, Chapter 1. History of Pharmacology Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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ma
1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been
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effective if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi ma ma ma
B. Oranges and sweet potatoes ma ma ma ma
C. Kale and cucumbers D. Bananas and melon ma ma ma ma ma ma ma
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖
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ma 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 available.‖
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B. ―Medications that are derived from animals are typically less expensive than synthetic medica ma ma ma ma ma ma ma ma ma ma ma ma
tions, but synthetic insulin is commonly available.‖ ma ma ma ma ma ma ma
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma
D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochlo
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ride and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
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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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4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
ordered 30 minutes pre-
a ma ma ma
operatively. The nurse knows that teaching has been effective by which of the following client statements?
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a
A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖
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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 bleeding during s
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urgery.‖ ma
D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖
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5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medi
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cations to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) ma ma ma
B. Estrogen (Estradiol) ma ma
C. Iodine 131 ma ma
D. Carbimazole (Methimazole) ma ma
ma
ma
ma
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 gastrointestinal
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
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
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test.‖ ma
B. ―It is important that you be given a prophylactic medication to prevent aspiration during the t
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est.‖ ma
C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highlig
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ht any digestive problems.‖ ma ma ma ma
D. ―You will be given a sedative to help make you sleepy during the testing procedure.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
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, recently admitted with metastatic disease. While reviewing the patient’s medication list, the studen
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t would categorize which of the following medications as palliative in nature?
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A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 ma ma ma ma ma ma ma ma ma ma
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days
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C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy ma ma ma ma ma ma ma ma
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain
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8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which
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maof the following statements by the individual indicates an understanding of the medication’s origin?
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A. ―I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖
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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.‖ ma ma ma ma ma ma ma ma ma ma ma ma ma
D. ―I think harvesting medicines from cows seems rather odd.‖
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9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
omography (CAT) scan ma ma ma
B. Magnetic resonance imaging (MRI) ma ma ma ma
C. Colonoscopy ma
D. Thyroid scan ma ma
ma
Multiple Response ma ma
Identify one or more choices that best complete the statement or answer the question.
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ma
mamamamamamamamamamamamama 1. While working with patients in home care, a nurse becomes interested in additional ways to sup
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port patient healing and comfort. Which of the following is recognized as an alternative therapy?
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(Select all that apply.) ma ma ma ma
A. Acupuncture ma
B. Aromatherapy ma
C. Therapeutic touch ma ma
D. Stem cell treatment ma ma ma
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E. Vegetarianism ma
F. Acupressure ma
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Downloaded at Knoowy - Upload your own study documents and earn money
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Chapter 1. History of Pharmacology Answe
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r Section
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ma
MULTIPLE CHOICE ma ma
ma
1. ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
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KEY: Application MSC: NCLEX Category: Basic Care and Comfort
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NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water t
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hrough the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained
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in sweet potatoes, bananas, and oranges.
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2. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Anti-diabetic medication
ma KEY: Analysis ma ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
ma ma ma ma ma
NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source
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is most commonly used. This change occurred because of concern over the possible transmission of diseas
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es from animals to humans. Synthetic medications are usually more inexpensive because they are mass pro
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duced. ma
3. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
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KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
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NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat A
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
frican American patients with heart failure.
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4. ANS: A PTS: 1 DIF: Easy
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TOP: Therapeutic Classification: Antibiotics
ma KEY: Analysis ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
ma ma ma ma ma
NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such a
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s antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A ma ma
Difficulty Level: Easy ma ma ma
ma
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: N
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CLEX Category: Pharmacological Therapies
ma ma ma ma
NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Le
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vothyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
o women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid
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abnormalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
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6. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Diagnostic contrast
ma KEY: Analysis ma ma ma ma ma ma
MSC: NCLEX Category: Reduction of Risk Potential
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NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patien
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ts swallow to help highlight digestive problems on radiograph.
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7. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Narcotics
ma KEY: Analysis ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
ma ma ma ma ma
NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, bu
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t they make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an anti
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neoplastic agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medic
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ations), while ondansetron is given in a prophylactic measure to prevent nausea and vomiting related to th
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e chemotherapy.
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ma
ma
ma
8. ANS: B PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Hormonal therapy
ma KEY: Analysis ma ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Sources of Drugs (p. 6): Cows and pigs are good sources of hormone replacements, but conjuga
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ted estrogen (Premarin) comes from a pregnant mare’s urine.
ma ma ma ma ma ma ma ma ma
ma ma ma ma ma ma ma
Identify the choice that best completes the statement or answers the question.
ma ma ma ma ma ma ma ma ma ma ma ma
ma
1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
effective if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi ma ma ma
B. Oranges and sweet potatoes ma ma ma ma
C. Kale and cucumbers D. Bananas and melon ma ma ma ma ma ma ma
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ma 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 available.‖
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B. ―Medications that are derived from animals are typically less expensive than synthetic medica ma ma ma ma ma ma ma ma ma ma ma ma
tions, but synthetic insulin is commonly available.‖ ma ma ma ma ma ma ma
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 worry.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochlo
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ride and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
ma ma ma ma ma ma ma ma
B. A 55-year-old African American female diagnosed with hypertension
ma ma ma ma ma ma ma ma
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
ma ma ma ma ma ma ma ma ma
D. A 64-year-old African American male diagnosed with heart failure
ma ma ma ma ma ma ma ma ma
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
ordered 30 minutes pre-
a ma ma ma
operatively. The nurse knows that teaching has been effective by which of the following client statements?
