INVESTIGATED
PHARMACOLOGY FINAL
TEST BANK
Important monitoring for Clonazepam - CORRECT ANSWER-Respiratory rate since Clonazepam
is a CNS depressant
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a
ladder at work. He says he has taken several pain pills over the past few hours but cannot
remember how many he has taken. He hands the nurse an empty bottle of acetaminophen
(Tylenol). The nurse is aware that the most serious toxic effect of acute acetaminophen
overdose is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy - CORRECT ANSWER-ANS: C
Hepatic necrosis is the most serious acute toxic effect of an acute overdose of acetaminophen.
When reviewing the allergy history of a patient, the nurse notes that the patient is
allergic to penicillin. Based on this finding, the nurse would question an order for which
class of antibiotics?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Quinolones - CORRECT ANSWER-ANS: C
Allergy to penicillin may also result in hypersensitivity uto ucephalosporins.
,The unurse uis uproviding uteaching uto ua upatient utaking uan uoral utetracycline
uantibiotic. uWhich ustatement uby uthe unurse uis ucorrect?
a. "Avoid udirect usunlight uand utanning ubeds uwhile uon uthis umedication."
b. "Milk uand ucheese uproducts uresult uin uincreased ulevels uof utetracycline."
c. "Antacids utaken uwith uthe umedication uhelp uto ureduce ugastrointestinal udistress."
d. "Take uthe umedication uuntil uyou uare ufeeling ubetter." u- uCORRECT uANSWER-ANS: uA
Drug-related uphotosensitivity uoccurs uwhen upatients utake utetracyclines, uand uit umay
ucontinue ufor useveral udays uafter utherapy. uMilk uand ucheese uproducts uresult uin
udecreased ulevels uof utetracycline uwhen uthe utwo uare utaken utogether. uAntacids
ualso uinterfere uwith uabsorption uand ushould unot ube utaken uwith utetracycline.
uCounsel upatients uto utake uthe uentire ucourse uof uprescribed uantibiotic udrugs,
ueven uif uthey ufeel uthat uthey uare uno ulonger uill.
The unurse uis umonitoring ufor utherapeutic uresults uof uantibiotic utherapy uin ua
upatient uwith uan uinfection. uWhich ulaboratory uvalue uwould uindicate utherapeutic
ueffectiveness uof uthis utherapy?
a. Increased ured ublood ucell ucount
b. Increased uhemoglobin ulevel
c. Decreased uwhite ublood ucell ucount
d. Decreased uplatelet ucount u- uCORRECT uANSWER-ANS: uC
Decreased uwhite ublood ucell ucounts uare uan uindication uof ureduction uof uinfection
uand uare ua utherapeutic ueffect uof uantibiotic utherapy.
During ua uteaching usession ufor ua upatient uon uantithyroid udrugs, uthe unurse uwill udiscuss
uwhich udietary uinstructions?
a. Using uiodized usalt uwhen ucooking
b. Avoiding ufoods ucontaining uiodine
,c. Restricting ufluid uintake uto u2500 umL/day
d. Increasing uintake uof usodium- uand upotassium-containing ufoods u- uCORRECT uANSWER-
ANS: uB
Patients uon uantithyroid utherapy uneed uto uavoid uiodine-containing ufoods. uThese ufoods umay
uinterfere uwith uthe ueffectiveness uof uthe uantithyroid udrug.
When ureviewing uthe ulaboratory uvalues uof ua upatient uwho uis utaking uantithyroid
udrugs, uthe unurse uwill umonitor ufor uwhich uadverse ueffect?
a. Decreased uglucose ulevels
b. Decreased uwhite ublood ucell ucount
c. Increased ured ublood ucell ucount
d. Increased uplatelet ucount u- uCORRECT uANSWER-ANS: uB
Antithyroid udrugs umay ucause ubone umarrow usuppression, uresulting uin
uagranulocytosis, uleukopenia, uthrombocytopenia, uand uother uproblems.
A ucholinergic udrug uis uprescribed ufor ua upatient uwith ua unew udiagnosis uof
umyasthenia ugravis, uand uthe unurse uprovides uinstructions uto uthe upatient uabout
uthe umedication. uWhat uis uimportant uto uinclude uin uthe uteaching?
a. Take uthe umedication uwith umeals uto uavoid ugastrointestinal udistress.
b. Give udaytime udoses uclose utogether ufor umaximal utherapeutic ueffect.
c. Take uthe umedication u30 uminutes ubefore ueating uto uimprove
uswallowing uand uchewing.
d. Take uthe umedication uonly uif udifficulty uswallowing uoccurs uduring ua umeal. u-
uCORRECT uANSWER-ANS: uC uTaking uthe umedication u30 uminutes ubefore umeals
uallows utime ufor uthe uonset uof uaction uand
therapeutic ueffects uduring uthe umeal. uThe udoses ushould ube uspaced uevenly uapart
uto uoptimize uthe ueffects uof uthe umedication.
