Chapter 32 My Nursing Test Banks

 

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E
Chapter 32

Question 1

Type: MCSA

A child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the clinic to say that her child was exposed to varicella (chicken pox). What does the best plan by the nurse include?

1. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin if he develops chicken pox.

2. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin.

3. The child should be brought to the clinic immediately to receive a vaccination for chicken pox.

4. The child should be kept away from other children to avoid further exposure to varicella.

Correct Answer: 2

Rationale 1: Immune globulin is not given after the disease develops.

Rationale 2: Immune globulin must be given before the disease develops.

Rationale 3: The child is immunosuppressed; administering a vaccination for chicken pox could result in developing the disease.

Rationale 4: Keeping the child away from others will not help; the child has already been exposed.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 32-4

Question 2

Type: MCSA

A mother brings her child to the clinic for his last diphtheria-pertussis-tetanus (DPT) immunization. The mother tells the nurse that the child developed a red rash after the previous diphtheria-pertussis-tetanus (DPT) immunization. What does the best action by the nurse include?

1. Administer only a pertussis-tetanus immunization.

2. Withhold this immunization and contact the physician.

3. Tell the mother to give the child acetaminophen (Tylenol) if another rash develops.

4. Administer diphenhydramine (Benadryl) prior to the diphtheria-pertussis-tetanus (DPT) immunization.

Correct Answer: 2

Rationale 1: There is no such immunization as pertussis-tetanus.

Rationale 2: This red rash is unexpected and could indicate a potential adverse reaction to the vaccine such as anaphylaxis, so the nurse should withhold the immunization and contact the physician.

Rationale 3: The nurse should not tell the mother to administer acetaminophen (Tylenol); this will not prevent anaphylaxis.

Rationale 4: The nurse cannot administer diphenhydramine (Benadryl) without a physicians order.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-8

Question 3

Type: MCMA

The nurse is teaching a class on immunizations for women with newborn infants. The nurse evaluates that learning has occurred when the women make which statements?

Note: Credit will be given only if all correct choices and no incorrect choices are selected

Standard Text: Select all that apply.

1. The immunizations are more effective if they are given closer together.

2. Our babies might have a mild fever and be fussy for a few days.

3. If our babies develop a fever, we must call the doctor immediately.

4. We can give acetaminophen (Tylenol) if our babies have a mild fever.

5. If our babies develop a mild fever, it means an allergic reaction.

Correct Answer: 2,4

Rationale 1: The recommended immunization schedule should be followed. There is no benefit to giving the immunizations closer together.

Rationale 2: A mild fever is a typical reaction to immunizations.

Rationale 3: The physician does not need to be called unless the fever is high.

Rationale 4: Acetaminophen (Tylenol) is indicted for relief of mild symptoms.

Rationale 5: A mild fever does not indicate an allergic reaction to the immunization.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 32-10

Question 4

Type: MCSA

The client receives an immunostimulant. The client tells the nurse that he gets very sleepy and thirsty every time he takes the medication. What is the best assessment question for the nurse to ask?

1. Are you consuming at least eight glasses of water daily?

2. Have you been drinking any alcohol?

3. Have you had any flu symptoms lately?

4. How much time have you spent out in the sun?

Correct Answer: 2

Rationale 1: There is no indication to drink eight glasses of water daily when taking immunostimulants.

Rationale 2: Combining immunostimulants with ethanol can result in excessive drowsiness and dehydration.

Rationale 3: While flu-like symptoms are common with immunostimulants, this question does not address the client complaint as well as another option.

Rationale 4: There is no indication that sun exposure would result in these symptoms in a client taking an immunostimulant.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 32-9

Question 5

Type: MCSA

The physician has ordered cyclosporine (Sandimmune) for the client who has undergone a kidney transplant. What will the nurses priority assessment of this client include?

