DAVIS'S DRUG GUIDE
FOR NURSES
19th Edition By Vallerand, Sanoski
TEST BANK
,Table Of Contents
HOW TO USE DAVIS’S DRUG GUIDE FOR NURSES
EVIDENCE-BASED PRACTICE AND PHARMACOTHERAPEUTICS: Implications for Nurses
PHARMACOGENOMICS
MEDICATION ERRORS: Improving Practices and Patient Safety
DETECTING AND MANAGING ADVERSE DRUG REACTIONS
OVERVIEW OF RISK EVALUATION AND MITIGATION SYSTEMS (REMS)
SPECIAL DOSING CONSIDERATIONS
THE CYTOCHROME P450 SYSTEM: What Is It and Why Should I Care?
EDUCATING PATIENTS ABOUT SAFE MEDICATION USE
CLASSIFICATIONS
DRUG MONOGRAPHS IN ALPHABETICAL ORDER BY GENERIC NAME
DRUGS APPROVED IN CANADA
NATURAL/HERBAL PRODUCTS
MEDICATION SAFETY TOOLS
BIBLIOGRAPHY
COMPREHENSIVE GENERIC/TRADE/CLASSIFICATIONS INDEX
APPENDICES
A. Recent Drug Approvals
B. Ophthalmic Medications
C. Medication Administration Techniques
D. Administering Medications to Children
E. Formulas Helpful for Calculating Doses
F. Pediatric Dosage Calculations
G. Normal Values of Common Laboratory Tests
H. Controlled Substance Schedules
I. Equianalgesic Dosing Guidelines
J. Food Sources for Specific Nutrients
K. Insulins and Insulin Therapy
L. Differences in U.S. and Canadian Pharmaceutical Practices
M. Routine Pediatric and Adult Immunizations
N. Combination Drugs (Available online at FADavis.com)
,Davis’s Drug Guide for Nurses, 19th Edition Vallerand. Sanoski Test Bank
MULTIPLE CHOICE
1. The nurse is providing care for a patient scheduled to take acarbose (Precose) 25 mg 3
times daily with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the
following actions by the nurse is best?
A. Reassure the patient that these are common side effects with the medication.
B. Call the pharmacy to report an adverse drug reaction.
C. Check the patient’s blood glucose level.
D. Determine if the patient has a history of anemia.
ANS: C
See Assessment for acarbose: Observe the patient for signs and symptoms of hypoglycemia.
Acarbose alone does not cause hypoglycemia; however, other concurrently administered
hypoglycemic agents may produce hypoglycemia, requiring treatment. Ignoring these
symptoms would be dangerous, but it is not considered an adverse drug reaction requiring an
official report. The patient is experiencing symptoms of hypoglycemia not anemia.
KEY: Cognitive Level:
Analysis DIF: Medium
TOP: Therapeutic Classification:
Antidiabetics REF: Drugguide.com
2. While responding to a rapid response called on the cardiac step-down unit, the nurse from
intensive care observes the unit nurse massaging a patient’s neck and instructing the patient to
bear down. Which of the following medications will most likely be used if the patient’s pulse does
not return to normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
ANS: A
See Indications for adenosine: Adenosine is used for the conversion of paroxysmal
supraventricular tachycardia (PVST) to normal sinus rhythm when vagal maneuvers are
unsuccessful. Epinephrine is a bronchodilator used in the management of reversible airway
disease. Atenolol is a beta blocker used in the management of hypertension. Asenapine is an
antipsychotic mood stabilizer used in the acute treatment of schizophrenia or manic/mixed
episodes associated with bipolar I disorder.
KEY: Cognitive Level:
Application DIF: Medium
TOP: Therapeutic Classification:
Antiarrhythmics REF: Page 112 | Page 505 |
Page 191 | Page 188
, 3. The nurse is instructing the parent of a 6-year-old patient recently started on an albuterol
(ProAir HFA) inhaler for exercise-induced asthma. The nurse recognizes that further teaching is
necessary by which of the following client statements?
