Pharm Ch 1 & 2

A 10-year-old is admitted to a clinic with a severe ear infection. In addition, the client also has impaired kidney function. What precautions should the nurse take while administering drugs to the client?

Expect to administer a reduced dosage. Perform kidney function test. Monitor kidney function.

As part of a class discussion, a nursing instructor describes which agency as being responsible for the approval of new drugs in the United States?

Food and Drug Administration

A health care provider writes an order for a client to receive an albuterol HFA inhaler with the directions that read to inhale 2 puffs every 4 to 6 hours as needed for wheezing. What type of order does this represent?

PRN order

A nurse, who is required to administer a drug twice a day to a client, forgets to administer the first dose. Which would be most appropriate for the nurse to do?

Report the drug error immediately. Notify the primary care provider immediately. Complete an unusual occurrence report regarding the error.

A nurse is preparing to administer a prescribed medication by subcutaneous injection. When determining the amount to give, the nurse would keep mind the maximum volume that should be given in a subcutaneous injection as how much?

1 ml

When administering a subcutaneous injection to a, client weighing 165 Ib that is 5 ft 2 in, the nurse should insert the needle at which degree angle?

45

In a hospital or other institution that dispenses controlled substances, the nurse would expect to count the scheduled drugs at which frequency?

8 to 12 hours

A nurse should use how many methods to identify the client before administering the medication?

A nurse should use two methods to identify the client before administering the medication. One form of identification is not enough such as stating are you Mr. Jones, if the client is confused they may say yes, when they are not indeed Mr. Jones, or the client may be in the wrong room. If verified by two methods there is no need for 3 or 4.

Which would the nurse identify as a factor in the distribution of a drug?

Distribution of an absorbed drug in the body depends on protein binding, solubility, and blood flow. Metabolites may undergo further metabolism or may be excreted from the body unchanged. Half- life refers to the time required for the body to eliminate 50% of the drug.

The nurse is required to administer 4 ml of an intramuscular (IM) injection to the client. Which action would be most appropriate?

Divide the drug and give it as two separate injections.

A group of nursing students are reviewing information about medication errors. The students demonstrate understanding of this topic when they identify which organization as being responsible for the Medication Errors Reporting Program?

The Institute for Safe Medication Practices

Which statements would a nurse identify as true regarding herbal preparations?

They can worsen some health conditions. They can contain drugs that are not listed on the label. They can change the way prescription and nonprescription drugs work.

After teaching a group of nursing students about the Joint Commission and National Patient Safety Goals (NPSG), the instructor determines that the teaching was successful when the group identifies that the NPSG is updated at which frequency?

annually

Administering propranolol (Inderal), a beta blocker, to a client taking albuterol (Proventil), a beta agonist, could result in which types of drug reaction?

antagonistic

The nurse is preparing to administer a prescribed drug and scans the client's hospital identification band, the drug unit dose package, and his identification badge. Which type of drug distribution system is the nurse using?

bar-coded point-of-care medication system

A client who is planning to become pregnant asks the nurse for information regarding the effect of drugs on her fetus, The nurse informs the client that certain medications prescribed, OTC, and herbal remedies can cause teratogenic effects during pregnancy. During which period of pregnancy is the fetus at the highest risk?

between the 1st and 12th weeks

When describing the pharmaceutic phase of drug activity to a class, the nursing instructor would describe which event as occurring?

drug dissolution

A client is showing signs of anaphylactic shock shortly after the administration of a drug. Which drugs should the nurse administer to treat anaphylactic shock?

epinephrine

A nurse is looking up a drug in the U.S. Pharmacopeia. The nurse would need to know which drug name?

generic name

Which is essential for the nurse to obtain before administering a medication to the client?

health care provider's order

Which drugs would a nurse identify as being most often associated with errors?

heparin insulin

The nurse is preparing to administer an intramuscular injection into the ventrogluteal site. The nurse would prepare the site for injection at which location?

hip

The nurse is preparing to administer allergy skin testing. Through which parenteral route should the nurse administer drugs to the client to optimize results?

intradermal

The nurse is preparing to administer a prescribed drug parenterally using the Z-track method. The nurse would correctly administer the drug by which route?

intramuscular

Administration of a drug is primarily the responsibility of which health care provider?

nurse

Which term is used to describe the study of drugs and their action on living organisms?

pharmacology

Which type of dependence involves the habitual use of a drug, where the body requires repeated administration of the drug to prevent negative physical withdrawal symptoms?

physical dependence

After teaching a group of nursing students about drug classes and categories, the instructor determines that the teaching was successful when the students identify legend drugs as referred to as which?

prescription drugs

Which type of dependence is a compulsion or craving to use a substance to obtain a pleasurable experience?

psychological dependence