ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 3 : Lifespan Considerations Questions
Question 1 of 5
An 83-year-old woman has been given a thiazide diuretic to treat heart failure. She and her caregiver should be told to watch for which problems?
Correct Answer: B
Rationale: Electrolyte imbalance, leg cramps, fatigue, and dehydration are common complications when thiazide diuretics are given to elderly patients. The other options do not describe typical complications associated with thiazide diuretics in the elderly.
Question 2 of 5
An elderly patient with a new diagnosis of hypertension will be receiving a new prescription for an antihypertensive drug. The nurse expects which type of dosing to occur with this drug therapy?
Correct Answer: D
Rationale: As a general rule, dosing for elderly patients should follow the principle of 'start low, and go slow,' meaning start with the lowest possible dose and increase slowly if needed, based on patient response. Dosing is not primarily based on weight or age, and maximum doses are not initially given.
Question 3 of 5
The nurse is trying to give a liquid medication to a 2 1/2-year-old child and notes that the medication has a strong taste. Which technique is the best way for the nurse to give the medication to this child?
Correct Answer: A
Rationale: Ice cream or another nonessential food disguises the taste of the medication. Adding to a bottle or milk risks incomplete dosing if not fully consumed, and using the word 'candy' may lead to confusion, as the child might think drugs are candy.
Question 4 of 5
The nurse is preparing to give an injection to a 4-year-old child. Which intervention is age appropriate for this child?
Correct Answer: C
Rationale: For a 4-year-old child, offering a brief, concrete explanation about a procedure just beforehand, with the parent or caregiver present, is appropriate. No preparation, explaining afterward, or preparing without a parent are not age-appropriate interventions.
Question 5 of 5
A 7-year-old child will be receiving amoxicillin (Amoxil) 50 mg/kg/day in two divided doses. The child weighs 55 pounds. The medication, once reconstituted, is available as an oral suspension of 125 mg/5 mL. Identify how many milliliters will the child receive per dose.
Correct Answer: 25 mL
Rationale: Convert pounds to kilograms: 55 pounds = 25 kg. 25 kg x 50 mg/kg/day = 1250 mg/day.
To get the amount per dose, divide 1250 by 2, which equals 625 mg/dose.
To calculate the milliliters: 125 mg/5 mL = 625 mg/x mL. (125 * x) = (5 * 625); 125x = 3125; x = 25 mL/dose.