, The unurse uis uproviding uteaching uregarding udrug utherapy uto uthe uhusband uof ua uwoman
uwith uAlzheimer's udisease. uShe uwas udiagnosed u3 umonths uago, uhas umild umemory uloss,
uand uwill ube ureceiving udonepezil u(Aricept). uWhat uis uthe udrug's uexpected uaction?
a. Prevents umemory uloss uin ulater ustages
b. Reverses uthe ucourse uof uAlzheimer's udisease
c. Provides usedation uto uprevent uagitation uand urestlessness
d. May uhelp uto uimprove uthe umood uand udecrease uconfusion u- uCORRECT uANSWER-ANS: uD
Donepezil uis uused uto utreat umild-to-moderate udementia uoccurring uin uAlzheimer's udisease
uand umay uimprove uthe usymptoms uof uthe udisease.
A upatient uhas ubeen uprescribed uwarfarin u(Coumadin) uin uaddition uto ua uheparin
uinfusion. uThe upatient uasks uthe unurse uwhy uhe uhas uto ube uon utwo umedications.
uThe unurse's uresponse uis ubased uon uwhich urationale?
a. The uoral uand uinjection uforms uwork usynergistically.
b. The ucombination uof uheparin uand uan uoral uanticoagulant uresults uin
ufewer uadverse ueffects uthan uheparin uused ualone.
c. Oral uanticoagulants uare uused uto ureach uan uadequate ulevel uof
uanticoagulation uwhen uheparin ualone uis uunable uto udo uso.
d. Heparin uis uused uto ustart uanticoagulation uso uas uto uallow utime ufor uthe
ublood ulevels uof uwarfarin uto ureach uadequate ulevels. u- uCORRECT
uANSWER-ANS: uD
This uoverlap utherapy uis urequired uin upatients uwho uhave ubeen ureceiving uheparin
ufor uanticoagulation uand uare uto ube uswitched uto uwarfarin uso uthat uprevention uof
uclotting uis ucontinuous. uThis uoverlapping uis udone upurposefully uto uallow utime ufor
uthe ublood ulevels uof uwarfarin uto urise, uso uthat uwhen uthe uheparin uis ueventually
udiscontinued, utherapeutic uanticoagulation ulevels uof uwarfarin uwill uhave ubeen
uachieved. uRecommendations uare uto ucontinue uoverlap utherapy uof uthe uheparin
uand uwarfarin ufor uat uleast u5 udays; uthe uheparin uis ustopped uafter uday u5 uwhen
uthe uinternational unormalized uratio u(INR) uis uabove u2.
PHARMACOLOGY FINAL
TEST BANK
Important monitoring for Clonazepam - CORRECT ANSWER-Respiratory rate since Clonazepam
is a CNS depressant
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a
ladder at work. He says he has taken several pain pills over the past few hours but cannot
remember how many he has taken. He hands the nurse an empty bottle of acetaminophen
(Tylenol). The nurse is aware that the most serious toxic effect of acute acetaminophen
overdose is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy - CORRECT ANSWER-ANS: C
Hepatic necrosis is the most serious acute toxic effect of an acute overdose of acetaminophen.
When reviewing the allergy history of a patient, the nurse notes that the patient is
allergic to penicillin. Based on this finding, the nurse would question an order for which
class of antibiotics?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Quinolones - CORRECT ANSWER-ANS: C
Allergy to penicillin may also result in hypersensitivity uto ucephalosporins.
,The unurse uis uproviding uteaching uto ua upatient utaking uan uoral utetracycline
uantibiotic. uWhich ustatement uby uthe unurse uis ucorrect?
a. "Avoid udirect usunlight uand utanning ubeds uwhile uon uthis umedication."
b. "Milk uand ucheese uproducts uresult uin uincreased ulevels uof utetracycline."
c. "Antacids utaken uwith uthe umedication uhelp uto ureduce ugastrointestinal udistress."
d. "Take uthe umedication uuntil uyou uare ufeeling ubetter." u- uCORRECT uANSWER-ANS: uA
Drug-related uphotosensitivity uoccurs uwhen upatients utake utetracyclines, uand uit umay
ucontinue ufor useveral udays uafter utherapy. uMilk uand ucheese uproducts uresult uin
udecreased ulevels uof utetracycline uwhen uthe utwo uare utaken utogether. uAntacids
ualso uinterfere uwith uabsorption uand ushould unot ube utaken uwith utetracycline.
uCounsel upatients uto utake uthe uentire ucourse uof uprescribed uantibiotic udrugs,
ueven uif uthey ufeel uthat uthey uare uno ulonger uill.
The unurse uis umonitoring ufor utherapeutic uresults uof uantibiotic utherapy uin ua
upatient uwith uan uinfection. uWhich ulaboratory uvalue uwould uindicate utherapeutic
ueffectiveness uof uthis utherapy?
a. Increased ured ublood ucell ucount
b. Increased uhemoglobin ulevel
c. Decreased uwhite ublood ucell ucount
d. Decreased uplatelet ucount u- uCORRECT uANSWER-ANS: uC
Decreased uwhite ublood ucell ucounts uare uan uindication uof ureduction uof uinfection
uand uare ua utherapeutic ueffect uof uantibiotic utherapy.
