TEST BANK DAVIS’S DRUG GUIDE FOR NURSES 17TH VALLERAND 2

1/10/24,v8:57vPM Davis'svDrugvGuidevForvNursesv16thvEditionvAprilvHazardvVallerandvTestvBan
k


Davis’svDrugvGuidev forvNurses,v16e TestvBank-1

DrugvGuidevTestvBank


MULTIPLEvCHOICE

1. ThevnursevisvprovidingvcarevforvavpatientvscheduledvtovtakevPrecosev(acarbose)v25vmgvthreevtimesv
dailyv withvmeals.vThevpatientvreportsvfeelingvsweaty,vweak,vandvtremulous.vWhichvofvthevfollowingv
actionsvbyv thevnursevisvbest?
A. Reassurevthevpatientvthatvthesevarevcommonvsideveffectsvwithvthevmedication.
B. Callvthevpharmacyvtovreportvanvadversevdrugvreaction.
C. Checkvthevpatient’svbloodvglucosevlevel.
D. Determinevifvthevpatientvhasvavhistoryvofvanemia.

ANS:vC
SeevNursingvImplicationsvforvacarbose:vObservevthevpatientvforvsignsvandvsympto
msv ofvhypoglycemia.vAcarbosevalonevdoesvnotvcausevhypoglycemia;vhowever, vot
herv concurrentlyvadministeredvhypoglycemicagentsvmayvproducevhypoglycemia,
v requiringvtreatment. vIgnoringvthesevsymptomsvwouldvbevdangerous,butvitvisvnot
v consideredvanvadversevdrugvreactionvrequiringvanvofficialvreport.vThevpatientvis
v experiencingsymptoms vofvhypoglycemiavnotvanemia.

KEY:vCognitivevLevel:vAnalysisv
DIF:vMedium
TOP:vTherapeuticvClassification:vAntidiabetics
REF:vDrugguide.com

2. Whilevrespondingvtovavrapidvresponsevcalledvonvthevcardiacvstep-
downvunit,v thevnursevfromvintensivev carevobservesvthevunitvnursevmassagingvavpatient’svneckvandvinst
ructingvthevpatientvtovbearvdown.vWhichvofv thevfollowingvmedicationsvwillvmostvlikelyvbevusedvifvthe
vpatient’svpulsevdoesvnotvreturnvtovnormal?
A. Adenocardv(adenosine)
B. Adrenalinev (epinephrine)
C. Tenorminv(atenolol)
D. Saphrisv(asenapine)

ANS:vA
SeevadenosinevIndications:vAdenosinevisvusedvforvthevconversionvofvparoxysmalvsupraventricularv tac
hycardiav(PVST)vtovnormalvsinusvrhythmvwhenvvagalvmaneuversvarevunsuccessful.vEpinephrinevisva
v bronchodilatorvusedvinvthevmanagementvofvreversiblevairwayvdisease. vAtenololvisvavbetavblocker vus
edvinv thevmanagementvofvhypertension.vAsenapinevisvanvantipsychoticvmoodvstabilizervusedvinvtheva
cutev treatmentvofvschizophreniavorvmanic/mixedvepisodesvassociatedvwithvbipolarvIvdisorder.
KEY:vCognitivevLevel:vApplication
v DIF:vMedium
TOP:vTherapeuticvClassification:vAntiarrhythmicsv
REF:vPagev114v|vPagev502v|vPagev197v|vPagev189


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, 1/10/24,v8:57vPM Davis'svDrugvGuidevForvNursesv16thvEditionvAprilvHazardvVallerandvTestvBan
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3. Thevnursevisvinstructingvthevparentvofvav6-year-
oldvpatientvrecentlyvstartedvonvavProAirvHFAv(albuterol)v inhalervforvexercise-
inducedvasthma.vThevnursevrecognizesvthatvfurthervteachingvisvnecessaryvbyvwhichvofv thevfollowingv
clientvstatements?
A. “Hevmayvfeelvlikevhisvheartvisvracingvaftervhevtakesvhisvinhaler.”
B. “Hevcanvusevthevinhalervasvmanyvtimesvduringvfootballvpracticevasvhevneedsvit.”
C. “Hevshouldvavoidvcolavandvothervcaffeinatedvdrinksvsincevtheyvmayvincreasevhisvheartvrate.”
D. “Hevshouldvtakevtwovpuffsvaboutv15vminutesvbeforevgymvclass.”

ANS:vB
SeevContraindications/Precautions,vInteractions,vandvDosagevforvalbuterol.vExcessvinhalervusevmayvlead
vtov tolerancevandvparadoxical vbronchospasm. vUsevwithvcaffeine-
containingvherbsv(colavnut,vguarana,vtea,v coffee)vincreasesvstimulantveffect.vTwovinhalationsveveryv4–
6vhrvorvtwovinhalationsv15vminvpriorvtov exercise).vTachycardiavisvanvexpectedvsideveffectvwithvthisvm
edication.

KEY:vCognitivevLevel:vAnalysisv
DIF:vEasy
TOP:vTherapeuticvClassification:vBronchodilatorsv
REF:vPagev118



4. WhilevprovidingvcarevforvanvadolescentvpatientvnewlyvprescribedvElavilv(amitriptyline),vthevnursevsh
ouldv bevmostvconcernedvbyvwhichvofvthevfollowingvpatientvstatements?
A. “MyvmouthvseemsvreallyvdryvandvI’mvthirstyvallvthevtime.”
B. “IvtakevavnapvmostvafternoonsvnowvbecausevIvfeelvsleepyvsometimes.”
C. “I’mvnotvsurevwhyvwevshouldvevenvbothervanymore;veverythingvseemsvsovpointless.”
D. “Ivdrinkvavcupvofvcoffeevmostvdaysvwithvbreakfast.”

ANS:vC
SeevContraindications/Precautionsvforvamitriptyline:vthevusevofvthisvmedicationvmayvincreasevthevriskvo
fv suicidevattempt/ideationvespeciallyvduringvdosevearlyvtreatmentvorvdosevadjustment;vriskvmayvbevgre
atervinv childrenvorvadolescents.vSedationvisvanvexpectedvsideveffect.vDryvmouthvisvanvexpectedvsideveff
ect.vTherevisv novdirectivevtovavoidvcaffeinevwithvthisvmedication.

KEY:vCognitivevLevel:vAnalysisv
DIF:vMedium
TOP:vTherapeuticvClassification:vAntidepressantsv
REF:vPagev145



5. Thevnursevisvcaringvforvavpatientvwithvotitisvmediavwhovreportsvanvallergyvtovpenicillin.vOrder
svarev receivedvforvampicillinv500vmgveveryv8vhr.vWhichvofvthevfollowingvactionsvbyvthevnurse
visvbest?
A. Providevthevmedicationvasvordered.
B. Callvthevpharmacistvtovrequestvavsubstitution.
C. Askvthevpatientvifvhevorvshevhasvtakenvampicillinvinvthevpast.
D. Holdvthevmedication.

ANS:vD
Seevcontraindications/precautionsvforvampicillin:vContraindicatedvinvhypersensitivityvtovpenicillin.vThi
sv medicationvshouldvbevheldvduevtovthevstatedvallergyvtovpenicillin.




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