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

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

Multiple ChoiceIdentify the choice that best completes the statement or answers the question. ____ 1. The nurse is preparing to apply valacyclovir (Valtrex) ointment to the shingles lesions located across a client’s left side and lower back. Which of the following actions should the nurse take first?A.Place the patient in a supine position.B.Determine when the rash was first noted.C.Ensure that the skin is clean and dry.D.Take the patient’s vital signs.  ____ 2. The nurse is providing care for a client at 32 weeks’ gestation who started low-molecular heparin injections after developing a deep vein thrombosis. The client asks the nurse, “Why do I have to take a shot? Why can’t I take the blood clot medicine that my dad takes orally?” Which of the following responses by the nurse is best?A.“Anything that is fat-soluble, including warfarin (Coumadin), is able to cross the placental barrier. Heparin is not fat-soluble so it doesn’t cross the barrier well.”B.“The placenta is easily crossed by anything you take by mouth while you are pregnant, but not by things absorbed in other ways.”C.“Only water-soluble substances such as vitamins can cross the placental barrier, so you could take either medication, but heparin is cheaper.”D.“They are the same medication, but the shot is absorbed faster than the pill so the doctor wants you to take daily shots.”  ____ 3. The nurse is providing care to a client with HIV who has been prescribed fosamprenavir (Lexiva). Which of the following statements by the client indicates that further teaching is necessary?A.“The metabolites of this medication may be excreted in active form.”B.“I’m glad my kidneys work so well; otherwise the medication wouldn’t work.”C.“This drug actually has to be broken down by my body to fight the virus.”D.“Isn’t it fascinating that my liver has to metabolize the drug for it to work?”  ____ 4. The nurse is working with a client who was recently started on insulin therapy. The client’s young daughter asks, “Why do you have to give her a shot? Why can’t you just give her a pill?” Which of the following responses by the nurse is best?A.“Our bodies make insulin normally, so it is a liquid medication.”B.“We do have diabetic medications in pill form. I’m not sure why the doctor ordered it this way for your mom.”C.“Insulin is manufactured and given this way so it absorbs more rapidly into the body.”D.“The acid in your mother’s stomach would destroy this medication, so it can’t be swallowed.”  ____ 5. The nurse is providing care for a 48-year-old male on the surgical unit. Gentamicin (Garamycin) 2 mg/kg every 8 hours has been started. The nurse would be most concerned by which of the following findings?A.Blood levels have been ordered every 24 hoursB.The patient’s EGFR = 40 mL/minC.The patient’s hemoglobin = 11.8 g/dLD.The patient’s WBC = 14,000 c/mm³  ____ 6. A 16-year-old client comes to the urgent care clinic with symptoms of tonsillitis. The client tells the nurse she takes tetracycline (Doxycycline) daily for the treatment of acne. The nurse would be most concerned if the health care provider prescribed which of the following?A.Amoxicillin clavulanate (Augmentin)B.Cefdinir (Omnicef)C.Cefixime (Suprax)D.Ciprofloxacin (Cipro)  ____ 7. The nurse is providing care for a client experiencing muscle spasms. The physician has ordered cyclobenzaprine (Flexeril). The nurse would inform the client to anticipate which of the following side effects?A.Hypocalcemia and hypotensionB.Dizziness and drowsinessC.Nausea and headacheD.Flaccidity and urinary retention  ____ 8. While caring for clients on the medical unit, the nurse would see which of the following clients first?A.A 28-year-old patient with HIV who has a temperature of 99.2°FB.A 54-year-old patient with diverticulitis whose diet was just advanced to solid foodC.A 61-year-old patient who takes ibuprofen for arthritis complaining of severe stomach painD.A 37-year-old patient with a kidney stone who is due for pain medication in 20 minutes  ____ 9. While preparing to provide a patient admitted to the hospital for a laparoscopic hysterectomy the prescribed dose of ibuprofen (Motrin) 800 mg orally, which of the following actions would take highest priority?A.Determine if the client has eaten within the past hour.B.Assess the client’s vaginal discharge.C.Help the client ambulate in the hall.D.Evaluate the client’s most recent renal panel labs.