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Pharmacology Success: A Q&A Review Applying Critical Thinking to Test Taking ( Second Edition ) (Davis's Q&a Success) Second Edition

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TABLE CONTENTS 1 Basic Concepts in Medication Administration 1 2 Neurological System 7 PRACTICE QUESTIONS 7 A Client with Head Injury 7 A Client with Seizures 8 A Client with Cerebrovascular Accident 10 A Client with Brain Tumor 11 A Client with Parkinson’s Disease 12 A Client Diagnosed with Alzheimer’s Disease 14 A Client with a Migraine Headache 15 PRACTICE QUESTIONS ANSWERS AND RATIONALES 17 COMPREHENSIVE EXAMINATION 29 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 32 3 Cardiovascular System 37 PRACTICE QUESTIONS 37 A Client with Angina/Myocardial Infarction 37 A Client with Coronary Artery Disease 39 A Client with Congestive Heart Failure 41 A Client with Dysrhythmias and Conduction Problems 42 A Client with Inflammatory Cardiac Disorders 45 A Client with Arterial Occlusive Disease 46 A Client with Arterial Hypertension 47 A Client with Deep Vein Thrombosis 49 A Client with Anemia 51 PRACTICE QUESTIONS ANSWERS AND RATIONALES 53 COMPREHENSIVE EXAMINATION 69 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 72 4 Pulmonary System 77 PRACTICE QUESTIONS 77 A Client with Upper Respiratory Infection 77 A Client with Lower Respiratory Infection 78 A Client with Reactive Airway Disease 79 A Child with Reactive Airway Disease 81 A Client with Pulmonary Embolus 82 PRACTICE QUESTIONS ANSWERS AND RATIONALES 85 COMPREHENSIVE EXAMINATION 94 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 97 5 Gastrointestinal System 101 PRACTICE QUESTIONS 101 A Client with Gastroesophageal Reflux 101 A Client with Inflammatory Bowel Disease 102 A Client with Peptic Ulcer Disease 104 xi xii TABLE OF CONTENTS An Elderly Client with Diverticulosis/Diverticulitis 105 A Client with Liver Failure 106 A Client with Hepatitis 108 A Child with Gastroenteritides 109 A Client Who Is Obese 110 A Client Experiencing Constipation or Diarrhea 112 A Client Undergoing Abdominal Surgery with General Anesthesia 113 PRACTICE QUESTIONS ANSWERS AND RATIONALES 115 COMPREHENSIVE EXAMINATION 133 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 137 6 Endocrine System 141 PRACTICE QUESTIONS 141 A Client with Type 1 Diabetes 141 A Client with Type 2 Diabetes 142 A Client with Pancreatitis 144 A Client with Adrenal Disorders 145 A Client with Pituitary Disorders 146 A Client with Thyroid Disorders 148 PRACTICE QUESTIONS ANSWERS AND RATIONALES 150 COMPREHENSIVE EXAMINATION 162 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 165 7 Genitourinary System 169 PRACTICE QUESTIONS 169 A Client with Chronic Renal Failure 169 A Client with a Urinary Tract Infection 170 A Client with Benign Prostatic Hypertrophy and Spinal Anesthesia 172 A Client with Renal Calculi 173 An Adolescent with a Sexually Transmitted Disease 175 A Client Experiencing Pregnancy 176 A Client Experiencing Infertility 177 A Client Using Birth Control 179 PRACTICE QUESTIONS ANSWERS AND RATIONALES 181 COMPREHENSIVE EXAMINATION 195 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 198 8 Musculoskeletal System 203 PRACTICE QUESTIONS 203 A Client with Low Back Pain 203 A Client with Osteoarthritis 204 A Client with Osteoporosis 206 A Client Undergoing an Orthopedic Surgery 207 PRACTICE QUESTIONS ANSWERS AND RATIONALES 209 COMPREHENSIVE EXAMINATION 217 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 220 9 Integumentary System 225 PRACTICE QUESTIONS 225 A Client with Burns 225 A Client with Pressure Ulcers 226 A Client with a Skin Disorder 228 PRACTICE QUESTIONS ANSWERS AND RATIONALES 230 COMPREHENSIVE EXAMINATION 235 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 238 10 Immune Inflammatory System 241 PRACTICE QUESTIONS 241 A Client with an Autoimmune Disease 241 TABLE OF CONTENTS xiii A Client with Acquired Immunodeficiency Syndrome 242 A Client with Allergies 244 A Client with Rheumatoid Arthritis 245 A Child Receiving Immunizations 247 PRACTICE QUESTIONS ANSWERS AND RATIONALES 249 COMPREHENSIVE EXAMINATION 258 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 261 11 Cancer Treatments 265 PRACTICE QUESTIONS 265 A Client Receiving Chemotherapy 265 A Client Receiving a Biologic Response Modifier 268 A Client Receiving Hormone Therapy 269 A Client Receiving an Investigational Protocol 270 A Client Undergoing Surgery for Cancer 272 A Client with Chronic Pain 273 PRACTICE QUESTIONS ANSWERS AND RATIONALES 276 COMPREHENSIVE EXAMINATION 287 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 291 12 Mental Health Disorders 295 PRACTICE QUESTIONS 295 A Client with a Major Depressive Disorder 295 A Client with Bipolar Disorder 296 A Client with Schizophrenia 298 A Client with an Anxiety Disorder 299 A Child with Attention Deficit–Hyperactivity Disorder 301 A Client with a Sleep Disorder 302 A Client with Substance Abuse 304 PRACTICE QUESTIONS ANSWERS AND RATIONALES 306 COMPREHENSIVE EXAMINATION 319 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 323 13 Sensory Deficits 327 PRACTICE QUESTIONS 327 A Client with an Eye Disorder 327 A Child with an Ear Infection 328 PRACTICE QUESTIONS ANSWERS AND RATIONALES 331 COMPREHENSIVE EXAMINATION 335 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 338 14 Emergency Nursing 341 PRACTICE QUESTIONS 341 A Client Experiencing Shock 341 A Community Facing Bioterrorism 342 A Client Experiencing a Code 344 A Child Experiencing Poisoning 345 PRACTICE QUESTIONS ANSWERS AND RATIONALES 347 COMPREHENSIVE EXAMINATION 354 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 357 15 Nonprescribed Medications 361 PRACTICE QUESTIONS 361 A Client Taking Herbs 361 A Client Taking Vitamins/Minerals 362 A Client Self-Prescribing Medications 364 PRACTICE QUESTIONS ANSWERS AND RATIONALES 366 COMPREHENSIVE EXAMINATION 371 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 374 xiv TABLE OF CONTENTS 16 Administration of Medications 379 PRACTICE QUESTIONS 379 The Nurse Administering Medications 379 The Nurse Computing Math to Administer Medications 380 PRACTICE QUESTIONS ANSWERS AND RATIONALES 383 COMPREHENSIVE EXAMINATION 387 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 390 17 Comprehensive Examination 395 COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 410 Index 426

