Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is reviewing herbal therapies. Which is a common use of the
herb feverfew?
a. Muscle aches
b. Menstrual cramps
c. Joint pain
d. Incision pain after surgery
ANS: B
Feverfew is commonly used for migraine headaches, menstrual
problems, arthritis, and fever. Possible adverse effects include muscle
stiffness and muscle and joint pain.
DIF: Cognitive Level: Remembering ( Knowledge)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient is to receive acet ylcysteine as part of the treatment for an
acetaminophen overdose. Which action by the nurse is appropriate when
giving this medication?
a. Giving the medication undiluted for full effect
b. Avoiding the use of a straw when giving this medication
c. Disguising the flavor with soda or flavored water
d. Preparing to give this medication via a nebulizer
, ANS: C
Acet ylcysteine has the flavor of rotten eggs and so is better tolerated if
it is diluted and disguised by mixing with a drink such as cola or
flavored water to help increase its palatabilit y. The use of a straw
helps to minimize contact with the mucous membranes of th e mouth
and is recommended. The nebulizer form of this medication is used for
certain t ypes of pneumonia, not for acetaminophen overdose.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has
no history of seizures. The nurse expects that the patient is receiving this
drug for which condition?
a. Inflammation pain
b. Pain associated with peripheral neuropathy
c. Depression associated with chronic pain
d. Prevention of seizures
ANS: B
Anticonvulsants are often used as adjuvants for treatment of
neuropathic pain to enhance analgesic efficacy. The other indications
listed are not correct.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies