Pharm

A 6-month-old child has developed skin irritation due to an allergic reaction. The child is prescribed a topical skin ointment. The nurse will consider what information before administering the drug?

Compared to adult skin, infants' skin exhibits greater permeability. This can result in increased absorption, which may result in adverse effects that usually do not occur in the adult.

A nurse is caring for a patient who has been prescribed entacapone for the treatment of Parkinson's disease. The patient informs the nurse that he is taking MAOI antidepressants for the management of depression. What effect of the interaction of the two drugs should the nurse anticipate in the patient?

The nurse should anticipate the risk of toxicity of both drugs as the effect of interaction of entacapone and MAOI antidepressants in the patient.

(see full question) A client is receiving warfarin. The nurse would expect to administer this drug by which route?

oral

A nurse is caring for a patient with suicidal tendencies and severe depression. The nurse is to prepare a report after monitoring the patient's condition. What should the nurse look for in the patient while preparing the report?

signs of insomnia

Which of the following drugs is classified as a dopaminergic agent that treats Parkinsonism by supplementing the amount of dopamine in the brain? (Choose one)

Carbidopa (Lodosyn)

The 68-year-old client states, "I have been taking aspirin on occasion for my arthritis for many years but notice that it takes longer for it to start working now." What is the best response by the nurse?

"As you get older, absorption is prolonged and medications may take a little longer to act than normal."

(see full question) A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies?

"Drugs do not cure these disorders; they instead enhance quality of life."

A gerontological nurse is conducting a medication assessment of a new client on a subacute medicine unit. Which of the client's statements should signal to the nurse a need for education?

"I use a lot of herbs and supplements, but I'm careful to make sure that they're all natural."

The elderly client has been noncompliant with taking a prescribed medication. The nurse asks the client:

"What is the reason you have not taken the medication?"

How long does a patient need to wait after stopping a phenelzine (Nardil) before starting paroxetine (Paxil)? (Choose one)

14 days

The nurse is working in a pediatric Emergency Department and uses caution when administering medications. The client most at risk for a medication error is the client who:

18 months

The nurse is aware that renal function of a child reaches that of an adult at which age?

2 yrs

A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately

24 hrs

The nurse administers an oral dose of morphine to a client at 3:00 PM. The nurse would expect the drug to peak at which time?

4 pm

A client is receiving an SSRI. The nurse would inform the client that the full benefits of the drug may not occur for which time period?

4 weeks

Each of the following patients requires sertraline therapy. Which patient would require the closest monitoring by the nurse?

45 yr with liver impairment

You are caring for four patients. For which client would you question the physician's order of IV morphine?

78 yr old with osteoarthritis

What is the total water body percentage in infants?

80%

Which of the following patients would likely have the highest risk for hepatotoxicity from dantrolene (Dantrium)?

A 57-year-old female who is on hormone replacement therapy Explanation: If dantrolene is combined with estrogen, the incidence of hepatocellular toxicity is increased; this combination should be avoided.

For which of the following patients is the use of warfarin (Coumadin) most clearly indicated?

A 78-year-old woman who has a history of atrial fibrillation

Pharmacokinetics involves the study of how medications are absorbed, distributed, metabolized, and eliminated. What are the two key factors that influence pharmacokinetics in children?

Age and size

A nurse who provides care for older adults is aware of the decreased rate of drug distribution among this population. The ability of older adults to adequately distribute drugs that are ingested is highly dependent on serum levels of

Albumin

According to Quality and Safety Education for Nurses (QSEN), what intervention will best help the nurse administer medications safely?

Alerting other staff to not bother the nurse when preparing medications to administer

A patient with spinal cord injury is experiencing muscle spasticity. Which agent would most likely be ordered?

Baclofen

Which of the following drugs are approved for use in MS clients with severe spasticity?

Baclofen and tizanidine are approved for spasticity in people with MS. The two drugs are similarly effective, but tizanidine may cause fewer adverse effects.

The nurse is preparing to administer a medication to a pediatric patient but does not see a child dose specified. How can a correct dose be determined from the adult dose?

Based on Body surface area

What legislation has been put in place to ensure that proper drug testing is done on medication prescribed to the pediatric population?

Best Pharmaceuticals for Children Act

A nurse is assured that medications being administered meet standards of strength by animal response to specified doses. What is this type of response testing on animals termed?

