Unit 6

the mov. of drugs in the human body

pharmacokinetics

A nurse is caring for a client who has COPD. For which of the following inhalation med delivery methods should the nurse assess the client's ability to inhale deeply? 1. dry powder inhaler (DPI) 2. nasal spray 3. metered dose inhaler (MDI) with attached spacer 4. use of a nebulizer via a mask

1

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

1

A nurse is preparing to admin. a subcutaneous injection to a client. Which of the following should the nurse assess first? 1. the client's level of knowledge about he med 2. if the client has allergies to the med 3. where the most appropriate injection site is 4. the reason the client is receiving the med

2

Who enforces med laws? 1. NPAs 2. FDA 3. National Formulary

2

A patient who had a stroke 3 days ago is still hospitalized and receiving oral medications. Which of the following techniques reduce the patient's risk of aspiration? (Select all that apply.) 1. Do not allow patient to self-administer medication. 2. Assess patient for cough or change in voice tone or quality after swallowing. 3. Assess patient's gag reflex by offering 50 mL of water in 5-mL allotments. 4. Position the patient laying on the side with head tilted backward. 5. Give medication either as a liquid or as a solid based on patient's swallowing ability

2,3,5

A nurse is caring for a client who has a new prescription for prednisone 12.5 mg by mouth daily. The med is available in 5 mg tablets. How many tablets should the nurse admin. for each dose?

2.5 tablets

The primary intent of _____ is to protect the public from unskilled, undereducated, unlicensed nurses

NPAs

What factors affect absorption of med?

route, ability of the med to dissolve, blood flow to the site of admin., body surface area, and lipid solubility

What does the rate and extent of distribution depend on?

the physical and chemical properties of the med and the physiology of the person taking it

The nurse teaches a client about insulin admin. What statement by the client would indicate the need for further teaching? 1. insulin should be taken an hour before i am going to eat 2. i should adjust my fast-acting insulin dose based on my blood sugar 3. i should try to rotate the sites i give my insulin in 4. i need to refrigerate my insulin bt doses

1

To admin. the serum into the dermis, you insert the needle at which of the following angles? 1. 5 degrees to 15 degrees to produce a small bleb 2. 45 degrees to prevent intro into the subcutaneous tissue 3. 90 degrees to ensure intro into the dermis

1

The intended or desired physiological response to a medication is known as its ____________. 1. therapeutic effect 2. adverse drug effect 3. side effect 4. toxic effect

1

The med is distributed more evenly after instillation if the client does which of the following? 1. closes their eyes gently 2. presses gently on the inner canthus 3. blinks repeatedly

1

A nurse is caring for a pt who was 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 pt? 1. pharmacologic action 2. chemical stability 3. route 4. adverse effects

1

A nurse is preparing to admin. an insulin injection to a client. Which of the following actions should the nurse take? 1. rotate the injection sites 2. admin. no more than 2 mL of insulin per injection 3. displace the skin and subcutaneous tissue at the site about 1 to 1 1/2 inches 4. inject the med after aspirating the syringe

1

A nurse is teaching a client how to administer med through a jejunotomy tube. Which of the following instructions should the nurse include? 1. flush the tube before and after each med 2. mix your meds with your enteral feeding 3. push tablets through the tube slowly 4. mix all the crushed meds prior to dissolving them in water

1

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following info should the nurse include in the teaching? 1. this will increase the effects of normal cellular functions 2. this prevents cells in your body from performing certain actions 3. this prevents hormones in your body from attaching to cell receptor sites 4. this minimizes the risk for meds you take to become toxic

1

The client prefers that you admin. the injection in his arm. The deltoid is an acceptable site for an intramuscular injection because of which of the following? 1. the deltoid can readily accept the prescribed vol of med 2. the client is of average or above average adult weight 3. the client is capable is unrestricted movement in that arm

