Pharmacotherapy A Pathophysiologic Approach 10th Edition Dipiro Talbert
Yee Test Bank
Chapter 1: Health Literacy and Medication Use
1. What time will the trough blood level need to be drawn if the nurse administers
...
Pharmacotherapy A Pathophysiologic Approach 10th Edition Dipiro Talbert
Yee Test Bank
Chapter 1: Health Literacy and Medication Use
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.
2. What will the nurse expect the health care providers order to be when starting an older adult
patient on thyroid hormone replacement therapy?
a.
Administering a loading dose of the drug
b.
Directions on how to taper the drug
c.
A dosage that is one third to one half of the regular dosage
d.
A dosage that is double the regular dosage
ANS: C
To prevent toxicity, dosages for new medications in older adults should be one third to one 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.
DIF: Cognitive Level: Application REF: p. 29 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
3. Which drugs cause birth defects?
a.
Teratogens
b.
Carcinogens
c.
Metabolites
d.
Placebos
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.
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
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