Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins – Test Bank

Test Bank For Pharmacology Simplified and Easy eBook

1. ISBN-10

   080362588X

2. ISBN-13

   978-0803625884

   Combining two books in one! – Pharmacology and Dosage Calculations. Save time and money with this dual book offer! Half of the book covers pharmacology, while the other half focuses on dosage calculations, with an in-depth yet easy-to-understand review of basic math skills! This essential guide will help you gain a solid understanding of pharmacology and how to safely administer medications. An approach that focuses on bodily systems in pharmacology, combined with a primary focus on drug classifications, prepares you for real-life scenarios where specific medications are utilized. Revised and updated, the 2nd Edition of this worktext features a consistent chapter structure that progresses from key terms and learning objectives through the chapter content to application and review exercises. Additionally, drug calculation activities on the BONUS CD-ROM will help you build your skills and overcome any fears. Face your toughest challenges in any clinical setting with the Pharmacology Simplified and Easy, 2nd Edition!

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   == SAMPLE ==

   Chapter 2. Fundamentals of Pharmacology

   Multiple Options
   Select the best option that completes the statement or answers the question.

   ____ 1. Before applying valacyclovir (Valtrex) ointment to shingles lesions on a client’s left side and lower back, what action should the nurse take first?
   A. Put the patient in a supine position.
   B. Determine when the rash first appeared.
   C. Ensure that the skin is clean and dry.
   D. Take the patient’s vital signs.

   ____ 2. Why is it necessary for a pregnant client at 32 weeks’ gestation, who developed a deep vein thrombosis, to receive low-molecular-weight heparin injections instead of oral blood clot medication?
   A. Lipid-soluble substances like warfarin can cross the placental barrier, unlike heparin.
   B. Substances taken orally during pregnancy can cross the placental barrier, unlike substances absorbed by other means.
   C. Only water-soluble substances such as vitamins can cross the placental barrier, allowing the intake of both drugs, but heparin is more cost-effective.
   D. Both substances are similar, but injections are quicker in absorption than capsules, hence the doctor’s prescription.

   ____ 3. What statement by a client with HIV prescribed fosamprenavir (Lexiva) indicates the need for further education?
   A. “The drug metabolites may be excreted in an active form.”
   B. “I’m relieved my kidneys function well, or else the drug wouldn’t be effective.”
   C. “This drug requires breakdown by my body to combat the virus.”
   D. “My liver must metabolize the drug in order for it to be effective.”

   ____ 4. When a client newly started on insulin asks why they need injections instead of pills, what would be the nurse’s best response?
   A. “Our bodies naturally produce insulin, so it is provided as a liquid medication.”
   B. “We do have diabetic pills available; I’m unsure why the doctor opted for injections in your case.”
   C. “Insulin is designed for faster absorption when given in the form of injections.”
   D. “The stomach acid would render the pills ineffective, hence the need for injections.”

   ____ 5. Which finding concerning a 48-year-old male client on Gentamicin (Garamycin) with a dosage regimen of 2 mg/kg every 8 hours would concern the nurse the most?
   A. Blood levels monitored every 24 hours
   B. Client’s EGFR = 40 mL/min
   C. Client’s hemoglobin = 11.8 g/dL
   D. Client’s WBC = 14,000 c/mm3

   ____ 6. If a 16-year-old client on tetracycline for treating acne expresses concerns about a prescribed medication, which prescription would raise the most concern from the nurse?
   A. Amoxicillin clavulanate (Augmentin)
   B. Cefdinir (Omnicef)
   C. Cefixime (Suprax)
   D. Ciprofloxacin (Cipro)

   ____ 7. After administering cyclobenzaprine (Flexeril) to a client experiencing muscle spasms, what side effects would the nurse inform the client to expect?
   A. Hypocalcemia and hypotension
   B. Dizziness and drowsiness
   C. Nausea and headache
   D. Flaccidity and urinary retention