1

The client says, "im becoming concerned about getting hooked on this pain med." Which of the following is an appropriate response? 1. it is unlikely that you will become dependent on your pain med. You need it to help you deal with your postop pain, plus you need less of it now 2. dont worry about becoming addicted. We monitor your med closely so that does not happen to you 3. if you are really worried about getting too dependent on the med, we can wait a little loner bt doses

1

To best ensure the client's ability to self-admin. the ophthalmic med., you should do which of the following? 1. observe the client while they instill the med the next evening 2. have the client read the procedure and describe the process in their own words 3. ask the client to watch a vid demonstrating proper ophthalmic instillation

1

To make sure that you deposit the serum into the dermal layer, you select which of the following needle sizes? 1. 5/8-inch long and 25- to 27-gauge 2. 1/2-inch long and 18-gauge 3. determined by the client's weight

1

What is an example of a generic name of a med? 1. acetaminophen 2. N-Acetyl-para-aminophenol 3. Panadol

1

When instructing the client about self-admin of insulin, which of the following info should you include? 1. hold the syringe like a dart 2. use the Z-track method for admin. 3. aspirate gently before injecting

1

When receiving a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways? 1. it begins with a lower case letter 2. it is listed in parentheses along with the trade name 3. there are both letters and numbers in the name 4. the chemical name is listed in parentheses before the generic name

1

When reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways? 1. it begins with a lower case letter 2. it is listed in parentheses along with the trade name 3. there are both letters and numbers in the name 4. the chemical name is listed in parentheses before the generic name

1

Which action is primarily the role of the nurse in drug therapy? 1. admin. a prescribed drug directly to the pt 2. teaching the pt the possible side effects of a prescribed drug 3. changing the dose of a prescribed drug based on the pt's response 4. dispensing a drug according to the instructions written in the prescription

1

Which of the following actions demonstrates correct use of one of the Ten Rights of Medication Administration? 1. admin. a client's med by the route the provider has prescribed 2. adhering as closely as possible to the med schedule the client follows at home 3. gathering a med history from the client before admin. any meds 4. insisting that the client take all meds prescribed

1

Which of the following routes of administration has no barriers to absorption? 1. intravenous 2. intramuscular 3. subcutaneous 4. oral

1

A nurse is obtaining a pt's health history and discovers that the pt takes loratadine, an over-the-counter drug. The nurse should identify that which of the following is correct regarding over-the-counter 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 pt's drug history assessment 4. they are less effective than prescription drugs 5. they do not cause toxicity

1,2,3

What are factors that cause people to misuse a drug other than their intended effect? SELECT ALL THAT APPLY 1. peer pressure 2. curiosity 3. pursuit of pleasure 4. stress 5. depression

1,2,3

A nurse is caring for a pt who is postpartum and breastfeeding. The pt asks the nurse about the effects of taking over-the-counter drugs will have on their newborn. Which of the following should the nurse consider when recommending a drug for the pt? SELECT ALL THAT APPLY 1. the newborn's weight 2. how much breast milk the newborn consumes each day 3. whether or not the benefits to the pt outweigh the risks to the newborn 4. the properties of the drug 5. the route of admin. of the drug

1,2,3,4

The appropriate technique for admin an IM injection includes which of the following? SELECT ALL THAT APPLY 1. inserting the needle at a 90 degree angle 2. donning gloves after washing your hands 3. using the Z-track method to admin the med 4. applying pressure over the injection site after withdrawing the needle 5. recapping the needle before disposing of it in a biohazard sharps container

1,2,3,4

A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn? SELECT ALL THAT APPLY 1. impaired cognitive lvl 2. lang. barrier 3. discomfort 4. repetition of teaching 5. unreadiness to learn

1,2,3,5

A nurse is providing reaching for a pt who has a new prescription for a drug with a high potential for toxicity. Which of the following info should the nurse include? SELECT ALL THAT APPLY 1. periodic lab tests are essential to measure serum drug levels 2. monitoring for indications of toxicity is important 3. taking the drug with an inducing agent will increase the possibility of toxicity 4. taking the smallest effective dose is crucial 5. increasing fluid intake is recommended to avoid toxicity

1,2,4

A nurse is caring for a pt who arrived at an emergency department following a see sting. Which of the following findings indicates an anaphylactic rxn? SELECT ALL THAT APPLY 1. low BP 2. wheezing 3. bradycardia 4. peripheral edema 5. difficulty swallowing

1,2,5

What three factors are included when discussing distribution of medication? SELECT ALL THAT APPLY 1. circulation 2. lipid solubility 3. protein binding 4. membrane permeability 5. route of admin.

