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Chapter 3 Drug Action Across the Life Span
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Chapter 3 Drug Action Across the Life Span
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TEST BANK FOR CLAYTON’S BASIC PHARMACOLOGY FOR NURSES 18TH EDITION BY WILLIHNGANZ ALL CHAPTERS QUESTIONS AND DETAILED CORRECT ANSWERS 100%
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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialChapter 3: Drug Action Across the Life Span
Test Bank
MULTIPLE CHOICE
1. What time will the trough blood level need to be drawn if the nurse administers the
intravenous medication dose at 9:00 AM?
a. 6:30 AM
b. 8:30 AM
c. 9:30 AM
d. 11:30 AM
ANS: B
Trough blood levels measure the lowest blood level of medicine and are obtained just before
the dose is administered. In this case, 6:30 AM is too early to obtain the blood level. The other
two times occur after the medication is administered.
DIF: Cognitive Level: Application REF: p. 26 OBJ: 3
m
TOP: Nursing Process Step: Implementation
er as
MSC: NCLEX Client Needs Category: Physiological Integrity
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eH w
2. What will the nurse expect the health care provider’s order to be when starting an older adult
patient on thyroid hormone replacement therapy?
o.
rs e
a. Administering a loading dose of the drug
b. Directions on how to taper the drug
ou urc
c. A dosage that is one third to one half of the regular dosage
d. A dosage that is double the regular dosage
o
ANS: C
aC s
To prevent toxicity, dosages for new medications in older adults should be one third to one
vi y re
half the amount of a standard adult dosage. Loading doses of drugs could cause severe
toxicity. Tapering off is characteristic of discontinuation of medications and is not appropriate
for this situation. Older adults generally need a lower medication dosage than younger
patients.
ed d
ar stu
DIF: Cognitive Level: Application REF: p. 29 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
is
3. Which drugs cause birth defects?
a. Teratogens
Th
b. Carcinogens
c. Metabolites
d. Placebos
sh
ANS: A
Teratogens are drugs that cause birth defects. Carcinogens cause cancer. Metabolites are the
end product of metabolism. Placebos are drugs that have no pharmacologic activity.
DIF: Cognitive Level: Knowledge REF: p. 30 OBJ: 6
TOP: Nursing Process Step: Assessment
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MSC: NCLEX Client Needs Category: Physiological Integrity
4. Which life threatening illness may occur as a result of aspirin (salicylate) administration
during viral illness to patients younger than 20 years of age?
a. Anaphylactic shock
b. Reye’s syndrome
c. Chickenpox
d. Influenza A
ANS: B
Children are susceptible to Reye’s syndrome if they ingest aspirin at the time of or shortly
after a viral infection of chickenpox or influenza. Anaphylactic shock is caused by a
hypersensitivity reaction. Chickenpox is the result of being infected with a virus. Influenza A
is caused by a pathogen.
DIF: Cognitive Level: Knowledge REF: pp. 27-28 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
5. Which classification of medications commonly causes allergic reactions in children?
m
er as
a. Antacids
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b. Analgesics
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c. Antibiotics
d. Anticonvulsants
o.
ANS: C rs e
ou urc
Antibiotics, especially penicillins, commonly cause allergic reactions in children. Intravenous
antibiotics can cause rapid reactions; therefore, the pediatric patient’s response to a
medication should be assessed and monitored closely. Antacids rarely cause allergic reactions.
o
Children are not particularly allergic to analgesics or anticonvulsants.
aC s
vi y re
DIF: Cognitive Level: Knowledge REF: p. 28 OBJ: 3
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
ed d
6. After giving instructions to an expectant mother about taking medications during pregnancy,
which patient statement indicates the need for further teaching?
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a. “I will not take herbal medicines during pregnancy.”
b. “For morning sickness, I will try crackers instead of taking a drug.”
c. “If I get a cold, I will avoid taking nonprescription medications until I check with
is
my physician.”
d. “I will limit my alcohol intake to only one glass of wine weekly.”
Th
ANS: D
Alcohol needs to be eliminated during pregnancy and for 2 to 3 months prior to conception.
Limited studies are available regarding the use of herbal medications in general, and thus they
sh
should be avoided during pregnancy. Alternative nonpharmacologic treatments are
appropriate to use during morning sickness. The pregnant woman should also avoid using
nonprescription drugs because few data are available about safe use in pregnancy. Because
few medicines can be considered completely safe for use in pregnancy, the physician needs to
approve and recommend the use of nonprescription drugs.
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