TEST BANK FOR ABRAMS' CLINICAL
DRUG THERAPY RATIONALES FOR
NURSING PRACTICE QUESTIONS AND
ANSWERS 2026/2027
The nurse is educating the client about the use of pseudoephedrine. Which
medication should the client be cautioned about taking concurrently with
pseudoephedrine?
A. anti-infective agents
B. antihyperglycemics
C. proton pump inhibitors (PPIs)
D. thyroid preparations
D. thyroid preparations
A client is prescribed an antitussive agent with codeine. Which statement
by the client indicates that the nurse's teaching has been effective?
A. "I will take this medication regularly to prevent coughing and each time
,that I have a cough."
B. "This medication contains a narcotic, but it doesn't carry the same risks
as stronger narcotics."
C. "I will call my health care provider if I develop diarrhea when I take it."
D. "This medication will cause drowsiness, and it might make me breathe
slower."
D. "This medication will cause drowsiness, and it might make me breathe
slower."
A client has hypertension and wants to take a nasal decongestant for cold
symptoms. Which statement by the nurse indicates the effect of nasal
decongestant medications on hypertension?
A. "The administration of a nasal decongestant will increase blood
pressure due to vasoconstriction of blood vessels."
B. "The administration of a nasal decongestant will cause bradycardia and
increase peripheral blood pressure."
C. "The administration of a nasal decongestant will decrease thyroid
activity, thereby increasing blood pressure."
D. "The administration of nasal decongestant will act on the central
nervous system to cause vasodilation of blood vessels."
A. "The administration of a nasal decongestant will increase blood pressure due
to vasoconstriction of blood vessels."
A client, after presenting at the clinic with sneezing and coughing, is
diagnosed with the common cold. This client's illness has what etiology?
A. Gram-positive bacterial infection
B. Autoimmune effects
C. Virus
D. Fungus
C. Virus
,A client has expressed frustration stating, "I've been taking an over-the-
counter (OTC) decongestant for several days and it still hasn't really cured
my cold." What teaching point should the nurse convey to the client?
A. "Drugs like this can often relieve some of the symptoms of a cold, but
they won't cure it."
B. "Most people find that cold medications are essentially ineffective."
C. "It usually takes between 8 and 10 days for a decongestant to cure affect
cold symptoms."
D. "Sometimes a decongestant can sometimes mask the effects of your cold,
essentially prolonging it."
A. "Drugs like this can often relieve some of the symptoms of a cold, but they
won't cure it."
An adult client has asked the nurse to recommend an OTC cold remedy.
Before making a recommendation, the nurse should implement which
intervention?
A. Consult with a pharmacist or pharmacy technician.
B. Assess the client's understanding of the epidemiology of the common
cold and upper respiratory infections.
C. Assess the client for health problems that may contraindicate the use of
a particular remedy.
D. Ensure that the client has tried some of the more common herbal and
natural remedies.
C. Assess the client for health problems that may contraindicate the use of a
particular remedy.
A client with allergies has expressed interest in taking pseudoephedrine for
seasonal allergies. What client condition would most strongly lead the
nurse to caution against taking the drug?
A. Currently breast-feeding
B. History of severe hypertension
, C. Diagnosis of chronic obstructive pulmonary disease (COPD)
D. Diagnosis of myasthenia gravis (MS)
B. History of severe hypertension
The parent of a toddler asks about giving their child an over-the-counter
(OTC) cough and cold product containing pseudoephedrine. What
information regarding safety and efficacy should the nurse offer?
A. Cough and cold remedies are generally safe and effective for children
over the age of 2.
B. There are concerns among health professionals about how safe and
effective these medications are.
C. Media reports discussing cough and cold medications in children have
greatly exaggerated the risks.
D. Cough and cold products require a prescription for children under age 6
years.
B. There are concerns among health professionals about how safe and effective
these medications are.
An adult client diagnosed with type 1 diabetes for many years and has
begun to experience diabetic nephropathy over the past year. How will this
client's current health status influence the possible use of pseudoephedrine
in the treatment of cold symptoms?
A. The client should monitor blood glucose levels more frequently when
taking pseudoephedrine.
B. The use of pseudoephedrine is absolutely contraindicated by the fact
that the client has diabetes and takes insulin.
C. The client may require a higher-than-average dose of pseudoephedrine
because of excess fluid volume secondary to renal failure.
D. The client should use caution and will likely require a lower dose of
pseudoephedrine because of impaired renal function.
