Pharm 220 Chapter 3 Quiz

When administering parenteral drugs, which route could the nurse use? Select all that apply. -Subcutaneous -Intramuscular -Intradural -Intravenous -Intradermal

-Subcutaneous -Intramuscular -Intravenous - Intradermal

A client has orders to receive 3,000 mL of IV fluid at a rate of 150 mL/hr. If the infusion starts at 0800, when would it be finished? - 2000 -2300 - 0100 - 0400

0400 3,000 ml / 150ml/hr = 20 hrs 20 hours will lead to the next day at 4am.

Mrs. Janis' health care provider orders enteric-coated aspirin 81 mg by mouth once a day. When the nurse attempts to administer the medication, the client informs the nurse that the aspirin that she takes at home is not coated and works just fine. As part of the nurse's education plan, what does the nurse instruct the client to do?

"Enteric-coated tablets and capsules are coated with a substance that is insoluble in stomach acid. This delays dissolution until the medication reaches the intestine, usually to avoid gastric irritation or to keep the drug from being destroyed by gastric acid." Pg.44

While providing care to a client who is prescribed a medication, the nurse identifies which client statement supports the diagnosis of Effective Self-Health Management? - "I can afford my medications now." -"I need to try to remember to take my medications every day." -"I will learn how to give myself this injection daily." -"I will take my medications only when I feel badly."

"I will learn how to give myself this injection daily."

A young mother asks the nurse why she cannot give her 2-year-old child an adult dose of acetaminophen. The nurse explains why this is unsafe. What statement would indicate that the mother needs further education? - "There could be a time when my child may need a higher dose than normal." -"My baby's dose of acetaminophen is based on a healthy adult male." -"My baby can't handle a high dose of acetaminophen because her liver may be damaged." - "My child's dose of acetaminophen should be based on her weight or age."

"My baby's dose of acetaminophen is based on a healthy adult male."

The nurse is providing care for a client who has been prescribed a diuretic to treat hypertension. The client states that the effects of the drug are problematic, causing the client to wake up numerous times during the night to urinate. What assessment question should the nurse prioritize? - "When are you taking your medication?" -"What is the dosage of your medication?" -"Have you increased your fluid intake since starting the drug?" -"Are you taking any herbal medicines?"

- "When are you taking your medication?" Refer to page 54

A client tells the nurse that the health care provider suggested taking an ounce of magnesium hydroxide periodically if experiencing constipation. The client tells the nurse, "I don't have anything small enough to measure this amount." What response by the nurse would be most appropriate? Pg. 46 - "You can use two measuring tablespoons to get the same dose." - "The cap of the bottle is the same as 1 oz." - "Three measuring teaspoons should be just about the same." -"Call your health care provider and ask for a special measuring device."

- "You can use two measuring tablespoons to get the same dose."

When the nurse uses ratio and proportion to complete drug calculations, which formula would have the most potential for error? -1000 mL: 1 L = X mL: 0.85 L - 1 mg.: 1,000 mcg = X mg: 0.620 mcg -1000 g: 1 kg = X g: 1.7 kg - 1 L: 1,000 mL = X L: 895 mL

- 1 mg.: 1,000 mcg = X mg: 0.620 mcg Pg. 47

The client has a daily antihypertensive medication prescribed. Taking the blood pressure prior to administration of the medication is which step of the nursing process? - Implementing - Assessing -Planning -Diagnosing

- Assessing

The nurse is preparing to administer a medication to an older adult. The nurse should consider what factor that could affect therapeutic dosing in an older adult? - Changes in the gastrointestinal (GI) system can reduce drug absorption. - In older adults, drugs enter into circulation more quickly. - In older adults, drugs are distributed to a smaller portion of the tissues. -Drugs are likely to have decreased therapeutic effect.

- Changes in the gastrointestinal (GI) system can reduce drug absorption.

Which of the following are the three specific items found on a drug label needed to administer a drug? Select all that apply. -Monitoring parameters -Side effects - Dosage form -Drug name -Dosage strength

- Dosage form -Drug name -Dosage strength

"Evaluation" of the client's response to drug therapy relates most closely to which phase of the nursing process? -Problem - Goal -Plan -Cause

- Goal

After assessing a client, the nurse determines a nursing diagnosis of Deficient Knowledge related to drug self-administration applies to this client. Which findings would support this nursing diagnosis? Select all that apply. - Inability to remember -Lack of a college education -Cognitive limitation -Lack of interest in learning -Lack of effectiveness of drug

- Inability to remember -Cognitive limitation -Lack of interest in learning

A client has an order to receive 10 units of intermediate-acting insulin at bedtime via subcutaneous injection. The nurse would expect to administer the injection at which sites? Select all that apply. - Upper arm - Inner forearm -Upper abdomen -Gluteus maximus - Upper thigh

