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Focus on Nursing Pharmacology, 6th Edition(2023).

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Focus on Nursing Pharmacology, 6th
Edition by Amy M. Karch – Test Bank

To Purchase this Complete Test Bank with Answers Click the
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https://tbzuiqe.com/product/focus-on-nursing-pharmacology-6th-edition-by-amy-m-karch-test-bank/



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Sample Test
Chapter 3- Toxic Effects of Drugs




A nurse is planning patient teaching about a newly prescribed drug. What is a priority teaching point in
1.
the nurse to improve compliance and safety?



A) List of pharmacies where the drug can be obtained



B) Measures to alleviate any discomfort associated with adverse effects



C) The cost of the brand name drug compared with the generic form



D) Statistics related to Phase III testing for the prescribed drug



Ans: B

, Feedback:



If a patient is aware of certain adverse effects and how to alleviate or decrease the discomfort, he or s
likely to continue taking the medication. A list of pharmacies can be useful information but will not impr
or compliance. Knowing the cost of the brand name versus the generic form could also be helpful to th
However, a substitution may not be allowable and the cost of a drug does not improve patient safety. M
patients are not concerned with the statistics related to drug testing and it would not improve complian
safety even if the patient was interested in the information.




A patient presents at the clinic complaining of vaginal itching and a clear discharge. The patient report
2. nurse that she has been taking an oral antibiotic for 10 days. The nurse is aware that the patient is exp
what?



A) An adverse reaction from the antibiotic



B) A drug toxicity effect of the antibiotic



C) An overdose of the drug that is damaging to more than one body system



D) A superinfection caused by the antibiotic, which has destroyed normal flora



Ans: D



Feedback:



Superinfections often occur with antibiotic use because the drug kills normal bacterial flora. This is not
toxic levels of the antibiotic, but rather an effect of the medication that has killed normal flora, which it
to do. Vaginal itching and a clear discharge are not considered adverse effects of an antibiotic. An ove
drug that damages more than one body systems is considered drug poisoning.

, A 42-year-old male patient is brought to the emergency department by ambulance. The patient is in di
3. nurse suspects an anaphylactic reaction resulting from taking oral penicillin. What assessment finding
important in making this diagnosis?



A) Blood pressure (BP): 186/100, difficulty breathing



B) Hematocrit (Hct): 32%, decreased urine output



C) Temperature: 102º, swollen joints



D) Profuse sweating, Blood Pressure: 92/58



Ans: A



Feedback:



An anaphylactic reaction is an immune reaction that causes a massive release of histamine, which res
edema and swelling that can lead to respiratory distress and increased blood pressure. A decreased h
and decreased urine output suggests a cytotoxic reaction. An increased temperature and swollen joint
suggest serum sickness. Profuse sweating and decreased blood pressure may indicate cardiac-relate




A patient with seasonal allergies is taking an antihistamine to relieve itchy, watery eyes, and a runny n
4.
planning teaching for this patient, the nurse would include what teaching point?



A) Advise the patient to limit fluid intake to dry out mucous membranes.

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