RNSG-1301 2801 Ch. 2,3,4&33

A nurse is conducting an assessment of a client who has recently had several changes made to the drug regimen. What assessment question most directly addresses the safety implications of the clients drug regimen?

"Do you take any herbal supplements or alternative medications?"

A client recently discovered that she is pregnant. She currently takes herbal medications to control her diabetes and the symptoms related to pregnancy. She asks the nurse if it is safe to take herbal medications while she is pregnant. What would the nurse tell this client?

"Most herbal and dietary supplements should be avoided during pregnancy or lactation."

A client is receiving 250 mg of a drug that has a half-life of 12 hours. How much drug would remain after 36 hours?

31 mg

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 sites of injection of the drug. The most likely cause of this response is

An allergic response

The nurse is called to a clients room 15 minutes after the client has received a new medication. The client reports pruritis as well as nausea. The nurse notes that the client appears pale, is sweating, and has begun to cough and wheeze. The nurse determines that the client is experiencing what type of reaction related to the new medication?

Anaphylactic shock

The blood-brain barrier is designed to keep foreign substances away from what system?

CNS

A 32-year-old client is admitted to the unit with a diagnosis of hypovolemia. The nurse writing a care plan for this client knows that an appropriate nursing diagnosis to help prevent medication errors is:

Deficient fluid volume

An elderly client is being admitted to the hospital for surgery. The nurse is reconciling the clients medications. The client is prescribed digoxin 0.125 mg daily, furosemide 40 mg two times a day, Lanoxin 0.125 mg daily, metoprolol 25 mg once a day, and pravastatin (Pravachol) 40 mg at hours of sleep daily. The nurse recognizes a problem when the nurse notes:

Digoxin and lanoxin are the same meds

What term is used when the patients body forms antibodies to a particular drug?

Drug allergy

What part of the nursing process is used to determine the effects of interventions?

Evaluation

What agency regulates the development and sale of drugs in the United States?

Food & Drug Administration

Which medication prescription by the health care provider will require the nurse to seek clarification!

Heparin 5,000 u SC every day

Which of the following would be least important to include when teaching a client about drug therapy?

How to report a medication error

The health care provider has ordered scopolamine transdermally for motion sickness. Which statement by the client, prescribed transdermal scopolamine, indicated an understanding of the medications administration guideline?

I will change the patch every 3 days

A client is administered atropine to increase the heart rate. What is the action of atropine?

It blocks the parasympathetic vagal stimulation.

A client has been prescribed an anticholinergic medication. What instructions should the nurse provide to safety when outside in hot weather?

Keep well hydrated

What organ is primarily responsible for drug/medication excretion?

Kidneys

Anticholinergic medications can cause which of the following?

Motion sickness

Which phase of drug development process involves the drug administered to a limited number of patients with a disease at various clinical setting?

Phase 2

A patient who develops spontaneous bleeding while taking an anticoagulant is demonstrating what type of occurrence?

Primary action

A client began a new medication four days ago and presents with a temperature of 38.2° C (100.8 °F), dependent edema, and swollen cervical lymph nodes. The nurse has informed the client's provider, who has discontinued the medication. What subsequent intervention should the nurse prioritize?

Provide supportive care to manage fever and inflammation.

Anticholinergic drugs are used in ophthalmology because they produce what effect?

Pupil dilation

What is true concerning the "placebo effect" in drug administration?

Thinking that the drug will help gives the patient the placebo effect

An older adult client has an elevated serum creatinine level. The client is at greatest risk for which medication-related effect?

Toxicity

Drug excretion occurs mainly in which organ?

kidneys

A nurse is reading an article that describes predictable differences in the effects of drugs in people of particular culture backgrounds due to their genetic makeup. The nurse is reading about:

pharmacogenomics

The nurse at a campus medical clinic is administering a new medication to a 22-year-old female client. The nurse should educate the client about what potential risk of drug therapy?

teratogenicity

Drug evaluation studies are used to determine critical concentration. The nurse understands that the critical concentration is the amount of the drug needed to cause:

therapeutic effect