Online Nursing Practice Test about Pharmacology (41-45)

41. The client is receiving Spironolactone (Aldactone). Which of the following diets is recommended for the client?

a) high-potassium diet
b) high-protein diet
c) low-potassium diet
d) low protein diet

42. The client is receiving Gentamycin sulfate (Garamycin). Which of the following are side effects of the drug? Select all that apply.

a) photosensitivity
b) elevated BUN
c) elevated serum creatinine
d) hearing loss
e) increased urine output
f) nausea and vomiting

43. The client is receiving amphogel (AL-OH). Which of the following are side effects of the drug? Select all that apply.

a) constipation
b) hypophosphatemia
c) hyperkalemia
d) hypercalcemia
e) diarrhea
f) hypermagnesemia

44. The client is receiving Pepcid (Famotidine). Which of the following should be included when giving health teachings to the client?

a) take the medication with meals
b) avoid taking aspirin
c) take the medication with milk
d) take the medication before meals

45. The client is in digitalis therapy. What question should the nurse ask to know if the client is experiencing digitalis toxicity?

a) do you feel dizzy?
b) do you experience lack of appetite to eat?
c) do you have constipation?
d) do you experience tightening of your ring?



ANSWERS AND RATIONALE

41) C
- spironolactone is a potassium-sparing diueretic. It may cause hyperkalemia so; the diet of the client should be low-potassium diet.

42) A, B, C, D, F
- gentamycin causes photosensitivity, nephrotoxicity, and ototoxicity. It also causes G.I. manifestations.

43) A, B, D
- amphogel is a phosphate binder. It causes constipation. As it binds with phosphate, phosphate is excreted via the GI tract. As phosphates goes down, levels of calcium will elevate: hypophosphatemia -> hypercalcemia.

44) B
- pepcid is indicated in peptic ulcer disease. Aspirin causes gastric irritation; therefore it should not be taken by the client.

45) B
- anorexia is an early sign of digitalis toxicity. Other signs and symptoms of digitalis toxicity are as follows: bradycardia, nausea and vomiting, dysrhythmias, blurred vision, green/yellow vision, halos/rainbows around lights, antiandrogenic effects like gynecomastia, decreased libido, and impotence.


Related Topics:

• Online Nursing Practice Test about Pharmacology (46-50)
• Go back to Online Nursing Practice Test about Pharmacology (1-5) to start the test from the beginning.