Prep U assignment 1
c
A client develops bone marrow suppression related to a drug's effects. What would be most important for the nurse to do? a. place the client on protective isolation. b.Facilitate cardiac monitoring. c. Monitor laboratory blood values. d. Prepare the client for dialysis.
b
A client is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the client develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is: a. a paradoxical response. b. an allergic response. c. a hepatotoxic response. d. an idiosyncratic response.
d
A client is diagnosed with atrial fibrillation and prescribed the drug Coumadin (warfarin). The nurse would instruct the client to avoid what foods? a. foods with vitamin B b. foods with vitamin C c. foods with niacin d. foods with vitamin K
d
A client is four months' pregnant. She works in the chemical unit of a research department and is responsible for handling various chemicals. Her gynecologist advised her not to expose herself to chemical or industrial vapors and specific drugs. These restrictions are advised because exposure to industrial vapors could: a. affect the kidneys of the fetus. b. affect the eighth cranial nerve of the fetus. c. affect the liver of the fetus. d. damage the immature nervous system of the fetus.
a
A client is taking low-dose aspirin daily for her heart. The client is not receiving all the dosage of the aspirin that is being ingested because of: a. first-pass effect. b. portal circulation. c. liver metabolism. d. biotransformation.
a
A client, prescribed a drug that has an exceptionally narrow margin of safety, should be educated about the need for what intervention? A. serum drug level monitoring b. frequent administration of scheduled "drug holidays" c. regular changes to the administration route e. half-life analysis
a
A drug is 100% bioavailable when it is administered by what routes? a. intravenous b. rectal c. oral d. parenteral
B
A nurse is planning client teaching about a newly prescribed drug. What teaching point should the nurse provide to best improve adherence and safety? a. the benefits of the prescribed drug over alternatives from the same class b. measures to alleviate any discomfort associated with adverse effects c. statistics related to phase III testing for the prescribed drug d. list of pharmacies where the drug can be obtained
d
The nurse administers a loop diuretic to the client. In addition to sodium and water, what other electrolyte would the nurse expect to be excreted in significant amounts? A. magnesium B. calcium C. zinc D. potassium
c
The nurse administers amoxicillin 500 mg. The half-life of this drug is approximately 1 hour. At what point would the drug level in the body be 62.5 mg if the drug was not administered again? a. 4 hours after the original dose b. 1 hours after the original dose c. 3 hours after the original dose d. 2 hours after the original dose
B, C, E
The nurse administers an intravenous medication with a half-life of 24 hours. The nurse should recognize what factors in this client that could extend the drug's half-life? (Select all that apply.) A. Route of administration B. liver disease C. cardiovascular disease D. gastrointestinal disease E. kidney disease
B
The nurse is assessing factors that may affect the absorption of a drug that the nurse will soon administer. What factor should the nurse prioritize? a. the client's blood urea nitrogen and creatinine levels b. The route of administration that has been prescribed c. The client's liver enzyme levels d. The date on which the client began taking the medication
b
The nurse knows that a client is at high risk for developing drug tolerance because the client will be taking which drug for a long period of time? a. Darifenacin (Enablex) for overactive bladder b. Hydromorphone (Dilaudid) for pain c. Amoxicillin (Amoxil) for an infection d. Furosemide (Lasix) for edema
c
The nurse provides health education for a diverse group of clients. For which client should the nurse emphasize the risk of teratogenic drug effects? A. 60-year-old female client who is tetraplegic and who has developed a sacral pressure ulcer B. 6-year-old girl who has a urinary tract infection and who is accompanied by her parents C. 20-year-old female client who has been diagnosed with a chlamydial infection D. 40-year-old male client who has a history of intravenous drug use and who has endocarditis
B
The nurse should have basic knowledge of drug classifications in order to administer medications safely to clients. What drug information is instrumental in determining nursing actions following drug administration? a. route of administration b. adverse effects c. protocols d. body system affected
a, d, e
What factors does the nurse take into account that may influence the rate of absorption of medication? (Select all that apply.) a. condition of the body tissues b. half-life of the medication c. biotransformation of the medication d. route of administration e. solubility of the medication
b, c, d
What would the nurse expect to assess in a client experiencing an anaphylactic reaction? (Select all that apply.) a. high fever b. dilated pupils c. difficulty breathing d. feeling of panic e. swollen joints
b
Which client would a nurse expect to experience alterations in drug metabolism? a. 62-year-old woman in acute renal failure b. 50-year-old man with cirrhosis of the liver c. 35-year-old woman with cervical cancer d. 41-year-old man with kidney stones
a
Which of the client's medications should the nurse expect to be absorbed most slowly? a. Oral acetaminophen, given for a fever b. Intramuscular meperidine, given for pain c. A subcutaneous anticoagulant d. An intravenous antibiotic
