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P A R T 1
Introduction to nursing pharmacology
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C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
An example of a drug allergy is:
a.
dry mouth occurring with use of an
antihistamine.
b.
increased urination occurring with use of a
thiazide diuretic.
c.
breathing difficulty after an injection of
penicillin.
d.
skin rash associated with procainamide use.
2.
A person taking glyburide (an antidiabetic drug) has
his morning dose and then does not have a chance to
eat for several hours. An adverse effect that might be
expected from this would be:
a.
a teratogenic effect.
b.
a skin rash.
c.
an anticholinergic effect.
d.
hypoglycaemia.
3.
A person with a severe infection is given gentamicin,
the only antibiotic shown to be effective in culture
and sensitivity tests. A few hours after the drug
is started intravenously, the person becomes very
restless and develops oedema. Blood tests reveal
abnormal electrolytes and elevated BUN. This
reaction was most likely caused by:
a.
an anaphylactic reaction.
b.
renal toxicity associated with gentamicin.
c.
superinfection related to the antibiotic.
d.
hypoglycaemia.
4.
Persons receiving antineoplastic drugs that disrupt
cell function often have adverse effects involving
cells that turn over rapidly in the body. These cells
include:
a.
ovarian cells.
b.
liver cells.
c.
cardiac cells.
d.
bone marrow cells.
5.
A woman has had repeated bouts of bronchitis
throughout the autumn and has been taking
antibiotics. She calls the clinic with complaints of
vaginal pain and itching. When she is seen, it is
discovered that she has developed a yeast infection.
You would explain to her that:
a.
her bronchitis has moved to the vaginal area.
b.
she has developed a superinfection because the
antibiotics kill bacteria that normally provide
protection.
c.
she probably has developed a sexually
transmitted disease related to her lifestyle.
d.
she will need to take even more antibiotics to
treat this new infection.
6.
Knowing that a person is taking a loop diuretic
and is at risk for developing hypokalaemia, the
healthcare provider would assess the person
for:
a.
hypertension, headache and cold and clammy
skin.
b.
decreased urinary output and yellowing of the
sclera.
c.
weak pulse, low blood pressure and muscle
cramping.
d.
diarrhoea and flatulence.
