Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 32

Question 1

Type: MCSA

The nurse is providing education about fat-soluble and water-soluble vitamins. What is a significant difference that the nurse should include in the teaching session?

1. Water-soluble vitamins are A and D.
2. Fat-soluble vitamins cannot be stored for later use.
3. Excess water-soluble vitamins are excreted in the urine.
4. Water-soluble vitamins can be toxic if stored in excess.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 536

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-2 Explain how vitamins are classified.

Question 2

Type: MCSA

Which statement is not true regarding vitamins?

1. Human cells are able to synthesize most vitamins.
2. The symptoms of the deficiency can be reversed by the administration of the missing vitamin.
3. If the vitamin is not present in adequate amounts, the body's metabolism will be disrupted, and disease will result.
4. Vitamins or their precursors must be supplied in the diet.

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 536

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 32-1 Identify the importance of vitamins and minerals to proper wellness and nutrition.

Question 3

Type: MCMA

What are important characteristics of vitamins that the nurse should include in client teaching? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Provitamins are supplied in the diet.
2. Vitamins are similar in the nutritional roles they play.
3. Disease results when vitamins are not present in adequate amounts.
4. The body synthesizes necessary vitamins.
5. Vitamins can be taken as often as necessary.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 536

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-1 Identify the importance of vitamins and minerals to proper wellness and nutrition.

Question 4

Type: MCSA

The nurse is caring for a client who experiences heavy menstrual periods. What deficiency does the nurse expect this client to experience?

1. Iron
2. Calcium
3. Potassium
4. Vitamin K

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 536

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-4 Identify conditions for which vitamin therapy may be indicated.

Question 5

Type: MCSA

Vitamin K is given to reverse the effects of which medication?

1. Warfarin (Coumadin)
2. Acetaminophen (Tylenol)
3. Lisinopril (Prinivil)
4. Aspirin (ASA)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 538

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-4 Identify conditions for which vitamin therapy may be indicated.

Question 6

Type: MCSA

A client has been ordered to receive iron via IM administration. Which medication can be given either IM or IV?

1. Ferrous fumarate (Feostat)
2. Ferrous gluconate (Fergon)
3. Ferrous sulfate (Feosol)
4. Iron dextran (Dexferrum)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 541

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-5 Identify conditions for which mineral therapy may be indicated.

Question 7

Type: MCMA

A client has been prescribed potassium chloride (K-Dur) twice daily. What should the nurse teach the client regarding this medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Potassium chloride (K-Dur) is discontinued immediately if hyperkalemia is suspected.
2. This medication is used to prevent high blood phosphate levels in patients who are on dialysis.
3. This medication is used for the treatment of metabolic acidosis.
4. Electrolyte levels should be frequently assessed.
5. This medication is used to treat hyperglycemia.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 541

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-5 Identify conditions for which mineral therapy may be indicated.

Question 8

Type: MCMA

For which specific conditions should vitamin therapy be considered? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Heart disease
2. Pregnancy
3. Alcoholism
4. Chronic kidney disease
5. Hypertension

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 538

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-4 Identify conditions for which vitamin therapy may be indicated.

Question 9

Type: MCSA

When answering a client's questions regarding nutritional supplements, what is an appropriate response by the nurse?

1. Most people obtain the necessary nutrients through their normal diet.
2. Dietary supplements are essential to maintain health.
3. Organic foods are higher in vitamins and minerals.
4. Vitamins and minerals are necessary to increase energy levels.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 537

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-1 Identify the importance of vitamins and minerals to proper wellness and nutrition.

Question 10

Type: MCSA

What is the amount of vitamins and minerals needed to prevent a deficiency in a healthy adult that is represented by RDA values?

1. Maximum
2. Minimum
3. Therapeutic
4. Toxic

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 537

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-3 Explain the rationale behind recommended dietary allowances (RDAs).

Question 11

Type: MCSA

Which statement made by the client indicates the need for further teaching?

1. “Vitamin supplements can be a substitute for a balanced diet.”
2. “Too much vitamin A or D is not good for me.”
3. “Although the label on a vitamin supplement might indicate that it contains 100% of the RDA for a particular vitamin, the body might only absorb a little of the vitamin.”
4. “It is not harmful for most patients to consume two to three times the recommended levels of most vitamins.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 538

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-1 Identify the importance of vitamins and minerals to proper wellness and nutrition.

Question 12

Type: MCSA

A client is receiving cyanocobalamin (Cyanabin) every other week. What topic should the nurse include in the client teaching regarding this medication?

1. Alcohol increases the absorption.
2. Treatment might be necessary throughout the lifespan.
3. Hypertension may develop from this medication.
4. Foods high in potassium should be avoided.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 538

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-4 Identify conditions for which vitamin therapy may be indicated.

Question 13

Type: MCSA

What is the medical term used to describe toxic levels of vitamins?

1. Hypervitaminosis
2. Pernicious anemia
3. Vitamin overload
4. Vitamin deficiency

Cognitive Level: Remembering

Client Need: Physiological Integrity

Page Number: 538

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 32-4 Identify conditions for which vitamin therapy may be indicated.

