Clinical Pharmacology
Upper Respiratory System Drugs Introductory Clinical
Pharmacology 12th Edition Chapter 30 Questions And
Answers
_____________________________________________________________________________________
A nurse is preparing to administer polycarbophil to a client with irritable bowel syndrome. The nurse
determines caution is warranted after discovering the history of which disorder in the client's history?
❖ Rectal bleeding
A health care provider has prescribed simethicone to a client with postoperative abdominal
distention. Which assessment finding should the nurse prioritize in this client?
❖ Heartburn
A health care provider has prescribed difenoxin with atropine to a client with acute diarrhea. The
nurse will carefully monitor the client for which adverse reaction after noting the client is also
prescribed a MAOI?
❖ Increased risk of hypertensive crisis
After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor
determines that the teaching was successful when the students correctly choose which drug as a
gastrointestinal stimulant?
❖ Metoclopramide
A nurse is conducting a teaching session for a client newly diagnosed with type 2 diabetes on the
importance of monitoring the blood glucose. The nurse determines additional teaching is necessary
after the client makes which statement?
❖ "I should prick the tip of my finger to get the blood."
The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea,
and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client?
❖ Altered Breathing Pattern
A nurse is preparing a teaching session for a client who is prescribed miglitol. The nurse would instruct
the client to administer this drug at which time?
❖ Three times a day with the first bite of a meal
A client is receiving glucocorticoids/corticosteroids and digoxin. The nurse will carefully monitor the
client for which potential adverse reaction?
, ❖ Increased risk for toxicity
The client with systemic lupus erythematosus, who is prescribed prednisone, presents to the clinic for
a routine health care visit. Which instruction should the nurse prioritize after noting the client now
has acne on the assessment?
❖ Use water-based cosmetics or creams.
A nurse is caring for a pregnant client in the third stage of labor. The nurse would prepare to
administer oxytocin by which route to this client if she did not have IV access?
❖ Intramuscular
A nurse prepares to administer oxytocin intramuscularly to a client in the third stage of labor. The
nurse will explain to the client this is related to which reason? Select all that apply.
❖ Production of uterine contractions
Control of postpartum bleeding
Lessen hemorrhage potential
A client is admitted for tocolytic therapy for preterm labor. The client states, "I'm so afraid that I'm so
early. Is my baby okay? What if the drug doesn't help?" Which nursing diagnosis should the nurse
prioritize for this client?
❖ Anxiety
A client is receiving methylergonovine. After administering the drug, the nurse would carefully
monitor the client for which potential adverse reactions? Select all that apply.
❖ Hypotension
Dizziness
Increase in blood pressure
Vomiting
The nurse notes a client who is receiving a tocolytic has a blood pressure reading of 82/50. The nurse's
priority is to notify the primary health care provider and place the client in which position?
❖ Left lateral
A 30-year-old pregnant woman has been prescribed oxytocin. After assessing the client's drug
regimen and noting the client is also prescribed vasopressors, the nurse will carefully monitor the
client for which potential adverse reaction?
❖ Hypertension
A nurse is administering oxytocin IV to a client in labor. Which assessment findings should the nurse
prioritize in this client? Select all that apply.
❖ Water intoxication
Uterine rupture
Cardiac arrhythmias
Upper Respiratory System Drugs Introductory Clinical
Pharmacology 12th Edition Chapter 30 Questions And
Answers
_____________________________________________________________________________________
A nurse is preparing to administer polycarbophil to a client with irritable bowel syndrome. The nurse
determines caution is warranted after discovering the history of which disorder in the client's history?
❖ Rectal bleeding
A health care provider has prescribed simethicone to a client with postoperative abdominal
distention. Which assessment finding should the nurse prioritize in this client?
❖ Heartburn
A health care provider has prescribed difenoxin with atropine to a client with acute diarrhea. The
nurse will carefully monitor the client for which adverse reaction after noting the client is also
prescribed a MAOI?
❖ Increased risk of hypertensive crisis
After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor
determines that the teaching was successful when the students correctly choose which drug as a
gastrointestinal stimulant?
❖ Metoclopramide
A nurse is conducting a teaching session for a client newly diagnosed with type 2 diabetes on the
importance of monitoring the blood glucose. The nurse determines additional teaching is necessary
after the client makes which statement?
❖ "I should prick the tip of my finger to get the blood."
The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea,
and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client?
❖ Altered Breathing Pattern
A nurse is preparing a teaching session for a client who is prescribed miglitol. The nurse would instruct
the client to administer this drug at which time?
❖ Three times a day with the first bite of a meal
A client is receiving glucocorticoids/corticosteroids and digoxin. The nurse will carefully monitor the
client for which potential adverse reaction?
, ❖ Increased risk for toxicity
The client with systemic lupus erythematosus, who is prescribed prednisone, presents to the clinic for
a routine health care visit. Which instruction should the nurse prioritize after noting the client now
has acne on the assessment?
❖ Use water-based cosmetics or creams.
A nurse is caring for a pregnant client in the third stage of labor. The nurse would prepare to
administer oxytocin by which route to this client if she did not have IV access?
❖ Intramuscular
A nurse prepares to administer oxytocin intramuscularly to a client in the third stage of labor. The
nurse will explain to the client this is related to which reason? Select all that apply.
❖ Production of uterine contractions
Control of postpartum bleeding
Lessen hemorrhage potential
A client is admitted for tocolytic therapy for preterm labor. The client states, "I'm so afraid that I'm so
early. Is my baby okay? What if the drug doesn't help?" Which nursing diagnosis should the nurse
prioritize for this client?
❖ Anxiety
A client is receiving methylergonovine. After administering the drug, the nurse would carefully
monitor the client for which potential adverse reactions? Select all that apply.
❖ Hypotension
Dizziness
Increase in blood pressure
Vomiting
The nurse notes a client who is receiving a tocolytic has a blood pressure reading of 82/50. The nurse's
priority is to notify the primary health care provider and place the client in which position?
❖ Left lateral
A 30-year-old pregnant woman has been prescribed oxytocin. After assessing the client's drug
regimen and noting the client is also prescribed vasopressors, the nurse will carefully monitor the
client for which potential adverse reaction?
❖ Hypertension
A nurse is administering oxytocin IV to a client in labor. Which assessment findings should the nurse
prioritize in this client? Select all that apply.
❖ Water intoxication
Uterine rupture
Cardiac arrhythmias