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
a
A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
B. ―This is a palliative medication to help ease the pain from surgery.‖
ma ma ma ma ma ma ma ma ma ma ma ma
C. ―This medication will replace vitamins and minerals that may be lost due to bleeding during s
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
urgery.‖ ma
D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medi
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
cations to be included in the patient’s medication list?
ma ma ma ma ma ma ma ma ma
A. Levothyroxine sodium (Synthroid) ma ma ma
B. Estrogen (Estradiol) ma ma
C. Iodine 131 ma ma
D. Carbimazole (Methimazole) ma ma
ma
ma
ma
6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
tract. Which of the following statements would the nurse include in the client’s teaching?
a ma ma ma ma ma ma ma ma ma ma ma ma ma ma
A. ―You will need to drink a large amount of prep to clear out your system before the
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
test.‖ ma
B. ―It is important that you be given a prophylactic medication to prevent aspiration during the t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
est.‖ ma
C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highlig
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ht any digestive problems.‖ ma ma ma ma
D. ―You will be given a sedative to help make you sleepy during the testing procedure.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
, recently admitted with metastatic disease. While reviewing the patient’s medication list, the studen
ma ma ma ma ma ma ma ma ma ma ma ma
t would categorize which of the following medications as palliative in nature?
ma ma ma ma ma ma ma ma ma ma ma ma
A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 ma ma ma ma ma ma ma ma ma ma
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days
ma ma ma ma ma ma ma ma ma ma
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy ma ma ma ma ma ma ma ma
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain
ma ma ma ma ma ma ma ma ma ma ma ma ma
8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which
ma ma ma ma ma ma ma ma ma ma ma ma
maof the following statements by the individual indicates an understanding of the medication’s origin?
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
A. ―I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ ma ma ma ma ma ma ma ma ma ma ma ma ma
D. ―I think harvesting medicines from cows seems rather odd.‖
ma ma ma ma ma ma ma ma ma
9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
omography (CAT) scan ma ma ma
B. Magnetic resonance imaging (MRI) ma ma ma ma
C. Colonoscopy ma
D. Thyroid scan ma ma
ma
Multiple Response ma ma
Identify one or more choices that best complete the statement or answer the question.
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ma
mamamamamamamamamamamamama 1. While working with patients in home care, a nurse becomes interested in additional ways to sup
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port patient healing and comfort. Which of the following is recognized as an alternative therapy?
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(Select all that apply.) ma ma ma ma
A. Acupuncture ma
B. Aromatherapy ma
C. Therapeutic touch ma ma
D. Stem cell treatment ma ma ma
ma
ma
ma
E. Vegetarianism ma
F. Acupressure ma
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Downloaded at Knoowy - Upload your own study documents and earn money
ma ma ma ma ma ma ma ma ma ma ma
, ma
ma
ma
ma
Chapter 1. History of Pharmacology Answe
ma ma ma ma ma
r Section
ma ma
ma
MULTIPLE CHOICE ma ma
ma
1. ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
ma ma mamama ma ma ma ma ma ma ma
KEY: Application MSC: NCLEX Category: Basic Care and Comfort
ma ma ma ma ma ma ma ma ma
NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
hrough the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
in sweet potatoes, bananas, and oranges.
ma ma ma ma ma ma
2. ANS: C PTS: 1 DIF: Moderate
ma ma mamama ma ma ma
TOP: Therapeutic Classification: Anti-diabetic medication
ma KEY: Analysis ma ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
ma ma ma ma ma
NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
is most commonly used. This change occurred because of concern over the possible transmission of diseas
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
es from animals to humans. Synthetic medications are usually more inexpensive because they are mass pro
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
duced. ma
3. ANS: D PTS: 1 DIF: Moderate
ma ma mamama ma ma ma
TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
ma ma ma ma ma ma
KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
ma ma ma ma ma ma ma ma ma
NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat A
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
frican American patients with heart failure.
ma ma ma ma ma ma
4. ANS: A PTS: 1 DIF: Easy
ma ma mamama ma ma ma
TOP: Therapeutic Classification: Antibiotics
ma KEY: Analysis ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
ma ma ma ma ma
NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such a
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
s antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A ma ma
Difficulty Level: Easy ma ma ma
ma
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: N
mamama ma ma ma ma ma ma ma ma ma ma ma
CLEX Category: Pharmacological Therapies
ma ma ma ma
NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Le
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
vothyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
o women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
abnormalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
6. ANS: C PTS: 1 DIF: Moderate
ma ma mamama ma ma ma
TOP: Therapeutic Classification: Diagnostic contrast
ma KEY: Analysis ma ma ma ma ma ma
MSC: NCLEX Category: Reduction of Risk Potential
ma ma ma ma ma ma ma
NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patien
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ts swallow to help highlight digestive problems on radiograph.
ma ma ma ma ma ma ma ma ma
7. ANS: D PTS: 1 DIF: Moderate
ma ma mamama ma ma ma
TOP: Therapeutic Classification: Narcotics
ma KEY: Analysis ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
ma ma ma ma ma
NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, bu
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
t they make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an anti
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
neoplastic agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medic
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ations), while ondansetron is given in a prophylactic measure to prevent nausea and vomiting related to th
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e chemotherapy.
ma ma
ma
ma
ma
8. ANS: B PTS: 1 DIF: Moderate
ma ma mamama ma ma ma
TOP: Therapeutic Classification: Hormonal therapy
ma KEY: Analysis ma ma ma ma ma ma
MSC: NCLEX Category: Pharmacological Therapies
ma ma ma ma ma
NOT: See Sources of Drugs (p. 6): Cows and pigs are good sources of hormone replacements, but conjuga
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ted estrogen (Premarin) comes from a pregnant mare’s urine.
ma ma ma ma ma ma ma ma ma
