Chapter 4 Davis’s Drug Guide For Nurses 15Th Edition

Chapter 4  Davis’s Drug Guide For Nurses 15Th Edition

Complete Chapter Questions And Answers
 

Sample Questions

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

5. While preparing to give morning medications, Remeron (mirtazapine) was newly ordered for the patient to begin this morning. The nurse would immediately call the physician to question this order if which of the following medications was included in the patient’s list of home medications?
A. Enteric coated aspirin
B. Lasix (furosemide)
C. Digoxin (lanoxin)
D. Nardil (phenelzine)
ANS: D
See Interactions for mirtazapine: Concurrent use with MAO inhibitors can cause hypertension, seizures, and death.
KEY: Cognitive Level: Analysis
DIF: Hard
TOP: Therapeutic Classification: Antidepressants
REF: Page 865

6. A nurse is receiving a shift-to-shift report for a client with multiple medical problems. The client is receiving nabumetone. The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?
A. Benign prostatic hypertrophy
B. Rheumatoid arthritis
C. Venous-thrombosis embolic prophylaxis
D. Urinary tract infection
ANS: B
See Indications for nabumetone: Symptomatic management of rheumatoid arthritis.
KEY: Cognitive Level: Application
DIF: Medium
TOP: Therapeutic Classification: Antirheumatics, Nonsteroidal anti-inflammatory agents
REF: Drugguide.com