Questions with Verified Answers Latest Update
1. A client's unexpected response has been attributed to characteristics
of the client's genetic makeup. What area of study best explains this client's
medication response?--- correct answer --- pharmacogenomics
2. The nurse is writing a plan of care for a client receiving drug therapy.
What nursing diagnosis would be appropriate if the client developed
common adverse effects?--- correct answer --- disturbed sensory perception
(visual) related to central nervous system effects
3. A client is prescribed chloroquine, an antimalarial, and asks the nurse
how it works. What process should the nurse describe?--- correct answer ---
changes the metabolic pathways necessary for the reproduction of the
plasmodium
4. A nurse practitioner provides primary care in a rural setting. The
nurse should perform what actions in order to minimize the emergence of
drug-re- sistant microbials?--- correct answer --- avoid the use of broad-
spectrum antibacterial drugs when treating trivial or viral infections
use narrow-spectrum agents if they are thought to be effective do not use
vancomycin
5. A client taking diltiazem, a calcium channel blocker, for hypertension
has come to the clinic for a follow-up appointment. What adverse effects
should the nurse assess the client for?--- correct answer --- peripheral
edema and bradycardia
, 6. What is the nurse's priority assessment before giving a female client
her prescription for an angiotensin II-receptor blocker (ARB)?--- correct
answer --- "When was your last menstrual period (LMP)?
7. A client taking a calcium channel blocker is seen in the clinic and
receives a diagnosis of drug toxicity. When collecting the nursing history,
consumption of what product would indicate the likely cause of this drug
toxicity?--- correct answer --- grapefruit juice
8. An older adult client is taking a sustained-release antihypertensive
drug. What is the nurse's priority teaching point about this medication?---
correct answer --- "Swallow the drug whole and do not cut, crush, or chew
it."
9. The nurse assesses a client before administering digoxin, a cardiac
glyco- side. What finding would cause the nurse to withhold the drug and
notify the health care provider?--- correct answer --- pulse 44 beats/min
10. The nurse provides teaching about digoxin, a cardiac glycoside, to a
client who will be self-administering the drug at home. Which statement by
the client indicates to the nurse that further teaching is needed?--- correct
answer --- "I'll take the medications with food so I don't get nauseous."
11. A 91-year-old client is being discharged on the diuretic spironolactone,
a potassium-sparing diuretic. What assessment finding would the nurse at-
tribute to adverse effects of this medication?--- correct answer --- confusion
and irregular heart rate
12. The nurse is writing a plan of care for a client who is taking a
diuretic. What nursing diagnoses is most likely applicable?--- correct answer
--- impaired urinary elimination