Pharmacology and the Nursing Process 10th Edition

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose? a. To relieve chest pain b. To prevent further clot formation c. To dissolve the clot in the coronary artery d. To control bleeding in the coronary vessels ANS: C Thrombolytic drugs lyse, or dissolve, thrombi. They are not use...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. When reviewing the medication profile of a patient with a new order for desmopressin, the nurse notes that a drug interaction will occur if which drug is taken with desmopressin? a. Aspirin b. Digoxin c. Lithium d. Penicillin ANS: C Lithium may cause a decreased therapeutic effect of desmopressin. The other options are incorrect. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: ...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect? a. Hypernatremia b. Dehydration c. Fluid volume overload d. Transfusion reaction ANS: C During the infusion of albumin, the development of fluid volume overload must be monitored by the nurse, especially in those at risk for heart failure. The other options are incorrect. DIF: Cognitive Leve...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient’s fluid volume status? a. Blood pressure and pulse b. Serum potassium and sodium levels c. Intake, output, and daily weight d. Measurements of abdominal girth and calf circumference ANS: C Urinary intake and output and daily weights are the best reflections of a patient’s fluid volume status...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient’s blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is obvious. He is transferred to the intensive care unit and started on a sodium nitroprusside drip to be titrated per his response. With this medication, the nurse knows that the maximum dose of this drug should be infused for how long? a. 10 minutes b. 30 minutes c. 1 hour d. 24 hours ANS: A Sodium nitroprusside is a po...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse will monitor for which adverse effect when administering an anticholinergic drug? a. Excessive urination b. Diaphoresis c. Dry mouth d. Pupillary constriction ANS: C Anticholinergic drugs commonly cause the adverse effects of dry mouth, blurred vision, constipation, and urinary retention. They also cause mydriasis (pupillary dilation). DIF: Cognitive Level: Understanding (Comprehension) TOP: N...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is preparing to administer adenosine to a patient who is experiencing an acute episode of paroxysmal supraventricular tachycardia. When giving this medication, which is important to remember? a. The onset of action occurs within 5 minutes. b. The medication must be given as a slow intravenous (IV) push. c. Asystole may occur for a few seconds after administration. d. The medication has a long half-l...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is reviewing discharge teaching for a patient who will be taking digoxin therapy. The nurse will teach the patient to avoid which foods when taking the digoxin? a. Leafy green vegetables b. Dairy products c. Grapefruit juice d. Bran muffins ANS: D Bran, in large amounts, may decrease the absorption of oral digitalis drugs. The other foods do not affect digoxin levels. DIF: Cognitive Level: Unde...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A calcium channel blocker is prescribed for a patient, and the nurse provides instructions to the patient about the medication. Which instruction is correct? a. Chew the tablet for faster release of the medication. b. To increase the effect of the drug, take it with grapefruit juice. c. If the adverse effects of chest pain, fainting, or dyspnea occur, discontinue the medication immediately. d. A high-fiber di...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is presenting a substance-abuse lecture for teenagers and is asked about “ecstasy.” The nurse recognizes that this is the slang term for which substance? a. Cocaine b. Flunitrazepam c. Methamphetamine methylenedi-oxymethamphetamine (MDMA) d. Methylenedioxymethamphetamine (MDMA) ANS: B MDMA is also known as “ecstasy” or “E” and is a synthetic amphetamine derivative. The other drugs ar...