Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
vv vv vv vv vv vv vv vv
Edition
vv
Pharmacology
vv Test Bank vv
MULTIPLE CHOICE vv
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medication is prescribed for:
vv vv vv vv
1. Pain relief vv
2. Increasing uterine contractions vv vv
3. Decreasing uterine contractions vv vv
4. Promoting fetal lung maturity vv vv vv
ANS: v v v v 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
for pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting
vv vv vv vv vv vv vv vv vv vv vv
fetal lung maturity‖ are not actions of this medication.
vv vv vv vv vv vv vv vv vv
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this
vv vv vv vv vv vv vv vv vv vv vv vv vv
question. Remember that this medication is used for pain relief. Review the action of this medication if
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
you had difficulty with this question and are unfamiliar with this medication.
vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Physiological Integrity
vv vv vv vv
TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Planning
v v vv vv vv
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
analgesic administration following cesarean birth. If the client develops respiratory depression
vv vv vv vv vv vv vv vv vv vv vv
and requires naloxone (Narcan) as an antidote, the client may complain of which of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
following?
vv
1. Increase in her pain level vv vv vv vv
2. Decrease in her pain level vv vv vv vv
3. Increase in the amount of itching from the opioid used in the epidural
vv vv vv vv vv vv vv vv vv vv vv vv
4. Decrease in the amount of itching from the opioid used in the epidural
vv vv vv vv vv vv vv vv vv vv vv vv
, ANS: v v v v 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
vv vv vv vv vv vv vv vv vv vv vv vv vv
which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
incorrect.
vv
Test-Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
question was difficult.
vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Physiological Integrity
vv vv vv vv
TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Assessment
v v vv vv vv
3. A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
hospital. The client has a prescription to receive betamethasone (Celestone). The nurse understands
vv vv vv vv vv vv vv vv vv vv vv vv vv
that the medication will do which of the following?
vv vv vv vv vv vv vv vv vv
1. Prevent spontaneous delivery. vv vv
2. Stop the uterine contractions. vv vv vv
3. Promote maturation of the fetal lungs. vv vv vv vv vv
4. Accelerate the growth rate of the fetus. vv vv vv vv vv vv
ANS: v v v v 3
Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It
vv vv vv vv vv vv vv vv vv vv
increases the surfactant level and lung maturity in the fetus, which reduces the incidence of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
respiratory distress syndrome. Delivery must be delayed for at least 48 hours after administration of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
betamethasone to allow time for the lungs of the fetus to mature.
vv vv vv vv vv vv vv vv vv vv vv vv
Test-Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mind, eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic
vv vv vv vv vv vv vv vv vv vv vv vv vv
words ―twenty-ninth week of gestation.‖ Specific knowledge about the medication and knowledge of
vv vv vv vv vv vv vv vv vv vv vv vv vv
the problems encountered by premature infants will assist in answering this question. Review the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
action of this medication if this question was difficult.
vv vv vv vv vv vv vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed.). St. vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Louis: Saunders.
vv OBJ: Client Needs: Physiological Integrity
vv vv vv vv
, TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Planning
v v vv vv vv
4. A client with preeclampsia is receiving magnesium sulfate. The nurse assesses the client closely
vv vv vv vv vv vv vv vv vv vv vv vv vv
for which sign of magnesium toxicity?
vv vv vv vv vv vv
1. Proteinuria
2. Hyperactive deep tendon reflexes vv vv vv
3. Respiratory rate of 10 breaths/min vv vv vv vv
4. Serum magnesium level of 5 mEq/L vv vv vv vv vv
ANS: v v v v 3
Rationale: Magnesium toxicity is a risk associated with magnesium sulfate therapy. Signs of
vv vv vv vv vv vv vv vv vv vv vv vv
magnesium toxicity relate to central nervous system (CNS) depression and include respiratory
vv vv vv vv vv vv vv vv vv vv vv vv
depression, loss of deep tendon reflexes, and sudden drop in fetal heart rate and/or maternal heart rate
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and blood pressure.