A. “He may feel like his heart is racing after he takes his inhaler.”
B. “He can use the inhaler as many times during football practice as he needs it.”
C. “He should avoid cola and other caffeinated drinks since they may increase his heart rate.”
D. “He should take 2 puffs about 15 min before gym class.”
ANS: B
See Contraindications/Precautions, Interactions, and Dosage for albuterol. Excess inhaler use
may lead to tolerance and paradoxical bronchospasm. Use with caffeine-containing herbs (cola
nut, guarana, tea, coffee) increases stimulant effect. Two inhalations every 4–6 hr or 2
inhalations 15 min prior to exercise). Tachycardia is an expected side effect with this medication.
KEY: Cognitive Level:
Analysis DIF: Easy
TOP: Therapeutic Classification:
Bronchodilators REF: Page 117
4. While providing care for an adolescent patient newly prescribed amitriptyline (Elavil), the
nurse should be most concerned by which of the following patient statements?
A. “My mouth seems really dry and I’m thirsty all the time.”
B. “I take a nap most afternoons now because I feel sleepy sometimes.”
C. “I’m not sure why we should even bother anymore; everything seems so pointless.”
D. “I drink a cup of coffee most days with breakfast.”
ANS: C
See Contraindications/Precautions for amitriptyline: the use of this medication may increase the
risk of suicide attempt/ideation especially during early treatment or dose adjustment; risk may
be greater in children or adolescents. Sedation is an expected side effect. Dry mouth is an
expected side effect. There is no directive to avoid caffeine with this medication.
KEY: Cognitive Level:
Analysis DIF: Medium
TOP: Therapeutic Classification:
Antidepressants REF: Page 145
5. The nurse is caring for a patient with otitis media who reports an allergy to penicillin.
Orders are received for amoxicillin 500 mg every 8 hr. Which of the following actions by
the nurse is best?
A. Provide the medication as ordered.
B. Call the pharmacist to request a substitution.
C. Ask the patient if he or she has taken amoxicillin in the past.
D. Hold the medication.
ANS: D
See contraindications/precautions for amoxicillin. Contraindicated in hypersensitivity to
penicillin. This medication should be held due to the stated allergy to penicillin.
FOR NURSES
19th Edition By Vallerand, Sanoski
TEST BANK
,Table Of Contents
HOW TO USE DAVIS’S DRUG GUIDE FOR NURSES
EVIDENCE-BASED PRACTICE AND PHARMACOTHERAPEUTICS: Implications for Nurses
PHARMACOGENOMICS
MEDICATION ERRORS: Improving Practices and Patient Safety
DETECTING AND MANAGING ADVERSE DRUG REACTIONS
OVERVIEW OF RISK EVALUATION AND MITIGATION SYSTEMS (REMS)
SPECIAL DOSING CONSIDERATIONS
THE CYTOCHROME P450 SYSTEM: What Is It and Why Should I Care?
EDUCATING PATIENTS ABOUT SAFE MEDICATION USE
CLASSIFICATIONS
DRUG MONOGRAPHS IN ALPHABETICAL ORDER BY GENERIC NAME
DRUGS APPROVED IN CANADA
NATURAL/HERBAL PRODUCTS
MEDICATION SAFETY TOOLS
BIBLIOGRAPHY
COMPREHENSIVE GENERIC/TRADE/CLASSIFICATIONS INDEX
APPENDICES
A. Recent Drug Approvals
B. Ophthalmic Medications
C. Medication Administration Techniques
D. Administering Medications to Children
E. Formulas Helpful for Calculating Doses
F. Pediatric Dosage Calculations
G. Normal Values of Common Laboratory Tests
H. Controlled Substance Schedules
I. Equianalgesic Dosing Guidelines
J. Food Sources for Specific Nutrients
K. Insulins and Insulin Therapy
L. Differences in U.S. and Canadian Pharmaceutical Practices
M. Routine Pediatric and Adult Immunizations
N. Combination Drugs (Available online at FADavis.com)
,Davis’s Drug Guide for Nurses, 19th Edition Vallerand. Sanoski Test Bank
MULTIPLE CHOICE
1. The nurse is providing care for a patient scheduled to take acarbose (Precose) 25 mg 3
times daily with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the
following actions by the nurse is best?
