LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND ED ROSENTHAL TEST BANK

LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK/ 

Chapter 3: Promoting Positive Outcomes of Drug Therapy

Test Bank

Multiple Choice 

14. A patient reports that a medication prescribed for recurrent migraine headaches is not working.

Which action should be taken first?

a. Ask the patient about the number and frequency of tablets taken.

b. Assess the patient’s headache pain on a scale from 1 to 10.

c. Report the patient’s complaint to the prescriber.

d. Suggest biofeedback as an adjunct to drug therapy.

ANS: A

When evaluating the effectiveness of a drug, it is important to determine whether the patient is

using the drug as ordered. Asking the patient to tell the nurse how many tablets are taken and how

often helps the nurse determine compliance. Assessing current pain does not yield information

about how well the medication is working unless the patient is currently taking it. The nurse should

gather as much information about compliance, symptoms, and drug effectiveness as possible

before contacting the prescriber. Biofeedback may be an effective adjunct to treatment, but it

should not be recommended without complete information about drug effectiveness.DIF:

Cognitive Level: ApplicationREF: pp. 15-16TOP: Nursing Process: Evaluation MSC: NCLEX

Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

15. A patient is prescribed metronidazole for bacterial vaginosis. Which patient history finding

would be most concerning? 

a. Recent yeast infection

b. Family history of cervical cancer

c. Drinks two glasses of wine every night

d. Patient is currently unemployed 

ANS: C

Patients taking metronidazole should be educated not to drink alcohol to prevent adverse reactions.

It would be concerning that the patient drinks wine daily. History of a yeast infection may indicate

increased risk for recurrence with administration of an antimicrobial. A family history of cervical

cancer is not related to administration of metronidazole. Unemployment can indicate lack of

insurance coverage, which may limit the patient’s ability to purchase medications, but is not the

most concerning patient finding.DIF: Cognitive Level: ApplicationREF: p. 12TOP: Nursing

Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction

of Risk Potential 

16. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label

instructs the patient to administer “two puffs every 4 hours as needed for coughing or

wheezing.” The patient reports feeling jittery sometimes when taking the medication, and she

doesn’t feel that the medication is always effective. Which action is most appropriate?

a. Asking the patient to demonstrate use of the inhaler

b. Assessing the patient’s exposure to tobacco smoke

c. Auscultating lung sounds and obtaining vital signs

d. Suggesting that the patient use one puff to reduce side effects

ANS: C

Asking the patient to demonstrate inhaler use helps to evaluate the patient’s ability to administer

the medication properly and is part of the nurse’s evaluation, but is not a priority intervention based

on the patient’s current report. Assessing tobacco smoke exposure helps the nurse determine

whether nondrug therapies, such as smoke avoidance, can be used as an adjunct to drug therapy,

but does not relate to the patient’s current problem. Performing a physical assessment helps the

nurse evaluate the patient’s response to the medication and identify the presence of other side

effects.DIF: Cognitive Level: ApplicationREF: p. 13TOP: Nursing Process: Implementation MSC:

NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

17. A patient newly diagnosed with diabetes is to be discharged from the hospital. Which action

should be taken first during medication education?

a. Asking the patient to demonstrate how to measure and administer insulin

b. Discussing methods of storing insulin and discarding syringes

c. Giving information about how diet and exercise affect insulin requirements

d. Teaching the patient about the long-term consequences of poor diabetes control