multiple Choice
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.
Answer: 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: Drugguide.Com
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)
Answer: 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
,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.”
Answer: 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
4. While Providing Care For An Adolescent Patient Newly Prescribed Amitriptyline(Elavil), The
Nurse Shouldbe Most Concerned By Which Of The Following Patient Statements?
A. “My Mouth Seems Really Dry And I’m Thirsty All The Time.”
B. “I Take A Nap Most Afternoons Now Because I Feel Sleepy Sometimes.”
C. “I’m Not Sure Why We Should Even Bother Anymore; Everything Seems So Pointless.”
D. “I Drink A Cup Of Coffee Most Days With Breakfast.”
Answer: C
See Contraindications/Precautions For Amitriptyline: The Use Of This Medication May Increase The
Risk Of Suicide Attempt/Ideation Especially During Early Treatment Or Dose Adjustment; Risk May
Be Greater In Children Or Adolescents.Sedation Is An Expected Side Effect.Dry Mouth Is An Expected
Side Effect.There Is No Directive To Avoid Caffeine With This Medication.
Key: Cognitive Level: Analysis Dif:
Medium
Top: Therapeutic Classification: Antidepressants
Ref: Page 145
5. The Nurse Is Caring For A Patient With Otitis Media Who Reports An Allergy To Penicillin.
Orders Are Received For Amoxicillin 500 Mg Every 8 Hr. Which Of The Following Actions By
The Nurse Is Best?
A. Provide The Medication As Ordered.
B. Call The Pharmacist To Request A Substitution.
C. Ask The Patient If He Or She Has Taken Amoxicillin In The Past.
D. Hold The Medication.
Answer: D
, See Contraindications/Precautions For Amoxicillin. Contraindicated In Hypersensitivity To Penicillin. This
Medication Should Be Held Due To The Stated Allergy To Penicillin.
Key: Cognitive Level: Application
Dif: Easy
Top: Therapeutic Classification: Anti-Infectives
Ref: Page 148
6. While Caring For A Patient In Hospice Who Is Actively Dying, The Nurse Notes Moderate
Respiratory Distress, Copious Oral Secretion, And A Frequent Moist Cough. Which Of The
Following Prn Medications Would Most Promote Comfort For The Patient?
A. Morphine Sulfate (Morphine) 2mg Iv Bolus
B. Atropine (Atropen) 0.4 Mg Iv Bolus
C. Lorazepam (Ativan) 0.5 Mg Iv Bolus
D. Diphenhydramine (Benadryl) 25 Mg Iv Bolus
Answer: B
See Action For Atropine: Low Doses Decrease Sweating, Salivation, And Respiratory
Secretions.Morphine Is Used For Pain Control.Lorazepam Is Used For Anxiety.Benadryl Is Used For
Itching.
Key: Cognitive Level: Analysis Dif:
Medium
Top: Therapeutic Classification:Antiarrhythmics | Therapeutic Classification: Anticholinergics Ref:
Page 198
7. The Nurse Is Counseling A Patient Started On Azithromycin (Zithromax) For The Treatment Of
An Upper Respiratory Infection. The Nurse Recognizes That Teaching Has Been Effective By Which
Of The Following Patient Statements?
A. “The Med Pack Will Have 5pills, 1for Each Of The Next 5 Days.”
B. “If I Don’t Feel Better Next Week, I Can Get A Refill From The Pharmacist.”
C. “I Only Need To Take 1pill, But My Symptoms May Not Clear For 3 Days.”
D. “I Can Take This Medication Safely Even Though I’m Allergic To Erythromycin.”
Answer: A
See Route/Dosage For Azithromycin: 500 Mg On 1st Day, Then 250 Mg/Day For 4 More Days.Instruct
The Patent To Notify Healthcare Professional If Symptoms Do Not Improve.Teach The Patient To Take
Medication As Directed And To Finish The Drug Completely.Azithromycin Is Contraindicated In Patients
With An Allergy To Erythromycin.
Key: Cognitive Level: Analysis Dif:
Easy
Top: Therapeutic Classification: Anti-Infectives
Ref: Page 202