1,3,4

What are some of the "6 rights" of med. admin.? SELECT ALL THAT APPLY 1. route 2. color 3. pt 4. time 5. med 6. diagnosis

1,3,4,5

To ensure proper admin. of the otic (ear) med, you should instruct the client to do which of the following? SELECT ALL THAT APPLY 1. tilt their head with the affected ear upward to facilitate self-admin. 2. straighten the ear canal by gently pulling downward on the ear's auricle 3. place a cotton ball inside the external ear canal to keep the med inside 4. keep their head tilted for 2 to 3 minutes after instillation to prevent drainage out into pinna 5. massage the tragus of the ear gently to help the med move down the ear canal

1,4,5

You explain to the client that which of the following areas are the best sites for a subcutaneous injection? SELECT ALL THAT APPLY 1. on the anterior aspects of the thighs 2. on the inner aspect of the forearms 3. 2 inches below acromion process 4. on the outer posterior aspect of upper arms 5. on the abdomen from below the umbilicus to the iliac crests

1,4,5

A nurse is caring for a pt who is taking acetaminophen and codeine for pain relief. These analgesic interact with one another to cause an addictive effect. The nurse should identify which of the following are characteristics of additive drug interactions? SELECT ALL THAT APPLY 1. pt's can achieve desired effects with the use of lower dosages 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 neither would have produced alone 5. both drugs have similar actions

1,5

A home health nurse has been following an older adult patient for 6 weeks. The patient has been readmitted to the hospital twice in the past year and has limited financial resources. The nurse recently assessed changes in the patient's cognitive function. The patient voiced concern about side effects from one of the medications he receives. Which condition is the patient most at risk for at this time? 1. Polypharmacy 2. Reduced drug adherence 3. Psychological drug dependence 4. Medication tolerance

2

A nurse is preparing to admin. several meds to a client who is receiving enteral feedings through a small bore nasogastric tube. Which of the following actions should the nurse take to ensure the meds are admin. correctly? 1. add crushed meds to the enteral tube feedings and infuse via an electronic pump 2. infuse each med by gravity and flush with water before and after instillation 3. admin. meds through a 5-mL syringe 4. lower the syringe to facilitate instillation of the med

2

A nurse is preparing to administer a drug to a pt. 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

A nurse is preparing to inject heparin subcutaneously for a client who is postop. Which of the following actions should the nurse take? 1. use a 22-gauge needle 2. select a site on the client's abdomen 3. use the Z-track technique to displace the skin on the injection site 4. observe for bleb formation to confirm proper placement

2

A nurse is preparing to instill antibiotic ear drops into the ear of a 2-yr old child. Which of the following techniques should the nurse use when admin. ear drops to this client? 1. have the client maintain a side-lying position for 30 min after admin. of the ear drops 2. pull the client's auricle down and back to open the canal when admin. the ear drops 3. insert the tip of the dropper into the ear canal when admin. the ear drops

2

A nurse is preparing to teach a pt about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of the drug handbook for which of the following reasons? 1. to determine drug food interactions 2. to determine if dosage modification is indicated 3. to determine how the drug is absorbed 4. to determine availability

2

A nurse is reviewing a drug handbook prior to admin. a drug to a client who has kidney disease. The handbook states that the drug can be admin. but identifies certain risks. Which of the following terms describes these risks? 1. contraindications 2. precautions 3. paradoxical effects 4. adverse effects