1. Assessing for infection

2. Assessing for peripheral edema

3. Assessing airway clearance

4. Assessing cardiac output

Correct Answer: 1

Rationale 1: Cyclosporine suppresses the immune response, so the nurse should assess the client for infection.

Rationale 2: There isnt any correlation between edema and cyclosporine.

Rationale 3: There isnt any correlation between airway clearance and cyclosporines.

Rationale 4: Hypertension may result from use of cyclosporine, but there is no direct relation to cardiac output.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 32-7

Question 6

Type: MCSA

The client receives infliximab (Remicade), an immunosuppressant medication. What is the priority information for the nurse to teach the client about this medication?

1. The client should get adequate exercise.

2. The client should drink plenty of fluids.

3. The client should eat plenty of fruits and vegetables.

4. The client should avoid crowds.

Correct Answer: 4

Rationale 1: Adequate exercise is not the best method for avoiding infection.

Rationale 2: The concept of avoiding exposure to infection is the priority, so drinking plenty of fluids is incorrect.

Rationale 3: The concept of avoiding exposure to infection is the priority, so eating plenty of fruits and vegetables is incorrect.

Rationale 4: Avoiding crowds is important to avoid exposure to infection.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-10

Question 7

Type: MCSA

A mother tells the nurse, I am so concerned about my child. He may not have adequate immunity to chicken pox. What is the best response by the nurse?

1. You dont have to worry as long as your child has received all of his vaccinations.

2. We can give your child another booster if you would like.

3. There really is no way to know if your child will develop chicken pox.

4. We can draw a titer to determine if there is adequate immunity.

Correct Answer: 4

Rationale 1: Telling the mother not to worry is non-therapeutic; she is worried.

Rationale 2: Giving another booster may be unnecessary.

Rationale 3: Drawing a titer will help determine if the child will develop chicken pox.

Rationale 4: Drawing a titer is a valid way to determine the immune level to chicken pox.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-10

Question 8

Type: MCSA

A mother comes to the clinic and tells the nurse, I dont want my child to have any vaccinations. I have heard they cause autism. What is the best response by the nurse?

1. Vaccinations are safe; there is no reason to worry.

2. Vaccinations have some risks, but the benefits outweigh the risks.

3. I understand what you are saying; this is really your choice.

4. Vaccinations are required by law; you really dont have a choice.

Correct Answer: 2

Rationale 1: It is very non-therapeutic to tell a client not to worry.

Rationale 2: Vaccines have some risks, but many more deaths and serious illnesses occur from the diseases than from the vaccinations.

Rationale 3: Telling the client the nurse understands her is incomplete because it does not answer the clients question.

Rationale 4: Telling a client she does not have a choice with vaccinations is also non-therapeutic; many states do allow a parent to decline vaccinations.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-10

Question 9

Type: MCSA

The client receives cyclosporine (Neoral). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

1. I must check my blood pressure; it can run low with this medication.

2. I cannot have grapefruit while I am on this medication.

3. Mealtimes will have no effect on when I take this medication.

4. I might have an increased urine output with this medication.

Correct Answer: 2

Rationale 1: Cyclosporine (Neoral) can cause hypertension, not hypotension.

Rationale 2: Grapefruit increases blood levels of cyclosporine (Neoral), and should not be consumed by the client while taking cyclosporine (Neoral).

Rationale 3: Food decreases the absorption of cyclosporine (Neoral).

Rationale 4: Cyclosporine (Neoral) can decrease, not increase, urine output.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 32-9

Question 10

Type: MCSA

The nurse manages care for clients who have had organ transplants. What is the best information for the nurse to include when teaching the clients about body defenses?

1. Nonspecific body defense is effective primarily against bacteria.

2. Specific body defense usually only acts against a single organism.

3. Specific body defense includes the complement system.

4. Nonspecific body defense is also known as the immune response.

Correct Answer: 2

Rationale 1: Nonspecific body defense is effective against many kinds of microbes and environmental hazards, not just bacteria.

