Online Nursing Practice Test about Pharmacology (1-5)

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1. Which of the following laboratory results shows adverse effect of garamycin?

a) elevated SGOT and SGPT
b) decreased wbc count
c) increased platelet count
d) elevated BUN and serum creatinine

2. The client is on heparin therapy. Which of the following health teaching is essential?

a) use a safety razor to shave
b) use a soft sponge toothbrush
c) take ecotrin for pain
d) use compression support stockings

3. Which of the following medications would the nurse be prepared to administer to a client in liver failure?

a) neomycin and lactulose
b) phenytoin sodium
c) diazepam
d) phenobarbital

4. What is the difference between epidural analgesia and analgesia given through intravenous route?

a) epidural analgesia has longer effect in the body
b) epidural analgesia has more sedative effect
c) epidural analgesia is more effective in relieving pain
d) epidural analgesia has fewer side effects

5. A client is receiving Synthroid. Which of the following assessment data indicates that the client is experiencing a side effect of the drug?

a) muscle weakness and fatigue
b) headache and lethargy
c) tachycardia and weight loss
d) anorexia and obesity



ANSWERS AND RATIONALE

1) D
- garamycin is an aminoglycoside. It is nephrotoxic and ototoxic. Nephrotoxicity is indicated by elevated BUN and serum creatinine.

2) B
- heparin is an anticoagulant. Avoid factors that may cause bleeding. Use soft bristled/soft sponge toothbrush to prevent gum bleeding. Ecotrin (ASA) may cause bleeding. Electric razor, and not safety razor is recommended to prevent trauma.

3) A
- neomycin and lactulose block ammonia formation. These are indicated to relieve hepatic encephalopathy. Neomycin reduces colonic bacteria which are responsible for ammonia formation. Lactulose acidifies the colon and inhibits formation of alkaline ammonia.

4) A
- epidural analgesia has longer effect on the body.

5) C
- synthroid is a thyroid preparation. This may cause hypersensitivity of the thyroid gland as manifested by tachycardia and weight loss.

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