2

A nurse is teaching an adult client how to admin. ear drops. Which of the following statements should the nurse identify as an indications that the client understands? 1. i will straighten my ear canal by pulling my ear down and back 2. i will gently apply pressure with my finger to the front part of my ear after putting in the drops 3. i will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops in 4. after the drops are in, i will place a cotton ball all the way into my ear canal

2

As you prepare the heparin injection, a nursing student asks you for the formula for converting 125 mcg to mg. Which of the following is an appropriate response? 1. i think thats a question for your clinical instructor 2. write it down: number of micrograms/1,000 = number of milligrams. 3. call the pharmacy. Im sure they can help you.

2

How does the reduced liver ft affect drug therapy in the older adult? 1. drugs are absorbed more slowly 2. drug doses must be reduced to prevent reaching toxic lvls 3. drugs are distributed only to the first and second drug compartments 4. drugs must be given by the parenteral route rather than by the enteral route

2

Since an IM injection delivers medication into the muscle, you best determine the appropriate needle length by assessing which of the following? 1. preferred site for injection 2. client's muscle mass and weight 3. viscosity of the med

2

The client asks why insulin is injected subcutaneously. Which of the following is info should you provide to the client? 1. subcutaneous tissue has few sensory nerves, so the insulin injection is less painful than it would be if given by another route 2. med absorption is slower from subcutaneous tissue, an important factor in the effectiveness of insulin therapy 3. subcutaneous injections are technically the easiest form of parenteral injection, making the route well suited for frequent insulin injections

2

The inner aspect of the forearm is usually an ideal location for an intradermal injection provided that it is which of the following? 1. not the client's dominant arm or it will restrict ft 2. free of any skin lesions that might impede eval 3. easily moved by the client to facilitate absorption

2

The term intradermal means that the fluid must be injected into which of the following sites? 1. vascular area for rapid absorption 2. skin where the blood supply is minimal 3. readily accessible site for easy follow-up

2

To ensure proper intro of the med into the eye, you drop the med from a distance of 1/2 to 3/4 inch onto which of the following locations? 1. center of the right eye's cornea 2. outer third of the conjunctival sac 3. nasolacrimal duct of the right eye

2

To minimize drainage of the med through the client's tear duct, you ask the client to do which of the following? 1. lie in a supine position with the head turned towards the left shoulder 2. sit upright with the head tilted slightly backward 3. lie on the right side with the affected eye downward

2

What is an example of a chemical name of a med? 1. acetaminophen 2. N-Acetyl-para-aminophenol 3. Tylenol

2

What is meant by the term drug half-life? 1. the amt of time it takes for half of the drug dose to be absorbed 2. the amt of time it takes for half of the drug dose to be eliminated 3. the amt of time required for the body to be completely free of the drug 4. the amt of time the drug remains in the "steady state" range

2

When you respond to the client's pain assessment of a 4 on a scale of 0 to 10 by offering him the oral med, the client asks, "why am i getting pills instead of the injection?" Which of the following is the best response? 1. since you are rating your pain at a 4, you really dont need the injections anymore, and pills are less expensive than the injections anyway 2. since you are having no problem with eating and your pain seems to be less severe, your provider would like to see if these pills will control your pain 3. your provider usually prescribes pain pills on the fourth postop day. You can talk to her about it when she comes in later

2

Which of the following is most important to reduce the risk of injury to the client prior to the admin. of the tetanus booster? 1. review the risk of potential adverse rxns 2. assess the client's allergy hx 3. confirm the date of the last tetanus booster

2

Which two organs are the most important in drug metabolism and elimination? 1. skin and lungs 2. liver and kidneys 3. heart and pancreas 4. stomach and intestines

2

While admin. the insulin injection, at which of the following angles should the needles be inserted to ensure the injection reaches subcutaneous tissue? 1. 15 degrees 2. 90 degrees

2

You are ready to administer the client's sleeping med when her phone rings. She says, "just leave the pill on my nightstand. I'll take it as soon as I've finished talking to my son." Which of following is best response? 1. All right but use your call light to let me know when you've taken it 2. let me know when you are finished with your call, and I will bring it to you 3. this will only take a few seconds. Please, just take it now.