Bioassay

The nurse is aware that CNS adverse effects of medications given to infants are higher because of what immature function?

Blood-brain barrier

David, age 2, is diagnosed with stomach flu and is suffering from vomiting and diarrhea. What is the most important factor in determining the correct dosage for his infection?

Body Surface Area. A drug dose for a child can be determined by using the standard formula for finding the body surface area of the child. The ratio of the body surface area to weight is inversely proportional to its length. Body surface area also can be determined by using a nomogram

A patient with cortical focal seizures has been prescribed phenobarbital. What adverse reaction should the nurse monitor for in the patient?

CNS depression

The nurse is caring for Jessie, a 3-year-old child admitted with pneumonia. The physician has ordered clarithromycin to be administered. The drug guide the nurse is using for a reference lists only the recommended adult dose. What should the nurse do to ensure that the proper dose of the medication is given to Jessie?

Calculate the drug dosage based on Jessie's BSA

The drug of choice for the treatment of partial seizures is what?

Carbamazepine is often the drug of choice for treatment of partial seizures. It has the ability to inhibit polysynaptic responses and to block sodium channels to prevent the formation of repetitive action potentials in the abnormal focus.

(see full question) You are writing a care plan for a patient on an SSRI. What would be an appropriate nursing diagnosis for this patient?

Disturbed thought processes and disturbed sensory perception (kinesthetic, tactile) related to CNS effects

(see full question) The patient is taking cyclobenzaprine for muscle spasms secondary to an injury to his lumbar spine that occurred while lifting a motor at work. He is being seen for a follow-up visit by the physician. He is complaining of dry mouth, blurred vision, and constipation. Why is the patient having these side effects from cyclobenzaprine?

Cyclobenzaprine produces an anticholinergic response, resulting in these side effects.

A patient has been diagnosed with multiple sclerosis and suffers from spasticity. The physician discusses options to control spasticity with this patient. What would the physician recommend as the drug of choice to manage spasticity associated with neuromuscular diseases?

Dantrolene

A nurse has administered a medication to an older adult patient with the knowledge that this patient will absorb this medication more slowly than a younger patient. What factors contribute to the decrease in absorption that accompanies aging? Select all that apply.

Decreased blood flow in the GI tract • Decreased surface area of the GI tract • Decreased gastric emptying

An adolescent is being discharged from the hospital and is prescribed medications for a cardiac rhythm abnormality. How should the nurse provide instructions? (Select all that apply.)

Describe the intended effect of regulating the heart rate. • Speak to both adolescent and parents. • Outline the time and frequency of each medication. • Answer questions the adolescent may have.

The nurse is educating a patient who has been prescribed atropine, an anticholinergic drug. Which of the following instructions should the nurse provide to the patient?

Do not drive or operate machinery. Effects of anticholinergic drugs such as atropine include blurred vision and impaired ability to sweat. Patients should be cautioned to avoid activities that may be made dangerous by blurred vision; this may include driving and operating machinery. To avoid overheating, patients should avoid strenuous activity and take other measures to stay cool (e.g., frequent cool baths). Patients experiencing eye pain may have undiagnosed glaucoma; they should stop taking the medications and contact their health care providers.

A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain. What question should the nurse include in an assessment when trying to minimize the potential for adverse drug reactions?

Do you ever use alcohol or drugs?

A 3-year-old child is being treated with dilantin (Phenytoin) for epilepsy. Dilantin levels indicate that therapeutic levels are not being achieved. What does the nurse determine may be the cause of the nontherapeutic drug levels?

Drugs requiring oxidation for metabolism are frequently more rapidly metabolized in children than in adults because children have a faster resting respiratory rate. These drugs include phenobarbital, phenytoin, and the methylxanthines. With these type of drugs, children may require a higher dose or more frequent administration schedules than adults do to maintain therapeutic blood levels.

Ms. Tomas, 54 years old, is being treated for Parkinson disease with carbidopa-levodopa. Why did the physician prescribe a combination medication to Ms. Tomas instead of levodopa alone?

Levodopa is metabolized in the periphery when not administered with carbidopa.

A client has received a prescription for baclofen. The home care nurse would schedule which laboratory tests to monitor this client?

