LE WIS'S MEDICAL-SURGICAL NURSING · PHARMACOLOGY · TEST
BANK
Pharmacology Test Bank for Lewis's
Medical-Surgical Nursing
245 Verified Q&A with Rationales | Complete Exam Prep
SUBJECT TEXTBOOK F O R M AT S TAT U S
Pharmacology Lewis's Q&A Verified
Comprehensive pharmacology test bank for Lewis's Medical-Surgical Nursing.
All questions, answers, and rationales reproduced exactly as written.
,📋 Questions & Verified Answers
245 Verified Questions Pharmacology · Lewis's Medical-Surgical Nursing
1) A nurse is caring for a client with 2.) Oral iron supplements are
hyperparathyroidism and notes that prescribed for a 6-year-old child
the client's serum calcium level is 13 with iron deficiency anemia. The
mg/dL. Which medication should nurse instructs the mother to
the nurse prepare to administer as administer the iron with which best
prescribed to the client? food item?
1. Calcium chloride 1. Milk
2. Calcium gluconate 2. Water
3. Calcitonin (Miacalcin) 3. Apple juice
4. Large doses of vitamin D 4. Orange juice
3. Calcitonin (Miacalcin) 4. Orange juice
Rationale: Rationale:
The normal serum calcium level is 8.6 Vitamin C increases the absorption of
to 10.0 mg/dL. This client is iron by the body. The mother should
experiencing hypercalcemia. Calcium be instructed to administer the
gluconate and calcium chloride are medication with a citrus fruit or a juice
medications used for the treatment of that is high in vitamin C. Milk may
tetany, which occurs as a result of affect absorption of the iron. Water
acute hypocalcemia. In hypercalcemia, will not assist in absorption. Orange
large doses of vitamin D need to be juice contains a greater amount of
avoided. Calcitonin, a thyroid vitamin C than apple juice.
hormone, decreases the plasma
calcium level by inhibiting bone
resorption and lowering the serum
calcium concentration.
,3.) Salicylic acid is prescribed for a 4.) The camp nurse asks the children
client with a diagnosis of psoriasis. preparing to swim in the lake if they
The nurse monitors the client, have applied sunscreen. The nurse
knowing that which of the following reminds the children that chemical
would indicate the presence of sunscreens are most effective when
systemic toxicity from this applied:
medication?
1. Immediately before swimming
1. Tinnitus 2. 15 minutes before exposure to the
2. Diarrhea sun
3. Constipation 3. Immediately before exposure to the
4. Decreased respirations sun
1. Tinnitus 4. At least 30 minutes before exposure
to the sun
4. At least 30 minutes before
Rationale: exposure to the sun
Salicylic acid is absorbed readily
through the skin, and systemic toxicity
(salicylism) can result. Symptoms Rationale:
include tinnitus, dizziness, hyperpnea, Sunscreens are most effective when
and psychological disturbances. applied at least 30 minutes before
Constipation and diarrhea are not exposure to the sun so that they can
associated with salicylism. penetrate the skin. All sunscreens
should be reapplied after swimming or
sweating.
, 5.) Mafenide acetate (Sulfamylon) is 6.) The burn client is receiving
prescribed for the client with a burn treatments of topical mafenide
injury. When applying the acetate (Sulfamylon) to the site of
medication, the client complains of injury. The nurse monitors the
local discomfort and burning. client, knowing that which of the
Which of the following is the most following indicates that a systemic
appropriate nursing action? effect has occurred?
1. Notifying the registered nurse 1.Hyperventilation
2. Discontinuing the medication 2.Elevated blood pressure
3. Informing the client that this is 3.Local pain at the burn site
normal 4.Local rash at the burn site
4. Applying a thinner film than 1.Hyperventilation
prescribed to the burn site
3. Informing the client that this is
normal Rationale:
Mafenide acetate is a carbonic
anhydrase inhibitor and can suppress
Rationale: renal excretion of acid, thereby
Mafenide acetate is bacteriostatic for causing acidosis. Clients receiving this
gram-negative and gram-positive treatment should be monitored for
organisms and is used to treat burns signs of an acid-base imbalance
to reduce bacteria present in avascular (hyperventilation). If this occurs, the
tissues. The client should be informed medication should be discontinued for
that the medication will cause local 1 to 2 days. Options 3 and 4 describe
discomfort and burning and that this local rather than systemic effects. An
is a normal reaction; therefore options elevated blood pressure may be
1, 2, and 4 are incorrect expected from the pain that occurs
with a burn injury.
