,Chapter 1. History of Pharmacology
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Multiple Choice x
Identify the choice that best completes the statement or answers the question.
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x 1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has bee
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n effective if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi x x
B. Oranges and sweet potatoes x x x
C. Kale and cucumbers x x
D. Bananas and melon x x
x 2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or co
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ws.‖ Which of the following responses by the nurse is best?
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A. ―Most insulin comes from animal sources, but I’m sure alternative options are a
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vailable.‖
B. ―Medications that are derived from animals are typically less expensive than s x x x x x x x x x x x
ynthetic medications, but synthetic insulin is commonly available.‖
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C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖
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D. ―The animals aren’t hurt in the production of medications, so you don’t need to w
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orry.‖
x x 3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hy
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drochloride and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the follo
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wing clients? x
A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
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B. A 55-year-old African American female diagnosed with hypertension
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C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
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D. A 64-year-old African American male diagnosed with heart failure
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x 4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef)
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as ordered 30 minutes pre-
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operatively. The nurse knows that teaching has been effective by which of the following client stateme
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nts?
A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after su
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rgery.‖
B. ―This is a palliative medication to help ease the pain from surgery.‖
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C. ―This medication will replace vitamins and minerals that may be lost due to bl
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eeding during surgery.‖ x x
D. ―This medication will help the surgeon identify areas of bone destruction due to ar
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thritis.‖
x 5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following me
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dications to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) x x
B. Estrogen (Estradiol) x
C. Iodine 131 x
D. Carbimazole (Methimazole) x
, x 6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
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old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastroi
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ntestinal tract. Which of the following statements would the nurse include in the client’s teaching?
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A. ―You will need to drink a large amount of prep to clear out your system before the test
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.‖
B. ―It is important that you be given a prophylactic medication to prevent aspiration du
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ring the test.‖ x x
C. ―You will be asked to drink a barium contrast about 30 minutes before the test to hel
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p highlight any digestive problems.‖
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D. ―You will be given a sedative to help make you sleepy during the testing pr
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ocedure.‖
x 7. A student nurse is providing care for a 29-year-
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old patient with advanced cervical cancer who was recently admitted with metastatic disease. While re
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viewing the patient’s medication list, the student would categorize which of the following medications
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as palliative in nature?
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A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 x x x x x x x x x
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days x x x x x x x x x
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy x x x x x x x
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain x x x x x x x x x x x x
x x 8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). W
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hich of the following statements by the individual indicates an understanding of the medication’s origi
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n?
A. ―I’m against animal cruelty, so I don’t want to take anything made from animal fle
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sh.‖
B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
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C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖
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D. ―I think harvesting medicines from cows seems rather odd.‖
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x 9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing.
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A 47-year-old woman reports being allergic to iodine, and thus is unable to have which test?
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A. Computerized axial tomography (CAT) scan x x x x
B. Magnetic resonance imaging (MRI) x x x
C. Colonoscopy
D. Thyroid scan x
Multiple Response
x
Identify one or more choices that best complete the statement or answer the question.
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x x 1. While working with patients in home care, a nurse becomes interested in additional ways to support pati
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ent healing and comfort. Which of the following is recognized as an alternative therapy? (Select all that
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apply.)
x
A. Acupuncture
B. Aromatherapy
C. Therapeutic touch x
D. Stem cell treatment x x