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Drug Therapy in Nursing, 3e Test Bank download pdf full chapter
Drug Therapy in Nursing, 3e Test Bank download pdf full chapter
Drug Therapy in Nursing, 3e Test Bank download pdf full chapter
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Drug Therapy in Nursing, 3e
2. A nurse is administering drugs to a 10-year-old child who has multiple health problems.
The child is underweight and is on a special diet. Which of the following will the nurse
consider when planning for the best absorption of the prescribed drugs? (Select all that
apply.)
A) Age
B) Weight
C) Disease process
D) Diet
E) Route of administration
3. A nurse is explaining to the parents of a 6-year-old child suffering from angina why
nitroglycerin patches for chest pain would not be appropriate. Which of the following
will the nurse include in her explanation?
A) A child has an erratic blood flow from an immature peripheral circulation, which
increases drug absorption, causing an increase in adverse effects.
B) A child's gastric pH is decreased, causing less of the drug to be absorbed from the
subcutaneous skin, therefore producing more adverse effects.
C) A child has a greater body surface area, creating greater permeability resulting in an
increase in absorption of topical agents, which may result in more adverse effects.
D) A child has a smaller body surface area, resulting in an increase in topical
absorption, which can cause more adverse effects.
Page 1
4. A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will
be sure to inform the parents that this drug could cause:
A) Orange-tinged urine
B) Staining of permanent teeth
C) Sleep deprivation
D) Deep muscle pain
6. A nurse is having difficulty administering a bitter drug to a 5-year-old child. The nurse
should:
A) Have the parent gently force the child's mouth open.
B) Give the drug in a pill form.
C) Involve the child in a play therapy session, and then tell the child the medicine is
candy.
D) Offer the child a flavored ice chip or ice pop prior to administering the drug.
7. A 5-year-old boy needs an IM injection. The least painful and most effective injection
site would be the:
A) Deltoid muscle
B) Rectus femoris muscle
C) Ventrogluteal muscle
D) Dorsogluteal muscle
8. A 12-year-boy is being discharged from the hospital after major surgery. The boy will
be taking two medications at home for an extended period. The nurse who is
discharging the patient should provide medication teaching specifically to:
A) The mother regarding why the boy needs to take the medications
B) Both the boy and his mother regarding all medication issued
C) The boy by telling him not to worry about the medications and to take them as
directed
D) The mother and be sure to reinforce the need to force the medications, if her son
does not want to take them
Page 2
9. A 6-month-old has developed skin irritation due to an allergic reaction. He has been
prescribed a topical skin ointment. The nurse will consider which of the following
before administering the drug?
A) That the infant's skin has greater permeability than that of an adult
B) That there is less body surface area to be concerned about
C) That there is decreased absorption rates of topical drugs in infants
D) That there is a lower concentration of water in an infant's body compared with an
adult
Page 3
Answer Key
1. A
2. A, C, D, E
3. C
4. B
5. B
6. D
7. C
8. B
9. A
10. D
Page 4
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composer’s works. For, far from being an imitator of Schumann’s
style, he appeared at once in his own strong personality and as a
stranger, who even in Leipsic was not understood. Yet he found
publishers for three pianoforte sonatas, a scherzo, a trio and several
songs. For years the interest in him was confined to a small circle. He
stayed for a while in Hanover, making from there several concert
tours with Joachim or Stockhausen, the great singer, another
devoted friend, visiting also Schumann in his retreat in the Endenich
hospital. In his variations on a theme from Schumann’s Op. 99, he
gave a touching expression to his sympathy with the master’s
sufferings. After the publication of these and the ballads Op. 10,
Brahms devoted several years to profound study. Schumann’s praise
had not spoiled him, nor was he discouraged by the lack of success.
For a few seasons he was the director of the orchestra and chorus in
Detmold, spending also some time in Hamburg and in travelling.
Meanwhile he finished many songs and choruses, two serenades for
orchestra, and two sextets. In Jan., 1859, he played in Leipsic his first
great pianoforte concerto; most of the criticisms thereon were,
however, such as to now excite our mirth. It was in Switzerland and
Vienna that his genius found a sincere recognition. About thirty
years ago the writer first saw Brahms in his Swiss home; at that time
he was of a rather delicate slim-looking figure, with a beardless face
of ideal expression. Since then he has changed in appearance, until
now he looks the very image of health, being stout and muscular, the
noble, manly face surrounded by a full gray beard. The writer well
remembers singing under his direction, watching him conduct
orchestra rehearsals, hearing him play alone or with orchestra,
listening to an after-dinner speech or private conversation, observing
him when attentively listening to other works, and seeing the modest
smile with which he accepted, or rather declined, expressions of
admiration.
