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1. A client's unexpected response has been attributed to pharmacogenomics
characteristics of the client's genetic makeup. What
area of study best explains this client's medication re-
sponse?
2. The nurse is writing a plan of care for a client receiving disturbed sensory percep-
drug therapy. What nursing diagnosis would be appro- tion (visual) related to cen-
priate if the client developed common adverse effects? tral nervous system effects
3. A client is prescribed chloroquine, an antimalarial, and changes the metabolic
asks the nurse how it works. What process should the pathways necessary for
nurse describe? the reproduction of the
plasmodium
4. A nurse practitioner provides primary care in a rur- avoid the use of
al setting. The nurse should perform what actions in broad-spectrum antibac-
order to minimize the emergence of drug-resistant terial drugs when treating
microbials? trivial or viral infections
use narrow-spectrum
agents if they are thought
to be effective
do not use vancomycin
5. A client taking diltiazem, a calcium channel blocker, peripheral edema and
for hypertension has come to the clinic for a follow-up bradycardia
appointment. What adverse effects should the nurse
assess the client for?
6. What is the nurse's priority assessment before giving a "When was your last men-
female client her prescription for an angiotensin II-re- strual period (LMP)?
ceptor blocker (ARB)?
7. grapefruit juice
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, Pharmacology Retake
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A client taking a calcium channel blocker is seen in the
clinic and receives a diagnosis of drug toxicity. When
collecting the nursing history, consumption of what
product would indicate the likely cause of this drug
toxicity?
8. An older adult client is taking a sustained-release anti- "Swallow the drug whole
hypertensive drug. What is the nurse's priority teach- and do not cut, crush, or
ing point about this medication? chew it."
9. The nurse assesses a client before administering pulse 44 beats/min
digoxin, a cardiac glycoside. What finding would cause
the nurse to withhold the drug and notify the health
care provider?
10. The nurse provides teaching about digoxin, a cardiac "I'll take the medications
glycoside, to a client who will be self-administering the with food so I don't get
drug at home. Which statement by the client indicates nauseous."
to the nurse that further teaching is needed?
11. A 91-year-old client is being discharged on the diuretic confusion and irregular
spironolactone, a potassium-sparing diuretic. What as- heart rate
sessment finding would the nurse attribute to adverse
effects of this medication?
12. The nurse is writing a plan of care for a client who is impaired urinary elimina-
taking a diuretic. What nursing diagnoses is most likely tion
applicable?
13. What goal should a nurse set when beginning a course at the completion of the
on pharmacology for nurses? course, the student will
know general drug infor-
mation because the stu-
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