- Upper arm -Upper abdomen - Upper thigh

A client calls the clinic and asks to speak to a nurse. The client questions the nurse about the use of a drug that the client saw advertised on TV. The client believes the drug will make the client feel the same way as described in the commercial. What would be an appropriate response by the nurse? - "How do you know that the drug will make you feel that way?" -"It's important to remember that drug advertisements emphasize the positive effects of drug therapy and not the adverse effects or contraindications." - "You will have to talk to your health care provider about that." - "You probably will feel the same way, however, you need to remember that all drugs have adverse effects."

-"It's important to remember that drug advertisements emphasize the positive effects of drug therapy and not the adverse effects or contraindications." Pg. 62

A nurse should use how many methods to identify the client before administering the medication? -2 - 1 -3 -4

-2

A nurse is preparing to give a client an intermittent infusion. How much fluid would the nurse know that the infusion will be diluted with? -25 to 50 mL -50 to 100 mL -100 to 150 mL -150 to 200 mL

-50 to 100 mL

According to protocol, a nursing student is required to complete metric conversions to ensure accurate administration of medication dosage. What does this indicate? - A nurse must strictly follow the given medication orders. -A nurse must possess a good understanding of pharmacology. -A nurse must possess a basic understanding of mathematics. -A nurse must ask for the primary care provider's assistance.

-A nurse must possess a basic understanding of mathematics.

A nurse is required to administer a drug through the transdermal route. Which of the following responsibilities should the nurse follow for the patient? -Apply next dose to a new site. -Check the infusion rate. - Inject only the inner part of the forearm. - Give small volumes of doses.

-Apply next dose to a new site. Pg. 44

The nurse visiting with the client states to the client and family, "The finger stick blood sugar just taken is within normal range." This statement would be found in what phase of the nursing process? -Evaluation -Assessment -Intervention -Nursing Diagnosis

-Assessment

Which must be included on the health care provider's order? Select all that apply. -Client's name -Drug name -Dosage form -Route of administration -Frequency of administration

-Client's name -Drug name -Dosage form -Route of administration -Frequency of administration

The nurse is preparing to administer a liquid medication and notes that liquid from the bottle has stained the medication label. What is the nurse's best response to this situation? -Ask another nurse if this is the correct medication. -Contact the pharmacy for a new bottle of medication. -Attempt to wipe the label with a clean, wet paper towel. -Use the medication administration record (MAR) to determine the amount of medication to pour.

-Contact the pharmacy for a new bottle of medication. Pg. 36

Which of the following would be most likely to occur during the planning or implementation step of the nursing process? -Developing appropriate outcomes for drug response -Obtaining information about the patient's chronic condition -Determining the patient's level of understanding - Questioning the patient about his financial resources

-Developing appropriate outcomes for drug response

A student nurse is administering medications at a long-term care facility. Which of the following liquid medications is for topical administration? -Eye drops -Mouthwash -Syrup - Tincture

-Eye drops

An LPN/LVN is preparing to administer medications and knows that which routes of drug administration may only delivered by the health care provider? Select all that apply. -Intravenous -Intra-arterial -Intra-articular - Intramuscular -Intracardial

-Intra-arterial -Intra-articular -Intra-cardial Pg. 52

A nursing student is preparing to administer a prescribed drug. Which factors are most important for the student to explain to the mentor before administering this drug? Select all that apply. -Normal dosage range -Special precautions in administration - Drug's most common adverse effects -Drug's general action -Reason for use of the drug

-Normal dosage range -Special precautions in administration - Drug's most common adverse effects - Drug's general action - Reason for use of the drug

What is the procedure for dividing fractions? -Both numbers are changed to improper fractions. -The whole number is first changed to a fraction. - Mixed numbers are changed to improper fractions. -The second fraction is inverted and the fractions are multiplied.

-The second fraction is inverted and the fractions are multiplied.

"Dose desired / dose on hand = dose administered" is the formula for calculating the dose to be administered. Under which circumstances is this to be used? -When the health care provider is not available to calculate the dosage. - When the dosage is written in the apothecary system. -When the dose desired and dose on hand are in the same measurement system. - When the label of the drug is in the metric system.

-When the dose desired and dose on hand are in the same measurement system.

The nurse receives a verbal order from a health care provider. To ensure safe medication administration, what steps are completed?Select all that apply. Write down the order exactly as the health care provider said it. -Call the pharmacist to confirm that this medication is ordered correctly. -Verify that the client has previously taken the medication. -Read the order back to the health care provider. -Request verbal confirmation that the order is correct as written.