A. Reassure the patient that these are common side effects with the medication.
B. Call the pharmacy to report an adverse drug reaction.
C. Check the patient’s blood glucose level.
D. Determine if the patient has a history of anemia.
ANS: C
See Assessment for acarbose: Observe the patient for signs and symptoms of hypoglycemia.
Acarbose alone does not cause hypoglycemia; however, other concurrently administered
hypoglycemic agents may produce hypoglycemia, requiring treatment. Ignoring these
symptoms would be dangerous, but it is not considered an adverse drug reaction requiring an
official report. The patient is experiencing symptoms of hypoglycemia not anemia.
KEY: Cognitive Level:
Analysis DIF: Medium
TOP: Therapeutic Classification:
Antidiabetics REF: Drugguide.com
2. While responding to a rapid response called on the cardiac step-down unit, the nurse from
intensive care observes the unit nurse massaging a patient’s neck and instructing the patient to
bear down. Which of the following medications will most likely be used if the patient’s pulse does
not return to normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
ANS: A
See Indications for adenosine: Adenosine is used for the conversion of paroxysmal
supraventricular tachycardia (PVST) to normal sinus rhythm when vagal maneuvers are
unsuccessful. Epinephrine is a bronchodilator used in the management of reversible airway
disease. Atenolol is a beta blocker used in the management of hypertension. Asenapine is an
antipsychotic mood stabilizer used in the acute treatment of schizophrenia or manic/mixed
episodes associated with bipolar I disorder.
KEY: Cognitive Level:
Application DIF: Medium
TOP: Therapeutic Classification:
Antiarrhythmics REF: Page 112 | Page 505 |
Page 191 | Page 188
, 3. The nurse is instructing the parent of a 6-year-old patient recently started on an albuterol
(ProAir HFA) inhaler for exercise-induced asthma. The nurse recognizes that further teaching is
necessary by which of the following client statements?
A. “He may feel like his heart is racing after he takes his inhaler.”
B. “He can use the inhaler as many times during football practice as he needs it.”
C. “He should avoid cola and other caffeinated drinks since they may increase his heart rate.”
D. “He should take 2 puffs about 15 min before gym class.”
ANS: B
See Contraindications/Precautions, Interactions, and Dosage for albuterol. Excess inhaler use
may lead to tolerance and paradoxical bronchospasm. Use with caffeine-containing herbs (cola
nut, guarana, tea, coffee) increases stimulant effect. Two inhalations every 4–6 hr or 2
inhalations 15 min prior to exercise). Tachycardia is an expected side effect with this medication.
KEY: Cognitive Level:
Analysis DIF: Easy
TOP: Therapeutic Classification:
Bronchodilators REF: Page 117
4. While providing care for an adolescent patient newly prescribed amitriptyline (Elavil), the
nurse should be most concerned by which of the following patient statements?
A. “My mouth seems really dry and I’m thirsty all the time.”
B. “I take a nap most afternoons now because I feel sleepy sometimes.”
C. “I’m not sure why we should even bother anymore; everything seems so pointless.”
D. “I drink a cup of coffee most days with breakfast.”
ANS: C
See Contraindications/Precautions for amitriptyline: the use of this medication may increase the
risk of suicide attempt/ideation especially during early treatment or dose adjustment; risk may
be greater in children or adolescents. Sedation is an expected side effect. Dry mouth is an
expected side effect. There is no directive to avoid caffeine with this medication.
KEY: Cognitive Level:
Analysis DIF: Medium
TOP: Therapeutic Classification:
Antidepressants REF: Page 145
5. The nurse is caring for a patient with otitis media who reports an allergy to penicillin.
Orders are received for amoxicillin 500 mg every 8 hr. Which of the following actions by
the nurse is best?
A. Provide the medication as ordered.
B. Call the pharmacist to request a substitution.
C. Ask the patient if he or she has taken amoxicillin in the past.
D. Hold the medication.
ANS: D
See contraindications/precautions for amoxicillin. Contraindicated in hypersensitivity to
penicillin. This medication should be held due to the stated allergy to penicillin.
