Chapter 17--Pharmacology: Nursing Management

Chapter 17–Pharmacology:  Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is prescribed a medication that takes several doses to achieve a therapeutic level; however, the effects of the medication are needed immediately. Which of the following can the nurse anticipate to implement in order to achieve this desired effect?

1.	Administer the medication intravenously.
2.	Administer the medication at hour of sleep.
3.	Administer the medication before breakfast.
4.	Administer a loading dose of the medication.

 

 

ANS:  4

When it is necessary or desired to reach a therapeutic level of a medication more quickly, a loading dose may be prescribed. Intravenous administration will not help to achieve a therapeutic level more quickly. Administering the medication at hour of sleep or before breakfast will not help achieve a therapeutic level more quickly.

 

PTS:   1                    DIF:    Apply            REF:   Pharmacokinetic Phase

 

2. A client is prescribed tetracycline. Which of the following should the nurse instruct the client about this medication?

1.	Ingest the medication with milk products.
2.	This medication does not interact with other medications.
3.	Avoid exposure to the sun while ingesting this medication.
4.	Blood in the urine is a common side effect.

 

 

ANS:  3

Photosensitivity, reduced effectiveness of oral contraceptives, and toxic effects are side effects of tetracycline used after the expiration date, and the nurse should instruct the client regarding these side effects when the client is prescribed this medication. Tetracycline should not be ingested with milk products. Blood in the urine is not a common side effect of tetracycline.

 

PTS:   1                    DIF:    Apply

REF:   Macrolides, Tetracyclines, Aminoglycosides, and Fluoroquinolones: Nursing Management

 

3. When providing nitroglycerin paste to a client, the nurse should wear gloves because:

1.	putting on the paste is a sterile procedure.
2.	this medication is absorbed through the skin.
3.	it is part of the six rights of medication administration.
4.	it is necessary for infection control.

 

 

ANS:  2

The nitroglycerin in an ointment preparation is absorbed through the skin. The nurse should wear gloves to prevent the absorption of the medication through the nurse’s skin. The application of a paste is not a sterile procedure. Wearing gloves is not one of the six rights of medication administration. Wearing gloves to provide this medication is not being done for infection control.

 

PTS:   1                    DIF:    Apply            REF:   Antianginal Agents: Pharmacokinetics

 

4. The nurse would report which of the following laboratory values as being within the range of toxicity for a client who is prescribed digoxin?

1.	0.5 mcg/mL
2.	0.2 mcg/mL
3.	1.5 mcg/mL
4.	2.7 mcg/mL

 

 

ANS:  4

Serum digoxin levels should be 0.7 to 2.0 mcg/mL, with toxic levels at greater than 2.0 mcg/mL. Levels below 0.7 mcg/mL would be subtherapeutic. A level of 1.5 mcg/mL is within therapeutic range. A level of 2.7 mcg/mL would be considered toxic.

 

PTS:   1                    DIF:    Apply            REF:   Cardiac Glycosides: Laboratory Monitoring

 

5. When instructing a client regarding the correct method to utilize nitroglycerin tablets, the nurse tells the client if the pain persists after three tablets are used at 5 minute intervals, the client should:

1.	call 911 and go to the hospital.
2.	sleep for 1 hour and see if the pain is resolved.
3.	take a fourth tablet and the pain will go away.
4.	drink an extra glass of water to help with digestion.

 

 

ANS:  1

The patient should go to the hospital right away. This could be a sign of an impending myocardial infarction. The client should not sleep for an hour, take a fourth tablet, or drink a glass of water.

 

PTS:   1                    DIF:    Apply

REF:   Antianginal Agents: Side Effects and Adverse Effects