Chapter 04 DAVIS’S DRUG GUIDE FOR NURSES, 15th Edition

Chapter 04 DAVIS’S DRUG GUIDE FOR NURSES, 15th Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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: Page 847

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 providing milrinone 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