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,Pharmacology Success
A Course Review Applying Critical Thinking
to Test Taking

,Ray A. Hargrove-Huttel RN, PhD
Trinity Valley
Community
College Kaufman,
Texas


Kathryn Cadenhead Colgrove RN, MS, CNS,
OCN
Trinity Valley
Community
College Kaufman,
Texas

, TABLE CONTENTS


1 Basic Concepts in Medication Administration...................... 1
2 Neurological System ........................................................... 7
PRACTICE QU ES TIO NS ...................................................................................... 7
A Client with Head Injury ............................................................................... 7
A Client with Seizures................................................................................... 8
A Client with Cerebrovascular Accident........................................................... 10
A Client with Brain Tumor ............................................................................ 11
A Client with Parkinson’s Disease ................................................................... 12
A Client Diagnosed with Alzheimer’s Disease.................................................... 14
A Client with a M igraine Headache ................................................................. 15
PRACTICE QU ESTION S ANS WERS AN D RATION ALES ........................................... 17
COM PREHEN SIVE EXAM IN ATION ...................................................................... 29
COM PREHEN SIVE EX AM INATION AN S WERS AN D RATION ALES .............................. 32

3 Cardiovascular System ........................................................................ 37
PRACTICE QU ES TIO NS .................................................................................... 37
A Client with Angina/M yocardial Infarction ...................................................... 37
A Client with Coronary Artery Disease............................................................. 39
A Client with Congestive Heart Failure............................................................ 41
A Client with Dysrhythmias and Conduction Problems ........................................ 42
A Client with Inflammatory Cardiac Disorders................................................... 45
A Client with Arterial Occlusive Disease .......................................................... 46
A Client with Arterial Hypertension ................................................................ 47
A Client with Deep Vein Thrombosis ............................................................... 49
A Client with Anemia ................................................................................... 51
PRACTICE QU ESTION S ANS WERS AN D RATION ALES ........................................... 53
COM PREHEN SIVE EXAM IN ATION ...................................................................... 69
COM PREHEN SIVE EX AM INATION AN S WERS AN D RATION ALES .............................. 72

4 Pulmonary System ............................................................................... 77
PRACTICE QU ES TIO NS .................................................................................... 77
A Client with Upper Respiratory Infection........................................................ 77
A Client with Lower Respiratory Infection........................................................ 78
A Client with Reactive Airway Disease ............................................................ 79
A Child with Reactive Airway Disease.............................................................. 81
A Client with Pulmonary Embolus................................................................... 82
PRACTICE QU ESTION S ANS WERS AN D RATION ALES ........................................... 85
COM PREHEN SIVE EXAM IN ATION ...................................................................... 94
COM PREHEN SIVE EX AM INATION AN S WERS AN D RATION ALES .............................. 97

5 Gastrointestinal System.................................................................... 101
PRACTICE QU ES TIO NS .................................................................................. 101
A Client with Gastroesophageal Reflux.......................................................... 101
A Client with Inflammatory Bowel Disease ..................................................... 102
A Client with Peptic Ulcer Disease ............................................................... 104



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