study set 1
which drugs cause birth defects?
Teratogens
while studying the difference between prescription and nonprescription, the nursing student needs to remember that prescription drugs.
need to be obtained through a licensed health care provider.
The nurse assesses hives *( red raised rash) and generalized itching in a patient started on a new medication , what is the nurse's best action
notify physician of allergic reaction and hold the dose.
A half life of morphine is 12 hours , The patient has taken 10 mg, how much is going to be left in 24 hours
2.5mg
The nurse knows that the drug alprazolam (Xanax) has a half -life of 12 hours, how much drug will be left circulating in the body after 24 hours.
25%
A patient is taking acetaminophen 500mg 2tabletd every 4 hours ( 6 times a day) what is a total acetaminophen dose taken in 24 hours is it a safe dose
6000mg no, it is not a safe dose
which governmental body was organized to gather intelligence, train, conduct research in the area of dangerous drugs and drug abuse, and enforce the controlled substance act of 1970
DEA ( Drug Enforcement Administration_)
which legislation authorizes the FDA to determine the safety of a drug before its marketing?
Federal Food , Drug and Cosmetic act of 1938.
The primary therapeutic outcomes expected from acetaminophen ( Tylenol are
Reduce pain and fever
In which case would the nurse be correct in withholding an opiate agonist such as morphine (Roxanol)
Respiratory rate of 8 breaths/mins
The mechanism of action of naloxone ( Narcan ) opiate antagonist , is to
Reverse the effect of any opiate agonist
what medication formation ( form ) is safe to crush
Tablets
The nurse is administering morphine sulfate, a schedule II drug, which statement is true about this drug's classification?
There is high potential for abuse,
what is a true statement about generic and brand medications?
They have the same active ingredients
why beta- blocker( blocking beta 1 and beta 2 ) are contraindicated for people with respiratory condition such as asthma or COPD
They may produce severe bronchoconstriction
Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?
Tinnitus ( ringing in the ears)
which drug is an effective cough suppressant and the standard against which other antitussive agent are compared
codeine
what statment about pain management is true
encourage patients to report pain before the pain becomes too severe.
what step in the process of pharmacokinetic is adversely ( negatively affected by kidney disease
excretion
which of the following drug forms is the most rapid acting
intravenous IV
which statements about acetylcysteine (mucomyst ) is NOT true,
it is given to suppress dry nonproductive cough,
a patient has question regarding a recently prescribed antitussive agent , which response by the nurse is the best ?
it will reduce the frequency of your cough
Large doses of acetaminophen ( Tylenol) can cause which serious adverse effect
liver damage ( hepatotoxicity _)
Which action will the nurse take when a patient receiving morphine sulfate via PCA ( patient controlled analgesia) has a shallow, irregular respiratory rate of 10/min and is lethargic ( hard to arouse)
notify the health care provider and prepare to administer naloxone( Narcan ) per order
which statement is true about over the counter drug as compare to prescription drugs?
over the counter drugs have wider margin of saftey compare to prescription drugs.
a patient is who complains of moderate or unrelieved pain can receive which medication
oxycodone ( Roxicodone)
The nurse is administering medication with a narrow therapeutic window, which lab ( Blood level ) determines the highest amount of circulating medication in a patient
peak
The process of pharmacokinetics (body moving the drug through ) within the body does NOT include which of the following
rejection
for patients taking narcotics, the nurse needs to monitor the patient for signs of select all that apply
respiratory depression confusion of disorientation urinary retention
A nurse injects medication ordered to be given Subq( subcutaneous route) into the muscle (MI) what Right of medication administration has been violated
right route
The nurse was discussing the administration of steroid inhaler for a patient with asthma. which statement by the nurse is correct
rinse your mouth after using this inhaler to prevent thrush ( Fungai infection)
Which of the following is true of decongestants such as pseudoephedrine/Sudafed)(adrenergic agonists,
should be avoided in patients with a history of hypertension.
what is this called , when a combination of two drugs ( both drugs have weak action given separately ) will provide a greater effect then each drug given alone,
synergistic effect
A 30 year old married female has been prescribe medication category x, what is the most important question to be asked by the nurse
when was your last mensural period.
what short acting beta-agonist such as albuterol ( Proventil ) is used for
Acute Bronchospasm
a patient at sports camp is complaining of itchy, watery eyes, coughing and sneezing when outdoors The patient 's chart states that he has an allergy to grasses. which medication will the nurse administer
Antihistamine such as diphenhydramine( Benadryl)
The name that is assigned to a new drug and registered by manufacturer , usually begins with a capital letter and followed by R symbols is
Brand name
which is a common expectorant in over the counter medications
Guaifenesin ( Mucinex)
when obtaining a patient's health history which assessment data would the nurse identify as having the most effect on drug metabolism
History of liver disease
which statement does the nurse include when teaching a patient about proper administration of an inhaled bronchodilator and inhaled steroid for treatment of chronic obstructive pulmonary disease COPD.
Inhale bronchodilator first, wait 5minuted then inhale steroid medication.