Pharm Midterm

A nurse is preparing to administer medications. What medication information is necessary? Select all that apply. Select one or more: A. Form B. Expiration date C. Dosage D. Name E. Manufacturer

A, C, D

A nurse determines a nursing diagnosis of Ineffective Health Management is appropriate for a client. Which factors would the nurse point out as supporting this nursing diagnosis? Select all that apply. Select one or more: A. Ability to remember to take the drug regimen B. Ability to follow the prescribed medication schedule C. No therapeutic effect seen by client D. Lack of information about the drug therapy E. Financial difficulty in obtaining the medication

?

A nurse is completing an initial assessment of a client. What would the nurse include in this assessment? Select all that apply. Select one or more: A. Vital signs B. Allergy history C. Pregnancy status D. Occupational history E. Treatment response

?

A nurse is conducting an initial assessment of a client. Which factor would the nurse be most likely to address? Select all that apply. Select one or more: A. Effectiveness of pain relief B. Use of over-the-counter drugs C. Auscultation of bowel sounds D. Understanding of newly prescribed medication E. History of allergies

?

As a nurse prepares to administer a medication, the nurse will examine the label for which necessary items? Select all that apply. Select one or more: A. Drug name B. Dosage strength C. Side effects D. Dosage form E. Monitoring parameters

A, B, D

A client is to receive 0.5 mg of a drug parenterally. The drug is available in a 2-mg/mL vial. The nurse would administer ----- ML

0.25

A client is to receive 250 mg of penicillin VK twice daily for 10 days. Penicillin VK is available in a 500-mg tablet. The nurse would instruct the client to take---TABLETS

0.5

The health care provider writes an order for a client to receive 1 mg of vitamin B12 once every month. Vitamin B12 comes in a 1000-mcg/mL vial. The nurse would administer-----ML TO THE CLIENT EACH MONTH

1

A client has been taking warfarin 5 mg daily. After a check of the client's INR, the health care provider wants to increase the client's dose to 7.5 mg on Wednesdays and continue 5 mg all the other six days. The client has warfarin 5-mg tablets on hand. The nurse would instruct the client to take ...... tablets on Wednesdays

1.5

A client has a temperature of 39°C. The client's temperature is ________ degrees Fahrenheit.

102.2

A client weighs 56 kg. The client weighs---POUNDS

123.2

The nurse is checking the dosage of a drug ordered in mg/kg. A client weighs 275 lb. The client weighs---KG

125

A health care provider writes an order for a client to receive levothyroxine 0.2 mg, but 100-mcg tablets are supplied. The nurse would administer-----TABLETS

2

Amoxicillin 250 mg is ordered for a child. The pharmacy supplies the drug in a suspension form. The label reads 500 mg/5 mL. The nurse would administer----ML

2.5

When assessing a client's temperature, the nurse finds it to be 99°F. The client's temperature is ________ degrees Celsius.

37.2

A client weighs 200 lb. The client is to receive 5 mg/kg per dose of drug. The client will receive------MG OF THE DRUG IN EACH DOSE

454.5

A client is to receive a 7.5-mg/kg dose of a drug. The client weighs 155 lb. The client would receive-------MG PER DOSE

?

A group of nursing students are preparing a presentation explaining the various domains of learning. The student correctly illustrate the affective domain by including which factors? Select all that apply. Select one or more: A. Recall B. Decision making C. Thought D. Feelings E. Beliefs

?

A nurse determines a client's blood pressure prior to administering a drug could be considered which factor? Select all that apply. Select one or more: A. Assessment B. Implementation C. Objective data D. Analysis E. Subjective data

?

A nurse has administered glyburide to a client. The nurse predicts the client may experience a hypoglycemic event if which additional drug is also prescribed for this client? Select all that apply. Select one or more: A. Amitriptyline B. Digoxin C. Lithium D. Warfarin E. Ranitidine

A, D, E

A nurse is developing a plan of care for a client with a nursing diagnosis of Anxiety related to drug therapy. Which action would be important to include to foster a trusting and comfortable nurse-client relationship? Select all that apply. Select one or more: A. Accompanying the client to all health care provider appointments B. Calling the client on the telephone C. Completing follow-up visits with the client D. Sending a certified letter to the client E. Encouraging the client to express feelings and concerns

?

