A client reports drowsiness after taking diphenhydramine. The nurse should identify that
drowsiness indicates which of the following?
1) therapeutic effect
2) adverse reaction
3) contraindication
4) precaution - ANS-1
A client reports no allergies but has experienced mild itching while taking amoxicillin in the past.
Which of the following responses should the nurse make?
1) "itching is an expected adverse effect"
2) "itching can indicate toxicity"
3) "itching can indicate a hypersensitivity"
4) "itching can result from dry skin, which is caused by amoxicillin" - ANS-3
A drug has a receptor agonist effect. What should the nurse include in the teaching?
1) It will increase the effects of normal cellular functions
2) prevents cells in body from performing certain actions
3) prevents hormones in body from attaching to receptor sites
4) minimizes the risk that the medication will become toxic - ANS-1
A nurse can identify the generic name for a drug in which of the following ways?
1) begins with a lower-case letter
2) listed in parentheses with the trade name
3) both letters and numbers in the name
4) chemical name is listed in parentheses before the generic name - ANS-1
a nurse is caring for a client who is having difficulty remembering to take their prescribed drug
three times each day. Which of the following alternate forms of the drug can help promote
adherence?
1) liquid suspension
2) immediate-release
3) extended-release
4) powder form - ANS-3
A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of
the drug. The nurse should identify that the oral dose will be higher than the IV dose for which
reason?
1) IV form crosses blood-brain barrier
, 2) oral form has decreased half-life
3) oral form has decrease bioavailability because of the first-pass effect
4) oral form has an increased rate of excretion - ANS-3
A nurse is preparing to administer a drug to a client. In which of the following sections of a
handbook should the nurse look to determine if the client can receive the drug?
1) adverse effects
2) contraindications
3) implementation
4) black box warning - ANS-2
A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same
class share which of the following similarities?
1)similar mechanisms of actions
2) same half-life
3) same route
4) similar availability - ANS-1
A nurse is teaching a client about naproxen enteric-coated tablets. What should the nurse
include in the teaching?
1) absorption occurs in the stomach
2) expect immediate absorption
3) allow the tablet to dissolve in the mouth
4) don't crush or chew the tablet - ANS-4
A patient has a history of renal insufficiency and is taking lithium. The nurse should monitor the
client for which of the following?
1) tolerance
2) drug interaction
3) drug toxicity
4) dependency - ANS-3
Anaphylaxis represents which of the following results of the drug?
1) adverse effect
2) paradoxial effect
3) therapeutic effect
4) toxicity - ANS-1
Client is prescribes an antidepressant based on the ability to prevent the re-uptake of
neurotransmitters. The nurse should identify that which of the following terms describe why the
drug was prescribed?
1) pharmacologic action
2) chemical stability
3) route
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