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Chapter 1. History of Pharmacology

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

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Chapter 1. History of Pharmacology

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effective if the patient includes which of the following foods in his daily menus?

A. Broccoli and kiwi
B. Oranges and sweet potatoes
C. Kale and cucumbers
D. Bananas and melon

 

 

____     2.   A client newly diagnosed with diabetes tells the nurse, “I can’t take any insulin made from pigs or cows.” Which of the following responses by the nurse is best?

A. “Most insulin comes from animal sources, but I’m sure alternative options are available.”
B. “Medications that are derived from animals are typically less expensive than synthetic medications, but synthetic insulin is commonly available.”
C. “Most insulin is synthetic now to help reduce the risk of disease transmission.”
D. “The animals aren’t hurt in the production of medications, so you don’t need to worry.”

 

 

____     3.   While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochloride and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?

A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
B. A 55-year-old African American female diagnosed with hypertension
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
D. A 64-year-old African American male diagnosed with heart failure

 

 

____     4.   While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as ordered 30 minutes pre-operatively. The nurse knows that teaching has been effective by which of the following client statements?

A. “The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.”
B. “This is a palliative medication to help ease the pain from surgery.”
C. “This medication will replace vitamins and minerals that may be lost due to bleeding during surgery.”
D. “This medication will help the surgeon identify areas of bone destruction due to arthritis.”

 

 

____     5.   While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medications to be included in the patient’s medication list?

A. Levothyroxine sodium (Synthroid)
B. Estrogen (Estradiol)
C. Iodine 131
D. Carbimazole (Methimazole)

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate        TOP:   Therapeutic Classification: Diuretic

KEY:  Application    MSC:  NCLEX Category: Basic Care and Comfort

NOT:  See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water through the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in sweet potatoes, bananas, and oranges.

 

  1. ANS:  C                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Anti-diabetic medication          KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source is most commonly used. This change occurred because of concern over the possible transmission of diseases from animals to humans. Synthetic medications are usually more inexpensive because they are mass produced.

 

  1. ANS:  D                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Combination drug (diuretic/nitrate)

KEY:  Analysis         MSC:  NCLEX Category: Pharmacologic and Parenteral Therapy

NOT:  See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat African American patients with heart failure.

 

  1. ANS:  A                    PTS:   1                    DIF:    Easy

TOP:   Therapeutic Classification: Antibiotics                              KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.

 

  1. ANS:  A

Difficulty Level: Easy

 

PTS:   1                    DIF:    Easy               TOP:   Therapeutic Classification: Replacement hormones

KEY:  Knowledge     MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Levothyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid abnormalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.

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