100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
DAVIS'S DRUG GUIDE FOR NURSES 17TH EDITION BY APRIL HAZARD VALLERAND TEST BANK $17.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Harvard University
  4.  
  5. NURSING

Exam (elaborations)

DAVIS'S DRUG GUIDE FOR NURSES 17TH EDITION BY APRIL HAZARD VALLERAND TEST BANK
 1 purchase
  • Course
  • NURSING
  • Institution
  • Harvard University
  • Book
  • Drug Guide

New! The AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults #1 Drug Guide for patient safety Red tab for high alert medications, plus in-depth high alert and patient safety coverage Red, capitalized letters for life-threatening side effects ...

[Show more]

Preview 4 out of 99  pages

Document information

  • August 25, 2023
  • 99
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • question with answers
  • test bank and solutions
  • 17th edition
  • by april hazard vallerand
  • test bank
  • daviss drug guide for nurses

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

  • TEST BANK FOR: Davis's Drug Guide For Nurses Seventeenth Edition By April Hazard Vallerand Phd Latest Version.
  • TEST BANK FOR: Davis's Drug Guide for Nurses Seventeenth Edition by April Hazard Vallerand PhD Latest Version.
  • Davis's Drug Guide for Nurses 16th Edition Test Bank Latest edition 2024-2025
All for this textbook (6)

Written for

  • Harvard University
  • NURSING
All documents for this subject (4054)

Seller

avatar-seller
ExaminationSolutions

Reviews received

Content preview

lOMoARcPSD|27131152




TEST BANK AND SOLUTIONS FOR DAVIS'S DRUG GUIDE FOR NURSES 17TH EDITION BY APRIL HAZARD VALLERAND

.

Drug Guide Test Bank



MULTIPLE CHOICE



1. The nurse is providing care for a patient scheduled to take acarbose (Precose)25 mg 3times daily
with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the following actions by
the nurse is best?
A. Reassure the patient that these are common side effects with the medication.
B. Call the pharmacy to report an adverse drug reaction.
C. Check the patient’s blood glucose level.
D. 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



2. 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?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. 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 betablocker 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




.

, lOMoARcPSD|27131152




.



3. 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?
A. “He may feel like his heart is racing after he takes his inhaler.”
B. “He can use the inhaler as many times during football practice as he needs it.”
C. “He should avoid cola and other caffeinated drinks since they may increase his heart rate.”
D. “He should take 2puffs 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 2inhalations 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: Page117



4. While providing care for an adolescent patient newly prescribed amitriptyline(Elavil), the nurse
shouldbe most concerned by which of the following patient statements?
A. “My mouth seems really dry and I’m thirsty all the time.”
B. “I take a nap most afternoons now because I feel sleepy sometimes.”
C. “I’m not sure why we should even bother anymore; everything seems so pointless.”
D. “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



5. 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
?
A. Provide the medication as ordered.
B. Call the pharmacist to request a substitution.
C. Ask the patient if he or she has taken amoxicillin in the past.
D. Hold the medication.

ANS: D




.

, lOMoARcPSD|27131152




.


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



6. 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?
A. Morphine sulfate (Morphine) 2mg IV bolus
B. Atropine (AtroPen) 0.4 mg IV bolus
C. Lorazepam (Ativan) 0.5 mg IV bolus
D. 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



7. 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?
A. “The med pack will have 5pills, 1for each of the next 5 days.”
B. “If I don’t feel better next week, I can get a refill from the pharmacist.”
C. “I only need to take 1pill, but my symptoms may not clear for 3 days.”
D. “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 healthcare 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




.

, lOMoARcPSD|27131152




.


8. The home-care nurse is preparing to see a patient being treated for diabetic foot ulcerations
withbecaplermin (Regranex). Which of the following instructions will the nurse include in the patient
teaching?
A. “Apply the wound gel 3times daily to promote healing.”
B. “Store the gel in the refrigerator.”
C. “Complete healing is expected within 3 days.”
D. “After applying the wound gel, cover with a transparent adhesive dressing.”

ANS: B
See Implementation for becaplermin: Calculated amount is applied as a thin layer and covered with a
moist saline dressing for 12 hr; dressing is removed, ulcer rinsed, and redressed with moist dressing
without becaplermin for rest of day. Process is repeated daily.Store gel in refrigerator; do not freeze.If
ulcer does not decrease in size by 30% within 10 wk, continuation of therapy should be reassessed.Cover
with a moist saline dressing for 12 hr. Then, remove dressing, rinse ulcer, and redress with moist
dressing without becaplermin for rest of day.

KEY: Cognitive Level:
Analysis DIF: Hard
TOP: Therapeutic Classification:Wound/Ulcer/Decubiti healing
agents REF: Page 214



9. The nurse is tracking patient symptoms related to acute alcohol intoxication and withdrawal. Which
of the following medications would the nurse expect to provide in the management of these symptoms?
A. Clopidogrel (Plavix)
B. Bupropion (Zyban)
C. Omeprazole (Prilosec)
D. Clorazepate (Tranxene T-Tab)

ANS: D
See Indications for clorazepate: Clorazepate is used in the management of simple partial seizures, anxiety
disorder, symptoms of anxiety, and acute alcohol withdrawal.Clopidogrel is an antiplatelet
agent.Bupropion is an antidepressant.Omeprazole is an antiulcer agent

. KEY: Cognitive Level:Application
DIF: Medium
TOP: Therapeutic Classification:
Anticonvulsants REF: Drugguide.com



10. The nurse prepares to provide colchicine (Colcrvs) to a patient. The nurse should assess which of
the following prior to administration of the medication?
A. Blood pressure
B. Complete blood count
C. Triglyceride level
D. Oxygen saturation

ANS: B




.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ExaminationSolutions. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67418 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$17.99  1x  sold
  • (0)
Add to cart
Added