Pharmacology Clear and Simple A Guide to Drug Classifications and Dosage Calculations 3rd Edition Watkins Test Bank Chapter 1. History of Pharmacology Multiple Choice Identify the choice that best completes the statement or answers the question.
- While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has
- Broccoli and kiwi
- Oranges and sweet potatoes
- Kale and cucumbers
- Bananas and melon
- A client newly diagnosed with diabetes tells the nurse, “I can’t take any insulin made from pigs or
- “Most insulin comes from animal sources, but I’m sure alternative options are
- “Medications that are derived from animals are typically less expensive than
- “Most insulin is synthetic now to help reduce the risk of disease transmission.”
- “The animals aren’t hurt in the production of medications, so you don’t need to
- While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine
- A 48-year-old Caucasian male diagnosed with atrial fibrillation
- A 55-year-old African American female diagnosed with hypertension
- A 63-year-old Caucasian female diagnosed with sick sinus syndrome
- A 64-year-old African American male diagnosed with heart failure
- While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin
- “The antibiotic is given as a prophylactic to help reduce the risk of infection after
- “This is a palliative medication to help ease the pain from surgery.”
- “This medication will replace vitamins and minerals that may be lost due to
- “This medication will help the surgeon identify areas of bone destruction due to
- While caring for a patient with a history of hypothyroidism, the nurse expects which of the following
- Levothyroxine sodium (Synthroid)
- Estrogen (Estradiol)
- Iodine 131
- Carbimazole (Methimazole) 1 / 4
been effective if the patient includes which of the following foods in his daily menus?
cows.” Which of the following responses by the nurse is best?
available.”
synthetic medications, but synthetic insulin is commonly available.”
worry.”
hydrochloride and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
(Ancef) as ordered 30 minutes pre-operatively. The nurse knows that teaching has been effective by which of the following client statements?
surgery.”
bleeding during surgery.”
arthritis.”
medications to be included in the patient’s medication list?
- The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-old
- “You will need to drink a large amount of prep to clear out your system before the
- “It is important that you be given a prophylactic medication to prevent aspiration
- “You will be asked to drink a barium contrast about 30 minutes before the test to
- “You will be given a sedative to help make you sleepy during the testing
- A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
- Cisplatin (Platinol) 50 mg IV weekly to start day 8
- Sorafenib (Nexavar) 200 mg orally twice daily for 7 days
- Ondansetron (Zofran) 4 mg IV prior to chemotherapy
- Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain
- A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin).
- “I’m against animal cruelty, so I don’t want to take anything made from animal
- “I was told the medication is actually derived from the urine of pregnant horses.”
- “Because I’m Jewish, I can’t take the medication since it comes from pigs.”
- “I think harvesting medicines from cows seems rather odd.”
- The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing.
- Computerized axial tomography (CAT) scan
- Magnetic resonance imaging (MRI)
- Colonoscopy
- Thyroid scan
patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal tract. Which of the following statements would the nurse include in the client’s teaching?
test.”
during the test.”
help highlight any digestive problems.”
procedure.”
recently admitted with metastatic disease. While reviewing the patient’s medication list, the student would categorize which of the following medications as palliative in nature?
Which of the following statements by the individual indicates an understanding of the medication’s origin?
flesh.”
A 47-year-old woman reports being allergic to iodine, and thus is unable to have which test?
Multiple Response Identify one or more choices that best complete the statement or answer the question.
- While working with patients in home care, a nurse becomes interested in additional ways to support
- Acupuncture
- Aromatherapy
- Therapeutic touch
- Stem cell treatment 2 / 4
patient healing and comfort. Which of the following is recognized as an alternative therapy? (Select all that apply.)
- Vegetarianism
- Acupressure 3 / 4
Chapter 1. History of Pharmacology Answer Section
MULTIPLE CHOICE
- ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
- ANS: C PTS: 1 DIF: Moderate
- ANS: D PTS: 1 DIF: Moderate
- ANS: A PTS: 1 DIF: Easy
KEY: Application MSC: NCLEX Category: Basic Care and Comfort NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water through the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in sweet potatoes, bananas, and oranges.
TOP: Therapeutic Classification: Anti-diabetic medication KEY: Analysis MSC: NCLEX Category: Pharmacological Therapies NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source is most commonly used. This change occurred because of concern over the possible transmission of diseases from animals to humans. Synthetic medications are usually more inexpensive because they are mass produced.
TOP: Therapeutic Classification: Combination drug (diuretic/nitrate) KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat African American patients with heart failure.
TOP: Therapeutic Classification: Antibiotics KEY: Analysis MSC: NCLEX Category: Pharmacological Therapies NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
5. ANS: A
Difficulty Level: Easy
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NCLEX Category: Pharmacological Therapies NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances.Levothyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid abnormalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
- ANS: C PTS: 1 DIF: Moderate
- ANS: D PTS: 1 DIF: Moderate
- / 4
TOP: Therapeutic Classification: Diagnostic contrast KEY: Analysis MSC: NCLEX Category: Reduction of Risk Potential NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patients swallow to help highlight digestive problems on radiograph.
TOP: Therapeutic Classification: Narcotics KEY: Analysis MSC: NCLEX Category: Pharmacological Therapies NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, but they make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineoplastic agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medications), while ondansetron is given in a prophylactic measure to prevent nausea and vomiting related to the chemotherapy.