ACCURATE PHARMACOLOGY TEST BANKS
n n n n
1. nThe nnurse nis npreparing nto nadminister nthe nfirst ndose nof nhydrochlorothiazide n(HydroDIURIL) n50 nmg
nto na npatient nwho nhas na nblood npressure nof n160/95 nmm nHg. nThe nnurse nnotes nthat nthe npatient nhad
na nurine noutput nof n200 nmL nin nthe npast n12 nhours. nThe nnurse nwill nperform nwhich naction? n
a. Administer nthe nmedication nas nordered. n
b. Encourage nthe npatient nto ndrink nmore nfluids. n
c. Hold nthe nmedication nand nrequest nan norder nfor nserum nBUN nand ncreatinine. n
d. Request nan norder nfor nserum nelectrolytes nand nadminister nthe nmedication. n- nCORRECT nANSWER n-
ANS: nC n
Thiazide ndiuretics nare ncontraindicated nin nrenal nfailure. nThis npatient nhas noliguria nand nshould nbe
nevaluated nfor nrenal nfailure nprior nto nadministration nof nthe ndiureticespecially nin nthe nabsence nof
nknown nrenal nfailure nfor nthis npatient. nDrinking nmore nfluids nwill nnot nincrease nurine noutput nin
npatients nwith nrenal nfailure. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n623 n
TOP: nNURSING nPROCESS: nAssessment/Nursing nIntervention n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
2. nThe nnurse nis npreparing nto nadminister ndoses nof nhydrochlorothiazide n(HydroDIURIL) nand ndigoxin
n(Lanoxin) nto na npatient nwho nhas nheart nfailure. nThe npatient nreports nhaving nblurred nvision. nThe nnurse
nnotes na nheart nrate nof n60 nbeats nper nminute nand na nblood npressure nof n140/78 nmm nHg. nWhich
naction nwill nthe nnurse ntake? n
a. Administer nthe nmedications nand nrequest nan norder nfor nserum nelectrolytes. n
b. Give nboth nmedications nand nevaluate nserum nblood nglucose nfrequently. n
c. Hold nthe ndigoxin nand nnotify nthe nprovider. n
d. Hold nthe nhydrochlorothiazide nand nnotify nthe nprovider. n- nCORRECT nANSWER n-ANS: nC n
When nthiazide ndiuretics nare ntaken nwith ndigoxin, npatients nare nat nrisk nof ndigoxin ntoxicity nbecause
nthiazides ncan ncause nhypokalemia. nThe npatient nhas nbradycardia nand nblurred nvision, nwhich nare nboth
nsigns nof ndigoxin ntoxicity. nThe nnurse nshould nhold nthe ndigoxin nand nnotify nthe nprovider. nSerum
nelectrolytes nmay nbe nordered, nbut nthe ndigoxin nshould nnot nbe ngiven. n
n
,DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n623 n
TOP: nNURSING nPROCESS: nNursing nIntervention/Evaluation n
MSC: nNCLEX: nPhysiological nIntegrity: nPathophysiology n
n
3. nThe nnurse nis nteaching na npatient nabout ntaking nhydrochlorothiazide. nWhich nstatement nby nthe
npatient nindicates na nneed nfor nfurther nteaching? n
a. I nmay nneed nextra nsodium nand ncalcium nwhile ntaking nthis ndrug. n
b. I nshould neat nplenty nof nfruits nand nvegetables nwhile ntaking nthis nmedication. n
c. I nshould ntake ncare nwhen nrising nfrom na nbed nor nchair nwhen nIm non nthis nmedication. n
d. I nwill ntake nthe nmedication nin nthe nmorning nto nminimize ncertain nside neffects. n- nCORRECT nANSWER
-ANS: nA nPatients ndo nnot nneed nextra nsodium nor ncalcium nwhile ntaking nthiazide ndiuretics. n
n
Thiazide ndiuretics ncan nlead nto nhypokalemia, nso npatients nshould nbe ncounseled nto neat nfruits nand
nvegetables nthat nare nhigh nin npotassium. nPatients ncan ndevelop northostatic nhypotension nand nshould
nbe ncounseled nto nrise nfrom nsitting nor nlying ndown nslowly. nTaking nthe nmedication nin nthe nmorning
nhelps nto nprevent nnocturiainduced ninsomnia. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n624 n
TOP: nNURSING nPROCESS: nNursing nIntervention: nPatient nTeaching n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
4. nThe nnurse nis ncaring nfor na npatient nwho nis nto nbegin nreceiving na nthiazide ndiuretic nto ntreat nheart
