Exam5 Pharm 1 Questions With Complete Solutions
Pharmacology for Nurses, 6e (Adams)
Chapter 39 Drugs for Allergic Rhinitis and the Common Cold
1) A client prescribed an albuterol (Proventil) via inhaler asks
the nurse why they can't just take a pill. Which response should
the nurse provide?
1. "When you inhale the prescription the blood supply in the
lungs absorbs it rapidly resulting in quicker effects."
2. "Oral prescriptions will not relieve your symptoms; you must
have an inhaled prescription for relief of symptoms."
3. "Oral prescriptions produce too many side effects."
4. "The prescription cannot be absorbed in the GI tract because
the acid in the stomach will destroy it." Correct Answer 1
Explanation:
1. The respiratory system offers a rapid and efficient mechanism
for absorbing prescriptions. The enormous surface area of the
bronchioles and alveoli, and the rich blood supply to these areas,
results in an almost instantaneous onset of action for inhaled
substances.
2. Albuterol (Proventil) can be given orally (PO) but has a faster
onset of action if inhaled.
3. Inhaled prescriptions also produce side effects.
4. Oral prescriptions are effective with some symptoms of
respiratory disorders, but inhaled prescriptions work faster.
Page Ref: 618
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Pharmacological and
Parenteral Therapies
,Standards: QSEN Competencies: III.A.1 Demonstrate
knowledge of basic scientific methods and processes. | AACN
Essential Competencies: III.2 Demonstrate an understanding of
the basic elements of the research process and models for
applying evidence to clinical practice. | NLN Competencies:
Knowledge and Science: Integration of knowledge from nursing
and other disciplines. | Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 40-3 Compare the advantages and
disadvantages of using the inhalation route of administration for
pulmonary drugs.
MNL Learning Outcome: 40.4 Utilize the nursing process in the
care of patients receiving pharmacotherapy for asthma and
chronic obstructive pulmonary disease.
1) A client with nasal congestion tells the nurse that his
symptoms have worsened since he has been using
oxymetazoline (Afrin). Which question should the nurse ask the
client?
1. "Have you checked the expiration date on the prescription?"
2. "Have you experienced a recent fever?"
3. "Are you using any other inhaled prescriptions?"
4. "How long have you been using the prescription?" Correct
Answer 4
Explanation:
1. While it is possible that the client is using an outdated
prescription, this is most likely not the reason the client is
experiencing rebound congestion.
2. A recent fever is not associated with rebound congestion.
3. The use of other inhaled prescriptions will not cause or
prevent rebound congestion.
,4. It is important to assess the length of time the client has been
using oxymetazoline. Oxymetazoline can cause rebound
congestion if used for a long period of time.
Page Ref: 606, 608
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Pharmacological and
Parenteral Therapies
Standards: QSEN Competencies: III.A.1 Demonstrate
knowledge of basic scientific methods and processes. | AACN
Essential Competencies: III.1 Explain the interrelationships
among theory, practice, and research. | NLN Competencies:
Knowledge and Science: Integration of knowledge from nursing
and other disciplines. | Nursing/Integrated Concepts: Nursing
Process: Assessment
Learning Outcome: 39-4 Compare and contrast the oral and
intranasal decongestants.
MNL Learning Outcome: 39.4 Utilize the nursing process in the
care of patients receiving pharmacotherapy for allergic rhinitis
and the common cold.
1) The nurse has provided a client with education about intrinsic
factor. Which statement indicates an understanding of the
information?
1. "Intrinsic factor is secreted by the chief cells of the stomach."
2. "Intrinsic factor is necessary for absorption of vitamin B6."
3. "Intrinsic factor aids in the secretion of mucus to protect the
stomach."
4. "Intrinsic factor is necessary for absorption of vitamin B12."
Correct Answer 4
Explanation:
1. Chief cells secrete pepsinogen and rennin, not intrinsic factor.
, 2. Intrinsic factor is necessary for the absorption of vitamin B12,
not B6.
3. Intrinsic factor does not aid in the secretion of mucus in the
stomach.
4. Parietal cells secrete intrinsic factor, which is essential for the
absorption of vitamin B12.
Page Ref: 636
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological
Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate
knowledge of basic scientific methods and processes. | AACN
Essential Competencies: III.1 Explain the interrelationships
among theory, practice, and research. | NLN Competencies:
Knowledge and Science: Integration of knowledge from nursing
and other disciplines. | Nursing/Integrated Concepts: Nursing
Process: Evaluation
Learning Outcome: 41-1 Describe the major anatomic structures
of the upper gastrointestinal tract.
MNL Learning Outcome: 41.4 Utilize the nursing process in the
care of patients receiving pharmacotherapy for peptic ulcer
disease and gastroesophageal reflux disease.
1) Which causes should the nurse associate with respiratory
alkalosis?
Note: Credit will be given only if all correct choices and no
incorrect choices are selected. Select all that apply.
