NUR.211 - Pharm Questions With Complete Solutions
. A 50-year-old man has been taking prednisone as part of
treatment for bronchitis. He notices that the dosage of the
medication decreases. During a follow-up office visit, he asks
the nurse why he must continue the medication and why he
cannot just stop taking it now that he feels better. What is the
rationale behind the tapering dosages?
a. Sudden discontinuation of this medication may result in
adrenal insufficiency.
b. The patient would experience withdrawal symptoms if the
drug were discontinued abruptly.
c. Cushing's syndrome may develop as a reaction to a sudden
drop in serum cortisone levels.
d. When the symptoms have started to disappear, lower dosages
are needed. Correct Answers a. Sudden discontinuation of this
medication may result in adrenal insufficiency.
. The nurse would correctly identify the method of action of
isoniazid (INH) as which of the following?
a. Inhibiting protein synthesis.
b. Inhibiting mycobacterial ATP synthase
c. Altering cell wall synthesis
,d. Its method of action is unknown. Correct Answers c. Altering
cell wall synthesis
. When caring for a patient with a diagnosis of myasthenia
gravis, the nurse can expect to see which drug ordered for the
symptomatic treatment of this disease?
a. Bethanechol
b. Tacrine
c. Donepezil
d. Pyridostigmine Correct Answers d. Pyridostigmine
A child with human immunodeficiency virus (HIV) infection is
receiving zidovudine. Which finding indicates to the nurse that
the child may be experiencing an adverse effect from the
medication?
1.
The child complains of pain in his lower legs.
2.
The child's skin is pale and he child is feeling tired.
3.
The child has some swelling in the hands and around the ankles.
4.
,The child is clinging to his parents and won't allow them to
leave. Correct Answers 2
Human immunodeficiency virus (HIV) can cause acquired
immunodeficiency syndrome, which is a viral disease that
destroys T cells, thereby increasing susceptibility to infection
and malignancy. Zidovudine effectively interferes with HIV
replication but can cause bone marrow suppression. Anemia
occurs most commonly after 4 to 6 weeks of therapy.
Hematology studies need to be monitored for anemia and
granulocytopenia. Tiredness and a pale color could indicate that
the child is anemic. Complaints of pain is not associated with the
medication but can be associated with the diagnosis; swelling is
not usually a characteristic of the infection but could be an
indication of an underlying problem. If the child is clinging to
the parents, this could indicate fear but is not associated with an
adverse effect of the medication.
A client admitted to the hospital is taking zidovudine. The nurse
monitors the client for which adverse effect of the medication?
1.
Colitis
2.
Ototoxicity
3.
Neurotoxicity
4.
Visual disturbances Correct Answers 3
, Human immunodeficiency virus (HIV) can cause acquired
immunodeficiency syndrome, which is a viral disease that
destroys T cells, thereby increasing susceptibility to infection
and malignancy. Zidovudine is a nucleoside reverse
transcriptase inhibitor that is used in combination with other
antiretroviral agents to treat human immunodeficiency virus
(HIV) infections. Adverse effects include anemia,
granulocytopenia, and neurotoxicity as evidenced by ataxia,
fatigue, lethargy, and nystagmus. Seizures can also occur.
Colitis, ototoxicity, and visual disturbances are not adverse
effects of this medication.
A client diagnosed with active tuberculosis has been prescribed
a combination of isoniazid and rifampin for treatment. The nurse
teaches the client to perform which action?
1.
Report any change in urine color.
2.
Take both medications with food.
3.
Take both medications together once a day.
4.
Expect to take the medications for 2 to 3 weeks. Correct
Answers 3
Rifampin in combination with isoniazid prevents the emergence
of medication-resistant organisms. This combination, taken
together daily, eliminates the tubercle bacilli from the sputum
. A 50-year-old man has been taking prednisone as part of
treatment for bronchitis. He notices that the dosage of the
medication decreases. During a follow-up office visit, he asks
the nurse why he must continue the medication and why he
cannot just stop taking it now that he feels better. What is the
rationale behind the tapering dosages?
a. Sudden discontinuation of this medication may result in
adrenal insufficiency.
b. The patient would experience withdrawal symptoms if the
drug were discontinued abruptly.
c. Cushing's syndrome may develop as a reaction to a sudden
drop in serum cortisone levels.
d. When the symptoms have started to disappear, lower dosages
are needed. Correct Answers a. Sudden discontinuation of this
medication may result in adrenal insufficiency.
. The nurse would correctly identify the method of action of
isoniazid (INH) as which of the following?
a. Inhibiting protein synthesis.
b. Inhibiting mycobacterial ATP synthase
c. Altering cell wall synthesis
,d. Its method of action is unknown. Correct Answers c. Altering
cell wall synthesis
. When caring for a patient with a diagnosis of myasthenia
gravis, the nurse can expect to see which drug ordered for the
symptomatic treatment of this disease?
a. Bethanechol
b. Tacrine
c. Donepezil
d. Pyridostigmine Correct Answers d. Pyridostigmine
A child with human immunodeficiency virus (HIV) infection is
receiving zidovudine. Which finding indicates to the nurse that
the child may be experiencing an adverse effect from the
medication?
1.
The child complains of pain in his lower legs.
2.
The child's skin is pale and he child is feeling tired.
3.
The child has some swelling in the hands and around the ankles.
4.
,The child is clinging to his parents and won't allow them to
leave. Correct Answers 2
Human immunodeficiency virus (HIV) can cause acquired
immunodeficiency syndrome, which is a viral disease that
destroys T cells, thereby increasing susceptibility to infection
and malignancy. Zidovudine effectively interferes with HIV
replication but can cause bone marrow suppression. Anemia
occurs most commonly after 4 to 6 weeks of therapy.
Hematology studies need to be monitored for anemia and
granulocytopenia. Tiredness and a pale color could indicate that
the child is anemic. Complaints of pain is not associated with the
medication but can be associated with the diagnosis; swelling is
not usually a characteristic of the infection but could be an
indication of an underlying problem. If the child is clinging to
the parents, this could indicate fear but is not associated with an
adverse effect of the medication.
A client admitted to the hospital is taking zidovudine. The nurse
monitors the client for which adverse effect of the medication?
1.
Colitis
2.
Ototoxicity
3.
Neurotoxicity
4.
Visual disturbances Correct Answers 3
, Human immunodeficiency virus (HIV) can cause acquired
immunodeficiency syndrome, which is a viral disease that
destroys T cells, thereby increasing susceptibility to infection
and malignancy. Zidovudine is a nucleoside reverse
transcriptase inhibitor that is used in combination with other
antiretroviral agents to treat human immunodeficiency virus
(HIV) infections. Adverse effects include anemia,
granulocytopenia, and neurotoxicity as evidenced by ataxia,
fatigue, lethargy, and nystagmus. Seizures can also occur.
Colitis, ototoxicity, and visual disturbances are not adverse
effects of this medication.
A client diagnosed with active tuberculosis has been prescribed
a combination of isoniazid and rifampin for treatment. The nurse
teaches the client to perform which action?
1.
Report any change in urine color.
2.
Take both medications with food.
3.
Take both medications together once a day.
4.
Expect to take the medications for 2 to 3 weeks. Correct
Answers 3
Rifampin in combination with isoniazid prevents the emergence
of medication-resistant organisms. This combination, taken
together daily, eliminates the tubercle bacilli from the sputum