Question 14

Type: MCMA

The nurse is caring for a client with a history of vitamin deficiencies. Which items in the client history does the nurse conclude may be the cause of these deficiencies? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Chronic alcoholism
2. Prolonged parenteral feeding
3. Controlled asthma
4. Poverty
5. Smoking

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Page Number: 538

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 32-4 Identify conditions for which vitamin therapy may be indicated.

Question 15

Type: MCSA

A client has been prescribed ferrous sulfate (Feosol) for iron-deficiency anemia. Which statement by the client indicates a need for further teaching?

1. “Iron should be taken with meals.”
2. “Vitamin C increases the absorption of iron.”
3. “Antacids and food decrease the absorption of iron.”
4. “Calcium (including dairy products) and bran block ferrous sulfate’s absorption.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 540

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-5 Identify conditions for which mineral therapy may be indicated.

Question 16

Type: MCMA

The nurse is providing a client with education about major minerals. Which minerals should the nurse include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Calcium
2. Iron
3. Fluoride
4. Chloride
5. Potassium

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 540

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-5 Identify conditions for which mineral therapy may be indicated.

Question 17

Type: MCMA

The nurse is teaching a client about minor minerals. Which minerals should the nurse include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Fluoride
2. Sodium
3. Copper
4. Zinc
5. Potassium

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 540

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-5 Identify conditions for which mineral therapy may be indicated.

Question 18

Type: MCSA

How are major and minor minerals classified?

1. By the amount needed in the diet
2. By the amount available in dairy products
3. By the molecular weight of the mineral
4. By the amount of the mineral in the world

Cognitive Level: Remembering

Client Need: Physiological Integrity

Page Number: 539

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-5 Identify conditions for which mineral therapy may be indicated.

Question 19

Type: MCSA

What is the medical term for the administration of food or supplements via the GI tract, either orally or through a feeding tube?

1. Standard nutrition
2. Parenteral nutrition
3. Enteral nutrition
4. Supplemental nutrition

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 543

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-6 Compare and contrast the enteral and parenteral methods of providing nutrition.

Question 20

Type: MCSA

Enteral therapy has been initiated on a client who is now exhibiting nausea and vomiting. Based on this information, what conclusion does the nurse reach regarding the nausea and vomiting?

1. It is caused by irritation of the gastric tube along the stomach serosa.
2. It is caused by an allergic reaction to the feeding.
3. It is caused by the type or amount of feeding.
4. It is caused by a viral agent common to clients with feeding tubes.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 543

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-6 Compare and contrast the enteral and parenteral methods of providing nutrition.

Question 21

Type: MCSA

A client is diagnosed with undernutrition. What should the nurse teach the client regarding the goals of this therapy?

1. Using short-term therapy and counseling
2. Identification of the deficiency and supplying the missing nutrients
3. Using nutritional supplements and medication
4. Treating the cause aggressively and allowing the client to gain weight

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 542

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-6 Compare and contrast the enteral and parenteral methods of providing nutrition.

Question 22

Type: MCSA

The nurse is providing care to a client who is undernourished. What assessment finding does the nurse anticipate for this client?

1. Chronic inflammatory bowel disease
2. Decreased libido
3. History of HIV/AIDS
4. Loss of subcutaneous fat

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 542 and 543

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 32-6 Compare and contrast the enteral and parenteral methods of providing nutrition.

Question 23

Type: MCSA

What is an appropriate treatment for a client with severe malabsorption disease?

1. Enteral therapy
2. TPN
3. Supplements including macro and trace elements
4. Herbal preparations

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 543

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-6 Compare and contrast the enteral and parenteral methods of providing nutrition.

Question 24

Type: MCSA

A client diagnosed with obesity is started on lorcasterin (Bleviq). The client asks why diet and exercise are important with this medication. Which is the nurse’s best response?

1. There are few drugs that are safe for just weight loss.

2. Let me ask the prescriber about this.

3. Medications are more important than diet and exercise.

4. Focus should be on managing depression associated with obesity.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 543 and 544

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 32-7 Describe drug classes used in the management of obesity.

Question 25

Type: MCSA

The nurse explains to a client prescribed orlistat (Xenical) that the drug works in what way?

1. “It speeds up your metabolism.”

2. “It blocks the absorption of fats.”

3. “It causes nausea so you will eat less.”

4. “It suppresses appetite, probably by affecting the hunger center in the brain.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 543

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-7 Describe drug classes used in the management of obesity.

Question 26

Type: MCSA

The nurse is providing education about vitamins. Which is the best way to classify vitamins?

1. Vitamins are classified by their ability to mix with water.

2. Vitamins are classified on how they interact with electrolytes in the body.

3. Vitamins are classified according to their role on cognition and cellular function.

4. Vitamins are classified by synthesis within the blood stream.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 536

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-2 Explain how vitamins are classified.

Question 27

Type: MCSA

A client asks the nurse about differences in RDAs between men and women. Which is the nurse’s best response?

1. There is no difference in the RDA of men and women.

2. There is a difference due to the different metabolic needs of men and women.

3. There is a small difference, and men can take women’s RDA dosage.

4. There is a large difference based on manufacturers’ suggestions.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 537

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-3 Explain the rationale behind recommended dietary allowances (RDAs).