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Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. An older client with acute sinusitis is administered epinephrine emergently. The nurse should prioritize reporting a change in which assessment finding to the health care provider? a. Blood glucose level b. Appetite c. Temperature d. Pulse rate Answer: D Rationale: The nurse should report any changes observed in pulse rate or rhythm immediately. Epinephrine does not affect the glucose level, appetite, or temperatur...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with hypertension is prescribed clonidine. The nurse should question this order if which disorder is noted in the client's history? a. Active hepatic disease b. Active peptic ulcer c. Ulcerative colitis d. Mental depression Answer: A Rationale: The use of a centrally acting antiadrenergic drug is contraindicated in clients with active hepatic disease. The use of a centrally acting antiadrenergic drug is n...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is caring for a client diagnosed with HIV. The nurse should question a new order for clozapine due to which currently prescribed drug? a. Immunologics b. Anticholinergics c. Opioids d. Anticoagulants Answer: A Rationale: Immunological agents are used to treat HIV. It is contraindicated to give a client with bone marrow suppression clozapine. The concomitant use of clozapine and immunological drugs can inc...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is assessing a client for depression. Which symptom would the nurse prioritize? a. Drowsiness b. Extreme sadness c. Severe headache d. Dilated pupils Answer: B Rationale: The nurse should monitor the client for extreme sadness because this is a symptom of depression. Drowsiness is an adverse effect of most antidepressants. Severe headache and dilated pupils are symptoms of hypertensive crisis which can o...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is assessing a breastfed infant at a well-child visit and determines the child is lethargic and losing weight. The infant’s mother has a history of anxiety. Which assessment question should the nurse prioritize? a. "Are you currently taking any medications?" b. "Is the infant sleeping well at night?" c. "Are you giving the infant any over-the-counter medications?" d. "Has the infant been sick lately?...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with insomnia is prescribed estazolam. After administering the drug, the nurse would assess the client for which potential adverse reaction? a. Constipation b. Syncope c. Heartburn d. Taste change Answer: C Rationale: Potential adverse reactions of estazolam can include heartburn, headache, nausea, palpitations, rash, somnolence, vomiting, weakness, and body and joint pain. Muscle pain is an adverse reacti...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is conducting an ongoing assessment on a client who has received methylphenidate. Which finding would the nurse anticipate if the medication is therapeutic? a. Decreased appetite b. Low blood pressure c. Drowsiness d. Depression Answer: A Rationale: Amphetamines have the ability to suppress appetite, so the client will show a decrease in appetite. The drug action results in high blood pressure, not low bl...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with AD is prescribed memantine. Which finding on assessment should the nurse prioritize? a. Confusion b. Dyspepsia c. Muscle cramps d. Vomiting Answer: A Rationale: When administering memantine to a client, a nurse should monitor the client for adverse reactions such as dizziness, headache, or confusion. Dyspepsia is an adverse reaction of rivastigmine; muscle cramps are an adverse reaction of donepezil; ...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is assessing a client in the PACU following surgery. The nurse notes the client received an anesthetic agent via a special vaporizer to prevent which reaction? a. Gastric upset b. Respiratory tract irritation c. Cardiac dysrhythmias d. Hypoxemia Answer: B Rationale: Desflurane is a volatile liquid that must be administered with a special vaporizer because delivery to the client without a vaporizer can res...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A 6-year-old client is presenting with signs and symptoms of fever, cough, stuffy nose, general malaise, and muscle aches. The nurse prepares to administer which medication to this client? a. Aspirin b. Magnesium salicylate c. Acetaminophen d. Diflunisal Answer: C Rationale: The known actions of acetaminophen include treating mild to moderate pain and reducing fever. Children and teenagers with influenza or chicken...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is performing discharge teaching for a client who is prescribed ibuprofen. After teaching the client about the possible cardiovascular effects of the drug, the nurse determines that additional teaching is needed when the client states which comment? a. “My blood pressure may increase.” b. “My blood pressure won't change.” c. “I could develop congestive heart failure.” d. “I could experience a heart...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is assessing a client who is prescribed an opioid analgesic. The nurse will monitor the client for which reaction if the client reveals the chronic use of alcohol? a. Respiratory depression b. Central nervous system depression c. Hypotension d. Sedation Answer: B Rationale: The nurse should monitor the client for central nervous system depression. The nurse does not need to monitor the client for respirat...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse determines a teaching session about chloroquine is successful when the client correctly articulates which factor? a. Avoid foods that acidify the urine. b. Take the drug on an empty stomach. c. Increase dosage if dosage missed once. d. Discontinue drug if color of urine changes. Answer: A Rationale: The nurse should educate the client to avoid foods that acidify the urine (cranberries, plums, prunes, meat...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. An HIV-positive client in a continuing phase of TB has shown no positive sputum results for 6 months. The nurse is aware that the second phase can last 4 months or more under which circumstances? a. Positive sputum culture after the completion of initial treatment b. Inclusion of pyrazinamide in the initial treatment c. Following the same eating habits in the continuing phase d. Nausea or vomiting after completing the ...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is obtaining the medication history of a client who is to start acyclovir. The nurse discovers this client is currently taking theophylline. The nurse should question the use of acyclovir due to which contraindication? a. Increases the risk for acyclovir toxicity b. Increases the risk of seizures in clients with respiratory problems c. Increases serum level of theophylline in clients taking theophylline d. Incr...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse suspects that a client receiving oral penicillin therapy is developing pseudomembranous colitis based on which assessment finding? a. Bloody diarrhea b. Pruritus c. Chills d. Hives Answer: A Rationale: Pseudomembranous colitis is a severe, life-threatening form of diarrhea that occurs when normal flora of the bowel is eliminated and replaced with C. difficile (C. diff) bacteria. It is manifested by bloody d...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is preparing to administer ciprofloxacin as prescribed. Which test would the nurse ensure is completed before administering the first dose to the client? a. Urinalysis b. Culture tests c. Ulcer tests d. Stool tests Answer: B Rationale: The nurse should check whether culture tests are conducted before the first dose of drug is administered to the client. Ulcer tests and stool tests are not required to be con...

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client has returned to the clinic for follow-up of an infection which is being treated with an aminoglycoside and reports ringing in the ears and dizziness. When developing this client's plan of care, which nursing diagnosis would be the priority? a. Impaired Comfort b. Altered Thought Process c. Diarrhea d. Injury Risk Answer: D Rationale: The development of ototoxicity would lead the nurse to identify a nursin...

Chapter 05: Patient and Family Teaching Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with hypertension and the client’s caregiver wish to learn how to properly use a sphygmomanometer. The nurse will utilize which domain of learning to accomplish this teaching? a. Psychomotor domain b. Affective domain c. Cognitive domain d. Intellectual domain Answer: A Rationale: Measuring blood pressure is a physical skill, which falls under the psychomotor doma...

Chapter 06: Antibacterial Drugs: Sulfonamides Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client, diagnosed with a urinary tract infection, indicates the use of an herbal product to help prevent and relieve the symptoms. Which herb has the client most likely been using? a. Ginger b. Feverfew c. Saw palmetto d. Cranberry Answer: D Rationale: Cranberries and cranberry juice are commonly used remedies for preventing and relieving symptoms of UTIs. However, i...