Power Point Questions

What is the best way for the nurse to evaluate the effectiveness of the patient's opiate agonist? a. Ability of the patient to tolerate more activity b. Increased sleep time throughout the night c. Reduction of respiratory rate from 24 to 18 breaths/min d. Verbal report of 2 on a 1 to 10 scale

d. Verbal report of 2 on a 1 to 10 scale

Which route of administration has the fastest rate of distribution? a)Subcutaneous b)Intramuscular c)Transcutaneous d)Intravenous

d) intravenous

Which classification does not describe a property of salicylates? a)Analgesic b)Antipyretic c)Antiplatelet d)Sedative e)Antiinflammatory

d)Sedative

Which action will the nurse take when a patient receiving morphine sulfate via percutaneous coronary angioplasty (PCA) has a shallow, irregular respiratory rate of 6 breaths/min? a. Elevate the patient's head of bed to facilitate lung expansion. b. Increase the patient's primary intravenous (IV) flow rate. c. Complete the FLACC scale. d. Notify the health care provider and prepare to administer naloxone (Narcan).

d. Notify the health care provider and prepare to administer naloxone (Narcan).

Which are routes of drug excretion? (Select all that apply.) a) GI tract; feces b) Genitourinary (GU) tract; urine c) Lymphatic system d) Circulatory system; blood/plasma e) Respiratory system; exhalation

a) GI tract; feces b) Genitourinary (GU) tract; urine e) Respiratory system; exhalation

Which entity is responsible for monitoring drug safety in the United States? a)Drug Enforcement Agency (DEA) b)Department of Justice (DOJ) c)U.S. Food and Drug Administration (FDA) d)World Health Organization (WHO)

c) U.S. Food and Drug Administration (FDA)

A patient is being started on a new drug that has been used safely by many people for years. The patient has no known allergies, and the nurse administers the drug correctly. Suddenly the patient experiences cardiac arrest. What is this type of reaction called? a)Allergic b)Mutagenic c)Idiosyncratic d)Therapeutic

c) idiosyncratic

Which source of information is best for the nurse to obtain drug information? a) Physicians' Desk Reference (PDR) b) Nursing journals c) United States Pharmacopeia (USP) and National Formulary (NF) d) Electronic databases

d) electronic databases

The nurse recognizes that which factor(s) would contribute to digoxin toxicity in a 92-year-old patient? (Select all that apply.) a) Taking the medication with meals b) Prolonged half-life of the drug digoxin c. Impaired renal function d. Diminished mental capacity

b. Prolonged half-life of the drug digoxin c. Impaired renal function

Which condition(s) may be managed by salicylates? (Select all that apply.) a. Migraine headache b. Swollen joints c. Fever d. Muscle aches e. Myocardial infarction

b. Swollen joints c. Fever d. Muscle aches e. Myocardial infarction

A patient receives 200 mg of a medication that has a half-life of 12 hours. How many mg of the drug would remain in the patient's body after 24 hours?

50 mg

How many years on average does it take for a drug to be brought to market from the time of its conception? a)2 to 3 b)4 to 7 c)8 to 15 d)12 to 18

c) 8 to 15

The nurse is educating a postoperative patient about the use of a patient-controlled analgesia (PCA) pump. Which statement by the patient indicates a need for further teaching? a)"I'm afraid I'll give myself too much medicine and become addicted to it." b)"I can only receive the medication every 10 minutes." c)"I'll let the nurse know if my pain doesn't improve." d)"I'll be sure to push the button to give myself pain medicine before I get up into a chair."

a)"I'm afraid I'll give myself too much medicine and become addicted to it."

Which statement(s) about liberation of drugs is/are true? (Select all that apply.) a) A drug must be dissolved in body fluids before it can be absorbed into body tissues. b) A solid drug taken orally must disintegrate and dissolve in GI fluids to allow for absorption into the bloodstream for transport to the site of action. c) The process of converting the drug into a soluble form can be controlled to a certain degree by the dosage form. d) Converting the drug to a soluble form can be influenced by administering the drug with or without food in the patient's stomach. e) Elixirs take longer to be liberated from the dosage form.

a) A drug must be dissolved in body fluids before it can be absorbed into body tissues. b) A solid drug taken orally must disintegrate and dissolve in GI fluids to allow for absorption into the bloodstream for transport to the site of action. c) The process of converting the drug into a soluble form can be controlled to a certain degree by the dosage form. d) Converting the drug to a soluble form can be influenced by administering the drug with or without food in the patient's stomach.

Which route(s) enable(s) drug absorption more rapidly than the subcut route? (Select all that apply.) a) IV route b) IM route c) Inhalation/sublingual d) Intradermal route e) Enteral route

a) IV route b) IM route c) Inhalation/sublingual

Which drug schedule indicates drugs with the highest risk for abuse? a)Schedule I b)Schedule II c)Schedule III d)Schedule IV e)Schedule V

a) schedule I

What is a common but serious adverse effect of nonsteroidal antiinflammatory drugs (NSAIDs)? a)Increased upper GI bleeding b)Excessive drowsiness c)Antipyretic action d)Diarrhea

a)Increased upper GI bleeding

All drugs are processed in the body through pharmacokinetics. What is the correct order that drugs pass through the body? a)Liberation, absorption, distribution, metabolism, excretion b)Distribution, metabolism, liberation, absorption, excretion c)Biotransformation, liberation, distribution, absorption, excretion d)Excretion, distribution, liberation, absorption, metabolism

a)Liberation, absorption, distribution, metabolism, excretion

After receiving a dose of morphine for postoperative pain, a patient becomes unresponsive, with a respiratory rate of 10/min, with shallow breathing. The nurse should anticipate administering which medication? a)Naloxone b)Nalbuphine c)Meperidine d)Pentazocine

a)Naloxone

Which additional nursing intervention(s) would be effective with pain management in the pediatric population? (Select all that apply.) a. Provide diversional activities such as coloring, puzzles, and games. b. Allow uninterrupted sleep and rest. c. Perform hygiene measures. d. Encourage parental participation with caregiving to diminish the child's anxiety. e. With the health care provider's approval, encourage the child to drink eight to ten 8-ounce glasses of fluid daily.

a. Provide diversional activities such as coloring, puzzles, and games. b. Allow uninterrupted sleep and rest. c. Perform hygiene measures. d. Encourage parental participation with caregiving to diminish the child's anxiety.

When teaching a patient who is starting therapy with NSAIDs, the nurse must be sure to mention drug interactions with which drug(s)? (Select all that apply.) a. Warfarin (Coumadin) b. Lithium (Eskalith) c. Hydroxyzine (Vistaril) d. Insulin e. Diuretics f. Digitalis (Digoxin)

a. Warfarin (Coumadin) b. Lithium (Eskalith) e. Diuretics

A patient reports postoperative pain, and the nurse administers morphine (a narcotic analgesic) intravenously to ease the pain. Fifteen minutes later, the nurse notes that the patient is very drowsy, respirations are slow and shallow, and oxygen saturation is low. The nurse administers another drug that decreases the action of the morphine. What is this effect called? a)Displacement b)Antagonistic c)Interference d)Synergistic

b) antagonistic

Which name(s) of a drug should the nurse use when teaching a patient about a new prescription? a)Trade b)Generic and trade c)Generic and chemical d)Official

b) generic and trade

Which common adverse effect may be seen with use of opiate agonists? a)Appetite stimulation b)Orthostatic hypotension c)Mood elevation d)Increased respirations

b)Orthostatic hypotension

How long after the administration of a parenteral pain medication will the nurse complete the next pain assessment to evaluate the effectiveness of the medication? a. 10 minutes b. 30 minutes c. 1 hour d. 2 hours

b. 30 minutes

Which factor(s) affect(s) drug actions? (Select all that apply.) a. Teratogenicity b. Age c. Body weight d. Metabolic rate e. Illness

b. Age c. Body weight d. Metabolic rate e. Illness

Which statement(s) about variables that influence drug action is/are true? (Select all that apply.) a. An older adult will require increased dosage of a drug to achieve the same therapeutic effect as that seen in a younger person. b. Body weight can affect the therapeutic response of a medication. c. Chronic smokers may metabolize drugs more rapidly than nonsmokers. d. A patient's attitude and expectations affect the response to medication. e. Reduced circulation causes drugs to absorb more rapidly.

b. Body weight can affect the therapeutic response of a medication. c. Chronic smokers may metabolize drugs more rapidly than nonsmokers. d. A patient's attitude and expectations affect the response to medication.

Which medication would the nurse administer to a patient who is rating the pain at 8 on a 0 to 10 scale? a. Acetaminophen (Tylenol) b. Morphine (Roxanol) c. Oxycodone (OxyContin) d. Oxycodone and aspirin (Percodan)

b. Morphine (Roxanol)

When performing a baseline neurologic assessment prior to the administration of an NSAID medication, the nurse will assess which patient characteristic(s)? (Select all that apply.) a. Vital signs b. Orientation to date, time, and place c. Mental alertness d. Bowel sounds e. Concurrent use of anticoagulant agents

b. Orientation to date, time, and place c. Mental alertness

When the nurse administers a 50-mg dose of a drug with a half-life of 6 hours, how many milligrams will remain in the body at 24 hours? a)25 mg b)12.5 mg c)6.25 mg d)3.13 mg e)1.56 mg

e) 1.56 mg