Test Bank for Daviss

Test Bank for Davis's Drug Guide for Nurses 17e April Hazard Vallerand (All Chapters) 1 / 4

Davis’s Drug Guide for Nurses, 17e Test Bank-1 Drug Guide Test Bank

MULTIPLE CHOICE

• The nurse is providing care for a patient scheduled to take acarbose (Precose) 25 mg 3 times daily with

meals. The patient reports feeling sweaty, weak, and tremulous. Which of the following actions by the nurse is best?

• Reassure the patient that these are common side effects with the medication.
• Call the pharmacy to report an adverse drug reaction.
• Check the patient’s blood glucose level.
• Determine if the patient has a history of anemia.

ANS: C

See Assessment for acarbose: Observe the patient for signs and symptoms of hypoglycemia. Acarbose alone does not cause hypoglycemia; however, other concurrently administered hypoglycemic agents may produce hypoglycemia, requiring treatment. Ignoring these symptoms would be dangerous, but it is not considered an adverse drug reaction requiring an official report. The patient is experiencing symptoms of hypoglycemia not anemia.

KEY: Cognitive Level: Analysis

DIF: Medium

TOP: Therapeutic Classification: Antidiabetics

REF: Drugguide.com

• While responding to a rapid response called on the cardiac step-down unit, the nurse from intensive

care observes the unit nurse massaging a patient’s neck and instructing the patient to bear down. Which of the following medications will most likely be used if the patient’s pulse does not return to normal?

• Adenosine (Adenocard)
• Epinephrine (Adrenaline)
• Atenolol (Tenormin)
• Asenapine (Saphris)

ANS: A

See Indications for adenosine: Adenosine is used for the conversion of paroxysmal supraventricular tachycardia (PVST) to normal sinus rhythm when vagal maneuvers are unsuccessful. Epinephrine is a bronchodilator used in the management of reversible airway disease. Atenolol is a beta blocker used in the management of hypertension. Asenapine is an antipsychotic mood stabilizer used in the acute treatment of schizophrenia or manic/mixed episodes associated with bipolar I disorder.

KEY: Cognitive Level: Application

DIF: Medium

TOP: Therapeutic Classification: Antiarrhythmics

REF: Page 112 | Page 505 | Page 191 | Page 188

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Davis’s Drug Guide for Nurses, 17e Test Bank-2

• The nurse is instructing the parent of a 6-year-old patient recently started on an albuterol (ProAir HFA)

inhaler for exercise-induced asthma. The nurse recognizes that further teaching is necessary by which of the following client statements?

• “He may feel like his heart is racing after he takes his inhaler.”
• “He can use the inhaler as many times during football practice as he needs it.”
• “He should avoid cola and other caffeinated drinks since they may increase his heart rate.”
• “He should take 2 puffs about 15 min before gym class.”

ANS: B

See Contraindications/Precautions, Interactions, and Dosage for albuterol. Excess inhaler use may lead to tolerance and paradoxical bronchospasm. Use with caffeine-containing herbs (cola nut, guarana, tea, coffee) increases stimulant effect. Two inhalations every 4–6 hr or 2 inhalations 15 min prior to exercise).Tachycardia is an expected side effect with this medication.

KEY: Cognitive Level: Analysis

DIF: Easy

TOP: Therapeutic Classification: Bronchodilators

REF: Page 117

• While providing care for an adolescent patient newly prescribed amitriptyline (Elavil), the nurse should

be most concerned by which of the following patient statements?

• “My mouth seems really dry and I’m thirsty all the time.”
• “I take a nap most afternoons now because I feel sleepy sometimes.”
• “I’m not sure why we should even bother anymore; everything seems so pointless.”
• “I drink a cup of coffee most days with breakfast.”

ANS: C

See Contraindications/Precautions for amitriptyline: the use of this medication may increase the risk of suicide attempt/ideation especially during early treatment or dose adjustment; risk may be greater in children or adolescents. Sedation is an expected side effect. Dry mouth is an expected side effect. There is no directive to avoid caffeine with this medication.

KEY: Cognitive Level: Analysis

DIF: Medium

TOP: Therapeutic Classification: Antidepressants

REF: Page 145

• The nurse is caring for a patient with otitis media who reports an allergy to penicillin. Orders are

received for amoxicillin 500 mg every 8 hr. Which of the following actions by the nurse is best?

• Provide the medication as ordered.
• Call the pharmacist to request a substitution.
• Ask the patient if he or she has taken amoxicillin in the past.
• Hold the medication.

ANS: D 3 / 4

Davis’s Drug Guide for Nurses, 17e Test Bank-3 See contraindications/precautions for amoxicillin. Contraindicated in hypersensitivity to penicillin. This medication should be held due to the stated allergy to penicillin.KEY: Cognitive Level: Application

DIF: Easy

TOP: Therapeutic Classification: Anti-infectives

REF: Page 148

• While caring for a patient in hospice who is actively dying, the nurse notes moderate respiratory

distress, copious oral secretion, and a frequent moist cough. Which of the following prn medications would most promote comfort for the patient?

• Morphine sulfate (Morphine) 2 mg IV bolus
• Atropine (AtroPen) 0.4 mg IV bolus
• Lorazepam (Ativan) 0.5 mg IV bolus
• Diphenhydramine (Benadryl) 25 mg IV bolus

ANS: B

See Action for atropine: Low doses decrease sweating, salivation, and respiratory secretions. Morphine is used for pain control. Lorazepam is used for anxiety. Benadryl is used for itching.

KEY: Cognitive Level: Analysis

DIF: Medium

TOP: Therapeutic Classification: Antiarrhythmics | Therapeutic Classification: Anticholinergics

REF: Page 198

• The nurse is counseling a patient started on azithromycin (Zithromax) for the treatment of an upper

respiratory infection. The nurse recognizes that teaching has been effective by which of the following patient statements?

• “The med pack will have 5 pills, 1 for each of the next 5 days.”
• “If I don’t feel better next week, I can get a refill from the pharmacist.”
• “I only need to take 1 pill, but my symptoms may not clear for 3 days.”
• “I can take this medication safely even though I’m allergic to erythromycin.”

ANS: A

See Route/Dosage for azithromycin: 500 mg on 1st day, then 250 mg/day for 4 more days. Instruct the patent to notify health care professional if symptoms do not improve. Teach the patient to take medication as directed and to finish the drug completely. Azithromycin is contraindicated in patients with an allergy to erythromycin.

KEY: Cognitive Level: Analysis

DIF: Easy

TOP: Therapeutic Classification: Anti-infectives

REF: Page 202

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