A nurse is evaluating a client's understanding of the prescribed drug therapy regimen. Which actions would the nurse use as part of this process? Select all that apply. Select one or more: A. Regimen being followed correctly B. Nodding of head through interaction C. Correct answers to questions asked D. "Yes" answers when asked about understanding E. Facial expressions

?

A nurse is preparing to administer a prescribed drug by the oral route. Which step would be most important for the nurse to do? Select all that apply. Select one or more: A. Making sure the client is in an upright position prior to administration B. Ensuring that a full glass of water is readily available C. Having the client refrain from sipping on the water before placing the tablet in the mouth D. Instructing the client to tilt his or her head back to swallow a capsule E. Leaving PRN drugs at the bedside for ready access if needed

?

A nurse needs to know the difference between trade (brand) and generic names of medication. Which statements best point out the difference? Select all that apply. Select one or more: A. Companies that make trade name medications do not put the generic name on the package. B. Generic name is located under the trade name. C. A client can refuse any brand name medication. D. Generic versions can be dispensed to reduce the cost to the client. E. Trade name is usually capitalized.

?

A nursing instructor determines a discussion on the seriousness of making drug errors is successful when the students correctly articulate which factors as being likely causes? Select all that apply. Select one or more: A. When dispensing the drug B. When transcribing the drug order C. When charting after drug administration D. When verifying the client E. When administering the drug

?

A nursing student is learning to apply the nursing process in the care of the clients. This student is prepared to become more proficient in this process by utilizing which steps? Select all that apply. Select one or more: A. Update nursing skills at each opportunity B. Practice the concepts with each client C. Observing the actions of the mentor D. Teach the concepts to new students E. Gain proficiency by continuing to use the process

?

After a discussion about the half-life of a drug, a nursing instructor concludes further teaching is necessary when nursing students choose which facts as true? Select all that apply: Select one or more: A. Liver disease can increase. B. Can be decreased in clients with renal disease. C. Can help determine dosing frequency. D. Does not change throughout a client's life. E. Is the measure of the rate at which drugs are removed from the body.

?

After explaining the nursing process during a class discussion, an instructor determines that the teaching was successful when the class correctly chooses which activities as being involved? Select all that apply. Select one or more: A. Identifying client health needs B. Initiating a nursing plan C. Reviewing client medications D. Evaluating the effectiveness of a plan E. Devising a plan of care

?

After receiving a prescribed medication, the nurse notes on assessment: heart rate 58 and thready, blood pressure 142/96, respirations 28 with wheezing and gasping, scratching at small red splotches on the arms and legs, and swollen eyelids, lips, and mouth. Which findings should the nurse prioritize for treatment? Select all that apply. Select one or more: A. Heart rate 58 and thready B. Blood pressure 142/96 C. Swollen eyelids, lips, and mouth D. Respirations 28, gasping and wheezing E. Small red splotches on arms and legs

?

After teaching a client, the nurse is evaluating the client's knowledge of the material presented. Which method would be most appropriate to use? Select all that apply. Select one or more: A. Nurse review of information B. Client recitation of information C. Open-ended questions D. Client return demonstration E. Closed-ended questions

?

The health care facility utilizes the unit dose system in an effort to reduce medication errors. What would the nurse likely administer in this type of system? Select all that apply. Select one or more: A. One dose from a bottle of ibuprofen suspension B. Single-dose cup of Maalox C. A prefilled Lovenox syringe D. One tablet from a bottle of aspirin 81 mg E. A Phenergan suppository

?

The nurse is conducting an ongoing assessment of a client. Which factors will the nurse include in this process? Select all that apply. Select one or more: A. Formulate nursing diagnoses. B. Ask about chief concern. C. Obtain vital signs. D. Obtain a medication history. E. Determine therapeutic response.

?

The nurse is implementing a teaching plan for a client diagnosed with diabetes and his caregiver. Which actions by the nurse reflects the use of the cognitive domain? Select all that apply. Select one or more: A. Review of adverse reactions associated with insulin B. Instruction on the correct administration of insulin C. Instruction on how to use a glucometer D. Review of complications associated with diabetes E. Review of how frequently to administer insulin

?

