Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins
Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins
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Chapter 17. Immunologic System Medications
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. The nurse receives a call from the parent of a 6-year-old girl who complains of a headache, sinus congestion, and a cough. The parent asks, “Can I give him some Benadryl to help with all this congestion?” Which of the following statements by the nurse is best?
| A. | “How long has your child been ill?” |
| B. | “It should be fine if he weighs more than 60 pounds.” |
| C. | “What other over-the-counter medications have you given him?” |
| D. | “We don’t recommend antihistamines in children.” |
____ 2. The nurse is providing a follow-up phone call to a patient who recently started taking fexofenadine (Allegra). Which of the following statements by the patient would indicate the medication has been effective?
| A. | “My joint pain is much better now.” |
| B. | “My nose isn’t running and itchy all the time now.” |
| C. | “I don’t have any green drainage from that cut in my arm anymore.” |
| D. | “I passed a large worm last night, so I guess it’s working.” |
____ 3. The LPN answers the phone call of a client who has been taking prednisolone (Prelone) for the treatment of an acute flare of systemic lupus erythematosus. The client says, “The doctor said something about stopping this medication but I can’t remember what she said.” Which response by the nurse is best?
| A. | “It is important to taper steroid medications slowly, so the tapering schedule should have been part of the prescription and will be written on the label.” |
| B. | “Once you need to start taking steroids, you usually stay on them indefinitely.” |
| C. | “I will have to check your chart and call you back next week.” |
| D. | “What did the pharmacy tell you about the medication?” |
____ 4. An LPN takes her daughter to the primary care physician for a routine physical. In reviewing the client’s history of asthma and noting the child’s peak flow meter is in the yellow zone, the nurse would anticipate the physician to prescribe which of the following medications?
| A. | Loratadine (Claritin) |
| B. | Beclomethasone (Vanceril) |
| C. | Phenylephrine (Dimetapp) |
| D. | Diflunisal (Dolobid) |
Answer Section
MULTIPLE CHOICE
TOP: Therapeutic Classification: Immunological System Medications
KEY: Application MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master the Essential Table and Antihistamines (p. 303–311; 312): Diphenhydramine (Benadryl) is an over-the-counter antihistamine that comes in children formulation. It is important to recognize that many over-the-counter products for cold and allergy symptoms contain antihistamines, so knowing what the child has already taken will be an important assessment.
TOP: Therapeutic Classification: Immunological System Medications
KEY: Application MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master the Essential Table and Antihistamines (p. 303–311; 312): Fexofenadine is an antihistamine used to help control seasonal allergies. It will not affect joint pain, infectious processes, or treat worms.
TOP: Therapeutic Classification: Immunological System Medications
KEY: Application MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master the Essential Table and Glucocorticoids (p. 303–311; 312): Glucocorticoids must be used only as prescribed and discontinued slowly. Because of the serious side effects and long-term danger of immunosuppression, these medications are not given indefinitely. The nurse should check the chart to determine the ordering directions, but the client’s question should not be delayed an entire week. Knowing what the pharmacist said about the medications will not help in this scenario.
TOP: Therapeutic Classification: Immunological System Medications
KEY: Application MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master the Essential Table and Glucocorticoids (p. 303-311; 312): Beclomethasone is an inhaled corticosteroid often used in the treatment of asthma. Loratadine is an antihistamine, phenylephrine is a decongestant, and diflunisal is an NSAID.
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