,Chapter 1. History of Pharmacology Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been e
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ffective if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi mf mf mf
B. Oranges and sweet potatoes mf mf mf mf
C. Kale and cucumbers D. Bananas and melon mf mf mf mf mf mf mf
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖
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Which of the following responses by the nurse is best?
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A. ―Most insulin comes from animal sources, but I’m sure alternative options are available.‖
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B. ―Medications that are derived from animals are typically less expensive than synthetic medicat mf mf mf mf mf mf mf mf mf mf mf mf
ions, but synthetic insulin is commonly available.‖ mf mf mf mf mf mf mf
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖ mf mf mf mf mf mf mf mf mf mf mf mf mf
D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖
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3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochlor
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ide and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
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A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
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B. A 55-year-old African American female diagnosed with hypertension
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C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
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D. A 64-year-old African American male diagnosed with heart failure
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4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as
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ordered 30 minutes pre- mf mf mf
operatively. The nurse knows that teaching has been effective by which of the following client statements?
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A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖
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B. ―This is a palliative medication to help ease the pain from surgery.‖ mf mf mf mf mf mf mf mf mf mf mf mf
C. ―This medication will replace vitamins and minerals that may be lost due to bleeding during su
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rgery.‖ mf
D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖
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5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medic
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ations to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) mf mf mf
B. Estrogen (Estradiol) mf mf
C. Iodine 131 mf mf
D. Carbimazole (Methimazole) mf mf
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6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
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old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal t
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ract. Which of the following statements would the nurse include in the client’s teaching?
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A. ―You will need to drink a large amount of prep to clear out your system before the
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test.‖ mf
B. ―It is important that you be given a prophylactic medication to prevent aspiration during the te
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st.‖ mf
C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highligh
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t any digestive problems.‖ mf mf mf mf
D. ―You will be given a sedative to help make you sleepy during the testing procedure.‖
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, 7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
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recently admitted with metastatic disease. While reviewing the patient’s medication list, the student
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would categorize which of the following medications as palliative in nature?
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A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 mf mf mf mf mf mf mf mf mf mf
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days
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C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy mf mf mf mf mf mf mf mf
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain
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8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which
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of the following statements by the individual indicates an understanding of the medication’s origin?
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A. ―I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖
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B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
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C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ mf mf mf mf mf mf mf mf mf mf mf mf mf
D. ―I think harvesting medicines from cows seems rather odd.‖
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9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-
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year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial to
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mography (CAT) scan mf mf mf
B. Magnetic resonance imaging (MRI) mf mf mf mf
C. Colonoscopy mf
D. Thyroid scan mf mf
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Multiple Response mf mf
Identify one or more choices that best complete the statement or answer the question.
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mfmfmfmfmfmfmfmfmfmfmfmfmf 1. While working with patients in home care, a nurse becomes interested in additional ways to suppo
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rt patient healing and comfort. Which of the following is recognized as an alternative therapy? (Se
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lect all that apply.)
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A. Acupuncture mf
B. Aromatherapy mf
C. Therapeutic touch mf mf
D. Stem cell treatment mf mf mf
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E. Vegetarianism mf
F. Acupressure mf
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Chapter 1. History of Pharmacology Answe
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r Section
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MULTIPLE CHOICE mf mf
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1. ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
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KEY: Application MSC: NCLEX Category: Basic Care and Comfort
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NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water th
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rough the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in
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sweet potatoes, bananas, and oranges.
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2. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Anti-diabetic medication
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source is
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most commonly used. This change occurred because of concern over the possible transmission of diseases
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from animals to humans. Synthetic medications are usually more inexpensive because they are mass produc
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ed. mf
3. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
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KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
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NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat Afr
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ican American patients with heart failure.
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4. ANS: A PTS: 1 DIF: Easy
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TOP: Therapeutic Classification: Antibiotics
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as
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antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A mf mf
Difficulty Level: Easy mf mf mf
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PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NC
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LEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Lev
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othyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to
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women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid ab
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normalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
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6. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Diagnostic contrast
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MSC: NCLEX Category: Reduction of Risk Potential
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NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patient
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s swallow to help highlight digestive problems on radiograph.
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7. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Narcotics
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, but
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they make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineo
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plastic agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medication
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s), while ondansetron is given in a prophylactic measure to prevent nausea and vomiting related to the che
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motherapy. mf
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8. ANS: B PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Hormonal therapy
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MSC: NCLEX Category: Pharmacological Therapies
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Identify the choice that best completes the statement or answers the question.
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1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been e
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ffective if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi mf mf mf
B. Oranges and sweet potatoes mf mf mf mf
C. Kale and cucumbers D. Bananas and melon mf mf mf mf mf mf mf
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖
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Which of the following responses by the nurse is best?
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A. ―Most insulin comes from animal sources, but I’m sure alternative options are available.‖
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B. ―Medications that are derived from animals are typically less expensive than synthetic medicat mf mf mf mf mf mf mf mf mf mf mf mf
ions, but synthetic insulin is commonly available.‖ mf mf mf mf mf mf mf
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖ mf mf mf mf mf mf mf mf mf mf mf mf mf
D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖
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3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochlor
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ide and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
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A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
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B. A 55-year-old African American female diagnosed with hypertension
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C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
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D. A 64-year-old African American male diagnosed with heart failure
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4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as
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ordered 30 minutes pre- mf mf mf
operatively. The nurse knows that teaching has been effective by which of the following client statements?
