Pharmacology and the Nursing Process 10th Edition

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is hanging a new infusion bag of a chemotherapy drug, but the tubing becomes disconnected and a small amount of the solution drips onto the floor. Which action by the nurse is appropriate? a. Let it dry, and then mop the floor. b. Wipe the area with a disposable paper towel. c. Use a spill kit to clean the area. d. Ask the housekeeping department to clean the floor. ANS: C Special spill kits are...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient will be taking a 2-week course of combination therapy with omeprazole and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse expects a drug from which class to be ordered with the omeprazole? a. Antibiotic b. Nonsteroidal anti-inflammatory drug c. Antacid d. Antiemetic ANS: A The antibiotic clarithromycin is active against H. pylori and is used in combination with omeprazol...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection? a. Haemophilus influenzae type b b. Varicella virus vaccine c. Hepatitis B immunoglobulin d. Hepatitis B virus vaccine (inactivated) ANS: C Recombivax HB promotes active immunity to h...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is monitoring a patient who is receiving mycophenolate after an organ transplant. Which adverse effect is possible with mycophenolate therapy? a. Constipation b. Hypertension c. Confusion d. Dysuria ANS: B Common adverse effects of mycophenolate include hypertension, hypotension, peripheral edema, tachycardia, chest pain and other effects as noted in Table 48-2. The other options are incorrect. ...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient with an intestinal infection that is positive for the Giardia lamblia organism will be taking an antiprotozoal drug. The nurse will include which information in the teaching plan for this patient? a. The urine may become dilute and pale during therapy. b. Taking the medications with food reduces gastrointestinal upset. c. The medications should be taken on an empty stomach. d. The drugs may be disco...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient is infected by invasive aspergillosis, and the medical history reveals that the patient has not been able to tolerate several antifungal drugs. The nurse anticipates an order for which medication to treat this infection? a. Fluconazole b. Micafungin c. Caspofungin d. Nystatin ANS: C Caspofungin is used for treating severe infection by Aspergillus species (invasive aspergillosis) in patients who ...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is counseling a woman who will be starting rifampin as part of antitubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient? a. Women have a high risk for thrombophlebitis while on this drug. b. A higher dose of rifampin will be necessary because of the contraceptive. c. Oral contraceptives are less effective while th...

CHAPTER 45: ANTINEOPLASTIC DRUGS PART 1: CANCER OVERVIEW AND CELL CYCLE-SPECIFIC DRUGS Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is evaluating the laboratory results of a patient who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia? a. White blood cells b. Red blood cells c. Platelets d. Albumin ANS: B Bone marrow suppression from antineoplastics affects RBC...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A 6-year-old child who has chickenpox also has a fever of 102.9°F (39.4°C). The child’s mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse? a. “It’s best to wait to see if the fever gets worse.” b. “You can use the aspirin, but watch for worsening symptoms.” c. “Acetaminophen should be used to reduce his fever, not aspirin.” d. “You ...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient? a. “Take the corticosteroid inhaler first.” b. “Take the bronchodilator inhaler first.” c. “Take these two drugs at least 2 hours apart.” d. “It does not matter which inhaler you use first.” ANS: B A...