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