The Alpine summits and glaciers had great attractions for Brahms,
but also the welcome which he was always sure to find in Basel and
Zürich. For his permanent home he selected Vienna, in 1862, where
he was surrounded by the spirits of the classic masters. He was
received most favorably. His interpretation of Bach, Beethoven,
Schubert and Schumann was particularly praised. He was appointed
chorus master of the Sing-Academie for a season, and prepared a
memorable performance of Bach’s Passion Music. Yet his genius
would not allow him to devote much time to such services, and once
only in later years he accepted a similar appointment, directing from
1872–1875 the concerts of the “Society of the Friends of Music.”
Aside from this all his time was devoted to composing, interrupted
only by frequent journeys to performances of his works, and by
giving valuable assistance in the revision of the works of Couperin,
Mozart and Chopin. During the first years of his residence in Vienna
he finished many important chamber works, variations, waltzes and
Hungarian dances for the pianoforte, and vocal compositions of
every kind. The first great success was won by the “German
Requiem,” begun after the death of his mother in 1866, and
completed, for the greater part, in Switzerland, in the two following
years. After the first famous performance in the Bremen Cathedral in
the spring of 1868, it was soon heard in other cities and was greatly
admired, although certain features were severely criticised. Other
works of high importance followed: the “Song of Destiny,” “Rinaldo,”
the “Rhapsody,” Op. 53, the “Song of Triumph” for the celebration of
the happy ending of the Franco-German war, besides many songs,
chamber works, and the charming Love-Song Waltzes. By all these
works Brahms rose gradually higher and higher in the general
estimation both at home and abroad. But he steadfastly avoided the
one field in the reform of which all musical interest seemed to centre,
—the opera. Perhaps the time will come when we may be fully
informed as to his relation to dramatic music and the reasons which
kept him away from the stage. Much might be guessed. But it is
needless to pay attention to mere rumors and suppositions. There
were other fields in which he was called upon to achieve great things.
Nothing shows better the greatness of Brahms’ artistic character
than the fact that, in spite of Schumann’s prophecy and many early
instrumental masterpieces, he waited with his first symphony until
he was a man of over forty years. Four great symphonies have
appeared between 1876 and 1885, preceded by orchestral variations
on a theme of Haydn; also, during the same time, two overtures, a
second pianoforte concerto, one for violin, two smaller choruses with
orchestra, chamber works, piano pieces and songs. Another great
choral composition, “Deutsche Fest-und Gedenksprüche,” a double
concerto for violin and violoncello, Gipsy songs and many other vocal
and chamber works complete the list of his more recent
compositions. And more great things may be expected from him. If
there is anything inspiring in the present aspect of musical art, it is
the fact that Johannes Brahms is still among us, physically and
mentally as strong as if perpetual youth were granted to him. Indeed,
the graces and heroes have not only kept watch at his cradle, but
guided him throughout his long career.
JOHANNES BRAHMS.
In early youth.
Those who have met him will never forget the impression of his
strong personality. Nor will those who saw him conduct or heard him
play ever enter into the superfluous discussion whether he was a
great leader of orchestra and chorus or a master of his instrument.
For in both directions he was not only equal to the most exacting
demands, but always appeared as if inspired, and inspiring
everybody who sang or played under him or listened to the genius of
his music. At the pianoforte and the conductor’s desk he is a king,
but socially he appears unaffected and easy, neither reticent nor
predominating in conversation, jolly and kind among friends and
children. He has never married. Many honors have been conferred
upon him: the degrees of Doctor of Music by the University of
Cambridge, England, in 1877, and of Doctor of Philosophy by the
Breslau University in 1879; also several orders and the membership
of many societies and institutes. Throughout the musical world his
music, especially his instrumental works, is now received with
enthusiasm, although still finding a strong opposition on the part of
many critics of either too conservative or too progressive tendencies.
Yet the time is not far distant when it will be generally granted a high
position in the history of our art.
JOHANNES BRAHMS.
Louis Keeserborn
CARL GOLDMARK