vv vv vv
Magnesium is excreted through the kidneys. If renal impairment is present, magnesium toxicity can
vv vv vv vv vv vv vv vv vv vv vv vv vv
develop very quickly. Therapeutic serum levels of magnesium are 4 to 7 mEq/L.
vv vv vv vv vv vv vv vv vv vv vv vv vv
Test-Taking Strategy: To answer this question accurately, you must recall that magnesium sulfate is a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
CNS depressant. Begin to answer this question by eliminating ―proteinuria‖ and ―hyperactive deep
vv vv vv vv vv vv vv vv vv vv vv vv vv
tendon reflexes,‖ which are signs of preeclampsia. Select between the last two options using
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medication knowledge and recalling that the therapeutic serum levels of magnesium are 4 to 7
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mEq/L. Review this medication and the normal magnesium level if this question was difficult.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Analyzing vv vv vv vv
REF: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity nursing (8th ed.). St. Louis: Mosby. vv vv vv vv vv vv vv vv vv vv vv vv vv vv
OBJ: Client Needs: Physiological Integrity vv vv vv
TOP: Content Area: Pharmacology
vv vv vv
MSC: Integrated Process: Nursing Process—Assessment
v v vv vv vv
5. A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
antenatal clinic. The nurse recalls that zidovudine (AZT) therapy will be initiated when the fetus has
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
reached how many weeks of gestation?
vv vv vv vv vv vv
1. 4
2. 14
3. 24
4. 34
ANS: v v v v 2
Rationale: The pregnant women with HIV infection will be prescribed oral AZT in the fourteenth week
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
of gestation. Before this time, the fetus is at risk because of the teratogenic effects of the medication.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
In
vv
, addition, a bolus of AZT is given intravenously during labor, and the neonate is treated for six weeks
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
after birth.
vv vv
Test-Taking Strategy: To answer this question accurately, you must be familiar with pharmacological
vv vv vv vv vv vv vv vv vv vv vv vv
therapy for clients who are HIV-positive. Knowing that the fetus is most vulnerable to the effects of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medications and chemicals during the period of organogenesis will assist you in selecting the correct
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
answer. Review treatment measures for the pregnant client with HIV infection if you had difficulty with
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
this question.
vv vv
PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Physiological Integrity
vv vv vv vv
TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Planning
v v vv vv vv
6. The nurse has a routine prescription to instill erythromycin ointment (Ilotycin) into the eyes of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
a newborn. The nurse plans to explain to the parents that the purpose of the medication is to:
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Help the newborn to see more clearly.
vv vv vv vv vv vv
2. Guard against infection acquired during intrauterine life.
vv vv vv vv vv vv
3. Ensure the sterility of the conjunctiva in the newborn.
vv vv vv vv vv vv vv vv
4. Protect the newborn from contracting an eye infection during birth.
vv vv vv vv vv vv vv vv vv
ANS: v v v v 4
Rationale: The use of eye prophylaxis with an agent such as erythromycin protects the newborn from
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
contracting a conjunctival infection during birth. This infection, called ophthalmia neonatorum, results
vv vv vv vv vv vv vv vv vv vv vv vv
from maternal vaginal infection with chlamydia or gonorrhea. This prophylaxis is mandatory in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
United States. ―Help the newborn to see more clearly,‖ ―guard against infection acquired during
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
intrauterine life,‖ and ―ensure the sterility of the conjunctiva in the newborn‖ do not describe the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
purposes of this medication.
vv vv vv vv
Test-Taking Strategy: Familiarity with the purpose of this medication is needed to answer this question.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Remember erythromycin protects the newborn from contracting a conjunctival infection during birth.
vv vv vv vv vv vv vv vv vv vv vv vv
Review the purpose of this medication if you had difficulty with this question.
vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Applying vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Teaching and Learning
v v vv vv vv vv
7. The nurse has a routine prescription to administer an injection of phytonadione (vitamin K) to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the newborn. Before giving the medication, the nurse explains to the client that this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medication will:
vv vv
vv vv vv vv vv vv vv vv
Edition
vv
Pharmacology
vv Test Bank vv
MULTIPLE CHOICE vv
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medication is prescribed for:
vv vv vv vv
1. Pain relief vv
2. Increasing uterine contractions vv vv
3. Decreasing uterine contractions vv vv
4. Promoting fetal lung maturity vv vv vv
ANS: v v v v 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
for pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting
vv vv vv vv vv vv vv vv vv vv vv
fetal lung maturity‖ are not actions of this medication.
vv vv vv vv vv vv vv vv vv
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this
vv vv vv vv vv vv vv vv vv vv vv vv vv
question. Remember that this medication is used for pain relief. Review the action of this medication if
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
you had difficulty with this question and are unfamiliar with this medication.
vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Physiological Integrity
vv vv vv vv
TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Planning
v v vv vv vv
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
analgesic administration following cesarean birth. If the client develops respiratory depression
vv vv vv vv vv vv vv vv vv vv vv
and requires naloxone (Narcan) as an antidote, the client may complain of which of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
following?
vv
1. Increase in her pain level vv vv vv vv
2. Decrease in her pain level vv vv vv vv
3. Increase in the amount of itching from the opioid used in the epidural
vv vv vv vv vv vv vv vv vv vv vv vv
4. Decrease in the amount of itching from the opioid used in the epidural
vv vv vv vv vv vv vv vv vv vv vv vv
, ANS: v v v v 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
vv vv vv vv vv vv vv vv vv vv vv vv vv
which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
incorrect.
vv
Test-Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
question was difficult.
vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Physiological Integrity
vv vv vv vv
TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Assessment
v v vv vv vv
3. A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
hospital. The client has a prescription to receive betamethasone (Celestone). The nurse understands
vv vv vv vv vv vv vv vv vv vv vv vv vv
that the medication will do which of the following?
vv vv vv vv vv vv vv vv vv
1. Prevent spontaneous delivery. vv vv
2. Stop the uterine contractions. vv vv vv
3. Promote maturation of the fetal lungs. vv vv vv vv vv
4. Accelerate the growth rate of the fetus. vv vv vv vv vv vv
ANS: v v v v 3
Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It
vv vv vv vv vv vv vv vv vv vv
increases the surfactant level and lung maturity in the fetus, which reduces the incidence of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
respiratory distress syndrome. Delivery must be delayed for at least 48 hours after administration of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
betamethasone to allow time for the lungs of the fetus to mature.
vv vv vv vv vv vv vv vv vv vv vv vv
Test-Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mind, eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic
vv vv vv vv vv vv vv vv vv vv vv vv vv
words ―twenty-ninth week of gestation.‖ Specific knowledge about the medication and knowledge of
vv vv vv vv vv vv vv vv vv vv vv vv vv
the problems encountered by premature infants will assist in answering this question. Review the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
action of this medication if this question was difficult.
vv vv vv vv vv vv vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed.). St. vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Louis: Saunders.
vv OBJ: Client Needs: Physiological Integrity
vv vv vv vv
, TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Planning
v v vv vv vv
4. A client with preeclampsia is receiving magnesium sulfate. The nurse assesses the client closely
vv vv vv vv vv vv vv vv vv vv vv vv vv
for which sign of magnesium toxicity?
vv vv vv vv vv vv
1. Proteinuria
2. Hyperactive deep tendon reflexes vv vv vv
3. Respiratory rate of 10 breaths/min vv vv vv vv
4. Serum magnesium level of 5 mEq/L vv vv vv vv vv
ANS: v v v v 3
Rationale: Magnesium toxicity is a risk associated with magnesium sulfate therapy. Signs of
vv vv vv vv vv vv vv vv vv vv vv vv
magnesium toxicity relate to central nervous system (CNS) depression and include respiratory
vv vv vv vv vv vv vv vv vv vv vv vv
depression, loss of deep tendon reflexes, and sudden drop in fetal heart rate and/or maternal heart rate
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and blood pressure.
