Basic Pharmacology For Nurses 17th Edition By Clayton-Test Bank
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Exam Material for Simplified Pharmacology Principles for Nursing 17th Ed. By Clayton
ISBN-10: 0323311121 ISBN-13: 978-0323311120
CHOICE SELECTIONS
1. Upon noticing hives in a patient newly on medication, what is the first thing the nurse should do?
| a. | Inform the doctor about an allergic reaction. |
| b. | Report idiosyncratic reactions to the physician. |
| c. | Notify the physician about possible teratogenicity. |
| d. | Inform the physician about potential tolerance issues. |
ANS: A
An allergy is shown by hives and/or urticaria, which are easy to identify. An idiosyncratic reaction is a rare, abnormal response to a drug. Teratogenicity refers to the ability to cause birth defects. Tolerance is the need for increased doses over time for the same effect.
DIF: Thinking Level: Application REF: Page 17 OBJ: 4
TOP:Nursing Process Step: Assessment
MSC:NCLEX Client Needs Category: Physiological Integrity
NOT:CONCEPT(S): Clinical Judgment; Safety
2. After administering a steroid to an asthmatic patient, the nurse finds the patient agitated 30 minutes later, claiming paranoia. What type of reaction is this?
| a. | Expected outcome |
| b. | Negative side effect |
| c. | Unusual response |
| d. | Allergic reaction |
ANS: C
This is an idiosyncratic reaction, which is an abnormal response upon first exposure to a drug. Desired outcomes are expected responses. Side effects occur in another system. Allergic reactions develop after repeated doses.
DIF: Thinking Level: Knowledge REF: Page 18 OBJ: 4
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Patient Teaching; Clinical Judgment; Safety; Sensory Awareness
3. When do drug interactions typically happen?
| a. | With toxic drug dosages |
| b. | When the effect of bound drugs increases |
| c. | When one drug alters the effect of another |
| d. | By increasing drug excretion |
ANS: C
Drug interactions alter the effectiveness of one or more drugs. Toxicity may or may not impact other drug metabolism. Interactions can lead to increased or decreased pharmacodynamic effects. They may also affect excretion rates.
DIF: Thinking Level: Comprehension REF: Page 18 OBJ: 5
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Safety; Patient Teaching; Clinical Judgment
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