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