2

You find that the med is labeled, "subcutaneous heparin 10,000 units/mL." You should draw up which of the following amts into the syringe to administer 6,000 units of heparin? 1. 6 mL 2. 0.6 mL 3. 1 mL

2

A pt who had a stroke 3 days ago is still hospitalized and receiving oral meds. Which of the following techniques reduce the pt's risk of aspiration? SELECT ALL THAT APPLY 1. do not allow pt to self-administer med 2. assess pt for cough or change in voice tone or quality after swallowing 3. assess the pt's gag reflex by offering 50 ml of water in 5-mk allotments 4. position the pt laying on the side with head tilted backward 5. give med either as a liquid or as a solid based on pt's swallowing ability

2,3,5

A young adult patient tells her nurse that she is afraid of injections. The nurse is preparing to administer the patient a flu vaccine. Which of the following techniques can the nurse use to reduce the patient's discomfort? (Select all that apply.) 1. Ask the patient to think about why the injection is necessary 2. Position the patient comfortably 3. Apply a vapocoolant to the skin before giving the injection 4. Use a large gauze needle 5. Carefully use anatomical landmarks to select injection site

2,3,5

A young adult pt tells her nurse that she is afraid of injections. The nurse is preparing to administer the pt a flu vaccine. Which of the following techniques can the nurse use o reduce the pt's discomfort? SELECT ALL THAT APPLY 1. ask the pt to think about why the injection is necessary 2. position the pt comfortably 3. apply a vapocoolant to the skin before giving the injection 4. use the large gauze needle 5. carefully use anatomical landmarks to select injection site

2,3,5

Who sets standards for med strength, purity, quality, safety, labeling, dose form, and packaging? 1. FDA 2. USP 3. Health Care Agencies 4. National Formulary 5. NPA

2,4

A nurse is admin. aspirin 81 mg PO daily to a client who has a hx of myocardial infarction. The med is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Rights of Med. Admin.? 1. the nurse performs the first check of the correct dosage at the client's bedside 2. the nurse identifies the client by stating the client's name as written on the med admin. rec. 3. the nurse documents that the aspirin was given at 0825 4. the nurse opens the 81 mg aspirin unit dose package prior to entering the client's room.

3

A nurse is administering an oral tablet to a patient. Which of the following steps is the second check for accuracy in determining the patient is receiving the right medication? 1. Logging on to ADS or unlocking medicine drawer or cart. 2. Before going to patient's room, comparing patient's name and name of medication on label of prepared drugs with MAR. 3. Selecting correct medication from ADS, unit-dose drawer, or stock supply and comparing name of medication on label with MAR or computer printout. 4. Comparing MAR or computer printout with names of medications on medication labels and patient name at patient's bedside

3

A nurse is administering an oral tablet to a pt. Which of the following steps is the second check for accuracy in determining the pt is receiving the right med? 1. logging on to ADS or unlocking med drawer or cart 2. before going into pt's room, comparing pt's name and name of med on label of prepared drugs with MAR 3. selecting correct med from ADS, unit-dose drawer, or stock supply and comparing name of med on label with MAR or computer printout 4. comparing MAR or computer printout with names of med on med labels and pt name at pt's bedside

3

A nurse is caring for a client who has a hx of renal insuff. and is taking lithium. The nurse should monitor the client for which of the following? 1. tolerance of the drug 2. drug interaction 3. drug toxicity 4. dependence on the drug

3

A nurse is caring for a client who is 1 day postop and reports pain level of 10 on a scale of 0 to 10. After reviewing the client's med administration record, which of the following meds should the nurse administer? 1. meperidine 75 mg IM 2. fentanyl 50 mcg/hr transdermal patch 3. morphine 2 mg IV 4. oxycodone 10 mg PO