During ua uteaching usession ufor ua upatient uon uantithyroid udrugs, uthe unurse uwill udiscuss
uwhich udietary uinstructions?
a. Using uiodized usalt uwhen ucooking
b. Avoiding ufoods ucontaining uiodine
,c. Restricting ufluid uintake uto u2500 umL/day
d. Increasing uintake uof usodium- uand upotassium-containing ufoods u- uCORRECT uANSWER-
ANS: uB
Patients uon uantithyroid utherapy uneed uto uavoid uiodine-containing ufoods. uThese ufoods umay
uinterfere uwith uthe ueffectiveness uof uthe uantithyroid udrug.
When ureviewing uthe ulaboratory uvalues uof ua upatient uwho uis utaking uantithyroid
udrugs, uthe unurse uwill umonitor ufor uwhich uadverse ueffect?
a. Decreased uglucose ulevels
b. Decreased uwhite ublood ucell ucount
c. Increased ured ublood ucell ucount
d. Increased uplatelet ucount u- uCORRECT uANSWER-ANS: uB
Antithyroid udrugs umay ucause ubone umarrow usuppression, uresulting uin
uagranulocytosis, uleukopenia, uthrombocytopenia, uand uother uproblems.
A ucholinergic udrug uis uprescribed ufor ua upatient uwith ua unew udiagnosis uof
umyasthenia ugravis, uand uthe unurse uprovides uinstructions uto uthe upatient uabout
uthe umedication. uWhat uis uimportant uto uinclude uin uthe uteaching?
a. Take uthe umedication uwith umeals uto uavoid ugastrointestinal udistress.
b. Give udaytime udoses uclose utogether ufor umaximal utherapeutic ueffect.
c. Take uthe umedication u30 uminutes ubefore ueating uto uimprove
uswallowing uand uchewing.
d. Take uthe umedication uonly uif udifficulty uswallowing uoccurs uduring ua umeal. u-
uCORRECT uANSWER-ANS: uC uTaking uthe umedication u30 uminutes ubefore umeals
uallows utime ufor uthe uonset uof uaction uand
therapeutic ueffects uduring uthe umeal. uThe udoses ushould ube uspaced uevenly uapart
uto uoptimize uthe ueffects uof uthe umedication.
, The unurse uis uproviding uteaching uregarding udrug utherapy uto uthe uhusband uof ua uwoman
uwith uAlzheimer's udisease. uShe uwas udiagnosed u3 umonths uago, uhas umild umemory uloss,
uand uwill ube ureceiving udonepezil u(Aricept). uWhat uis uthe udrug's uexpected uaction?
a. Prevents umemory uloss uin ulater ustages
b. Reverses uthe ucourse uof uAlzheimer's udisease
c. Provides usedation uto uprevent uagitation uand urestlessness
d. May uhelp uto uimprove uthe umood uand udecrease uconfusion u- uCORRECT uANSWER-ANS: uD
Donepezil uis uused uto utreat umild-to-moderate udementia uoccurring uin uAlzheimer's udisease
uand umay uimprove uthe usymptoms uof uthe udisease.
A upatient uhas ubeen uprescribed uwarfarin u(Coumadin) uin uaddition uto ua uheparin
uinfusion. uThe upatient uasks uthe unurse uwhy uhe uhas uto ube uon utwo umedications.
uThe unurse's uresponse uis ubased uon uwhich urationale?
a. The uoral uand uinjection uforms uwork usynergistically.
b. The ucombination uof uheparin uand uan uoral uanticoagulant uresults uin
ufewer uadverse ueffects uthan uheparin uused ualone.
c. Oral uanticoagulants uare uused uto ureach uan uadequate ulevel uof
uanticoagulation uwhen uheparin ualone uis uunable uto udo uso.
d. Heparin uis uused uto ustart uanticoagulation uso uas uto uallow utime ufor uthe
ublood ulevels uof uwarfarin uto ureach uadequate ulevels. u- uCORRECT
uANSWER-ANS: uD
This uoverlap utherapy uis urequired uin upatients uwho uhave ubeen ureceiving uheparin
ufor uanticoagulation uand uare uto ube uswitched uto uwarfarin uso uthat uprevention uof
uclotting uis ucontinuous. uThis uoverlapping uis udone upurposefully uto uallow utime ufor
uthe ublood ulevels uof uwarfarin uto urise, uso uthat uwhen uthe uheparin uis ueventually
udiscontinued, utherapeutic uanticoagulation ulevels uof uwarfarin uwill uhave ubeen
uachieved. uRecommendations uare uto ucontinue uoverlap utherapy uof uthe uheparin
uand uwarfarin ufor uat uleast u5 udays; uthe uheparin uis ustopped uafter uday u5 uwhen
uthe uinternational unormalized uratio u(INR) uis uabove u2.
