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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 effect
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ive if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi zl zl zl
B. Oranges and sweet potatoes zl zl zl zl
C. Kale and cucumbers D. Bananas and melon zl zl zl zl zl zl zl
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖ Whi
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ch 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.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl
B. ―Medications that are derived from animals are typically less expensive than synthetic medication zl zl zl zl zl zl zl zl zl zl zl zl
s, but synthetic insulin is commonly available.‖ zl zl zl zl zl zl zl
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl
D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochloride
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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 fibrillationzl zl zl zl zl zl zl zl
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 orde
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red 30 minutes pre-
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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.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
B. ―This is a palliative medication to help ease the pain from surgery.‖ zl zl zl zl zl zl zl zl zl zl zl zl
C. ―This medication will replace vitamins and minerals that may be lost due to bleeding during surge zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ry.‖ zl
D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl zl
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medicatio
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ns to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) zl zl zl
B. Estrogen (Estradiol) zl zl
C. Iodine 131 zl zl
D. Carbimazole (Methimazole) zl zl
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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 tract.
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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 zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
test.‖ zl
, B. ―It is important that you be given a prophylactic medication to prevent aspiration during the test.‖
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C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highlight an
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y digestive problems.‖ zl zl zl
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 wo
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uld 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 zl zl zl zl zl zl zl zl zl zl
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days zl zl zl zl zl zl zl zl zl zl
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy zl zl zl zl zl zl zl zl
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain zl zl zl zl zl zl zl zl zl zl zl zl zl
8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which of t
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he 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.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
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.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl
D. ―I think harvesting medicines from cows seems rather odd.‖ zl zl zl zl zl zl zl zl zl
9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-year-
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old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial tomog
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raphy (CAT) scan zl zl zl
B. Magnetic resonance imaging (MRI) zl zl zl zl
C. Colonoscopy zl
D. Thyroid scan zl zl
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Multiple Response zl zl
Identify one or more choices that best complete the statement or answer the question.
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nt healing and comfort. Which of the following is recognized as an alternative therapy? (Select all that
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apply.)
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Chapter 1. History of Pharmacology Answer
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Section
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MULTIPLE CHOICE zl zl
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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 throug
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h the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in sweet pot
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atoes, bananas, and oranges. zl zl zl zl
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 mos
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t commonly used. This change occurred because of concern over the possible transmission of diseases from ani
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mals to humans. Synthetic medications are usually more inexpensive because they are mass produced.
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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 African
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American patients with heart failure. zl zl zl zl zl
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 anti
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biotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A zl zl
Difficulty Level: Easy zl zl zl
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PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NCLE
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X Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Levoth
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yroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to women
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once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid abnormalities.
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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 patients sw
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allow 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 they
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make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineoplastic ag
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ent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medications), while onda
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nsetron is given in a prophylactic measure to prevent nausea and vomiting related to the chemotherapy.
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8. ANS: B zl zl PTS: 1 zlzlzl zl DIF: Moderate zl zl
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 effect
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ive if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi zl zl zl
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C. Kale and cucumbers D. Bananas and melon zl zl zl zl zl zl zl
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖ Whi
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ch 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.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl
B. ―Medications that are derived from animals are typically less expensive than synthetic medication zl zl zl zl zl zl zl zl zl zl zl zl
s, but synthetic insulin is commonly available.‖ zl zl zl zl zl zl zl
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl
D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochloride
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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 fibrillationzl zl zl zl zl zl zl zl
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 orde
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red 30 minutes pre-
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5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medicatio
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ns to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) zl zl zl
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old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal tract.
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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 zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
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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 wo
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uld 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 zl zl zl zl zl zl zl zl zl zl
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8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which of t
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he 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.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
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.‖ zl zl zl zl zl zl zl zl zl zl zl zl zl
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MULTIPLE CHOICE zl zl
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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 throug
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h the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in sweet pot
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atoes, bananas, and oranges. zl zl zl zl
2. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Anti-diabetic medication
zl KEY: Analysis zl zl zl zl zl zl
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 mos
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t commonly used. This change occurred because of concern over the possible transmission of diseases from ani
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mals to humans. Synthetic medications are usually more inexpensive because they are mass produced.
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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 African
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American patients with heart failure. zl zl zl zl zl
4. ANS: A PTS: 1 DIF: Easy
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TOP: Therapeutic Classification: Antibiotics
zl KEY: Analysis zl zl zl zl zl
MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as anti
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biotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A zl zl
Difficulty Level: Easy zl zl zl
zl
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NCLE
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X Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Levoth
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yroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to women
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once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid abnormalities.
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Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
zl zl zl zl zl zl zl zl zl zl zl zl zl
6. ANS: C PTS: 1 DIF: Moderate
zl zl zlzlzl zl zl zl
TOP: Therapeutic Classification: Diagnostic contrast
zl KEY: Analysis zl zl zl zl zl zl
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 patients sw
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allow 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
zl KEY: Analysis zl zl zl zl zl
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 they
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make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineoplastic ag
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ent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medications), while onda
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nsetron is given in a prophylactic measure to prevent nausea and vomiting related to the chemotherapy.
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zl
zl
zl
8. ANS: B zl zl PTS: 1 zlzlzl zl DIF: Moderate zl zl
