ABSTRACT
With the purchase of the Higher Grades digital Test bank, Pharmacology and the Nursing Process exam makes the transition to an interactive learning solution that better equips students to become Advanced Practice Nurse Prescribers.
PHARMACOLOGY AND THE NURSING PROCESS Test Bank provi...
kariukingamzi@gm ail.com ABSTRACT With the purchase of the Higher Grades digital Test bank, Pharmacology and the Nursing Process exam makes the transition to an interactive learning solution that better equips students to become Advanced Practice Nurse Prescribers. PHARMACOLOGY AND THE N URSING PROCESS Test Bank provides students with evidence -based information to help them diagnose, prescribe, and treat patients safely and effectively while also learning about the most important side effects and precautions. While laying the groundwork fo r a successful understanding of course material, these questions will test students' abilities to apply patient monitoring, instruction, and education. simon TESTING RESOURCES FOR LILLEY'S PHARMACOLOGY AND THE NURSING PROCESS, TENTH EDITION Anemia Drugs CHOSE FROM THE OPTIONS PROVIDED 1. Iron dextran injections are to be given to a patient. When the nurse is giving this medication, which technique is appropriate? a. Intravenous administration mix ed with 5% dextrose b. Intramuscular injection in the upper arm c. Intramuscul ar injection using the Z-track method d. Subcutaneous i njection into the abdomen ANS: C Intramuscul ar iron is gi ven using the Z -track me thod d eep into a large muscle mass. If given int ravenous ly, it is given with normal saline, not 5% dextros e. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient who will be taking oral iron supplement s is being given instructions by a nurse. Which guidelines will the lesson plan contain? a. Take the iron tab lets with milk or antacids. b. Crush the pills as needed to h elp wi th swallowing. c. Take the iron tab lets with meals if gastroint estinal distress occurs. d. If black tarry stools occur, report it to the doctor immedi ately. ANS: C Although t aking iron t ablets with food m ay decrease absorption, doing so helps to reduce gastroint estinal distress. Antacids and m ilk may cause decrea sed iron absorption; iron tablets must be taken whole and not c rushed. Bla ck, tarry sto ols are expected adverse effec ts of oral iron supplem ents. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. Which anticipated side effects will the nurse warn a patient taking oral iron supplements to look out for? a. Palpitations b. Drowsin ess and diz ziness c. Black, tarry stools d. Orange-red discoloration of the urine ANS: C Black, tarry stools and oth er gastroint estinal disturbances may occur with the admini stration of iron p reparations. The other options are incorrect. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 4. For two months, a patient has been taking iron supplements to treat anemia. What kind of treatment response will the nurse look for during a follow -up assessment? a. Decrea sed weight b. Increased activity tolerance c. Decrea sed palpitations d. Increased appetite ANS: B Absence of fatigue, in creased activity tolerance and well-being, and improv ed nutrition status are therapeutic responses to iron suppl ement ation. The other options are incorrect. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 5. A patient has a prescription for an ora l iron supplement. In the event that the patient had a history of which ailment, would the nurse dispute this order? a. Decrea sed hemoglobin b. Hemolytic anemia c. Weakness d. Concurrent therapy with erythropoietics ANS: B Iron supp lements a re contraindicated in anemias that are not caused by iron-deficiency, such as hemolytic anemia. Decreased hemoglobin and weakness are related to iron-deficiency anemia. Iron supp lements are given with erythropoietic d rugs to aid in the p roduction of red blood cells. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential 6. Prior to issuing a new order for iron sucrose, the nurse is examining the medical record of a patient. Which statement about the administration of iron sucrose is accurate? a. The medi cation is given with fo od to r educe gastric dist ress. b. Iron su crose is contraindicated if the p atient has renal dise ase. c. A test do se will be administered before the full dose is given. d. The nurse will monitor the patient for hypotension during the in fusion. ANS: D Iron su crose (Venofer) is an injectable iron p roduct indi cated for the treatment of iron-deficiency anemia in patients with chronic renal disease. It is also used for patients without kidney disease. Its risk of precipitating a naphylaxis is much less than that of iron dextran, and a test dose is not r equired. Hypotension is the most common adverse effect and appears to be related to infusion r ate. Low-weight elderly patients appear to be at greatest risk for hypotension. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 7. The nurse is educating a patient who has iron -deficiency anemi a on dietary choices that can enhance their iron consumption. Which food can improve the absorption of oral iron supplements? a. Milk b. Yogu rt c. Antacids d. Orange juice ANS: D Orange juice contains ascorbic acid, whi ch enhances the absorption of or al iron forms; antacids, milk, and yogurt may interfere with abs orption. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 8. The nurse is dispensing liquid oral iron supplements. What is the right course of action while administering this medication? a. Have the p atient take the liquid iron with milk. b. Instruct the patient to take the m edication th rough a plastic straw. c. Have the p atient sip the medi cation slow ly. d. Have the p atient drink the medi cation, und iluted, from the unit-dose cup. ANS: B Liquid oral forms of iron need to be t aken through a plastic str aw to avoid discolor ation of tooth enamel. Milk may decrea se absorption. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 9. A woman who intends to conceive should ensure that she obtains sufficient quantities of which supplement to minimize the likelihood of embryonic neural tube defects? a. Vitamin B12 b. Vitamin D c. Iron d. Folic acid ANS: D It is recomm ended that admini stration of folic acid be b egun at least 1 month be fore pregnancy and continue through early pregnancy to reduce the risk for fetal neural tube defects. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential 10. The nurse is providing folic acid to a patient who has recently been diagnosed with anemia. Which statement on the use of folic acid in treatment is accurate? a. Folic acid is u sed to treat any type of anemia. b. Folic acid is used to treat iron-deficiency anemia. c. Folic acid is used to treat pernicious anemia. d. The specific cause of the anemia needs to be determined before treatment. ANS: D Folic acid should n ot be used to t reat anemias until the und erlying cause and type of anemia have been identified. A dministering folic acid to a patient with p ernicious anemia may correct the h ematologic changes of anemia, but the symptoms of p ernicious anem ia (which is due to a vitamin B12 deficiency, not a folic acid deficiency) may be deceptively masked. The other options are incorrect. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 11. While undergoing therapy with the hematopoietic medication epoetin alfa, the nurse provides the patient with instructions regarding potential adverse effects that may arise, including
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