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Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is discussing the use of adsorbents such as bismuth subsalicylate with a patient who has diarrhea. The nurse will warn the patient about which possible adverse effects? a. Dark stools and blue gums b. Urinary hesitancy c. Drowsiness and dizziness d. Blurred vision and headache ANS: A Dark stools and blue gums are two of the possible adverse effects of bismuth subsalicylate (see Table 51-2). The ...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient has been receiving total parenteral nutrition. Upon assessment, the nurse notes these assessment findings: blood pressure 160/98 mm Hg (elevated from previous readings); pulse rate 110 beats/min and weak; pitting edema on both ankles; and new-onset confusion. The nurse suspects that the patient is experiencing which condition? a. Infection b. Hypoglycemia c. Hyperglycemia d. Fluid overload ANS: D...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is administering liquid oral iron supplements. Which intervention is appropriate when administering this medication? a. Have the patient take the liquid iron with milk. b. Instruct the patient to take the medication through a plastic straw. c. Have the patient sip the medication slowly. d. Have the patient drink the medication, undiluted, from the unit-dose cup. ANS: B Liquid oral forms of iron ...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke’s encephalopathy? a. Vitamin B3 b. Vitamin B1 c. Vitamin B6 d. Folic acid ANS: B Thiamine is necessary for the treatment of a variety of thiamine deficiencies, including Wernicke’s encephalopathy. The other options are inco...

Chapter 46: Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific Drugs and Miscellaneous Drugs Chapter 47: Biologic Response–Modifying and Antirheumatic Drugs Chapter 48: Immunosuppressant Drugs Chapter 49: Immunizing Drugs Chapter 50: Acid-Controlling Drugs

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient has an order for the monoclonal antibody adalimumab. The nurse notes that the patient does not have a history of cancer. What is another possible reason for administering this drug? a. Severe anemia b. Rheumatoid arthritis c. Thrombocytopenia d. Osteoporosis ANS: B Monoclonal antibodies are used for the treatment of cancer, rheumatoid arthritis and other inflammatory diseases, multiple sclerosis...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is hanging a new infusion bag of a chemotherapy drug, but the tubing becomes disconnected and a small amount of the solution drips onto the floor. Which action by the nurse is appropriate? a. Let it dry, and then mop the floor. b. Wipe the area with a disposable paper towel. c. Use a spill kit to clean the area. d. Ask the housekeeping department to clean the floor. ANS: C Special spill kits are...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient will be taking a 2-week course of combination therapy with omeprazole and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse expects a drug from which class to be ordered with the omeprazole? a. Antibiotic b. Nonsteroidal anti-inflammatory drug c. Antacid d. Antiemetic ANS: A The antibiotic clarithromycin is active against H. pylori and is used in combination with omeprazol...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection? a. Haemophilus influenzae type b b. Varicella virus vaccine c. Hepatitis B immunoglobulin d. Hepatitis B virus vaccine (inactivated) ANS: C Recombivax HB promotes active immunity to h...

Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. The nurse is monitoring a patient who is receiving mycophenolate after an organ transplant. Which adverse effect is possible with mycophenolate therapy? a. Constipation b. Hypertension c. Confusion d. Dysuria ANS: B Common adverse effects of mycophenolate include hypertension, hypotension, peripheral edema, tachycardia, chest pain and other effects as noted in Table 48-2. The other options are incorrect. ...