DRUG THERAPY RATIONALES FOR
NURSING PRACTICE QUESTIONS AND
ANSWERS 2026/2027
The nurse is educating the client about the use of pseudoephedrine. Which
medication should the client be cautioned about taking concurrently with
pseudoephedrine?
A. anti-infective agents
B. antihyperglycemics
C. proton pump inhibitors (PPIs)
D. thyroid preparations
D. thyroid preparations
A client is prescribed an antitussive agent with codeine. Which statement
by the client indicates that the nurse's teaching has been effective?
A. "I will take this medication regularly to prevent coughing and each time
,that I have a cough."
B. "This medication contains a narcotic, but it doesn't carry the same risks
as stronger narcotics."
C. "I will call my health care provider if I develop diarrhea when I take it."
D. "This medication will cause drowsiness, and it might make me breathe
slower."
D. "This medication will cause drowsiness, and it might make me breathe
slower."
A client has hypertension and wants to take a nasal decongestant for cold
symptoms. Which statement by the nurse indicates the effect of nasal
decongestant medications on hypertension?
A. "The administration of a nasal decongestant will increase blood
pressure due to vasoconstriction of blood vessels."
B. "The administration of a nasal decongestant will cause bradycardia and
increase peripheral blood pressure."
C. "The administration of a nasal decongestant will decrease thyroid
activity, thereby increasing blood pressure."
D. "The administration of nasal decongestant will act on the central
nervous system to cause vasodilation of blood vessels."
A. "The administration of a nasal decongestant will increase blood pressure due
to vasoconstriction of blood vessels."
A client, after presenting at the clinic with sneezing and coughing, is
diagnosed with the common cold. This client's illness has what etiology?
A. Gram-positive bacterial infection
B. Autoimmune effects
C. Virus
D. Fungus
C. Virus
,A client has expressed frustration stating, "I've been taking an over-the-
counter (OTC) decongestant for several days and it still hasn't really cured
my cold." What teaching point should the nurse convey to the client?
A. "Drugs like this can often relieve some of the symptoms of a cold, but
they won't cure it."
B. "Most people find that cold medications are essentially ineffective."
C. "It usually takes between 8 and 10 days for a decongestant to cure affect
cold symptoms."
D. "Sometimes a decongestant can sometimes mask the effects of your cold,
essentially prolonging it."
A. "Drugs like this can often relieve some of the symptoms of a cold, but they
won't cure it."
An adult client has asked the nurse to recommend an OTC cold remedy.
Before making a recommendation, the nurse should implement which
intervention?
A. Consult with a pharmacist or pharmacy technician.
B. Assess the client's understanding of the epidemiology of the common
cold and upper respiratory infections.
C. Assess the client for health problems that may contraindicate the use of
a particular remedy.
D. Ensure that the client has tried some of the more common herbal and
natural remedies.
C. Assess the client for health problems that may contraindicate the use of a
particular remedy.
A client with allergies has expressed interest in taking pseudoephedrine for
seasonal allergies. What client condition would most strongly lead the
nurse to caution against taking the drug?
A. Currently breast-feeding
B. History of severe hypertension
, C. Diagnosis of chronic obstructive pulmonary disease (COPD)
D. Diagnosis of myasthenia gravis (MS)
B. History of severe hypertension
The parent of a toddler asks about giving their child an over-the-counter
(OTC) cough and cold product containing pseudoephedrine. What
information regarding safety and efficacy should the nurse offer?
A. Cough and cold remedies are generally safe and effective for children
over the age of 2.
B. There are concerns among health professionals about how safe and
effective these medications are.
C. Media reports discussing cough and cold medications in children have
greatly exaggerated the risks.
D. Cough and cold products require a prescription for children under age 6
years.
B. There are concerns among health professionals about how safe and effective
these medications are.
An adult client diagnosed with type 1 diabetes for many years and has
begun to experience diabetic nephropathy over the past year. How will this
client's current health status influence the possible use of pseudoephedrine
in the treatment of cold symptoms?
A. The client should monitor blood glucose levels more frequently when
taking pseudoephedrine.
B. The use of pseudoephedrine is absolutely contraindicated by the fact
that the client has diabetes and takes insulin.
C. The client may require a higher-than-average dose of pseudoephedrine
because of excess fluid volume secondary to renal failure.
D. The client should use caution and will likely require a lower dose of
pseudoephedrine because of impaired renal function.
