209 Quiz 1 Practice Questions

The nurse provides discharge instructions to a client about the use of amiodarone. Which statement indicates that the client has the knowledge necessary for safe self-administration?

"The side effects of this medication may not begin to show up for several weeks or even months after I start taking it."

Before a client receives metoprolol as tx for HTN, the nurse should ask the client about a history of which health problem? 1. Asthma 2. Seizures 3. Peripheral arterial disease 4. Myasthenia gravis

1

The client received NPH insulin 30 units subq at 7:30am. What time is the nurse most likely to observe signs and symptoms of hypoglycemia?

11:30am-7:30pm

The nurse is caring for a 78 year old client who has multiple medications prescribed to treat various health problems. The nurse should consider that which common age related physical changes are most likely to require a reduction in medication dosage for this client. 1. Increased rate of drug retention 2. Decreased total body fluid proportionate to body mass 3. Decreased efficiency in drug distribution 4. Decreased rate of drug metabolism by the liver 5. Significant weight gain

124

A client asks the nurse to explain why she is receiving lidocaine in her IV when her dentist uses it to numb her gums before a tooth filling. What info about lidocaine should the nurse include in a response? Select all that apply. 1. It regulates electrical activity in the heart 2. It acts as a local anesthetic on nerve endings of the cardiac muscles. 3. It reduces irritability of the cardiac cells 4. It increases the heart rate 5. It primarily treats dysrhythmias originating in the ventricles.

135

When administering medication to a hospitalized client, what would be the most consistently accurate way for the nurse to check a clients identity? 1. Ask the client to state name and date of birth 2. Scan the clients identification bracelet and compare it with the medication record 3. Check the clients room number and bed assignment 4. Match the medication with the clients diagnosis

2

After initiating a continuous infusion of nitroglycerin intravenously, the nurse would use which data to conclude that the client is experiencing an unintended effect? Select all that apply. 1. Pulmonary capillary wedge pressure (PCWP) falling from 13 to 11 mmHg 2. Tachycardia 3. HR falling from 96 to 78 4. Blood pressure falling from 130/80 to 90/64 5. Headache

245

A nurse assesses a 75 year old client for side effects of verapamil. Which side effect would be of most concern regarding this client? 1. HTN 2. Angina 3. Skin rash 4. Constipation

4

Your patient has renal and liver dysfunction. Which of the following nursing interventions is most appropriate for this patient? A. Monitor frequently and carefully for signs of adverse effects or toxicity B. Refuse to administer any medications that are metabolized solely by the liver C. Decrease the dose but increase the frequency of drug administration D. Decrease the dose but increase the frequency of drug administration

A

Your patient is 70 years old. She has peripheral vascular disease and a history of surgical removal of part of her stomach and small intestine. She has started taking a medication to treat her PVD. What aspects of pharmacokinetics may be altered because of her pathologies. Mark all that apply. A. Absorption B. Distribution C. Metabolism D. Elimination

AB

Which of the following patient factors or conditions may affect oral drug absorption? A. Use of an acid-control drug such as omeprazole B. Sepsis or shock C. Severe diarrhea, such as Crohn's disease D. Calcium in dairy foods or supplements

ABCD

At what developmental stage should you remember privacy and patient control when administering medication?

Adolescent

The nurse has just administered a dose of hydralazine IV to a client. After the initial dose, which assessment is the priority?

Blood Pressure

Which of the following is not true about geriatric cardiac function? A. Cardiac output decreases B. Orthostatic hypotension is common C. Afterload decreases D. Arterial compliance decreases

C

A healthcare provider prescribed 12.5 mg o an anti-emetic suppository for a client with severe nausea. The nurse has on hand a 25 mg suppository. What is the next step that the nurse should take?

Contact pharmacist if unable to locate the correct dosage

The renin-angiotensin system (RAS) may be activated when which of the following occurs? A. Stimulation of the sympathetic nervous system B. Hypovolemia C. Reduced renal blood flow D. All of the above

D

Your patient, age 4 years old, is hospitalized with appendicitis. What should be done to reduce this patient's anxiety about receiving an IM injection?

Demonstrate the injection using a rag doll

T or F: Due to improved lifestyle habits and wellness promotion, the incidence of HTN in the US during the last 10 years has decreased.

False

At what developmental stage should you place liquid medication in buccal fold of mouth?

Infant

At what developmental stage should you allow to choose which medication to take first?

Preschooler

Morphine sulfate 10 mg PO is prescribed for a first day postoperative client with a large abdominal wound. The nurse should consider which action most appropriate?

Request a prescription that changes the route from oral to parenteral

Your patient has liver disease and receives medication that is metabolized in the liver. A toxic effect from this drug is thrombocytopenia. Based on this information, the patient should be monitored for:

Risk for bleeding

At what developmental stage should you use ventrogluteal site for IM injections?

School aged child

At what developmental stage should you have the parent in the room during administration?

Toddler

When administering a med t a frail 89 year old client with a BMI of 18, the nurse places priority on assessing for which adverse drug reaction?

Toxic effects

T or F: Drugs administered by the transdermal, IM, and sublingual routes are not subjected to the effects of first-pass metabolism

True

A client is receiving NTG by continuous IV drip to control chest pain and to increase myocardial tissue perfusion. The nurse prepares this medication by taking which action?

Using a special tube designed for the medication

What nursing action would be most significant when planning to administer a medication to a pediatric patient?

Weigh the patient