TEST BANK FOR Pharmacology Clear and Simple: A Guide to Medication Classifications and Dosage Calculations Fifth Edition by Cynthia J. Watkins, Charlet L. Blades ISBN:978-1719651196 COMPLETE GUIDE 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!

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Chapter 1. History of Pharmacology Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effec
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tive if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi dt dt dt



B. Oranges and sweet potatoes dt dt dt dt



C. Kale and cucumbers D. Bananas and melon dt dt dt dt dt dt dt




2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖ Whi
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ch of the following responses by the nurse is best?
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A. ―Most insulin comes from animal sources, but I’m sure alternative options are available.‖ dt dt dt dt dt dt dt dt dt dt dt dt dt




B. ―Medications that are derived from animals are typically less expensive than synthetic medicatio dt dt dt dt dt dt dt dt dt dt dt dt



ns, but synthetic insulin is commonly available.‖ dt dt dt dt dt dt dt



C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖ dt dt dt dt dt dt dt dt dt dt dt dt dt




D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖ dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochloride
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dt and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
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A. A 48-year-old Caucasian male diagnosed with atrial fibrillation dt dt dt dt dt dt dt dt



B. A 55-year-old African American female diagnosed with hypertension dt dt dt dt dt dt dt dt



C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome dt dt dt dt dt dt dt dt dt



D. A 64-year-old African American male diagnosed with heart failure dt dt dt dt dt dt dt dt dt




4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as ord
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ered 30 minutes pre- dt dt dt



operatively. The nurse knows that teaching has been effective by which of the following client statements?
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A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖ dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




B. ―This is a palliative medication to help ease the pain from surgery.‖ dt dt dt dt dt dt dt dt dt dt dt dt




C. ―This medication will replace vitamins and minerals that may be lost due to bleeding during surg dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



ery.‖ dt




D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖ dt dt dt dt dt dt dt dt dt dt dt dt dt dt




5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medicatio
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ns to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) dt dt dt



B. Estrogen (Estradiol) dt dt



C. Iodine 131 dt dt



D. Carbimazole (Methimazole) dt dt

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6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
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old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal tract
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. Which of the following statements would the nurse include in the client’s teaching?
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A. ―You will need to drink a large amount of prep to clear out your system before the dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




test.‖ dt




B. ―It is important that you be given a prophylactic medication to prevent aspiration during the test.‖
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, C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highlight an
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y digestive problems.‖
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D. ―You will be given a sedative to help make you sleepy during the testing procedure.‖
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7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
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recently admitted with metastatic disease. While reviewing the patient’s medication list, the student w
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ould categorize which of the following medications as palliative in nature?
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A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 dt dt dt dt dt dt dt dt dt dt



B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days dt dt dt dt dt dt dt dt dt dt



C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy dt dt dt dt dt dt dt dt



D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain dt dt dt dt dt dt dt dt dt dt dt dt dt




8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which of
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the following statements by the individual indicates an understanding of the medication’s origin?
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A. ―I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖
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B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
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C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ dt dt dt dt dt dt dt dt dt dt dt dt dt



D. ―I think harvesting medicines from cows seems rather odd.‖
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9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-year-
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old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial tomog
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raphy (CAT) scan dt dt dt



B. Magnetic resonance imaging (MRI) dt dt dt dt



C. Colonoscopy dt



D. Thyroid scan dt dt

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Multiple Response dt dt



Identify one or more choices that best complete the statement or answer the question.
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dtdtdtdtdtdtdtdtdtdtdtdtdt 1. While working with patients in home care, a nurse becomes interested in additional ways to support pati
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ent healing and comfort. Which of the following is recognized as an alternative therapy? (Select all th
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at apply.)
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A. Acupuncture dt



B. Aromatherapy dt



C. Therapeutic touch dt dt



D. Stem cell treatment dt dt dt

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E. Vegetarianism dt



F. Acupressure dt

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Chapter 1. History of Pharmacology Answer
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Section
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MULTIPLE CHOICE dt dt

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1. ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
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KEY: Application MSC: NCLEX Category: Basic Care and Comfort
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NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water throu
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gh the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in sweet p
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otatoes, bananas, and oranges. dt dt dt dt



2. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Anti-diabetic medication
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source is mo
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st commonly used. This change occurred because of concern over the possible transmission of diseases from an
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imals to humans. Synthetic medications are usually more inexpensive because they are mass produced.
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3. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
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KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
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NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat African
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American patients with heart failure.
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4. ANS: A PTS: 1 DIF: Easy
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TOP: Therapeutic Classification: Antibiotics
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as ant
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ibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A dt dt



Difficulty Level: Easy dt dt dt

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PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NCLE
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X Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Levoth
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yroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to women
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once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid abnormalities.
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Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
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6. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Diagnostic contrast
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MSC: NCLEX Category: Reduction of Risk Potential
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NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patients sw
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allow to help highlight digestive problems on radiograph.
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7. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Narcotics
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, but the
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y make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineoplastic
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agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medications), while on
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dansetron is given in a prophylactic measure to prevent nausea and vomiting related to the chemotherapy.
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8. ANS: B PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Hormonal therapy
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