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A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖
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B. ―This is a palliative medication to help ease the pain from surgery.‖ mf mf mf mf mf mf mf mf mf mf mf mf
C. ―This medication will replace vitamins and minerals that may be lost due to bleeding during su
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rgery.‖ mf
D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖
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5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medic
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ations to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) mf mf mf
B. Estrogen (Estradiol) mf mf
C. Iodine 131 mf mf
D. Carbimazole (Methimazole) mf mf
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6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
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old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal t
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ract. Which of the following statements would the nurse include in the client’s teaching?
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A. ―You will need to drink a large amount of prep to clear out your system before the
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test.‖ mf
B. ―It is important that you be given a prophylactic medication to prevent aspiration during the te
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st.‖ mf
C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highligh
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t any digestive problems.‖ mf mf mf mf
D. ―You will be given a sedative to help make you sleepy during the testing procedure.‖
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, 7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
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recently admitted with metastatic disease. While reviewing the patient’s medication list, the student
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would categorize which of the following medications as palliative in nature?
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A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 mf mf mf mf mf mf mf mf mf mf
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days
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C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy mf mf mf mf mf mf mf mf
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain
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8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which
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of the following statements by the individual indicates an understanding of the medication’s origin?
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A. ―I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖
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B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
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C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ mf mf mf mf mf mf mf mf mf mf mf mf mf
D. ―I think harvesting medicines from cows seems rather odd.‖
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9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-
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year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial to
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mography (CAT) scan mf mf mf
B. Magnetic resonance imaging (MRI) mf mf mf mf
C. Colonoscopy mf
D. Thyroid scan mf mf
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Multiple Response mf mf
Identify one or more choices that best complete the statement or answer the question.
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mfmfmfmfmfmfmfmfmfmfmfmfmf 1. While working with patients in home care, a nurse becomes interested in additional ways to suppo
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rt patient healing and comfort. Which of the following is recognized as an alternative therapy? (Se
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lect all that apply.)
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A. Acupuncture mf
B. Aromatherapy mf
C. Therapeutic touch mf mf
D. Stem cell treatment mf mf mf
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E. Vegetarianism mf
F. Acupressure mf
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Downloaded at Knoowy - Upload your own study documents and earn money
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, mf
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Chapter 1. History of Pharmacology Answe
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r Section
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MULTIPLE CHOICE mf mf
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1. ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
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KEY: Application MSC: NCLEX Category: Basic Care and Comfort
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NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water th
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rough the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in
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sweet potatoes, bananas, and oranges.
mf mf mf mf mf
2. ANS: C PTS: 1 DIF: Moderate
mf mf mfmfmf mf mf mf
TOP: Therapeutic Classification: Anti-diabetic medication
mf KEY: Analysis mf mf mf mf mf mf
MSC: NCLEX Category: Pharmacological Therapies
mf mf mf mf mf
NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source is
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most commonly used. This change occurred because of concern over the possible transmission of diseases
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from animals to humans. Synthetic medications are usually more inexpensive because they are mass produc
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
ed. mf
3. ANS: D PTS: 1 DIF: Moderate
mf mf mfmfmf mf mf mf
TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
mf mf mf mf mf mf
KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
mf mf mf mf mf mf mf mf mf
NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat Afr
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
ican American patients with heart failure.
mf mf mf mf mf mf
4. ANS: A PTS: 1 DIF: Easy
mf mf mfmfmf mf mf mf
TOP: Therapeutic Classification: Antibiotics
mf KEY: Analysis mf mf mf mf mf
MSC: NCLEX Category: Pharmacological Therapies
mf mf mf mf mf
NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as
mf mf mf mf mf mf mf mf mf mf mf mf mf mf m
antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A mf mf
Difficulty Level: Easy mf mf mf
mf
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NC
mfmfmf mf mf mf mf mf mf mf mf mf mf mf
LEX Category: Pharmacological Therapies
mf mf mf mf
NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Lev
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
othyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to
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women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid ab
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
normalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
6. ANS: C PTS: 1 DIF: Moderate
mf mf mfmfmf mf mf mf
TOP: Therapeutic Classification: Diagnostic contrast
mf KEY: Analysis mf mf mf mf mf mf
MSC: NCLEX Category: Reduction of Risk Potential
mf mf mf mf mf mf mf
NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patient
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
s swallow to help highlight digestive problems on radiograph.
mf mf mf mf mf mf mf mf mf
7. ANS: D PTS: 1 DIF: Moderate
mf mf mfmfmf mf mf mf
TOP: Therapeutic Classification: Narcotics
mf KEY: Analysis mf mf mf mf mf
MSC: NCLEX Category: Pharmacological Therapies
mf mf mf mf mf
NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, but
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
they make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineo
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
plastic agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medication
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
s), while ondansetron is given in a prophylactic measure to prevent nausea and vomiting related to the che
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
motherapy. mf
mf
mf
mf
8. ANS: B PTS: 1 DIF: Moderate
mf mf mfmfmf mf mf mf
TOP: Therapeutic Classification: Hormonal therapy
mf mf mf mf mf KEY: Analysis mf mf
MSC: NCLEX Category: Pharmacological Therapies
mf mf mf mf mf
