Pharmacology and the Nursing Process 10th Edition

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A calcium channel blocker is prescribed for a patient, and the nurse provides instructions to the patient about the medication. Which instruction is correct? a. Chew the tablet for faster release of the medication. b. To increase the effect of the drug, take it with grapefruit juice. c. If the adverse effects of chest pain, fainting, or dyspnea occur, discontinue the medication immediately. d. A high-fiber di...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is presenting a substance-abuse lecture for teenagers and is asked about “ecstasy.” The nurse recognizes that this is the slang term for which substance? a. Cocaine b. Flunitrazepam c. Methamphetamine methylenedi-oxymethamphetamine (MDMA) d. Methylenedioxymethamphetamine (MDMA) ANS: B MDMA is also known as “ecstasy” or “E” and is a synthetic amphetamine derivative. The other drugs ar...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. While monitoring a depressed patient who has just started SSRI antidepressant therapy, the nurse will observe for which problem during the early time frame of this therapy? a. Hypertensive crisis b. Self-injury or suicidal tendencies c. Extrapyramidal symptoms d. Loss of appetite ANS: B The U.S. Food and Drug Administration (FDA) has issued black box warnings regarding the use of all classes of antidepres...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is providing teaching regarding drug therapy to the husband of a woman with Alzheimer’s disease. She was diagnosed 3 months ago, has mild memory loss, and will be receiving donepezil. What is the drug’s expected action? a. Prevents memory loss in later stages. b. Reverses the course of Alzheimer’s disease. c. Provides sedation to prevent agitation and restlessness. d. May help to improve the m...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is screening a patient who will be taking a nonspecific/nonselective beta blocker. Which condition, if present, may cause serious problems if the patient takes this medication? a. Angina b. Hypertension c. Glaucoma d. Asthma ANS: D Nonspecific/nonselective beta-blocking drugs may precipitate bradycardia, hypotension, heart block, heart failure, bronchoconstriction, and/or increased airway resist...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A 14-year-old patient has been treated for asthma for almost 4 months. Two weeks ago, she was given salmeterol as part of her medication regimen. However, her mother has called the clinic to report that it does not seem to work when her daughter is having an asthma attack. Which response by the nurse is appropriate? a. “It takes time for a therapeutic response to develop.” b. “She is too young for this pa...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient is taking flurazepam three to four nights a week for sleeplessness. She is concerned that she cannot get to sleep without taking the medication. What nonpharmacologic measures should the nurse suggest to promote sleep for this patient? a. Providing a quiet environment b. Exercising before bedtime to become tired c. Consuming heavy meals in the evening to promote sleepiness d. Drinking hot tea or cof...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. When administering a neuromuscular blocking drug, the nurse needs to remember which principle? a. It is used instead of general anesthesia during surgery. b. Only skeletal muscles are paralyzed; respiratory muscles remain functional. c. It causes sedation and pain relief while allowing for lower doses of anesthetics. d. Artificial mechanical ventilation is required because of paralyzed respiratory muscles. ...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is developing a care plan for a patient who is taking an anticholinergic drug. Which human needs statement would be appropriate for this patient? a. Altered gastrointestinal elimination (diarrhea) b. Altered urinary elimination c. Altered safety needs, risk for infection d. Altered sleep needs ANS: B Patients receiving anticholinergic drugs are at risk for urinary retention and constipation, not...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is giving an intravenous dose of phenytoin. Which action is correct when administering this drug? a. Give the dose as a fast intravenous (IV) bolus. b. Mix the drug with normal saline, and give it as a slow IV push. c. Mix the drug with dextrose (D5W), and give it as a slow IV push. d. Mix the drug with any available solution as long as the administration rate is correct. ANS: B Intravenous phen...