Liver function tests

Prior to administering morphine, the nurse checks the client's medication history. The nurse will contact the physician and hold the morphine if the nurse notes the client is currently taking which medication?

MAO inhibitor

(see full question) Which narcotic analgesic has an established pediatric dose? (Mark all that apply.)

Morphine • Meperidine • Hydrocodone

Which antidepressant would the nurse identify as being one associated with the least amount of common adverse effects?

Nortriptyline

Question 17: (see full question) A patient is receiving heparin by continuous IV infusion. What interventions should the nurse perform for the patient?

Perform blood coagulation tests every four hours.

Opioid naïve patients are at most risk for which of the following?

Respiratory depression

The Drug Enforcement Agency regulates the manufacture, prescription, and distribution of psychoactive medications through a classification system known as the Schedule of Controlled Substances. At which level would anabolic steroids be placed?

Schedule III

A patient comes to the mental health clinic for a regular appointment. The patient tells the nurse they have been taking fluoxetine (Prozac) 20 mg PO daily for the past 3 weeks and that they have lost 3 pounds during that time due to a loss of appetite. What action should the nurse take?

She will inform the patient that a decrease in weight is normal with this medication.

Which of the following are methods used to treat a drop in respiratory rate in a client receiving an opioid analgesic? Select all that apply:

Stopping the opioid analgesic. • Administering naloxone (Narcan).

Keith, 12 years old, is seen in the emergency department for a severe sunburn. He is complaining of pain, which he rates 7/10. What type of pain is he suffering from?

Superficial Somatic Pain

The nurse is to administer 10 drops of an oral liquid medication to an infant with a poor sucking reflex. The best way to administer the medication and ensure the medication will be swallowed is by:

The best way to administer medication drops to an infant with a poor sucking reflex and ensure the medication is swallowed is to place the drops in the buccal cavity. The infant needs a well-developed sucking reflex to take medication from a bottle nipple. By adding medication to formula, the infant may dislike the taste and refuse future formula feedings.

A male client is diagnosed with Parkinson's disease. The nurse visits him 1 week after hospitalization to assess his progress and medication regimen compliance. He states that there is no significant improvement in his symptoms. What is the best response by the nurse?

The home care nurse can help clients and caregivers understand that the purpose of drug therapy for Parkinson's disease is to control symptoms and that noticeable improvement may not occur for several weeks

(see full question) Why are selective serotonin reuptake inhibitors considered the first line of drug therapy for patients with depression?

The medications have fewer anticholinergic effects than alternatives.

The biogenic amine theory of depression states that there are 3 reasons for depression. One of those reasons is what?

The number or sensitivity of postsynaptic receptors may increase.

Which of the following would a nurse identify as increasing a client's risk for hepatic disease with dantrolene use?

The risk for hepatocellular disease is increased in women and all clients over the age of 35 years

Which of the following class of antidepressants exert their effects by inhibiting reuptake of norepinephrine and serotonin? (Choose one)

Tricyclic Antidepressants

T/F A deficiency of a biogenic amine in key brain areas is believed to result in depression.

True

T/F: Morphine, when administered orally, has a duration of action of 5 to 7 hours.

True

A nurse is preparing to administer medications at a facility that requires nurses to log on a computer and take out one patient's medications at a time. The nurse is feeling rushed, and instead logs in once and takes out medications for all three patients under care. What would Quality and Safety Education for Nurses (QSEN) term this type of behavior?

Work around

The health care provider would not prescribe duloxetine (Cymbalta) for a client with a mood disorder if the client took which other medication?

a medication for hypertension

The nurse knows that, of the following clients, who is least likely to be prescribed transdermal fentanyl?

a woman 85 yrs of age

An elderly client comes into the clinic with a family member. The client reports back pain. The physician prescribes cyclobenzaprine (Flexaril) for the client. What type of adverse effects should the nurse educate the client and family about?

anti-cholinergic side effects such as sedation and weakness

(see full question) The physician has prescribed lithium to Mr. Johnson, a 34-year-old male with a history of obesity, cirrhosis of the liver secondary to alcohol abuse, diabetes, and hypertension. Which condition places him at highest risk of lithium toxicity?

cirrhosis of liver

The nurse can determine that the client taking uric acid inhibitors is drinking enough fluids when which of the following occurs?

daily urine output 2 L When taking uric acid inhibitors, the client should drink about 3000 mL per day, and the daily urine output should be about two liters.

