Intro Content final review

A nurse is assessing the client's home medication use. After listening to the client list current medications, the nurse asks what priority question?

"Do you take any over-the-counter medications?"

A client is considering using herbal supplements and asks the nurse about them. Which response by the nurse would be most appropriate?

"Herbal supplements can affect other medications so you need to consult your healthcare provider"

The nurse, working on the maternity unit, receives a call from a pregnant client asking how they can know whether a medication is safe to take while pregnant. What is the nurse's best response?

"Never take medication until you receive approval from your healthcare provider."

If a client takes 40 mg of a drug with a half-life of 2 hours, how much of the drug will remain 2 hours after administration?

20 mg

The nurse is reviewing the client's medication orders and finds an order stating "amoxicillin 250 mg every 8 hours." What is the nurse's best action?

Ask the prescriber to confirm the route.

A client experiencing seasonal allergies is taking an over-the-counter (OTC) antihistamine to relieve itchy, watery eyes, and a runny nose. When planning teaching for this client, the nurse would include what teaching point?

Avoid driving or operating machinery.

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

Heparin 5,000 u SC every day

A nurse has identified the half-life of drug that will be administered to a client for the first time. The nursing drug guide states the drug's half-life is 90 minutes. The nurse should identify what implication of this fact?

Ninety minutes after drug levels peak, there will be 50% of the peak level.

After teaching a group of nursing students about pharmacokinetics, the instructor determines that the teaching was successful when the students identify which actions as a phase? Select all that apply.

absorption , distribution , metabolism ,excretion

What represents a pharmacokinetic phase? (Select all that apply.)

absorption, distribution , metabolism ,excretion

After administering a medication to a client, the client reports an upset stomach. The nurse interprets this as a negative effect of the drug and identifies it as a(n):

adverse effect

A parent brings a child to the clinic for an earache. The child receives a prescription for amoxicillin. The parent calls the clinic the next day and says the child has been taking the medicine and now has a rash. The nurse should give the parent instructions about which type of response?

allergic response

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

assessment

What is the first of the five steps in the nursing process?

assessment

A nurse is administering gentamicin, an antibiotic that is ototoxic. Which report or sign would indicate that the client is suffering from ototoxicity?

buzzing or ringing sound in the ears (tinnitus)

A nurse has administered drugs to a client as per the health care provider's orders. Which activity should the nurse perform after administering the prescribed drugs?

check for adverse drug reactions

A nurse has been administering a drug to a client intramuscularly (IM). The health care provider discontinued the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is considerably higher than the parenteral dose and understands that this due to:

first pass effect

A nurse is caring for a client who has been receiving a drug by the intramuscular route at a dose of 0.25 mg. After discharge, the client will be prescribed the same medication orally at a dose of 2.5 mg. What phenomenon should the nurse describe when explaining the reason for the increased dosage for the oral dose?

first pass effect

The breakdown of oral drugs in the liver immediately after absorption is known as which of the following?

first pass effect

What plays the largest role in drug excretion?

kidneys

A nurse is preparing to administer a prescribed drug to a client who has liver disease. The nurse expects a reduction in dosage based on the understanding that what might be altered?

metabolism

What term is used to describe the physiological process of absorption, distribution, and elimination of a drug in the body?

pharmacokinetics

What term is used to describe the process of absorption, distribution, and elimination of a drug in the body?

pharmacokinetics

The nurse administers a loop diuretic to the client. In addition to sodium and water, what other electrolyte would the nurse expect to be excreted in significant amounts?

potassium

The nurse is caring for a client with hypertension who was prescribed a loop diuretic one week ago. The client reports malaise and weakness and the nurse's assessment reveals an irregular heart rate. The nurse should prioritize assessment of the client's:

potassium levels

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

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

the "rights" of medication administration