Davis’S Drug Guide For Nurses 15th Edition Test Bank Questions And Answers 2024 UPDATE

1. The nurse is providing care for an 82-year-old client with glaucoma. Diamox (acetazolamide) 250 mg orally twice daily has been ordered as a new medication. The nurse would be most concerned by which of the following? A. The client has a listed allergy to sulfonamides. B. The client has a history of rheumatoid arthritis. C. The client takes Cogentin (benztropine) daily. D. The client’s potassium is 3.6 mEq/dL. ANS: A See Contraindications/Precautions for acetazolamide. Hypersensitivity or cross-sensitivity with sulfonamides may occur. KEY: Cognitive Level: Application DIF: Medium TOP: Therapeutic Classification: Anticonvulsants, Antiglaucoma agents REF: D 2. A 21-year-old client is brought to the emergency room with suspected overdose with Tylenol (acetaminophen). Which of the following medications would the nurse expect to be ordered? A. Protamine sulfate B. Primaxin (imipenem) C. Acetadote (acetylcysteine) D. Diabeta (glyburide) ANS: C See Toxicity and overdose for acetaminophen and Indications for acetylcysteine: Acetylcysteine is the antidote for the management of potentially hepatotoxic overdose of acetaminophen. KEY: Cognitive Level: Application DIF: Medium TOP: Therapeutic Classification: Antidotes, mucolytic REF: Pages 102 and 104 3. The nurse is providing care for a 64-year-old client on the telemetry unit whose heart rate suddenly jumps to 144 bpm. Telemetry shows supraventricular tachycardia and the client reports feeling a bit lightheaded and dizzy. The nurse attempts vagal stimulation without success and prepares to administer Adenocard (adenosine) 6 mg IV push. The nurse would expect which of the following to occur? A. A gradual slowing of the heart rate over the next 30 min with an end result of normal sinus rhythm and improved symptoms. B. Slowing of the tachycardia with an end rate between 100–120 bpm and improved dizziness within 5 min. C. Loss of consciousness for the client in preparation for electric shock/cardioversion. 4. A short period of heart block or asystole immediately after injection followed by conversion to normal sinus rhythm.