Saunders Pharmacology EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A client with a burn injury is applying mafenide acetate to the wound. The client calls the
health care provider's office and tells the nurse that the medication is uncomfortable and is
causing a burning sensation. Which instructions would the nurse reinforce to the client?
Continue with the treatment because this is expected.
The nurse has reinforced instructions to the client who has been prescribed cholestyramine.
Which statement by the client indicates a need for further teaching?
"This medication should only be taken with water."
The nurse is reinforcing instructions to a client with essential hypertension about medication
therapy with irbesartan. Which client statement would indicate a need for further teaching?
"The medication reduces my need for exercise."
A client with a history of spinal cord injury is receiving baclofen for muscle spasms. The nurse
determines that the client is experiencing a side effect of this medication if the client
experiences which sign/symptom?
Drowsiness
Capecitabine is prescribed for a client with metastatic breast cancer. The nurse reinforces
information to the client about the medication including what frequent side effect?
Diarrhea
A client is newly diagnosed with hypothyroidism. Levothyroxine is prescribed. The nurse
would reinforce to the client which instructions about the medication?
Take on an empty stomach.
Submit
,The client is receiving meperidine hydrochloride for pain. Which signs/symptoms are side and
adverse effects of this medication? Select all that apply.
Tremors
Drowsiness
Hypotension
A client with diabetes mellitus calls the clinic and tells the nurse that she has been nauseated
during the night. The client asks the nurse if the morning insulin would be administered.
Which is the appropriate nursing response?
Administer the full dose as prescribed.3
The nurse is providing care for a client with a diagnosis of germ cell cancer of the testes who
has been prescribed ifosfamide. The nurse anticipates that the client will also be prescribed
which additional antineoplastic medication?
Mesna
A licensed practical nurse (LPN) is reviewing the medical record of a newly assigned client and
notes that the client is receiving cyclobenzaprine hydrochloride for the treatment of muscle
spasms. The LPN questions the prescription if which disorder is noted in the admission
history?
Angle-closure glaucoma
Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions
for the client and tells the client to avoid which while taking this medication?
Alcohol
A client who is taking hydrochlorothiazide has also been prescribed triamterene. The client
asks the nurse why both medications are required. Which response is the most accurate to
give to the client?
, Triamterene is a potassium-retaining (sparing) diuretic, whereas hydrochlorothiazide is a
potassium-excreting diuretic.
A client is scheduled to receive chemotherapy with a group of medications, one of which is
asparaginase. The nurse anticipates that this medication would be removed from the regimen
after noting which findings in the client's medical record? Select all that apply.
History of pancreatitis
Significantly elevated serum amylase
Carbamazepine is prescribed for a client with a diagnosis of psychomotor seizures. The nurse
reviews the client's health history knowing that this medication is contraindicated if which
disorder is present?
Liver disease
A client has been started on medication therapy with alprazolam. When the nurse teaches
the client that the medication should not be discontinued abruptly, the client asks why. The
nurse would incorporate which information in formulating a reply?
Rebound central nervous system (CNS) excitation could occur, including seizure activity.
Auranofin has been prescribed for a client with rheumatoid arthritis. The nurse who is
collecting data 2 weeks later interprets that the client may be experiencing the signs of
medication toxicity based on what data collection findings? Select all that apply.
Observes several mouth lesions
Notes a rash on trunk and neck
Reports a metallic taste in the mouth
Notes purplish blotches on the skin
A postoperative client has received a dose of naloxone hydrochloride for respiratory
depression shortly after transfer to the nursing unit from the postanesthesia care unit. After
administration of the medication, the nurse would check the client for which sign/symptom?
Sudden increase in pain
COMPLETE SOLUTIONS
A client with a burn injury is applying mafenide acetate to the wound. The client calls the
health care provider's office and tells the nurse that the medication is uncomfortable and is
causing a burning sensation. Which instructions would the nurse reinforce to the client?
Continue with the treatment because this is expected.
The nurse has reinforced instructions to the client who has been prescribed cholestyramine.
Which statement by the client indicates a need for further teaching?
"This medication should only be taken with water."
The nurse is reinforcing instructions to a client with essential hypertension about medication
therapy with irbesartan. Which client statement would indicate a need for further teaching?
"The medication reduces my need for exercise."
A client with a history of spinal cord injury is receiving baclofen for muscle spasms. The nurse
determines that the client is experiencing a side effect of this medication if the client
experiences which sign/symptom?
Drowsiness
Capecitabine is prescribed for a client with metastatic breast cancer. The nurse reinforces
information to the client about the medication including what frequent side effect?
Diarrhea
A client is newly diagnosed with hypothyroidism. Levothyroxine is prescribed. The nurse
would reinforce to the client which instructions about the medication?
Take on an empty stomach.
Submit
,The client is receiving meperidine hydrochloride for pain. Which signs/symptoms are side and
adverse effects of this medication? Select all that apply.
Tremors
Drowsiness
Hypotension
A client with diabetes mellitus calls the clinic and tells the nurse that she has been nauseated
during the night. The client asks the nurse if the morning insulin would be administered.
Which is the appropriate nursing response?
Administer the full dose as prescribed.3
The nurse is providing care for a client with a diagnosis of germ cell cancer of the testes who
has been prescribed ifosfamide. The nurse anticipates that the client will also be prescribed
which additional antineoplastic medication?
Mesna
A licensed practical nurse (LPN) is reviewing the medical record of a newly assigned client and
notes that the client is receiving cyclobenzaprine hydrochloride for the treatment of muscle
spasms. The LPN questions the prescription if which disorder is noted in the admission
history?
Angle-closure glaucoma
Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions
for the client and tells the client to avoid which while taking this medication?
Alcohol
A client who is taking hydrochlorothiazide has also been prescribed triamterene. The client
asks the nurse why both medications are required. Which response is the most accurate to
give to the client?
, Triamterene is a potassium-retaining (sparing) diuretic, whereas hydrochlorothiazide is a
potassium-excreting diuretic.
A client is scheduled to receive chemotherapy with a group of medications, one of which is
asparaginase. The nurse anticipates that this medication would be removed from the regimen
after noting which findings in the client's medical record? Select all that apply.
History of pancreatitis
Significantly elevated serum amylase
Carbamazepine is prescribed for a client with a diagnosis of psychomotor seizures. The nurse
reviews the client's health history knowing that this medication is contraindicated if which
disorder is present?
Liver disease
A client has been started on medication therapy with alprazolam. When the nurse teaches
the client that the medication should not be discontinued abruptly, the client asks why. The
nurse would incorporate which information in formulating a reply?
Rebound central nervous system (CNS) excitation could occur, including seizure activity.
Auranofin has been prescribed for a client with rheumatoid arthritis. The nurse who is
collecting data 2 weeks later interprets that the client may be experiencing the signs of
medication toxicity based on what data collection findings? Select all that apply.
Observes several mouth lesions
Notes a rash on trunk and neck
Reports a metallic taste in the mouth
Notes purplish blotches on the skin
A postoperative client has received a dose of naloxone hydrochloride for respiratory
depression shortly after transfer to the nursing unit from the postanesthesia care unit. After
administration of the medication, the nurse would check the client for which sign/symptom?
Sudden increase in pain