3

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 of the first pass effect 4. the oral form has an increased rate of excretion

3

A nurse is obtaining a health history. The pt reports no allergies but has experienced mild itching while using amoxicillin in the past. Which of the following responses should the nurse make? 1. itching is an expected adverse effect of amoxicillin 2. itching can indicate amoxicillin toxicity 3. itching can indicate a hypersensitivity to amoxicillin 4. itching can result from dry skin, which is often caused by amoxicillin

3

A nurse is preparing to admin. an intradermal injection. Which of the following actions should the nurse take to ensure proper technique? 1. rub the injection site after withdrawing the needle 2. pinch 1/2 inch of skin and admin. the injection at a 45 degree angle 3. use a tuberculin syringe with a 5/8-inch, 25 gauge needle 4. choose a site that is at least 1 inch from the umbilicus

3

A nurse is preparing to admin. an intramuscular injection at the ventrogluteal site. Which of the following needle lengths should the nurse select for an adult of average size? 1. 1/2 inch 2. 1 inch 3. 1 1/2 inch 4. 2 inch

3

A nurse is preparing to admin. meds for client who has a NG tube. Which of the following actions should the nurse take a prior to admin. the meds? 1. check tube placement by inserting air into the tube while auscultating at the gastric fundus 2. percuss the client's abdomen to assess for areas of tympany and dullness 3. observe the amt of residual vol left in the stomach 4. determine the client's ability to cooperate with instructions

3

A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle. Which of the following actions should the nurse take to locate the site of injection? 1. measure two fingerbreadths below the acromion process 2. measure a handbreadth above the knee and a handbreadth below the greater trochanter 3. use the heel of the hand and index finger to locate the vastus lateralis muscle 4. locate the upper, outer quadrant of the buttocks

3

A pt receives 100 mg of a drug at noon, 1800, and midnight. The drug has a half-life of 6 hrs. How much of the drug remains in the pt at 0600 the next day? 1. 50 mg 2. 75 mg 3. 87.5 mg 4. 95.5 mg

3

After removing the needle from the client, which of the following actions should you take? 1. recap the needle to minimize the risk of a needlestick injury 2. detach the needle and dispose of it in the sharps container 3. place the needle and syringe assembly in a puncture-proof container

3

During an assessment of a patient's medical history, which factor indicates high risk for an ADE? 1. Reduced cognitive function 2. Reduced peripheral circulation 3. Pregnancy 4. Obesity

3

The movement of med molecules into the blood from the site of med admin. 1. metabolism 2. distribution 3. absorption 4. excretion

3

The nurse is preparing to administer medications to an 80-year-old patient who had a total hip replacement 12 hours ago. The patient has a history of heart failure, diabetes, and glaucoma. The nurse will administer furosemide 40 mg PO, a subcutaneous injection of 20 units NPH insulin, pilocarpine gtts 1 in both eyes, and 1.0 mL of hydromorphone IV push. Which of the medications is most dangerous to administer to this patient? 1. Furosemide 40 mg PO 2. Pilocarpine gtts 1 in both eyes 3. Hydromorphone 1.0 mL IV push 4. NPH insulin 20 units subcutaneous

3

The nurse is preparing to administer meds to an 80 yr old pt who had a total hip replacement 12 hrs ago. The pt has a hx of heart failure, diabetes, and glaucoma. The nurse will administer furosemide 40 mg PO, a subcutaneous injection of 20 units NPH insulin, pilocarpine gtts 1 in both eyes, and 1.0 mL of most dangerous to administer to this pt? 1. furosemide 40 mg PO 2. pilocarpine gtts 1 in both eyes 3. hydromorphone 1.0 mL IV push 4. NPH insulin 20 units subcutaneous

3

The prep to admin. the first dose of the prescribed pain med. While some providers used to abbreviate morphine sulfate as MS, your institution's policy doesn't recognize it as an accepted abbr. for the med. Which of the following actions should you take? 1. call the nursing supervisor to confirm the med intended in the prescription 2. ask the hospital's pharmacist to confirm the med intended in the prescription 3. call the prescribing provider to confirm the med intended in the prescription