A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to

decreased blood flow to tissues and muscles

When combination therapy is ineffective what needs to be reassessed?

drug-drug interactions

A nurse will be prepared to administer naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan

has a shorter half life than morphine

A patient is receiving fluoxetine. The nurse would monitor the patient for which of the following?

hypothermia

A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately?

muscle twitching

(see full question) Ms. Main is sent home with subcutaneous heparin after a total hip replacement. What symptom would indicate a serious drug reaction?

tarry stools

Clopidogrel (Plavix) is used frequently for what?

treatment of peripheral artery disease

What factors contribute to improper medication use in older adults? (Select all that apply.)

• Altered mental status • Unable to read small print well • Lack of adequate income • Ability to set up a medication schedule

The nurse knows that pharmacodynamics across the lifespan are affected by what variables? (Select all that apply.)

• Body composition • Genetic makeup • Immature organ systems

Antidepressants often can cause GI side effects that lead to imbalanced nutrition. Which of the following recommendations should the nurse make to the client to help alleviate GI side effects? Select all that apply:

• Increase fiber intake. • Increase fluid intake. • Chew sugarless gum.

A nurse caring for a client taking amitriptyline (Elavil) for depression should monitor the client for which of the following adverse events? Select all that apply:

• Sedation • Dry mouth • Photosensitivity

A nurse is administering medications to a 70-year-old female client. What normal physiologic changes that occur with aging will affect the absorption of medications? (Select all that apply.)

• chronic illness • decreased blood flow to the GI system • decreased body surface area

The nurse is preparing to give an older adult client an IM injection. How will this client's history of heart failure affect the administration of this medication? (Select all that apply.)

• decreased absorption of the medication • abnormal blood concentrations of the medication

The nurse is administering medications that are metabolized in the liver to a 68-year-old. What normal age-related changes to metabolism may alter the dose a client will be prescribed? (Select all that apply.)

• decreased hepatic mass • decreased hepatic blood flow

The elderly client has been taking digoxin for the past several months. To assess the client for toxicity of digoxin, what would the nurse evaluate? (Select all that apply.)

• serum digoxin level • apical pulse rate • reports of yellow halo around lights • electrolyte levels

When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide which of the following?

A return to normal respiratory rate, rhythm, and depth

Which of the following clients is more likely to have respiratory depression when receiving an opioid medication, requiring administration of an opioid antagonist?

A surgical client who is not used to taking opioid analgesics

A 57-year-old female client has a history of two myocardial infarctions in the past 3 years. She presents to the physician's office with symptoms of an overactive bladder. She requests an anticholinergic medication that she saw advertised on television. What does the nurse expect the physician to do for this client?

Anticholinergic drugs are contraindicated for clients with BPH, myasthenia gravis, hyperthyroidism, narrow-angle glaucoma, tachydysrhythmias, myocardial infarction, heart failure, or conditions associated with esophageal reflux.

The nurse is preparing Mr. Hahn for pacemaker surgery. The physician orders atropine to be given 30 minutes before the patient leaves for the operating room. The nurse knows that the physician ordered this medication for what reason?

Atropine is an anticholinergic agent. The principal actions of atropine are a reduction in salivary, bronchial, and sweat gland secretions; mydriasis; cycloplegia; changes in heart rate; contraction of the bladder detrusor muscle and of the gastrointestinal smooth muscle; decreased gastric secretion; and decreased gastrointestinal motility. The reason this patient is given the medication preoperatively is to dry up secretions to prevent aspiration during surgery. (less)

Which of the following instructions should the nurse specifically stress when administering drugs used for muscle spasm and cramping?

Avoid alcohol or Other CNS depressants

A patient is newly diagnosed with Parkinson's disease and levodopa (Dopar) has been prescribed. What patient teaching information should be considered a high priority for this patient?

Avoid vitamin B6 intake since a combination with levodopa may lead to decreased efficacy.

What is the most consistent issue that arises in the older adult when the rate of absorption is slowed?

Change in peak serum drug levels

The breathing pattern of a patient receiving opioid drugs slows, due to the effect of somnolence and pain relief. Which of the following nursing interventions should the assigned nurse perform when caring for this patient?

Coach breathing pattern

Which of the following would be most important to monitor in a client receiving ethosuximide?

