Pharmacology and the Nursing Process 10th Edition

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse will instruct patients about a possible systemic effect that may occur if excessive amounts of topically applied adrenergic nasal decongestants are used. Which systemic effect may occur? a. Heartburn b. Bradycardia c. Drowsiness d. Palpitations ANS: D Although a topically applied adrenergic nasal decongestant can be absorbed into the bloodstream, the amount absorbed is usually too small to cause...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is administering intravenous acyclovir to a patient with a viral infection. Which administration technique is correct? a. Infuse intravenous acyclovir slowly, over at least 1 hour. b. Infuse intravenous acyclovir by rapid bolus. c. Refrigerate intravenous acyclovir. d. Restrict oral fluids during intravenous acyclovir therapy. ANS: A Intravenous infusions must be diluted as recommended (e.g., wi...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is reviewing the medication orders for a patient who will be receiving aminoglycoside therapy. Which other medication or medication class, if ordered, would be a potential interaction concern? a. Calcium channel blockers b. Phenytoin c. Proton pump inhibitors d. Loop diuretics ANS: D Concurrent use of aminoglycosides with loop diuretics increases the risk for ototoxicity. The other drugs and dru...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery. The nurse knows that this is an example of which type of therapy? a. Empiric b. Prophylactic c. Definitive d. Resistance ANS: B Prophylactic antibiotic therapy is used to prevent infection. Empiric therapy involves selecting the antibiotic that can best kill the microorganisms known to be the most c...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient is taking fludrocortisone for Addison’s disease, and his wife is concerned about all of the problems that may occur with this therapy. When teaching them about therapy with this drug, the nurse will include which information? a. It may cause severe postural hypotension. b. It needs to be taken with food or milk to minimize gastrointestinal upset. c. The medication needs to be stopped immediately if...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient in the emergency department was showing signs of hypoglycemia and had a fingerstick glucose level of 38 mg/dL. The patient has just become unconscious. The nurse will anticipate which action to be next? a. Having the patient eat glucose tablets b. Having the patient consume fruit juice, a non-diet soft drink, or crackers c. Administering intravenous glucose (50% dextrose) d. Calling the lab to order...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A 19-year-old student was diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine. After 1 week, she called the clinic to report that she does not feel better. Which response from the nurse is correct? a. “It will probably require surgery for a cure to happen.” b. “The full therapeutic effects may not occur for several weeks.” c. “Is it possible that you did not t...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A 21-year-old male athlete admits to using androgenic steroids. The nurse tells him that which of these is a possible adverse effect of these drugs? a. Liver damage b. Renal failure c. Heart failure d. Stevens-Johnson syndrome ANS: A Peliosis of the liver, the formation of blood-filled cavities, is a potential effect of androgenic anabolic steroid therapy and may be life threatening. Other serious hepatic...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax). Which statement by the patient indicates a good understanding of when this drug should be taken? a. “I will take it in the evening just before bedtime.” b. “I will take it in the morning with an 8-ounce glass of water.” c. “I will take it with the first bite of the morning meal.” d. “I will take it betwe...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient with coronary artery disease asks the nurse about the “good cholesterol” laboratory values. The nurse knows that “good cholesterol” refers to which lipids? a. Triglycerides b. Low-density lipoproteins (LDLs) c. Very–low-density lipoproteins (VLDLs) d. High-density lipoproteins (HDLs) ANS: D HDLs are responsible for the “recycling” of cholesterol. HDLs are sometimes referred to as t...