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NURS 251 Lilley's Pharmacology – Midterm Questions With Complete Solutions
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NURS 251 Lilley's Pharmacology – Midterm Questions With Complete Solutions
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NURS 251 Lilley's Pharmacology – Midterm Questions WithComplete Solutions
(C1) A 77-year old man who has been diagnosed with an upper
respiratory infection tells the nurse that he is allergic to
penicillin. What is the most appropriate response by the nurse?
a) "That is to be expected - lots of people are allergic to
penicillin"
b) "This allergy is not of major concern because the drug is
given so commonly"
c) "What type of reaction did you have when you took
penicillin?"
d) "Drug allergies don't usually occur in older individuals
because they have built up resistance." Correct Answer c)
This answer allows us to investigate further into his adverse
reaction to penicillin.
(C1) A patient has a new prescription for a blood pressure
medication that may cause him to feel dizzy during the first few
days of therapy. Which is the best nursing diagnosis for this
situation?
a) Activity tolerance
b) Potential for injury
c) Disturbed body image
d) Self-care deficit Correct Answer b)
Since the patient can feel dizzy during the first few days, their
likelihood of falling or injuring themselves becomes higher. The
other answers don't directly connect with the question, since the
adverse effect is usually during the first few days of therapy.
,(C1) A patient's chart includes an order that reads as follows:
digoxin 0.025mcg once daily at 0900 hours. Which action by the
nurse is correct?
a) the nurse gives the drug via transdermal route
b) the nurse gives the drug orally
c) the nurse gives the drug intravenously
d) the nurse contacts the prescriber to clarify the dosage route
Correct Answer d)
In the prescribers order, there is no indication of a route, so it is
best not to assume to route, especially with medications that can
be given through multiple routes. By asking the prescriber, you
can ensure that the rights of medication administration are
accounted for.
(C1) An 86-year-old patient is being discharged to home on
digoxin and has little information regarding the medication.
Which statement best reflects a realistic outcome of patient
teaching activities?
a) The patient and patient's daughter will state the proper way to
take the drug.
b) The nurse will provide teaching about the drug's adverse
effects.
c) The patient will state all the symptoms of digoxin toxicity.
d) The patient will call the prescriber if adverse effects occur.
Correct Answer a)
this is an outcome of patient teaching. With (b) this isn't a
patient outcome, it is a step to take during the intervention, not
evaluation stage. (c) is unrealistic for the patient. (d) although it
,is good to voice concerns when an adverse effect has arisen, it's
not the best choice in relation to teaching activities.
(C1) The nurse is compiling a drug history for a patient. Which
question from the nurse will obtain the most information from
the patient?
a) "do you depend on sleeping pills to get to sleep?"
b) "do you have a family history of heart disease?"
c) "when you have pain, what do you do to relieve it?"
d) "what childhood diseases did you have?" Correct Answer c)
Since we are asking specifically for the drug history of the
patient, and not the general health history, asking what they
currently use to relieve pain would give us more information to
compile a drug history.
(C1) The nurse is preparing a care plan for a patient who has
been newly diagnosed with type 2 diabetes mellitus. Put into
correct order the steps of the nursing process, with 1 being the
first step and 5 being the last step.
a) Implementation
b) Planning
c) Assessment
d) Evalulation
e) Nursing diagnoses Correct Answer correct order: c, e, b, a, d
(C1) The nurse is reviewing data collected from a medication
history. Which of these data are considered objective data?
(Select all that apply.)
a) White blood cell count 22,00 mm^3
b) Blood pressure 150/94 mm Hg
, c) Patient rates pain as an "8" on a 10-point scale.
d) Patient's wife reports that the patient has been very sleepy
during the day
e) Patient's weight is 150 lb Correct Answer a), b), e)
These are all forms of objective data, since they include an
instrument of measurement or a lab result. The others are
considered subjective, as it is something the patient reported.
(C1) The nurse is reviewing new medication orders that have
been written for a newly admitted patient. Which orders will the
nurse need to clarify? Select all that apply.
a) Metformin (Glucophage) 1000 mg PO twice a day
b) Sitagliptin (Januvia) 50 mg daily
c) Simvastatin (Zocor) 20 mg PO every evening
d) Irbesartan (Avapro) 300 mg PO once a day
e) Docusate (Colace) as needed for constipation Correct
Answer b) & e)
b) is missing the route while e) is missing the dosage and the
route.
(C11) A patient is receiving an opioid via a PCA pump as part
of his postoperative pain management program. During rounds,
the nurse finds him unresponsive, with respirations of 8
breaths/min and blood pressure of 102/58 mm Hg. After
stopping the opioid infusion, what should the nurse do next?
a) Notify the charge nurse?
b) Draw arterial blood gas
c) Administer an opiate antagonist per standing orders?
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