Examsrevision

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is preparing to administer goserelin to a client with prostate cancer. Which assessment findings should the nurse prioritize on the ongoing assessment? a. Breast atrophy, sexual dysfunction b. Pharyngitis, asthenia c. Breast tenderness, edema d. Hyperglycemia, leukocytosis Answer: A pharma Rationale: Breast atrophy and sexual dysfunction may be seen as adverse reactions of goserelin therapy. Pharyngitis a...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. An 80-year-old male client with chronic renal insufficiency is prescribed anabolic steroid therapy for the management of anemia associated with renal insufficiency. The nurse will carefully monitor the client for which potential disorder? a. Hypoglycemic attacks b. Serious cardiac disease c. Hypotensive shock d. Cancer of the prostate Answer: D Rationale: Elderly male clients undergoing anabolic steroid therapy are...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with thyrotoxicosis is prescribed levothyroxine. The nurse would prioritize which finding on assessment? a. Tachycardia b. Agranulocytosis c. Loss of hair d. Skin rash Answer: A Rationale: The nurse should monitor for tachycardia, palpitations, headache, nervousness, insomnia, diarrhea, vomiting, weight loss, fatigue, sweating, and flushing as adverse reactions after administering levothyroxine to a client...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with hyperinsulinism has been prescribed diazoxide. After administration, which adverse reaction should the nurse prioritize? a. Myalgia b. Tachycardia c. Flatulence d. Epigastric discomfort Answer: B Rationale: The nurse should monitor for tachycardia, congestive heart failure, sodium and fluid retention, hyperglycemia, and glycosuria as the adverse reactions in the client receiving diazoxide drug therap...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize? a. Abdominal pain b. Visual disturbances c. Auditory disturbances d. Ascites Answer: B Rationale: If the client reports visual disturbances, the drug therapy is discontinued and the primary health care provider notified. An examination by an ophthalmologist is usually indicated. Abdominal pain and ascites are ...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a gastrointestinal stimulant? a. Ranitidine b. Misoprostol c. Omeprazole d. Metoclopramide Answer: D Rationale: Metoclopramide is classified as a gastrointestinal stimulant. Ranitidine is a histamine H2 receptor antagonist. ...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is preparing to administer sulfasalazine to a client with inflammatory bowel disease. The nurse should question this order if the client's record indicates a hypersensitivity to which drug? a. Enalapril b. Doxycycline c. Azithromycin d. Sulfamethoxazole/trimethoprim Answer: D Rationale: Sulfasalazine is an aminosalicylate. The use of aminosalicylates is contraindicated in clients with hypersensitivity to s...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client has been admitted to a health care center with reports of dyspnea. The nurse suspects left-sided heart failure based on which assessment finding? a. Nocturia b. Pitting edema c. Weight gain d. Orthopnea Answer: D Rationale: The nurse should assess for orthopnea in clients with left-sided heart failure. Orthopnea is a condition where the client has difficulty breathing when lying down. The other features of...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. When caring for a client with angina, the nurse instructs the client to place the nitroglycerin tablet between the cheek and the gums. Which form of nitroglycerin is the nurse administering? a. Sublingual b. Transdermal c. Buccal d. Translingual Answer: C Rationale: The nurse is administering the buccal route of administration. When administering buccal nitroglycerin, the nurse should instruct the client to place t...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is preparing to administer protamine emergently to a client per instructions from the health care provider. The nurse concludes this is necessary due to an adverse reaction to which drug? a. Clopidogrel b. Heparin c. Alteplase d. Warfarin Answer: B Rationale: An overdosage of any anticoagulant may result in uncontrolled bleeding in the client. In most cases, discontinuation of the drug is usually sufficie...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client is admitted to the emergency department with a severe headache, nausea, shortness of breath, and blood pressure of 200/120 mm Hg. Which response should the nurse prioritize? a. Take a blood pressure every 30 minutes. b. Alternate the arms for assessing the blood pressure and pulse. c. Continuously monitor the client's status. d. Measure the pulse rate every hour. Answer: C Rationale: When the client has a...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The health care provider has prescribed spironolactone for a client. The nurse is prepared to carefully monitor the client's potassium level if the client is also administered which drug? a. Lisinopril b. Metoprolol c. Terazosin d. Diltiazem Answer: A Rationale: Spironolactone when given with ACE inhibitors (lisinopril) can lead to hyperkalemia. Hyperkalemia is not associated with the combination of spironolactone...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is preparing to administer niacin to a client with hyperlipidemia. Which adverse reaction should the nurse prioritize on ongoing assessment? a. Tingling b. Constipation c. Diarrhea d. Cholelithiasis Answer: A Rationale: The nurse should monitor for tingling in the client as an adverse reaction to the drug niacin. Constipation, diarrhea, and cholelithiasis are adverse reactions to the drug fenofibrate. ...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nursing instructor is teaching a session explaining mast cell stabilizers. The instructor determines the session is successful when the students correctly choose which drug as an example? a. Beclomethasone b. Cromolyn c. Albuterol d. Montelukast Answer: B Rationale: Cromolyn is an example of a mast cell stabilizer. Beclomethasone is an inhaled corticosteroid. Albuterol is a short-acting beta2 agonist. Monteluka...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is teaching a client with gout the importance of getting adequate fluids. The nurse determines the session is successful when the client correctly plans to drink at least how much fluid each day? a. 1000 mL b. 1500 mL c. 2000 mL d. 3000 mL Answer: D Rationale: A client with gout is encouraged to drink at least 3000 mL of fluid per day to promote uric acid excretion. Question format: Multiple Choice Chapte...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse has completed teaching a client about the prescribed upper respiratory drug. The nurse determines additional teaching is warranted when the client chooses which finding as requiring further assessment? a. Cough changes from nonproductive to productive. b. Sputum appears clear. c. Sputum increases. d. Shortness of breath occurs. Answer: B Rationale: The client should notify their primary health care provid...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is administering lorazepam to a client with status epilepticus. The nurse will be prepared to administer which additional drug to treat the status epilepticus for the next several hours? a. Ethosuximide b. Phenytoin c. Ethotoin d. Zonisamide Answer: B Rationale: Due to the short effects of lorazepam, a longer-acting anticonvulsant, such as phenytoin, is given to continue control of seizure activity. Ethotoi...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client has been prescribed pyridostigmine for myasthenia gravis. The nurse would be alert for the development of which adverse reaction following the administration? a. Seizure disorder b. Reduction of visual acuity c. Abdominal discomfort d. Cardiac arrhythmias Answer: D Rationale: The nurse should monitor for cardiac arrhythmias as a general adverse reaction in the client. Seizure disorder, reduction of visual ...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with biliary colic has been prescribed atropine. The nurse should question this order after discovering which disorder in the client's past history? a. Hepatic disease b. Benign prostatic hypertrophy c. Myocardial infarction d. Urinary retention Answer: C Rationale: The nurse should know that the use of atropine is contraindicated in clients with myocardial infarction. Other contraindications include mya...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is preparing to administer pramipexole to a client with Parkinson disease. The nurse notes the client is also prescribed verapamil. Which potential reaction should the nurse prioritize for careful monitoring? a. Cardiac symptoms b. Agonist effectiveness c. Toxicity of both drugs d. Psychotic behavior Answer: B Rationale: The nurse should assess for an increased risk of agonist effectiveness in the client....