Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)
1. A nurse has admitted a 10-year-old child to the short-stay unit. The child has
complained of chronic headaches and his or her mother reports that he or she gives
him or her acetaminophen (Tylenol) at least twice a day. What will the nurse
evaluate?
a. Renal function
b. Hepatic function
c. Respiratory function
d. Cardiac function
Ans: B
Feedback:
The nurse should evaluate the patient’s hepatic function. Severe hepatotoxicity can
occur from overuse of acetaminophen. Significant interferences do not occur in the
kidney, heart, or lung with acetaminophen.
2. The nurse is discussing ethnic differences in response to medication with your
nursing students. What group of people would the nurse tell the students may have
a decreased sensitivity to pain-relieving effects of anti-inflammatory drugs and
should be educated concerning signs and symptoms of gastrointestinal bleeding
from use of these drugs?
a. African Americans
b. White Americans
c. Hispanics
d. Asians
Ans: A
Feedback:
African Americans have a documented decreased sensitivity to pain-relieving effects
of many antiinflammatory drugs. They also have an increased risk of developing GI
adverse effects to these drugs. In general, White Americans, Hispanics, and Asians
are at lower risk for these problems.
3. A patient, newly diagnosed with ulcerative colitis, has been admitted to the short-
stay unit. What salicylates does the nurse anticipate will be ordered for this patient?
a. Balsalazide (Colazal)
b. Sodium thiosalicylate (generic)
c. Choline magnesium trisalicylate (Tricosal)
, d. Salsalate (Argesic)
Ans: A
Feedback:
Balsalazide is delivered intact to the colon, where it delivers a local anti-inflammatory
effect that is most effective for patients with ulcerative colitis. Choline salicylate and
salsalate are used to treat pain, fever, and inflammation. Sodium thiosalicylate is used
mainly for episodes of acute gout, for muscular pain, and to treat rheumatic fever.
4. The nurse is caring for a 66-pound child with orders for choline magnesium
trisalicylate (Tricosal). The orders read 50 mg/kg/d PO in two divided doses. How
many milligram will the patient receive per dose?
a. 250 mg
b. 500 mg
c. 750 mg
d. 1,000 mg
Ans: C
Feedback:
First, the nurse must determine the child’s weight in kilogram. One kg is equal to 2.2
pounds. Divide 2.2 into 66 to equal 30 kg. Multiply 50 mg times 30 kg to equal 1,500
mg. Divide 1,500 by 2 for the divided doses, which will equal 750 mg per dose.
5. A nurse is caring for a patient with severe rheumatoid arthritis who takes anti-
inflammatory agents on a regular basis. What medication should the nurse question
if ordered by the physician to be taken in addition to the anti-inflammatory agent?
a. Oral antidiabetic agent
b. Calcium channel blocker
c. Beta-blocker
d. Antibiotic
Ans: C
Feedback:
Nonsteroidal anti-inflammatory drugs have the potential to decrease antihypertensive
effects from beta blockers if these drugs are taken at the same time. Patients who
receive these combinations should be monitored closely and appropriate dosage
adjustments made if needed. Drug interactions do not usually occur with oral
antidiabetic agents, calcium channel blocking medications, or antibiotics.
6. A nurse is assessing a patient who has been taking nonsteroidal anti-inflammatory
drugs (NSAID). What statement by the patient indicates to the nurse that the
patient has a good understanding of the use of this therapy?
a. I drink a glass of wine just about every night.
b. I asked my doctor to check for blood in my stool regularly.
1. A nurse has admitted a 10-year-old child to the short-stay unit. The child has
complained of chronic headaches and his or her mother reports that he or she gives
him or her acetaminophen (Tylenol) at least twice a day. What will the nurse
evaluate?
a. Renal function
b. Hepatic function
c. Respiratory function
d. Cardiac function
Ans: B
Feedback:
The nurse should evaluate the patient’s hepatic function. Severe hepatotoxicity can
occur from overuse of acetaminophen. Significant interferences do not occur in the
kidney, heart, or lung with acetaminophen.
2. The nurse is discussing ethnic differences in response to medication with your
nursing students. What group of people would the nurse tell the students may have
a decreased sensitivity to pain-relieving effects of anti-inflammatory drugs and
should be educated concerning signs and symptoms of gastrointestinal bleeding
from use of these drugs?
a. African Americans
b. White Americans
c. Hispanics
d. Asians
Ans: A
Feedback:
African Americans have a documented decreased sensitivity to pain-relieving effects
of many antiinflammatory drugs. They also have an increased risk of developing GI
adverse effects to these drugs. In general, White Americans, Hispanics, and Asians
are at lower risk for these problems.
3. A patient, newly diagnosed with ulcerative colitis, has been admitted to the short-
stay unit. What salicylates does the nurse anticipate will be ordered for this patient?
a. Balsalazide (Colazal)
b. Sodium thiosalicylate (generic)
c. Choline magnesium trisalicylate (Tricosal)
, d. Salsalate (Argesic)
Ans: A
Feedback:
Balsalazide is delivered intact to the colon, where it delivers a local anti-inflammatory
effect that is most effective for patients with ulcerative colitis. Choline salicylate and
salsalate are used to treat pain, fever, and inflammation. Sodium thiosalicylate is used
mainly for episodes of acute gout, for muscular pain, and to treat rheumatic fever.
4. The nurse is caring for a 66-pound child with orders for choline magnesium
trisalicylate (Tricosal). The orders read 50 mg/kg/d PO in two divided doses. How
many milligram will the patient receive per dose?
a. 250 mg
b. 500 mg
c. 750 mg
d. 1,000 mg
Ans: C
Feedback:
First, the nurse must determine the child’s weight in kilogram. One kg is equal to 2.2
pounds. Divide 2.2 into 66 to equal 30 kg. Multiply 50 mg times 30 kg to equal 1,500
mg. Divide 1,500 by 2 for the divided doses, which will equal 750 mg per dose.
5. A nurse is caring for a patient with severe rheumatoid arthritis who takes anti-
inflammatory agents on a regular basis. What medication should the nurse question
if ordered by the physician to be taken in addition to the anti-inflammatory agent?
a. Oral antidiabetic agent
b. Calcium channel blocker
c. Beta-blocker
d. Antibiotic
Ans: C
Feedback:
Nonsteroidal anti-inflammatory drugs have the potential to decrease antihypertensive
effects from beta blockers if these drugs are taken at the same time. Patients who
receive these combinations should be monitored closely and appropriate dosage
adjustments made if needed. Drug interactions do not usually occur with oral
antidiabetic agents, calcium channel blocking medications, or antibiotics.
6. A nurse is assessing a patient who has been taking nonsteroidal anti-inflammatory
drugs (NSAID). What statement by the patient indicates to the nurse that the
patient has a good understanding of the use of this therapy?
a. I drink a glass of wine just about every night.
b. I asked my doctor to check for blood in my stool regularly.