Rationale 2: Specific body defense usually only acts against a single organism.

Rationale 3: Nonspecific body defense, not specific body defense, includes the complement system.

Rationale 4: Specific body defense, not nonspecific body defense, is known as the immune response.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 32-1

Question 11

Type: MCSA

The nursing instructor is teaching student nurses about humoral and cell-mediated immune responses. What does the best teaching plan include?

1. Helper T cells are an important part of humoral immunity.

2. Humoral immunity refers to immune responses where targets are attacked by immune cells.

3. B lymphocytes are an important part of cell-mediated immunity.

4. Humoral immunity refers to immune responses that are mediated by antibodies.

Correct Answer: 4

Rationale 1: Helper T cells are part of cell-mediated immunity, not humoral immunity.

Rationale 2: Humoral immunity refers to immune responses that are mediated by antibodies.

Rationale 3: B lymphocytes are part of humoral immunity, not cell-mediated immunity.

Rationale 4: Humoral immunity refers to immune responses that are mediated by antibodies.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 32-2

Question 12

Type: MCMA

The nurse is teaching a class to clients who have recently undergone transplant surgery and are taking immunosuppressant drugs. The nurse evaluates that learning has occurred when the clients make which statements?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. We must immediately report hair loss to the physician.

2. We must wear a protective mask when going out in public.

3. We must avoid exposure to individuals who have infections.

4. We must practice reliable contraception.

5. We must avoid eating raw fruits and vegetables.

Correct Answer: 1,3,4,5

Rationale 1: Hair loss may indicate significant immunosuppression and should be reported.

Rationale 2: It is not necessary to wear a mask in public.

Rationale 3: Avoiding exposure to individuals who have infections is a necessary precaution when a client takes immunosuppressant drugs.

Rationale 4: Practicing reliable contraception is a necessary precaution when a client takes immunosuppressant drugs.

Rationale 5: The client should avoid raw fruits and vegetables that can harbor infection.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 32-10

Question 13

Type: MCSA

An adult female client is beginning her series of Hepatitis B immunizations. What does the best teaching by the nurse include?

1. Contact your physician if you develop pain at the injection site, mild fever, or soreness.

2. Practice reliable birth control for three months after the administration of the vaccinations.

3. Immediately report any signs of bleeding such as hematuria, or bleeding from the gums.

4. Avoid crowed areas where you might be exposed to an infectious disease.

Correct Answer: 2

Rationale 1: It is not necessary to contact the physician if pain develops at the injection site, or if the client develops a mild fever, or soreness. These are expected effects.

Rationale 2: The client should practice reliable birth control for three months after the administration of the vaccines to prevent harm to a developing fetus.

Rationale 3: Bleeding is not associated with Hepatitis B immunizations.

Rationale 4: It is not necessary to avoid crowded areas following a Hepatitis B immunization.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-9

Question 14

Type: MCSA

The client receives interferon alfa-2b (Intron-A) for treatment of Kaposis sarcoma. Which question by the client would alert the nurse that additional assessment is necessary?

1. I really feel sad; do I need to see a psychiatrist?

2. Is it safe to drink grapefruit juice with this medication?

3. Do I need to limit my fluids while on this medication?

4. Is it okay to use aspirin or ibuprofen products while on this medication?

Correct Answer: 1

Rationale 1: Use of immunostimulant drugs can lead to the development of encephalopathy. Assess mental status and be especially vigilant for signs and symptoms of depression and suicidal ideation.

Rationale 2: There is no relationship between interferon alfa-2b (Intron-A) and grapefruit juice.

Rationale 3: There is no relationship between limiting fluids and interferon alfa-2b (Intron-A).

Rationale 4: There is no relationship between interferon alfa-2b (Intron-A) and aspirin or ibuprofen products.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 32-8

Question 15

Type: MCSA

All of the following are associated with non-specific immune response except

1. lymphocytes.

2. phagocytes.

3. epithelial lining of the skin.

