Davis’s Drug Guide For Nurses 16th Edition By Hazard – Test Bank

MULTIPLE CHOICE

 

 

1. The nurse works in a pediatric psychiatry unit. Ritalin (methylphenidate) 5 mg three times daily is commonly prescribed for many of the clients. The nurse recognizes this drug needs to be used cautiously in which of the following children?
   A. An 8-year-old patient with a history of cardiovascular disease
   B. A 12-year-old patient with a history of scoliosis
   C.A 6-year-old patient who takes Singulair (montelukast) daily
   D. A 7-year-old patient with a history of sickle cell anemia

ANS: A
See Contraindications/Precautions for methylphenidate: Sudden death has occurred in children with structural cardiac abnormalities or other cardiovascular disease.

KEY: Cognitive Level: Application

DIF: Medium

TOP: Therapeutic Classification: Central nervous system stimulants

REF: Pages 840-841

 

 

2. A 71-year-old client was newly prescribed Zaroxolyn (metolazone). The nurse recognizes the drug has been effective by which of the following assessments?
   A. White blood cell count = 5,500 cells/mm³
   B. Client reports sleeping 8 hr per night
   C. BP = 132/74
   D. Client denies hallucinations

ANS: C
See Evaluation for metolazone: Decrease in BP and edema, increase in urine output.

KEY: Cognitive Level: Application

DIF: Medium

TOP: Therapeutic Classification: Antihypertensives, Diuretics

REF: Page847

 

 

3. The nurse is providing care for a 64-year-old client being prepped for a colonoscopy who is given midazolam. The nurse would expect to see which of the following responses?
   A. Decrease in oral secretions
   B. Increased heart rate
   C. Decrease in abdominal cramping
   D. Increased drowsiness

ANS: D
See Nursing Implications for midazolam: Pre-procedural sedation.

KEY: Cognitive Level: Application

DIF: Medium

TOP: Therapeutic Classification: Anti-anxiety agents; sedative/hypnotics

REF: Pages 855-856

 

 

 

4. The nurse is providingmilrinone to a 71-year-old woman with heart failure. Which of the following nursing assessments during the infusion is of the highest priority?
   A. Monitor client’s blood sugar every 4 hr.
   B. Monitor client’s sedation level hourly.
   C. Monitor client’s telemetry continuously.
   D. Monitor client’s urine output every 4 hr.

ANS: C
See Nursing Implications Assessment for milrinone: Monitor ECG continuously during infusion. Arrhythmias are common and may be life threatening.

KEY: Cognitive Level: Analysis

DIF: Hard

TOP: Therapeutic Classification: Inotropics

REF: Page 863

 

 

5. While preparing to give morning medications, Remeron (mirtazapine) was newly ordered for the patient to begin this morning. The nurse would immediately call the physician to question this order if which of the following medications was included in the patient’s list of home medications?
   A. Enteric coated aspirin
   B. Lasix (furosemide)
   C. Digoxin (lanoxin)
   D. Nardil (phenelzine)

ANS: D
See Interactions for mirtazapine: Concurrent use with MAO inhibitors can cause hypertension, seizures, and death.

KEY: Cognitive Level: Analysis

DIF: Hard

TOP: Therapeutic Classification: Antidepressants

REF: Page865

 

 

6. A nurse is receiving a shift-to-shift report for a client with multiple medical problems. The client is receiving nabumetone. The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?
   A. Benign prostatic hypertrophy
   B. Rheumatoid arthritis
   C. Venous-thrombosis embolic prophylaxis
   D. Urinary tract infection

ANS: B
See Indications for nabumetone: Symptomatic management of rheumatoid arthritis.

KEY: Cognitive Level: Application

DIF: Medium

TOP: Therapeutic Classification: Antirheumatics, Nonsteroidal anti-inflammatory agents

REF: Drugguide.com

 

 

 

7. While providing care for a client who is to receive Amerge (naratriptan), the nurse recognizes that the client understands this medication by which of the following statements?
   A. “If my migraine headache doesn’t go away, I can repeat the dose within 30 minutes.”
   B. “This medication will typically make me very sleepy after I take it.”
   C. “I need to let the doctor know right away if I have any chest pain or tightness after taking this medication.”
   D. “I need to be sure and take a laxative when I take this medication.”

ANS: C
See Patient Family Teaching for naratriptan: Advise patient and family to notify health-care professional prior to next dose of naratriptan if pain or tightness in the chest occurs during use. Dose may be repeated in 4 hr if response is inadequate. Medication does not cause sedation or constipation.

KEY: Cognitive level: Analysis

DIF: Medium

TOP: Therapeutic Classification: Vascular headache suppressants

REF: Pages 896

 

 

8. In reviewing new orders, the nurse notes Starlix (nateglinide) 120 mg three times daily before meals has been ordered. Before initiating therapy, the nurse should assess for which of the following?
9. Blood sugar
   B. Respiratory rate
   C. Level of consciousness
   D. Creatinine clearance

ANS: A
See Nursing Implications Assessment for nateglinide: Monitor serum glucose.

KEY: Cognitive Level: Application

DIF: Medium

TOP: Therapeutic Classification: Antidiabetics

REF: Drugguide.com

 

 

9. While caring for a client with hypertension who has recently started taking Bystolic (nebivolol), the client reports, “This medication seems to give me a headache.” Which of the following statements by the nurse is best?
   A. “Headaches are common with your new medications. You should continue to take the medication to help control your blood pressure.”
   B. “That’s too bad. You could try taking half a pill twice a day.”
   C. “You should call your doctor and let them know about that—it could be a serious side effect of the new medication.”
   D. “Have you noticed any muscle twitching or facial numbness?”

ANS: A
See Adverse Reactions/Side Effects for nebivolol: Can cause dizziness, fatigue, and headache.

KEY: Cognitive Level: Analysis

DIF: Medium

TOP: Therapeutic Classification: Antihypertensives

REF: Page 897

 

 

10. The nurse is providing instructions to a client who has started therapy withnicardipine. The nurse instructs the client to avoid which of the following foods?
    A. Kiwi
    B. Grapefruit juice
    C. Garlic
    D. Ginger

ANS: B
See Drug-food under Interactions for nicardipine: Grapefruit and grapefruit juice increases serum levels and effect.

KEY: Cognitive Level: Knowledge

DIF: Easy

TOP: Therapeutic Classification: Antianginals, Antihypertensives