Intro to Pharm 4.0

A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug? A. adverse effect B. paradoxical effect C. therapeutic effect D. toxicity

A Adverse effects are the unintended and unexpected effects of a drug, which can range from mildly annoying to life-threatening, such as an anaphylactic reaction.

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching? A. This will increase the effect of normal cellular function B. this prevents cells in your body from performing certain actions C. this prevents hormones in your body from attaching to cell receptor sites D. This minimizes the risk that the medications you take will become toxic

A Agonist drugs bind to cell receptors in the body and are targeted to a specific type of receptor. When they attach to the receptors, they perform the same action as a hormone or chemical would, increasing the effects of that hormone or chemical. For example, pharmacological insulin is administered to clients who have little to no insulin to mimic insulin's effects in the body.

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following? A. therapeutic effect B. adverse reaction C. contraindication D. precaution

A Drowsiness is a therapeutic effect of diphenhydramine for a client who is taking the drug to treat insomnia.

A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities? A.They have similar mechanisms of actions B. they have the same half-life C.they are administered by the same route D. they have similar availability

A Drugs in the same class often share similar mechanisms of action, as well as assessment guidelines, interactions, and precautions.

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client? A. pharmacologic action B. chemical stability C. route D. adverse effects

A The nurse should identify that the mechanism of action of a drug on the body to achieve the desired effect is referred to as pharmacologic action.

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use? A. Adverse effects B. Indications C.Pharmacokinetics D.Nursing implications

B The indications section provides information on conditions and diseases for which the drug is used.

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug? A. adverse effects B. contradiction C. implementation D. black box warning

B The nurse should review the contraindications section in the drug handbook to determine if a client can receive the drug. This section lists pre-existing diseases or clinical situations that could make it unsafe to administer a drug.

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons? A. to determine drug-food interactions B. To determine if dosage modification is indicated C. to determine how the drug is absorbed D. to determine availability

B The precautions section includes diseases or clinical situations in which drug use involves particular risks or dosage modification might be necessary, such as the presence of a client condition or restrictions due to the client's age.

A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching? A. drug absorption occurs in the stomach B. you should expect immediate absorption of the drug C. you should allow the tablet to dissolve in your mouth D. do not crush or chew the tablet

D

A nurse is teaching a client about the adverse effects of digoxin. which of the following statements should the nurse include in the teaching? A. adverse effects are the intended effects of the medication B. adverse effect indicate a serve allergy to the medication C. decrease your medication dose if adverse effect occur D. contact your provider if adverse effect occur

D Adverse effects can be severe and life-threatening. The client should contact their provider if adverse effects occur.

When reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways? A. it begins with a lower-case letter B. it is listed in parentheses along with the trade name C. There are both letters and numbers in the name D. the chemical name is listed in parentheses before the generic name

A

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks? A. Contraindications B.Precautions C.Paradoxical effects D. Adverse effects

B A precaution includes disease states, such as kidney disease, or clinical situations in which use of a drug involves particular risks or dosage modification might be necessary.