Complete blood count Although weight loss and anorexia may occur, ethosuximide is associated with bone marrow suppression, including potentially fatal pancytopenia, so it would be most important for the nurse to monitor the client's complete blood count

(see full question) A nurse is caring for 70-year-old patient who is undergoing anticholinergic drug therapy. The nurse should assess for which of the following conditions when caring for this elderly patient?

Confusion and disorientation

Unwanted anticholinergic effects include:

Constipation and dry mouth

Age-related changes in the GI tract of an older adult can alter oral drug availability or affect bioavailability, as evidenced by a decrease in the systemic availability of which drug type?

Drugs that require an acidic environment

The nurse is caring for a 7-year-old hospitalized patient who is taking several different medications. The nurse educates the family about all of the medications being administered. What is the importance of this education for the family?

Families become active partners with the rest of the health care team in preventing medication errors.

A 12-year-old cancer patient is receiving morphine 5-10 mg PO q6 hours. You are just coming on shift and assessing your patients when this 12-year-old tells you they are in pain. You check the medication record and find it has been 5 1/2 hours since the patient last received pain medicine. What would you do?

Give the patient 5 mg of morphine PO

The nurse should observe patients receiving a cholinergic blocking drug during the hot summer months because these patients are at increased risk of which of the following? (Choose one)

Heat Prostration

When prevention or cure is not a reasonable goal, relief of symptoms can do what? (Select all that apply.)

Improve a client's quality of life • Improve ability to function in activities of daily living

An infant has been prescribed a 10-day course of an oral liquid antibiotic. The nurse should teach the infant's parents to administer the drug using an oral syringe and to place the drug:

In the infant's cheek

A patient is experiencing severe pain and taking an opioid. What would be a desirable and measurable outcome for this patient?

Increased ability to perform in AM care

A pediatric nurse exercises great vigilance in ensuring that medication administration is appropriate to each child's age. Which child would the nurse categorize as being an infant?

Infancy = 4 weeks of age - 1 yr of age

Which is the best area to place oral medications in infants?

Inner aspect of the cheek

A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice?

Integrating the new drug into the client's existing schedule promotes adherence.

Which of the following is a cholinergic blocking drug which is available in an inhaler form for the treatment of COPD? (Choose one)

Ipratropium (Atrovent)

To promote a positive outcome when administering drug therapy to a child, what type of knowledge should the nurse have?

Normal growth and development

A nurse is teaching her client about the use of over-the-counter (OTC) drugs. Which statement best informs the client about their safe use?

OTC drugs need to be taken with caution; they can mask the signs and symptoms of an underlying disease and interfere with prescription drug therapy.

A patient is prescribed dicyclomine. The nurse would expect to administer this drug by which route?

Oral

A nurse is caring for a 49-year-old woman in the intensive care unit. The patient was in a motor vehicle accident and is in severe pain. She is being given morphine. After 2 days in the unit, the nurse suspects that the patient is developing a cold. The nurse will monitor for which of the following?

Pneumonia

The nurse is administering an opioid drug to the patient. The nurse should inform the patient about which of the following benefits of epidural administration of opioid drugs?

Presents fewer adverse reactions

The nurse is obtaining a list of the medications that an elderly client is taking. The client is known to be taking 14 different medications. What concern does the nurse have?

The client has an increased risk for morbidity and mortality.

The nurse explains to the client that pain medications work by what action in the body?

They alter the brain's perception of the pain

The nurse is to administer an intramuscular medication to a 2-year-old toddler. The nurse uses:

To administer a medication by the intramuscular route fo a child up to 3 years of age, the nurse uses the vastus lateralis, which is the largest muscle mass in this age group.

Why is it important for the nurse to obtain baseline information from a client, such as a drug profile, an accurate history of the client's usual abilities, and changes in abilities or health status?

To determine any new signs and symptoms in the client that could be related to drug therapy

Dopaminergic agents can exacerbate cardiovascular disease due to dopamine receptor stimulation. T/F

True

The nurse has just administered an opioid antagonist to a client who had been experiencing respiratory depression. How soon can the nurse expect to see improvement in the client's respiratory function?