-Write down the order exactly as the health care provider said it. -Read the order back to the health care provider. -Request verbal confirmation that the order is correct as written. Pg. 44

Prior to administration of an oral medication to a client, what should the nurse assess for? Select all that apply. -family presence -assess for nausea -ability to ambulate -capacity to swallow -knowledge of medication

-assess for nausea -capacity to swallow -knowledge of medication Pg. 48

A nurse should recognize what as a metric system unit? (Select all that apply.) -teaspoon -gram -milliliter -kilogram - dram

-gram -milliliter -kilogram pg. 46

The nurse checks a client's temperature before administering a standing prescription for acetaminophen for temperatures over 100°F (37.8°C). The client's temperature is 98.9°F (37.2°C), so the nurse decides to withhold the dose of acetaminophen. Withholding the dose represents which phase of the nursing process? - implementation -analysis -evaluation -planning

-implementation Pg. 36

What are the units of the apothecary system? -grams -ounces -meters - liters

-ounces

An instructor is describing the units of measure associated with household system. Which would the nurse include? (Select all that apply.) Pg. 46 -teaspoon - quart -dram -ounce - cup - milliliter

-teaspoon - quart -ounce -cup Pg. 46

Remicade 3 mg/kg IV infusion monthly has been prescribed for a client diagnosed with rheumatoid arthritis. The client weighs 150 pounds. How many mg of Remicade will be infused? Round your answer to the nearest whole number.

150lbs ÷ 2.2kg/1lb = 68.18 kg 68.18 kg x 3mg/kg = 204.54 —> 205mg. Pg. 46

A child with a urinary tract infection who is prescribed cephalexin 25 mg/kg/day in 3 divided doses. Knowing that the child weighs 15 kilograms, the nurse should administer how many mg with each dose?

25mg/kg/day / 3 doses = 8.33mg 8.33 mg x 15 mg = 125 Pg. 46

The nurse is preparing medication for a 30-month-old with right otitis media. The child weighs 33 pounds. The health care provider has ordered cephalexin, 50 mg/kg/day in divided doses every 8 hours. The medication concentration is 250mg/5mL. How many milliliters should the nurse give the toddler at each dose? - 5 - 5.5 -10 - 10.5

5 Refer to page 46

The provider orders a maintenance dose of oral aminophylline, 3 mg/kg every 6 hours. The client weighs 50 kg. How many milligrams should the nurse administer to the client in a 24-hour period?

600 milligrams The patient's weight times the number of milligram/kilogram will provide daily dosage of medication: 50 kg × 3 mg/kg = 150 mg per dose. The patient is to receive a dose every 6 hours. The number of hours in a day divided by the number of hours separating each dose supplies the number of dosages the patient receives per day: 24 hours ÷ 6 hours between doses = 4 doses per day. If each dose is 150 mg and the patient receives 4 of these doses a day, the total amount of medication received is 150 mg × 4 daily doses = 600 mg

A health care provider orders 500 mL of IV solution be administered over 8 hours. If the IV infusion set delivers 15 drops per mL, how many drops per minute should the nurse administer to the client? Round to the nearest whole number.

8hr= 480 min 500ml÷480 min = 1.04 min/ml 1.04min/ml x 15 drops per ml = 15.625 —> 16

The nurse is required to administer 4 mL of an intramuscular (IM) injection to the client. Which action would be most appropriate? - Divide the drug and give it as two separate injections. -Give the entire volume in one injection site. -Ask the health care provider to change the prescription. - Use a larger-gauge, longer needle.

Divide the drug and give it as two separate injections. Refer to page 48

Which medication prescription by the health care provider will require the nurse to seek clarification? -Furosemide 20 mg. IV every 8 hours. -Warfarin 5 mg. PO every evening at 6 PM. - Heparin 5,000 u SC every day - Meperidine 25 mg. IM every 4-6 hours PRN

Heparin 5,000 u SC every day

A nurse is beginning to apply the nursing process during a new client interaction. What activity should the nurse perform? -Obtain a medication history. - Identify potential client problems related to drug therapy. - Educate the client about basic medication safety. - Confirm or rule out nursing diagnoses.

Obtain a medication history.

A nurse in a nutrition clinic is to give 2 cups of organic prune juice to a client every night. The nurse is to document this on the nursing chart. What unit will the nurse use to document the amount of juice according to the metric system of measurement? -milliliter -gram - ounce - unit

milliliter

Identification of problems that can be solved or prevented by the nurse without involvement of the health care provider is known as which process? -nursing diagnosis -nursing assessment -nursing documentation -nursing evaluation

nursing diagnosis Pg. 54