118 Clinical - Pharmacology made easy

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? 1. "this will increase the effects of normal cellular function" 2. "This prevents cells in your body from performing certain actions" 3. "This prevents hormones on your body from attaching to certain receptor sites" 4. "This minimizes the risk that the medications you take will become toxic"

1. "this will increase the effects of normal cellular function"

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? 1. Adverse effect 2. Paradoxical effect 3. Therapeutic effect 4. Toxicity

1. Adverse effect

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause an additive effect. The nurse should identify which of the following are characteristics of additive drug interactions. ( SELECT ALL THAT APPLY) 1. Clients can achieve desired effects with the use of a lower dosage 2. Taking the two drugs together can reduce the effects of one or both drugs 3. Taking the two drugs together can potentiate the effects of one or both drugs 4. The two drugs can produce an action that neither would produce alone. 5. Both drugs have similar actions

1. Clients can achieve desired effects with the use of a lower dosage 5. Both drugs have similar actions

A nurse is teaching a client how to take care of a newly created colostomy. They should identify which of the following factor can decrease The client's ability to learn (SELECT ALL) 1. Impaired cognitive level 2. Language barrier 3. Discomfort 4. Repetition of teaching 5. Readiness to learn

1. Impaired cognitive level 2. Language barrier 3. Discomfort 5. Readiness to learn

A nurse is caring for a client who arrived at the emergency dept for a bee sting. Which of the following finding indicates an anaphylactic reaction? (SELECT ALL THAT APPLY) 1. Low blood pressure 2. Wheezing 3. Bradycardia 4. Peripheral edema 5. Difficulty swallowing

1. Low blood pressure 2. Wheezing 5. Difficulty swallowing

A nurse is providing teaching for a client with a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? ( SELECT ALL THAT APPLY) 1. Periodic lab tests are essential for measuring drug serum 2. Monitoring for drug toxicity is important 3. Taking the drug with an inducing agent will decrease toxicity 4. taking the smallest effective dose is crucial 5. increasing fluid intake is recommended to avoid toxicity teaching

1. Periodic lab tests are essential to measuring drug serum 2. Monitoring for drug toxicity os important 4. taking the smallest effective dose is crucial

A nurse is caring for a client who has been 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. 1. Pharmacologic action 2. Chemical stability 3. Route 4. Adverse affect

1. Pharmacologic action

A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects of taking OTC drugs will have on her newborn. Which of the following should the nurse consider when recommending a drug to the client? (SELECT ALL THAT APPLY) 1. The newborn weight 2. how much breastmilk the newborn consumes each day 3. Whether or not the benefits to the client outway the risk to the newborn 4. The properties of the drug 5. The route of administration of the drug

1. The newborn weight 2. how much breastmilk the newborn consumes each day 3. Whether or not the benefits to the client outway the risk to the newborn 4. The properties of the drug

A nurse is taking a client's health hx and discovers that the client takes Loratadine, an OTC. The nurse should identify what is correct when taking OTC drugs. ( SELECT ALL THAT APPLY). 1. They do not require the supervision of a nurse. 2. They can interact with other drugs. 3. They should be included in the client's drug hx assessment. 4. They are less effective than prescription drugs 5. They do not cause toxicity

1. They do not require the supervision of a nurse. 2. They can interact with other drugs. 3. They should be included in the client's drug hx assessment.

When reviewing a drug in the nurse's drug handbook a nurse can identify a generic name for a drug by which of the following ways? 1. it begins with a lowercase letter 2. it is listed in parentheses along with the trade name 3. there are both letters and numbers for the name 4. The chemical name is listed in parenthesis before the generic name

1. it begins with a lowercase letter

A nurse reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities 1. similar mechanisms of action 2. Similar half-life 3. administered by the same route 4 have similar availability

1. similar mechanisms of action

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify the drowsiness and indicates which of the following? 1. therapeutic effect 2. adverse effect 3. Contraindication effect 4. Precaution effect

1. therapeutic effect

A nurse is preparing to administer a drug to a client. In which of the following sections of the drug handbook should the nurse look to determine if the client can receive the drug? 1. Adverse 2. Contraindications 3. Implementation 4. Black box warning

2. Contraindications

A nurse is reviewing a drug handbook prior to administering a drug to a client who had kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following term describes these risks? 1. Contraindications 2. Precautions 3. Paradoxical effect 4. Adverse effect

2. Precautions

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching the nurse should review the precaution section of the drug handbook for which of the following reasons? 1. To determine drug-food interaction 2. To determine dosage modification is indicated 3. To determine how the drug is absorbed 4. To determine availability

2. To determine dosage modification is indicated

a Nurse is preparing to administer a drug to a client. In which of the following sections of the drug handbook should the nurse look to determine if the drug has more than one use? 1. adverse effects 2. indications 3. Pharmacokinetics 4. Nursing implications

2. indications

A nurse is obtaining a client's health hx. The client reports no allergies ut has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse, make? 1. " itching is an expected adverse effect." 2. " Itching can indicate amoxicillin toxicity." 3. "Itching can indicate a hypersensitivity to amoxicillin." 4. "Itching can indicate dry skin which is often caused by amoxicillin."

3. "Itching can indicate a hypersensitivity to amoxicillin."

A nurse is caring for a client that has renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following? 1. Tolerance to the drug 2. Drug interaction 3. Drug toxicity 4. Dependence on the drug

3. Drug toxicity

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify which of the following alternate forms of the drug can help to promote adherence to the prescribed drug. 1. liquid 2. immediate release capsule 3. Extended-release tablet 4. powder form

3. Extended-release tablet

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The Nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons? 1. The IV Form crosses the blood-brain barrier 2. The oral form has a decreased half-life 3. the oral form has decreased bioavailability because f the first pass effect 4. the oral form has an increased rate of excretion.

3. the oral form has decreased bioavailability because f the first pass effect

A nurse is teaching a client about naproxen enteric - coated tablet. Which of the following statement should the nurse include in the teaching? 1. "drug absorption occurs in the stomach" 2. "You should expect immediate absorption of the drug." 3. " you should allow the tablet to dissolve in your mouth" 4. "Do not crush or chew the tablet"

4. "Do not crush or chew the tablet"

A nurse is caring for a client who is newly admitted for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning? 1. After the client has a definitive diagnosis 2. on the day of discharge 3. When the client's family members are present 4. As soon as possible

4. As soon as possible

A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching? 1. Adverse effects are the intended effects of the medication 2. adverse effects indicate a severe allergy tp the medication. 3. Decrease your medication dose if adverse effects occur 4. Contact your provider if adverse effects occur

4. Contact your provider if adverse effects occur

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is utilized to metabolize sertraline. The nurse should recognize the clients' risk for which of the following 1. reduced drug absorption 2. drug dependency 3. Altered drug distribution 4. Drug toxicity

4. Drug toxicity

a nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following? 1. Maternal bleeding 2. Maternal blood clots 3. gastrointestinal diabetes Mellitus 4. Fetal malformation

4. Fetal malformation