nfailure. nWhen nperforming na nhealth nhistory non nthis npatient, nthe nnurse nwill nbe nconcerned nabout na
nhistory nof nwhich ncondition? n
a. Asthma n
b. Glaucoma n
c. Gout n
d. Hypertension n- nCORRECT nANSWER n-ANS: nC n
, Thiazides nblock nuric nacid nsecretion nand nelevated nlevels ncan ncontribute nto ngout. nPatients nwith na
nhistory nof ngout nshould ntake nthiazide ndiuretics nwith ncaution; nthey nmay nneed nbehavioral nand/or
npharmacologic nchanges nto ntheir ngout ntreatment. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n626 n
TOP: nNURSING nPROCESS: nAssessment n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
5. nThe nnurse nis ncaring nfor na npatient nwho ndevelops nmarked nedema nand na nlow nurine noutput nas
a nresult nof nheart nfailure. nWhich nmedication nwill nthe nnurse nexpect nthe nprovider nto norder nfor
n
this npatient? na. nDigoxin n(Lanoxin) n
n
b. Furosemide n(Lasix) n
c. Hydrochlorothiazide n(HydroDIURIL) n
d. Spironolactone n(Aldactone) n- nCORRECT nANSWER n-ANS: nB n
Furosemide nis na nloop ndiuretic nand nis ngiven nwhen nthe npatients ncondition nwarrants nimmediate
nremoval nof nbody nfluid, nas nin nheart nfailure. nDigoxin nimproves ncardiac nfunction nbut ndoes nnot
nremove nfluid nquickly. nThe nother ndiuretics nmay nbe nused nwhen nimmediate nfluid nremoval nis nnot
nnecessary. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n627 n
TOP: nNURSING nPROCESS: nNursing nIntervention n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
6. nThe nnurse nis ncaring nfor na npatient nwho nis nreceiving nfurosemide n(Lasix) nand nan naminoglycoside
antibiotic. nThe nnurse nwill nbe nmost nconcerned nif nthe npatient nreports nwhich nsymptom? na. nDizziness
n
n
b. Dysuria n
c. Nausea n
d. Tinnitus n- nCORRECT nANSWER n-ANS: nD n
n n n n
1. nThe nnurse nis npreparing nto nadminister nthe nfirst ndose nof nhydrochlorothiazide n(HydroDIURIL) n50 nmg
nto na npatient nwho nhas na nblood npressure nof n160/95 nmm nHg. nThe nnurse nnotes nthat nthe npatient nhad
na nurine noutput nof n200 nmL nin nthe npast n12 nhours. nThe nnurse nwill nperform nwhich naction? n
a. Administer nthe nmedication nas nordered. n
b. Encourage nthe npatient nto ndrink nmore nfluids. n
c. Hold nthe nmedication nand nrequest nan norder nfor nserum nBUN nand ncreatinine. n
d. Request nan norder nfor nserum nelectrolytes nand nadminister nthe nmedication. n- nCORRECT nANSWER n-
ANS: nC n
Thiazide ndiuretics nare ncontraindicated nin nrenal nfailure. nThis npatient nhas noliguria nand nshould nbe
nevaluated nfor nrenal nfailure nprior nto nadministration nof nthe ndiureticespecially nin nthe nabsence nof
nknown nrenal nfailure nfor nthis npatient. nDrinking nmore nfluids nwill nnot nincrease nurine noutput nin
npatients nwith nrenal nfailure. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n623 n
TOP: nNURSING nPROCESS: nAssessment/Nursing nIntervention n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
2. nThe nnurse nis npreparing nto nadminister ndoses nof nhydrochlorothiazide n(HydroDIURIL) nand ndigoxin
n(Lanoxin) nto na npatient nwho nhas nheart nfailure. nThe npatient nreports nhaving nblurred nvision. nThe nnurse
nnotes na nheart nrate nof n60 nbeats nper nminute nand na nblood npressure nof n140/78 nmm nHg. nWhich
naction nwill nthe nnurse ntake? n
a. Administer nthe nmedications nand nrequest nan norder nfor nserum nelectrolytes. n
b. Give nboth nmedications nand nevaluate nserum nblood nglucose nfrequently. n
c. Hold nthe ndigoxin nand nnotify nthe nprovider. n
d. Hold nthe nhydrochlorothiazide nand nnotify nthe nprovider. n- nCORRECT nANSWER n-ANS: nC n