4. gastrointestinal membrane.

Correct Answer: 1

Rationale 1: Lymphocytes are the primary cell of the specific immune response.

Rationale 2: Phagocytes are non-specific.

Rationale 3: The epithelial lining of the skin is non-specific.

Rationale 4: The GI membrane is non-specific.

Global Rationale:

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 32-1

Question 16

Type: MCSA

The major difference between B cell lymphocytes and T cell lymphocytes is that

1. T cells produce clones.

2. B cells produce antibodies.

3. T cells produce antibodies.

4. B cells produce clones.

Correct Answer: 2

Rationale 1: B and T cells both produce clones.

Rationale 2: B cells produce antibodies.

Rationale 3: T cells do not produce antibodies but rather cytokines.

Rationale 4: B and T cells both produce clones.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts:

Learning Outcome: 32-2

Question 17

Type: MCSA

T cells produce

1. cytokines.

2. leukotrienes.

3. lymphocytes.

4. erythrocytes.

Correct Answer: 1

Rationale 1: Cytokines are produced by T cells to kill off foreign organisms.

Rationale 2: Leukotrienes are not produced by T cells.

Rationale 3: Lymphocytes are blood products that assist with the immune system.

Rationale 4: Erythrocytes are red blood cell components.

Global Rationale:

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 32-2

Question 18

Type: MCSA

The most important nursing consideration when a client is receiving immunostimulant therapy is to

1. monitor for changes in mental status.

2. monitor intake and output.

3. monitor for changes in hepatic enzymes.

4. monitor vital signs.

Correct Answer: 3

Rationale 1: Changes in mental status can increase certain disorders, but this is not the first priority.

Rationale 2: Monitoring intake and output is important but not the most important consideration.

Rationale 3: Hepatic enzymes may become elevated which could require discontinuation of the drug.

Rationale 4: Vitals signs are necessary with any medication.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 32-9

Question 19

Type: MCSA

Immunosuppressants include

1. gamma globulin.

2. glucocorticoids.

3. antipsychotics.

4. antifungals.

Correct Answer: 2

Rationale 1: Gamma globulin is not a class of immunosuppressants.

Rationale 2: Glucocorticoids are a class of immunosuppressants.

Rationale 3: Antipsychotics are not a class of immunosuppressants.

Rationale 4: Antifungal is not a class of immunosuppressants.

Global Rationale:

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 32-7

Question 20

Type: MCSA

A key part of the nursing process when caring for a client who is receiving immunosuppressant therapy should be to

1. assess nutritional status.

2. monitor vital signs.

3. assess renal function.

4. monitor liver function studies.

Correct Answer: 3

Rationale 1: Nutritional status is not a key priority for the client.

Rationale 2: Vital signs are important but not the key priority.

Rationale 3: Renal function is key because these drugs can cause nephrotoxicity because of physiological changes in the kidneys.

Rationale 4: Liver function studies are important, but toxicity problems would occur over time.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-19

Question 21

Type: MCMA

A new parent asks the nurse when her infant will receive the hepatitis A vaccine. How should the nurse reply?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. We will give the first dose before you take your baby home from the newborn nursery.

2. It will be included in the series of immunizations given at 2 months, 4 months, and 6 months.

3. Your child will receive the first dose at 12 months.

4. Not until school age.

5. About 6 to 12 months after the initial vaccine, a booster will be given.

Correct Answer: 3,5

Rationale 1: Hepatitis A is not given to a newborn.

Rationale 2: Hepatitis A is not given with this series.

Rationale 3: The first dose of Hepatitis vaccine is administered when the child is 12 months old.

Rationale 4: The hepatitis A vaccine is administered to children at an earlier date than school age.

Rationale 5: A booster immunization is given 612 months after the initial immunization.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO #3 For each of the major vaccines, give the recommended dosage schedule.