vv vv vv
Magnesium is excreted through the kidneys. If renal impairment is present, magnesium toxicity can
vv vv vv vv vv vv vv vv vv vv vv vv vv
develop very quickly. Therapeutic serum levels of magnesium are 4 to 7 mEq/L.
vv vv vv vv vv vv vv vv vv vv vv vv vv
Test-Taking Strategy: To answer this question accurately, you must recall that magnesium sulfate is a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
CNS depressant. Begin to answer this question by eliminating ―proteinuria‖ and ―hyperactive deep
vv vv vv vv vv vv vv vv vv vv vv vv vv
tendon reflexes,‖ which are signs of preeclampsia. Select between the last two options using
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medication knowledge and recalling that the therapeutic serum levels of magnesium are 4 to 7
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mEq/L. Review this medication and the normal magnesium level if this question was difficult.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1
DIF: Level of Cognitive Ability: Analyzing vv vv vv vv
REF: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity nursing (8th ed.). St. Louis: Mosby. vv vv vv vv vv vv vv vv vv vv vv vv vv vv
OBJ: Client Needs: Physiological Integrity vv vv vv
TOP: Content Area: Pharmacology
vv vv vv
MSC: Integrated Process: Nursing Process—Assessment
v v vv vv vv
5. A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
antenatal clinic. The nurse recalls that zidovudine (AZT) therapy will be initiated when the fetus has
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
reached how many weeks of gestation?
vv vv vv vv vv vv
1. 4
2. 14
3. 24
4. 34
ANS: v v v v 2
Rationale: The pregnant women with HIV infection will be prescribed oral AZT in the fourteenth week
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of gestation. Before this time, the fetus is at risk because of the teratogenic effects of the medication.
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In
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, addition, a bolus of AZT is given intravenously during labor, and the neonate is treated for six weeks
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after birth.
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Test-Taking Strategy: To answer this question accurately, you must be familiar with pharmacological
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therapy for clients who are HIV-positive. Knowing that the fetus is most vulnerable to the effects of
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medications and chemicals during the period of organogenesis will assist you in selecting the correct
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answer. Review treatment measures for the pregnant client with HIV infection if you had difficulty with
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this question.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Physiological Integrity
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TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Nursing Process—Planning
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6. The nurse has a routine prescription to instill erythromycin ointment (Ilotycin) into the eyes of
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a newborn. The nurse plans to explain to the parents that the purpose of the medication is to:
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1. Help the newborn to see more clearly.
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2. Guard against infection acquired during intrauterine life.
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3. Ensure the sterility of the conjunctiva in the newborn.
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4. Protect the newborn from contracting an eye infection during birth.
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ANS: v v v v 4
Rationale: The use of eye prophylaxis with an agent such as erythromycin protects the newborn from
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contracting a conjunctival infection during birth. This infection, called ophthalmia neonatorum, results
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from maternal vaginal infection with chlamydia or gonorrhea. This prophylaxis is mandatory in the
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United States. ―Help the newborn to see more clearly,‖ ―guard against infection acquired during
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intrauterine life,‖ and ―ensure the sterility of the conjunctiva in the newborn‖ do not describe the
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purposes of this medication.
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Test-Taking Strategy: Familiarity with the purpose of this medication is needed to answer this question.
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Remember erythromycin protects the newborn from contracting a conjunctival infection during birth.
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Review the purpose of this medication if you had difficulty with this question.
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PTS: 1
DIF: Level of Cognitive Ability: Applying vv vv vv vv
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:vv vv vv vv vv vv vv vv vv vv
Saunders. OBJ:
vv Client Needs: Health Promotion and Maintenance
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TOP: Content Area: Pharmacology vv vv
MSC: Integrated Process: Teaching and Learning
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7. The nurse has a routine prescription to administer an injection of phytonadione (vitamin K) to
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the newborn. Before giving the medication, the nurse explains to the client that this
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medication will:
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