When nthiazide ndiuretics nare ntaken nwith ndigoxin, npatients nare nat nrisk nof ndigoxin ntoxicity nbecause
nthiazides ncan ncause nhypokalemia. nThe npatient nhas nbradycardia nand nblurred nvision, nwhich nare nboth
nsigns nof ndigoxin ntoxicity. nThe nnurse nshould nhold nthe ndigoxin nand nnotify nthe nprovider. nSerum
nelectrolytes nmay nbe nordered, nbut nthe ndigoxin nshould nnot nbe ngiven. n
n
,DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n623 n
TOP: nNURSING nPROCESS: nNursing nIntervention/Evaluation n
MSC: nNCLEX: nPhysiological nIntegrity: nPathophysiology n
n
3. nThe nnurse nis nteaching na npatient nabout ntaking nhydrochlorothiazide. nWhich nstatement nby nthe
npatient nindicates na nneed nfor nfurther nteaching? n
a. I nmay nneed nextra nsodium nand ncalcium nwhile ntaking nthis ndrug. n
b. I nshould neat nplenty nof nfruits nand nvegetables nwhile ntaking nthis nmedication. n
c. I nshould ntake ncare nwhen nrising nfrom na nbed nor nchair nwhen nIm non nthis nmedication. n
d. I nwill ntake nthe nmedication nin nthe nmorning nto nminimize ncertain nside neffects. n- nCORRECT nANSWER
-ANS: nA nPatients ndo nnot nneed nextra nsodium nor ncalcium nwhile ntaking nthiazide ndiuretics. n
n
Thiazide ndiuretics ncan nlead nto nhypokalemia, nso npatients nshould nbe ncounseled nto neat nfruits nand
nvegetables nthat nare nhigh nin npotassium. nPatients ncan ndevelop northostatic nhypotension nand nshould
nbe ncounseled nto nrise nfrom nsitting nor nlying ndown nslowly. nTaking nthe nmedication nin nthe nmorning
nhelps nto nprevent nnocturiainduced ninsomnia. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n624 n
TOP: nNURSING nPROCESS: nNursing nIntervention: nPatient nTeaching n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
4. nThe nnurse nis ncaring nfor na npatient nwho nis nto nbegin nreceiving na nthiazide ndiuretic nto ntreat nheart
nfailure. nWhen nperforming na nhealth nhistory non nthis npatient, nthe nnurse nwill nbe nconcerned nabout na
nhistory nof nwhich ncondition? n
a. Asthma n
b. Glaucoma n
c. Gout n
d. Hypertension n- nCORRECT nANSWER n-ANS: nC n
, Thiazides nblock nuric nacid nsecretion nand nelevated nlevels ncan ncontribute nto ngout. nPatients nwith na
nhistory nof ngout nshould ntake nthiazide ndiuretics nwith ncaution; nthey nmay nneed nbehavioral nand/or
npharmacologic nchanges nto ntheir ngout ntreatment. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n626 n
TOP: nNURSING nPROCESS: nAssessment n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
5. nThe nnurse nis ncaring nfor na npatient nwho ndevelops nmarked nedema nand na nlow nurine noutput nas
a nresult nof nheart nfailure. nWhich nmedication nwill nthe nnurse nexpect nthe nprovider nto norder nfor
n
this npatient? na. nDigoxin n(Lanoxin) n
n
b. Furosemide n(Lasix) n
c. Hydrochlorothiazide n(HydroDIURIL) n
d. Spironolactone n(Aldactone) n- nCORRECT nANSWER n-ANS: nB n
Furosemide nis na nloop ndiuretic nand nis ngiven nwhen nthe npatients ncondition nwarrants nimmediate
nremoval nof nbody nfluid, nas nin nheart nfailure. nDigoxin nimproves ncardiac nfunction nbut ndoes nnot
nremove nfluid nquickly. nThe nother ndiuretics nmay nbe nused nwhen nimmediate nfluid nremoval nis nnot
nnecessary. n
n
DIF: nCOGNITIVE nLEVEL: nApplying n(Application) nREF: nPage n627 n
TOP: nNURSING nPROCESS: nNursing nIntervention n
MSC: nNCLEX: nPhysiological nIntegrity: nPharmacological nand nParenteral nTherapies n
n
6. nThe nnurse nis ncaring nfor na npatient nwho nis nreceiving nfurosemide n(Lasix) nand nan naminoglycoside
antibiotic. nThe nnurse nwill nbe nmost nconcerned nif nthe npatient nreports nwhich nsymptom? na. nDizziness
n
n
b. Dysuria n
c. Nausea n
d. Tinnitus n- nCORRECT nANSWER n-ANS: nD n
