Medication Administration (Karch 1&2, Chapter 20)

What information does a drug label contain? (Select all that apply.)

brand name of the drug generic name of the drug expiration date of the medication special drug warnings

A client has asked the nurse to research a drug that the client read about online. The nurse's research reveals that it is an orphan drug. What should the nurse teach the client about this drug?

"It could be very difficult to access this drug because it's not readily available on the market."

A client diagnosed with diabetes mellitus has been started on insulin therapy to control glucose levels. The client does not want to take any medications that come from an animal source. What is the best response by the nurse?

"Many forms of insulin, such as genetically engineered, do not use animal products."

A nurse is caring for a client who has just been prescribed a loading dose of a drug. The nurse should explain what rationale to the client for administering a loading dose?

"We want to make sure you get the benefits of the drug as quickly as possible."

A nurse needs to administer an intradermal tuberculin skin test injection to a client. What is the most suitable angle when administering an intradermal injection?

10-degree angle

Which client is most likely to experience the benefits of the the placebo effect?

A client with an infection who states, "I know this antibiotic is going to work for me

A client has been diagnosed with depression following several months of reduced concentration and sleep difficulties. The client has been prescribed buproprion SR 150 mg PO b.i.d. What should the priority nursing assessment be?

Assessment of the client's mood and affect

A nurse is preparing to administer morphine. The nurse understands that this drug is categorized as which schedule of a controlled substance?

C-II

What is the manufacturer's responsibility during phase IV of a drug trial?

Continue to monitor the drug's effects while the drug is in general use.

Which agency is responsible for the enforcement of controlled substances?

DEA

An instructor is preparing for a class focusing on drug evaluation. The instructor plans to explain why male volunteers are usually selected for drug testing during a phase I study. What would the instructor include as the major reason?

Drugs may harm a woman's ova, which cannot be replaced after birth.

Which article of legislation specified that drugs must carry the label "may not be distributed without a prescription."

Durham-Humphrey Amendment

Clark's rule would be used to determine a child's body surface area for dosage calculation.

False

The nurse is preparing to administer a medication via a nasogastric tube. Which guideline is appropriate for the nurse to follow when administering a drug via this route?

Flush the tube with water between each drug administered.

What statement describes a required characteristic of all generic drugs?

Generic drugs must be therapeutically equivalent and less expensive than trade name drugs.

One of the phases of drug development is the post-marketing surveillance phase. Which activity is carried out during this phase?

Health care providers report adverse effects to FDA.

A nurse is administering medications through an enteral tube to a client with swallowing difficulties due to a cerebrovascular accident (CVA). Which action should the nurse perform to prevent gastric reflux?

Help the client into a Fowler position.

Which of the following is characteristic of a C-II drug?

High abuse potential

A nurse is preparing to administer an intradermal injection. What would be most appropriate for the nurse to do?

Hold the syringe at a 10- to 15-degree angle.

Which are disadvantages of over-the-counter (OTC) medications? Select all that apply.

Inaccurate self-diagnosis Development of adverse drug reactions and interactions Cost to consumers is reimbursed by insurance companies

Which route of administration is most likely to cause toxic effects?

Intravenous

While reviewing a package insert for a drug, what would the nurse identify as the drug's generic name?

Levothyroxine sodium

A nurse preparing medication for a client is called away to an emergency. What should the nurse do?

Lock the medications in a cart and finish them upon return.

What is a major disadvantage of using over-the-counter (OTC) medications?

People may choose an OTC that interacts with another medication.

A nurse needs to administer a subcutaneous injection to a client. Which techniques should the nurse use to reduce discomfort? Select all that apply.

Support the client's tissue when withdrawing the needle. Numb the skin with an ice pack before the injection. Insert and withdraw the needle without hesitation. Instill the medication slowly but steadily.

The nurse is reviewing a prescription for a medication with a client. On the prescription, the nurse read "DAW." What should the nurse teach the client?

The brand name of the drug must be dispensed.

What is the expected therapeutic outcome of the simultaneous administration of two medications?

The combined effects are greater than the effects of either one of the drugs alone.

A drug was introduced to the market, where it was well received, and the nurse has learned that generic equivalents will soon be released. The nurse should understand what implication of this fact?

The manufacturer's patent on the drug has recently expired.

A nurse who provides care in a long-term care facility is documenting a new resident's medication regimen on the resident's intake admission. Why would the nurse document the generic, rather than proprietary or trade, names of the resident's current drugs?

There is a potential for confusion and miscommunication if proprietary names are used.

Which are true of nonprescription drugs? (Select all that apply.)

They are referred to as over-the-counter drugs. They have certain labeling requirements. They should be taken only as directed on the label.

The nurse should consider teratogenic effects when caring for what clients? (Select all that apply.)

a 29-year-old client receiving prenatal care in her first trimester of pregnancy a 37-year-old client who is taking fertility drugs

In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

administering drugs monitoring clients for drug effects evaluating clients for toxic effects educating clients/caregivers about drugs

The nurse is educating a client on over-the-counter (OTC) medications. What information is required to be placed on the label of the medication? (Select all that apply.)

adverse reactions dosage of the medication contraindications to the medication

The nurse is administering an intramuscular injection to a client. Which action made by the nurse could assess whether the needle is in the client's blood vessel or not?

aspirating for a blood return

What unique characteristic is present in lipid soluble drugs?

can cross the blood-brain barrier

The nurse is administering a medication to a client who reports pain in the knees from arthritis. The nurse observes the name of the drug as p-isobutylhydratropic and recognizes that this refers to a:

chemical name.

A client's most recent laboratory result indicate an elevated potassium level. What drug in this client's medication regimen should the care team consider discontinuing?

diuertic

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

What term is used to describe drugs identified by their chemical or official name in order to be independent of any manufacturer's assigned name?

generic

A nurse is administering an injection to a client at a 15-degree angle. The client has a venous access port. Which injection can be administered at this angle?

intradermal

A nurse is using the Z-track technique to administer an injection to a client. Which injection route utilizes the Z-track technique?

intramuscular

A drug is 100% bioavailable when it is administered by what routes?

intravenous

What drug administration route should be used to assure the best bioavailability as any particular drug?

intravenous

The recommended dose of a drug is based on drug evaluation studies and targeted to which population?

the 150- pound person

A drug's ability to alter basic processes in body cells allows for what function?

the alternation in specific cellular functions

A nurse is teaching a client about the pharmacotherapeutics of the hormone replacement therapy that the client has been prescribed. What topic should the nurse address?

the effect of the drug on the client's body

What should the beginning student of pharmacology use as the primary source of drug data?

the pharmacology text

A drug being tested is removed from testing during a phase II study. What would be the most likely reason for the drug being removed from testing?

unacceptable adverse effects

A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?

use of herbal supplements