3

This evening, you ask the client whether she will again request her sleeping pill. They respond, " it helped a little, but i didn't fall asleep as easily as i hoped." Which of the following is the best response? 1. it may take a few days to feel the full effect of this med. Let's try it again tonight. 2. let me call your provider and ask if he'll prescribe another sleep med 3. i can increase the dosage this evening, and we can see it that helps

3

To minimize the risk of a med error, you must do which of the following? 1. call the provider to double-check the prescription 2. check the client's chart for med allergies 3. observe the rights of med admin.

3

What is an example of the trade name of a med? 1. acetaminophen 2. N-Acetyl-para-aminophenol 3. Tylenol

3

What is an expected response of the heart rate when a pt is taking a drug that is an adrenaline antagonist? 1. it is unchanged 2. it increases 3. it decreased 4. it is louder

3

When admin. the med. for the first time, you identify the med as zolpidem and tell the client it's intended to help her sleep. The client replies, "The provider said i would be getting Ambien, so why did he change his mind?" Which of the following is the best reply? 1. Well, i will recheck the prescription with your provider to be sure there is in mistake. 2. Oh, the provider didn't change his mind. This is Ambien 3. The doctor was using the meds manufacturer's or trade name while i was using its generic name. Zolpidem is another name for Ambien

3

Which of the broadest and most accepted definition of the term drug? 1. any chem. substance that is either harmful or can be abused 2. an agent available by prescription that is used to treat a specific health prob. 3. a substance that, when it enters the body, changes the action of any body system 4. any natural or synthetic chem. substance with potential for abuse or addiction

3

Which of the following actions is one of the 10 rights of med admin.? 1. assess the client's VS 2. review the client's med list 3. check the client's identification band

3

Which of the following represents the correct administration of the prescribed med? 1. acetaminophen 650 mg PO prescribed; 5 tsp of 325 mg/10mL liquid given 2. levothyroxine 100 mcg PO prescribed; three 0.025 mg tablets given 3. amoxicillin 1 g PO prescribed; two 500-mg tablets given 4. diphenhydramine 40 mg IM prescribed; 1.25 mL of 50 mg/1 mL for injection given

3

You are most satisfied with the patient's understanding when they make which of the following statements? 1. ill put one drop of travoprost in the bad eye at bedtime 2. ill put one drop of travoprost in the right eye 3. ill put one drop of travoprost in my right eye at bedtime

3

You are teaching the client about self-admin. of insulin. Which of the following injection sites should you suggest for self-admin. of insulin? 1. posterior thigh 2. upper back 3. lower abdomen

3

You assess the client to determine the location for the injection. Which of the following is the correct method to locate the site to admin. an injection into the deltoid muscle? 1.one hand with above the humerus epicondyle 2. two finger widths lateral to the scapula 3. 2 inches below the acromion process

3

You begin prepping the med. The med is stocked on the unit in prefilled syringes labeled "10 mg/mL." You plant to admin. 5 mg of morphine. What volume of med should you plan to administer? 1. 1 mL 2. 2 mL 3. 0.5 mL

3

You prepare the client's bedtime dose of zolpidem. The med is labeled "1 tablet= 10 mg." To provide the client with the minimum dose of med, you admin. which of the following doses? 1. 1 tablet 2. 2 tablet 3. 1/2 tablet

3

You realize that the client is not taking nitroglycerin tablet appropriately when she cannot describe the sublingual route of admin prescribed with this med. Which of the following is the best action to take? 1. discuss the sublingual route with the client's son so that he can verify appropriate admin 2. tell the client she is taking the med improperly while providing her with a written explanation of the technique 3. explain to the client and son that the pill must be tongue to dissolve and absorb correctly

3

_______ are often more restrictive than governmental controls. 1. FDA 2. National Formulary 3. Health Care Agencies 4. NPA