   ____ 8. When prioritizing care for multiple clients, which client would the nurse see first?
   A. A 28-year-old HIV patient with a temperature of 99.2°F
   B. A 54-year-old patient with diverticulitis who has just transitioned to solid foods
   C. A 61-year-old individual taking ibuprofen for arthritis experiencing severe abdominal pain
   D. A 37-year-old patient with a kidney stone due for pain medication in 20 minutes

   ____ 9. When preparing to administer ibuprofen (Motrin) 800 mg orally to a patient post laparoscopic hysterectomy, what action should the nurse prioritize?
   A. Check if the client has eaten within the last hour.
   B. Assess the client’s vaginal discharge.
   C. Assist the client in walking in the hallway.
   D. Review the client’s recent renal panel labs.

   ____ 10. While caring for clients on the orthopedic unit, which finding would be most concerning to the nurse?
   A. A client on lisinopril (Zestril) complaining of limited range of motion post shoulder surgery
   B. A client with a fractured pelvis on warfarin sodium (Coumadin) reporting black tarry stool
   C. A client 2 days post-op for knee replacement on hydrocodone/acetaminophen (Vicodin) refusing labs
   D. A client 4 days post hip replacement on omeprazole (Prilosec) ordering spinach for dinner

   ____ 11. While in the neonatal intensive care unit, a nurse notices an infant’s oxygen saturation has been at 98% for the past 4 hours with oxygen at 4 L. What action should the nurse take?
   A. Reduce the oxygen level to 3 L to mitigate the risk of eye damage.
   B. Maintain the current oxygen level to reduce the risk of lung damage.
   C. Lower the oxygen level to 2 L and monitor closely for potential ICU discharge.
   D. Keep the current oxygen level and advise the parents about the need for supplemental oxygen at home.

   Multiple Choice
   Select multiple options that best complete the statement or answer the question.

   ____ 1. A nurse administering oral medication should know that which aspects affect the absorption rate of a drug? (Select all that apply.)
   A. A drug’s fat solubility level must be high for effective absorption.
   B. Highly acidic medications are more easily absorbed.
   C. Acidic nature of drugs facilitates absorption.
   D. Liquid forms of medication lead to quicker absorption.
   E. Absorption is slower in the presence of food.
   F. Chewing lozenges releases a maximum drug amount.

   ____ 2. While tending to various patients, the nurse screens which individuals for potential liver toxicity? (Select all that apply.)
   A. A 14-year-old ADHD patient on atomoxetine (Strattera)
   B. A 44-year-old pneumonia patient on acetaminophen (Tylenol)
   C. A 63-year-old patient with atrial fibrillation and an irregular pulse
   D. A 19-year-old with alcohol abuse history after a tonsillectomy
   E. A 71-year-old with tuberculosis on isoniazid (Laniazid)
   F. A 15-year-old who ingested excessive aspirin in a suicide attempt

   ____ 3. Working in a gastrointestinal clinic, which patients are at high risk for gastric ulcer development? (Select all that apply.)
   A. A 41-year-old with a family history of Crohn’s disease
   B. A 54-year-old smoking 1.5 packs/day for 40 years
   C. A 29-year-old on misoprostol (Cytotec)
   D. A 16-year-old with a history of bulimia
   E. A 44-year-old on ibuprofen (Advil) daily for back pain

   ____ 4. Administering medication in a long-term care facility, what preventive measures would the nurse implement to avoid gastrointestinal side effects? (Select all that apply.)
   A. Offer yogurt to prevent diarrhea.
   B. Increase client’s fiber intake to reduce gastric motility.
   C. Administer medication with milk or meals to reduce nausea incidence.
   D. Enhance drug absorption by providing a large snack at night.
   E. Prevent constipation by administering fiber laxatives.

   Chapter 2. Essentials of Medication Management
   Answer Section

   MULTIPLE CHOICE

   1. C
   2. A
   3. B
   4. D
   5. B
   6. A
   7. B
   8. C
   9. D
   10. B
   11. A

   MULTIPLE RESPONSE

   1. A, C, D, E
   2. B, D, E, F
   3. B, E
   4. A, C, E