Question 22

Type: MCMA

A new mother expresses concern about immunizing her infant saying, I am breastfeeding, so I know that will pass my immunity to my baby. I dont see why anything else is necessary. How should the nurse respond?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. You are correct that your baby will receive some passive immunity from you.

2. That immunity is called adapted immunity and it only lasts for a few days.

3. There are some diseases for which immunity is not passed from mother to child.

4. Your baby will need the extra protection provided by standard immunizations.

5. Vaccines are not indicated until you stop breastfeeding.

Correct Answer: 1,3,4

Rationale 1: The mother is correct that passive immunity to some diseases is provided through the placenta and through breast milk.

Rationale 2: This is called passive immunity and it lasts longer than a few days.

Rationale 3: The passive immunity passed from mother to child does not protect the child from all the diseases that acquired immunity does.

Rationale 4: In order to be protected from many diseases the child will need acquired immunity from vaccine.

Rationale 5: The vaccine schedule for a breastfed infant is the same as for an infant who is not breastfed.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO #4 Distinguish between active immunity and passive immunity.

Question 23

Type: MCMA

During an admission interview the client says, I was given Interferon alfa-2b for cancer treatment. The nurse should look for evidence of which type of cancer in this clients history?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Breast cancer

2. Malignant melanoma

3. Kaposis sarcoma

4. Bladder cancer

5. Cancer of the sinuses

Correct Answer: 2,3,4

Rationale 1: Breast cancer is not treated with Interferon alfa-2b.

Rationale 2: Malignant melanoma is one of the cancers treated with interferon alfa-2b.

Rationale 3: Kaposis sarcoma is one of the cancers treated with interferon alfa-2b.

Rationale 4: An off-label use of interferon alfa-2b is the treatment of bladder cancer.

Rationale 5: There is no indication for use of interferon alfa-2b in treatment of cancers located in the sinuses.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO #5: Identify indications for pharmacotherapy with biologic response modifiers.

Question 24

Type: MCMA

A nurse is presenting community education regarding vaccines for influenza. Which information should the nurse plan to include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Everyone should receive an injection of influenza vaccine every year.

2. Children should not receive influenza immunizations until age 10.

3. Intranasal vaccine is available for infants.

4. Many adults have a choice between injectable and intranasal forms of immunization.

5. A childs first immunization will consist of two injections given 1 month apart.

Correct Answer: 4,5

Rationale 1: Injection is not the only form of influenza immunization.

Rationale 2: Influenza immunizations are started earlier than age 10.

Rationale 3: There is no intranasal vaccine for infants.

Rationale 4: An intranasal influenza vaccine is available for many adults.

Rationale 5: A childs first immunization consists of an injection followed by a second injection in 1 month. After this initial immunization the schedule changes to 1 immunization per year.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO #3 For each of the major vaccines, give the recommended dosage schedule.

Question 25

Type: MCMA

The client had a liver transplant and asks the nurse if she really needs all of those medications. How should the nurse respond?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Yes, this is necessary for you to not reject the new liver, but in time you will be down to only one medication.

2. Yes you need these medications so you wont reject your new liver, but with current cloning techniques in about 5 years you should be able to grow enough new liver cells to support your life.

3. You need these medications because it is important to dampen your immune response so you wont reject your new liver.

4. New research indicates that immunosuppressant drugs are only needed for 6 months after transplant.

5. This seems excessive to me, too, but your physician ordered all of them.

Correct Answer: 3

Rationale 1: Telling a client that in time she will be down to one medication is false reassurance; the nurse does not know this will occur.

Rationale 2: There are not any cloning techniques that will allow clients to grow new liver cells in a quantity to support life.

Rationale 3: The client needs medication to dampen her immune response so that she will not reject the new liver.

Rationale 4: There is no research indicating immunosuppressant drugs are not necessary.

Rationale 5: The nurse should know why each drug is being given and should not build doubt in the clients mind.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO #6

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E

Copyright 2014 by Pearson Education, Inc.

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