3

The nurse is preparing a heparin injection for a patient who has a recent history of a deep vein thrombosis. The patient's height and weight are 172 cm (5 feet 9 inches) and 102 kg (225 lb). Place the steps for administering the injection in the correct order: 1. Cleanse site with antiseptic swab. 2. Hold syringe between thumb and forefinger of dominant hand like a dart, with palm down. 3. Choose an injection site on the abdomen. 4. Assist patient to lie in a supine position, relaxing abdomen. 5. Pinch skin with nondominant hand and insert needle quickly at 90-degree angle. 6. While holding antiseptic swab between third and fourth finger of dominant hand, remove needle cap from syringe

3,4,1,6,2,5

The nurse is prepping a heparin injection for a pt who has a recent hx of a deep vein thrombosis. The pt's height and weight are 172 cm (5 ft 9 in) and 102 kg (225lb). Place the steps for administering the injection in the correct order: 1. cleanse site with antiseptic swab 2. hold syringe bt thumb and forefinger of dominant hand like a dart, with palm down 3. choose an injection site on the abdomen 4. assist pt to lie in supine position, relaxing abdomen 5. pinch skin with nondominant hand and insert needle quickly at 90 degree angle 6. while holding antiseptic swab bt third and fourth finger of dominant hand, remove needle cap from syringe

3,4,1,6,2,5

A nurse is caring for a client who has a prescription for a fluticasone propionate inhaler with a spacer. The client asks the nurse why a spacer is needed with the inhaler. Which of the following responses should the nurse take? 1. by using a spacer, you can take the med correctly without any spills 2. you can inhale five or more puffs in 1 minute when using a spacer 3. by using a spacer, you eliminate the need for mouth rinsing after admin 4. more med is delivered to the lungs when you use a spacer

4

A nurse is caring for a pt who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning? 1. after the pt has a definitive diagnosis 2. on the day of discharge 3. when the pt's family is present 4. as soon as possible

4

A nurse is providing taking 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. gestational diabetes mellitus 4. fetal malformation

4

A nurse is reviewing a group of prescriptions. Which of the following should the nurse identify as an example of a complete prescription? 1. aspirin PO 1 tablet daily 2. ferrous sulfate 624 mg PO 3. hydrocodone/acetaminophen 5/325 mg PRN 4. digoxin 1.25 mg PO daily

4

A nurse is speaking to a pt who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. The nurse should recognize the pt's risk for which of the following? 1. reduced drug absorption 2. drug dependence 3. altered drug distribution 4. drug toxicity

4

A nurse is teaching a client about meds at discharge. Which of the following statements should the nurse identify as an indication that the client understands the instructions? 1. i can open the time release capsule with the beads in it and sprinkle them on my oatmeal 2. if i am having difficulty swallowing i will add the liquid med to a prepared package of pudding 3. i can crush the enteric coated pill, if i needed 4. i will eat two crackers with the pain pills

4

A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements 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

A nurse is teaching a pt about naproxen enteric-coated tablets. Which of the following statements should the nurse indicate 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

A nurse is teaching the adult child of a client about instilling eye drops in the client's right eye. Which of the following statements by the client's adult child indicates an understanding of the teaching? 1. i will have my mother look down while dropping the med into her eye 2. i will instruct my mother to tightly close her eye for 30 to 60 seconds after the med has been given 3. i should apply the med using a thin stream from the inner canthus to the outer canthus 4. i will pull down her lower eyelid and drop the med inside

4

Which of the following terms indicates that a med is given via an injection? 1. enteral 2. sublingual 3. transdermal 4. parenteral

4

set individual policies to meet federal, state, and local regulations 1. NPA 2. National Formulary 3. FDA 4. Health Care Agencies

4

Defines the scope of nurses' professional ft's and responsibilities?

Nurse Practice Acts

Occurs under the influence of enzymes that detoxify, break down, and remove biologically active chemicals

biotransformation