Within one to five minutes, an effect may be seen

A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should

offer a choice between liquid and chewable medications, if possible

A nurse has just administered an IM injection of meperidine (Demerol) to a patient. The priority nursing action for the nurse will be to

make sure side rails are up

The Controlled Substances Act of 1970 regulates what actions in regards to drugs classified as controlled substances? (Select all that apply.)

manufacturing, distributing, dispensing

The nurse is caring for an older adult and is reviewing the normal age-related changes that occur in this group of clients and realizes that such changes extend the half-life of drugs. What is the physiologic change that causes this to occur?

reduced oxidation in phase I of hepatic metabolism Aging affects the efficiency of both phases of metabolic activity but tends to alter phase I more than phase II reactions. Because drug metabolism is slowed by reduced oxidation in phase I, drug blood levels are higher, and drug half-lives are extended in older adults.

The elderly client reports to the clinic nurse difficulty sleeping of recent duration. How will the nurse intervene? (Select all that apply.)

• Assessing the client's activity level • Asking the client about time of food ingestion • Determining sleep patterns of the client

How is the renal system affected by the aging process?

• Decrease in tubular secretion • Decrease in the number of functioning nephrons • Decrease in blood flow to the kidneys

Michael, a preschooler, requires rectal drug therapy. The nurse conducts sessions of play therapy to reduce his anxiety and promote understanding of drug therapy. What other interventions must the nurse keep in mind to maximize therapeutic effects and minimize adverse effects while administering the drug? (Choose all that apply.)

• Explain to Michael's family the need to administer a drug rectally. • Dissuade Michael from going to the bathroom.

The nurse is caring for a client who has been admitted to the emergency department after a fall. An x-ray indicates that the client has fractured his ankle. Because of a previous stroke, the client does not speak. What other method will the nurse use to assess this client's pain? (Select all that apply.)

• Facial expressions • Movement of arms and hands • Guarding of the leg

What interventions will the nurse use to improve adherence to a medication regimen for the older adult? (Select all that apply.)

• Keep the cost of the medications as low as possible • Provide easy-to-follow directions • Educate client and family to the medication regimen

Which of the following are non-ergot dopamine receptor agonists? Select all that apply:

• Pramipexole (Mirapex) • Ropinirole (Requip)

The nurse is assessing a patient who has just received naloxone. Which of the following would the nurse expect to assess? Select all that apply.

• Pulmonary edema • Pain • Tremulousness

The nurse is working with a chronically ill client who is being administered opioid analgesics for pain management. While caring for this client, the nurse needs to keep which of the following in mind? Select all that apply.

• Respiratory depression rarely occurs. • Tolerance to the medication may develop quickly, requiring larger doses to achieve the same level of pain control. • Administering naloxone (Narcan) to clients to increase respiratory rate may lead to the client experiencing intense pain and/or withdrawal symptoms. • Morphine sulfate (MS Contin) is the most widely used medication for management of chronic severe pain.

When an opioid antagonist is given to a client, they experience pain abruptly because the opioid no longer works in the body. Which of the following should the nurse do when pain reoccurs? Select all that apply:

• Review the circumstances that led to the use of the opioid antagonist. • Assess the client's pain level. • Begin to treat the pain again.

Which of the following equipment should be placed in the client's room when administering an opioid antagonist? Select all that apply.

• Suction equipment in case the client begins to vomit • A cardiac monitor to assess the client's cardiac function • A pulse oximeter to monitor the client's oxygen saturation levels

A nurse is caring for a patient for whom new medications have been ordered. Which medications fall into the High Alert Medication category? Select all that apply.

• The patient is receiving general anesthetics for surgery. • The patient is receiving amiodarone, an antidysrhythmic.

The FDA approves drugs for OTC status, including the transfer of drugs from prescription to OTC status. What are characteristic of prescription drugs that are delegated to OTC status? (Select all that apply.)

• They may be administered at a lower dosage than the prescription. • They may require additional clinical trials to determine the safety and effectiveness of the OTC use. • They may be used for different indications than the original prescription medication.

What topics are important for the nurse to share with an adolescent related to self-care and medication administration? (Select all that apply.)

• Use of acne medications • Adverse effects of prescribed medications • Birth control pills and other drug interactions

The elderly client is being triaged in the emergency department for a report of dizziness. What should the nurse assess? (Select all that apply.)

• blood pressure and pulse • the client's list of medications • a history of renal or hepatic disease