BANK
Pharmacology Test Bank for Lewis's
Medical-Surgical Nursing
245 Verified Q&A with Rationales | Complete Exam Prep
SUBJECT TEXTBOOK F O R M AT S TAT U S
Pharmacology Lewis's Q&A Verified
Comprehensive pharmacology test bank for Lewis's Medical-Surgical Nursing.
All questions, answers, and rationales reproduced exactly as written.
,📋 Questions & Verified Answers
245 Verified Questions Pharmacology · Lewis's Medical-Surgical Nursing
1) A nurse is caring for a client with 2.) Oral iron supplements are
hyperparathyroidism and notes that prescribed for a 6-year-old child
the client's serum calcium level is 13 with iron deficiency anemia. The
mg/dL. Which medication should nurse instructs the mother to
the nurse prepare to administer as administer the iron with which best
prescribed to the client? food item?
1. Calcium chloride 1. Milk
2. Calcium gluconate 2. Water
3. Calcitonin (Miacalcin) 3. Apple juice
4. Large doses of vitamin D 4. Orange juice
3. Calcitonin (Miacalcin) 4. Orange juice
Rationale: Rationale:
The normal serum calcium level is 8.6 Vitamin C increases the absorption of
to 10.0 mg/dL. This client is iron by the body. The mother should
experiencing hypercalcemia. Calcium be instructed to administer the
gluconate and calcium chloride are medication with a citrus fruit or a juice
medications used for the treatment of that is high in vitamin C. Milk may
tetany, which occurs as a result of affect absorption of the iron. Water
acute hypocalcemia. In hypercalcemia, will not assist in absorption. Orange
large doses of vitamin D need to be juice contains a greater amount of
avoided. Calcitonin, a thyroid vitamin C than apple juice.
hormone, decreases the plasma
calcium level by inhibiting bone
resorption and lowering the serum
calcium concentration.
,3.) Salicylic acid is prescribed for a 4.) The camp nurse asks the children
client with a diagnosis of psoriasis. preparing to swim in the lake if they
The nurse monitors the client, have applied sunscreen. The nurse
knowing that which of the following reminds the children that chemical
would indicate the presence of sunscreens are most effective when
systemic toxicity from this applied:
medication?
1. Immediately before swimming
1. Tinnitus 2. 15 minutes before exposure to the
2. Diarrhea sun
3. Constipation 3. Immediately before exposure to the
4. Decreased respirations sun
1. Tinnitus 4. At least 30 minutes before exposure
to the sun
4. At least 30 minutes before
Rationale: exposure to the sun
Salicylic acid is absorbed readily
through the skin, and systemic toxicity
(salicylism) can result. Symptoms Rationale:
include tinnitus, dizziness, hyperpnea, Sunscreens are most effective when
and psychological disturbances. applied at least 30 minutes before
Constipation and diarrhea are not exposure to the sun so that they can
associated with salicylism. penetrate the skin. All sunscreens
should be reapplied after swimming or
sweating.
, 5.) Mafenide acetate (Sulfamylon) is 6.) The burn client is receiving
prescribed for the client with a burn treatments of topical mafenide
injury. When applying the acetate (Sulfamylon) to the site of
medication, the client complains of injury. The nurse monitors the
local discomfort and burning. client, knowing that which of the
Which of the following is the most following indicates that a systemic
appropriate nursing action? effect has occurred?
1. Notifying the registered nurse 1.Hyperventilation
2. Discontinuing the medication 2.Elevated blood pressure
3. Informing the client that this is 3.Local pain at the burn site
normal 4.Local rash at the burn site
4. Applying a thinner film than 1.Hyperventilation
prescribed to the burn site
3. Informing the client that this is
normal Rationale:
Mafenide acetate is a carbonic
anhydrase inhibitor and can suppress
Rationale: renal excretion of acid, thereby
Mafenide acetate is bacteriostatic for causing acidosis. Clients receiving this
gram-negative and gram-positive treatment should be monitored for
organisms and is used to treat burns signs of an acid-base imbalance
to reduce bacteria present in avascular (hyperventilation). If this occurs, the
tissues. The client should be informed medication should be discontinued for
that the medication will cause local 1 to 2 days. Options 3 and 4 describe
discomfort and burning and that this local rather than systemic effects. An
is a normal reaction; therefore options elevated blood pressure may be
1, 2, and 4 are incorrect expected from the pain that occurs
with a burn injury.