1. Hyperventilation
2. Severe diarrhea
3. Severe vomiting
4. High altitude
Pharmacology for Nurses, 6e (Adams)
Chapter 39 Drugs for Allergic Rhinitis and the Common Cold
1) A client prescribed an albuterol (Proventil) via inhaler asks
the nurse why they can't just take a pill. Which response should
the nurse provide?
1. "When you inhale the prescription the blood supply in the
lungs absorbs it rapidly resulting in quicker effects."
2. "Oral prescriptions will not relieve your symptoms; you must
have an inhaled prescription for relief of symptoms."
3. "Oral prescriptions produce too many side effects."
4. "The prescription cannot be absorbed in the GI tract because
the acid in the stomach will destroy it." Correct Answer 1
Explanation:
1. The respiratory system offers a rapid and efficient mechanism
for absorbing prescriptions. The enormous surface area of the
bronchioles and alveoli, and the rich blood supply to these areas,
results in an almost instantaneous onset of action for inhaled
substances.
2. Albuterol (Proventil) can be given orally (PO) but has a faster
onset of action if inhaled.
3. Inhaled prescriptions also produce side effects.
4. Oral prescriptions are effective with some symptoms of
respiratory disorders, but inhaled prescriptions work faster.
Page Ref: 618
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Pharmacological and
Parenteral Therapies
,Standards: QSEN Competencies: III.A.1 Demonstrate
knowledge of basic scientific methods and processes. | AACN
Essential Competencies: III.2 Demonstrate an understanding of
the basic elements of the research process and models for
applying evidence to clinical practice. | NLN Competencies:
Knowledge and Science: Integration of knowledge from nursing
and other disciplines. | Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 40-3 Compare the advantages and
disadvantages of using the inhalation route of administration for
pulmonary drugs.
MNL Learning Outcome: 40.4 Utilize the nursing process in the
care of patients receiving pharmacotherapy for asthma and
chronic obstructive pulmonary disease.
1) A client with nasal congestion tells the nurse that his
symptoms have worsened since he has been using
oxymetazoline (Afrin). Which question should the nurse ask the
client?
1. "Have you checked the expiration date on the prescription?"
2. "Have you experienced a recent fever?"
3. "Are you using any other inhaled prescriptions?"
4. "How long have you been using the prescription?" Correct
Answer 4
Explanation:
1. While it is possible that the client is using an outdated
prescription, this is most likely not the reason the client is
experiencing rebound congestion.
2. A recent fever is not associated with rebound congestion.
3. The use of other inhaled prescriptions will not cause or
prevent rebound congestion.
,4. It is important to assess the length of time the client has been
using oxymetazoline. Oxymetazoline can cause rebound
congestion if used for a long period of time.
Page Ref: 606, 608
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Pharmacological and
Parenteral Therapies
Standards: QSEN Competencies: III.A.1 Demonstrate
knowledge of basic scientific methods and processes. | AACN
Essential Competencies: III.1 Explain the interrelationships
among theory, practice, and research. | NLN Competencies:
Knowledge and Science: Integration of knowledge from nursing
and other disciplines. | Nursing/Integrated Concepts: Nursing
Process: Assessment
Learning Outcome: 39-4 Compare and contrast the oral and
intranasal decongestants.
MNL Learning Outcome: 39.4 Utilize the nursing process in the
care of patients receiving pharmacotherapy for allergic rhinitis
and the common cold.
1) The nurse has provided a client with education about intrinsic
factor. Which statement indicates an understanding of the
information?
1. "Intrinsic factor is secreted by the chief cells of the stomach."
2. "Intrinsic factor is necessary for absorption of vitamin B6."
3. "Intrinsic factor aids in the secretion of mucus to protect the
stomach."
4. "Intrinsic factor is necessary for absorption of vitamin B12."
Correct Answer 4
Explanation:
1. Chief cells secrete pepsinogen and rennin, not intrinsic factor.
, 2. Intrinsic factor is necessary for the absorption of vitamin B12,
not B6.
3. Intrinsic factor does not aid in the secretion of mucus in the
stomach.
4. Parietal cells secrete intrinsic factor, which is essential for the
absorption of vitamin B12.
Page Ref: 636
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological
Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate
knowledge of basic scientific methods and processes. | AACN
Essential Competencies: III.1 Explain the interrelationships
among theory, practice, and research. | NLN Competencies:
Knowledge and Science: Integration of knowledge from nursing
and other disciplines. | Nursing/Integrated Concepts: Nursing
Process: Evaluation
Learning Outcome: 41-1 Describe the major anatomic structures
of the upper gastrointestinal tract.
MNL Learning Outcome: 41.4 Utilize the nursing process in the
care of patients receiving pharmacotherapy for peptic ulcer
disease and gastroesophageal reflux disease.
1) Which causes should the nurse associate with respiratory
alkalosis?
Note: Credit will be given only if all correct choices and no
incorrect choices are selected. Select all that apply.
1. Hyperventilation
2. Severe diarrhea
3. Severe vomiting
4. High altitude
