PHARM FINAL

The nurse is administering medications to a client who says, "About 30 minutes after you gave me that medication yesterday, I felt funny." What is the nurse's best response to this client?

"I'm going to call your health care provider before I give you this medication today."

When asked by a client about the generic name of a drug, what is the nurse's best response?

"The generic name is the official name given by the U.S. Food and Drug Administration."

A nurse is preparing to administer digitalis to a client with congestive heart failure. The client asks the nurse, "Tell me something about this drug. Where does it come from?" What is the best response by the nurse?

"This drug comes from a plant called the purple foxglove."

What client is experiencing an adverse effect that is a result of primary action?

A client taking anticoagulants who develops a gastrointestinal bleed

Which client is receiving a drug that is an agonist?

A client who takes insulin several time daily for type 1 diabetes

A client with a recent history of peripheral edema has been taking hydrochlorothiazide 75 mg PO daily. The client reports increased appetite and restlessness to the nurse and inspection reveals warm, flushed skin. What is the nurse's best action?

Assess the client's blood glucose level.

Which assessment should be made before administering a new medication?

Assess the client's weight and past medication history.

A client has developed a tolerance to a drug. How should the nurse address this when providing care?

Assess whether the client needs larger doses to achieve the effect.

Protein binding has which of the following effects on drug action?

Decreases speed of action

Which of the following would be most likely to occur during the planning or implementation step of the nursing process

Developing appropriate outcomes for drug response

A client comes to the clinic with ringing in the ears and difficulty hearing. What medication in the client's current regimen should the nurse suspect?

Erythromycin

A nurse notes a medication error. Which action would be most appropriate?

Make a report to the institution.

A client is being treated with Dilantin for treatment of seizures. What should the nurse monitor to prevent toxic reactions to drugs in a client?

Monitor client's blood level of the drug.

During which phase of study are human volunteers used to test drugs?

Phase I

A client has begun taking an antidepressant that causes the client to be drowsy. What nursing diagnosis should the nurse prioritize related to drug therapy?

Risk for injury

An instructor is teaching a group of students about client education and drug therapy. The instructor determines a need for additional instruction when the students identify what as an important area to include in a client teaching plan?

Steps to report a drug error

All drugs have adverse reactions when taken. Organ and tissue damage is one such adverse reaction. Which is an example of organ and tissue damage caused by a drug?

Stevens-Johnson syndrome

Once a drug is patented, what statement is true?

The drug may not be manufactured by other companies until the patent expires.

A client has been prescribed an oral drug that is known to have a high first-pass effect. Which measure has the potential to increase the amount of the free drug that is available to body cells?

administering the drug intravenously rather than orally

Atropine, which is used preoperatively, is considered which drug classification?

anticholinergic

To determine a client's self-care ability, it is most important for the nurse to perform what step of the nursing process?

assessment

A client is diagnosed with Parkinson's disease. The client's physician orders selegiline. As part of the education plan, the nurse instructs the client to avoid what food?

cheese

A 72-year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 PM. The nurse finds the patient drowsy and confused at 10 AM the next day. The nurse is aware that this behavior is most likely due to

decreased hepatic function.

A nurse is caring for a 49-year-old client with acute gout and arthritis. Before starting drug therapy, the nurse interviews the client and checks medical records. Which additional means of client assessment should the nurse consider?

examining the client physically

The nurse is aware that the most relevant way in which aging affects the pharmacokinetic process of drug administration is decreased:

function of vital organs.

A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which has been successfully controlled for several years with antiseizure medications. The nurse should recognize that the patient's compromised renal function will likely

increase the half-life of medications that are metabolized by the kidneys.

A nurse who had been caring for a client with a cardiac disorder has to now provide care on an outpatient basis. What information should the nurse provide to this client who is willing and now able to manage the treatment regimen?

method of drug administration

The nurse is administering an antibiotic to a client with a diagnosis of cellulitis of the left leg. Which client condition would cause the least effective drug distribution?

peripheral vascular disease

During which stage of drug development is the drug tested on laboratory animals?

preclinical trial

Which skin condition would be most likely to cause increased systemic absorption of a topical medication?

severe sunburn

Prior to the nurse administering a medication, what is essential for the nurse to complete?

the "rights" of medication administration

Which is a key concern related to clinical pharmacology?

the drug's effects on the body

Drugs are classified according to what features?

therapeutic uses

A nurse is caring for a 92-year-old who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to:

try to distinguish between normal signs of aging and the adverse drug effects.

(see full question) A client is being discharged from the emergency department (ED) after being treated for an anaphylactic reaction to shrimp the client ate for dinner. The client asks the nurse to explain food reactions. Which would be correct responses? (Choose all that apply.)

• Anaphylactic reactions can lead to respiratory distress and even respiratory arrest. • Histamines produce immediate reactions. • Ananphylactic reactions involve an antibody that causes the release of histamine.

The nurse is preparing to administer a medication to a client and needs to confirm identification of this the client. What may the nurse use to identify this client? (Select all that apply.)

• Check the client's wristband for the name. • Request that the client state their name. • Ask the client to state the birthdate

Many drugs can affect the functioning of the nerves in the periphery and central nervous system. Which are examples of potential neurologic effects of drugs? (Select all that apply.)

• a client taking an antipsychotic who exhibits akinesia, muscular tremors, drooling, changes in gait, jitters (akathisia), or spasms (dyskinesia) • a postoperative client who had atropine and exhibits dry mouth, altered taste perception, dysphagia, heartburn, constipation, and bloating • a postoperative client with extrapyramidal symptoms, hyperthermia, and autonomic disturbances

A client began a new medication 4 days ago and has been reporting increasing malaise for the past 72 hours. The nurse is reviewing the client's most recent laboratory findings. What findings should suggest the possibility of a cytotoxic reaction? (Select all that apply.)

• decreased leukocytes • decreased hematocrit • increased liver enzymes