The nurse is preparing to teach a client about a new drug the health care provider has prescribed. Which information does the nurse expect to find on the prescription? Select all that apply. Select one or more: A. Name of the drug B. Dosage of the drug C. Licensed prescriber's signature D. Route of drug administration E. Times of drug administration

?

The nurse is teaching a client how to use a glucometer. Which goals could the nurse and client determine as appropriate? Select all that apply. Select one or more: A. Understanding of frequency of blood glucose testing B. Understanding of blood glucose goals C. Understanding of the pathophysiology of diabetes D. Demonstration of appropriate testing procedure E. Understanding of steps to take in the case of low blood glucose

?

The nursing instructor determines a group of nursing students are prepared to administer medications to pediatric clients when they correctly articulate which factors will alter a drugs response in these clients? Select all that apply. Select one or more: A. Less protein binding B. Decreased body water content C. Slower gastric emptying D. Less cutaneous fat E. Greater surface area

?

When administering a prescribed drug to a client, which action would be completely inappropriate? Select all that apply. Select one or more: A. Giving a drug that someone else prepared B. Charting immediately on the MAR after drug administration C. Crushing tablets or opening capsules D. Removing a drug from an unlabeled container E. Removing the drug's unit dose wrapper at the client's bedside

?

When preparing to administer a drug to a client, the nurse will determine the correct drug has been chosen by verifying which factors match? Select all that apply. Select one or more: A. Medication record B. Container label C. MAR D. Medication E. Nursing notes

?

A client in a local health care center is presented information on drug administration by the nurse. Which factors would the nurse identify as having the least impact on the client's learning? Select one: A. Client's financial status B. Prior knowledge C. Previous experiences D. Prior perceptions

A

A client with a cardiac disorder is being discharged home. What would the nurse include when teaching the client about administering the prescribed drug therapy at home? Select one: A. Method of drug administration B. Disorders treated using the drug C. Contraindications of the drug D. Composition of the drug

A

A home health care nurse is assessing a client's medication during a home visit. The client is prescribed atorvastatin 10 mg daily, a change from the previous order of 20 mg daily. The client shows the nurse the medication container from the pharmacy. The label reads atorvastatin 20 mg. The nurse determines that the client is taking the correct dosage when the client states he is taking how much of the drug? Select one: A. 1/2 tablet every day B. 1/2 tablet every other day C. 1 tablet every day D. 1 tablet every other day

A

A nurse is assigned to care for a client with a cardiac disorder. During assessment, which action would be most appropriate to do when obtaining objective data related to the client's condition? Select one: A. Auscultate heart and lung sounds. B. Review the client's family history. C. Inquire about the client's eating habits. D. Review the client's health history.

A

A nurse is caring for a client with diabetes mellitus who is receiving an oral antidiabetic drug. Which ongoing assessments should the nurse prioritize when caring for this client? Select one: A. Observe the client for hypoglycemic episodes. B. Monitor the client for lipodystrophy. C. Document family medical history. D. Assess the skin for ulcers, cuts, and sores.

A

A nurse is teaching the caregiver of a client with cancer how to administer the supplementation oxygen from a cylinder once the client goes home. Which activity is most effective for the nurse to use when evaluating the client's caregiver's understanding? Select one: A. Ask the client's brother to demonstrate the procedure. B. Ask the client's brother to document the technique. C. Ask questions such as "Do you understand?" D. Ask the client's brother questions related to the procedure.

A

A nursing instructor determines a class on drug development is successful when the students correctly choose which test group as involved in the initial process? Select one: A. Live animals B. Large numbers of clients C. Small group of healthy volunteers D. People who have the disease

A

After a class on pharmacokinetics, the nursing students can correctly choose which site for the metabolism of most drugs? Select one: A. Liver B. Lungs C. Intestinal mucosa D. Kidneys

A

After teaching a group of nursing students about nursing diagnoses, the instructor determines that the teaching was successful when the students correctly point out which item as the most useful related to the nursing diagnoses developed by the North American Nursing Diagnosis Association-International (NANDA-I)? Select one: A. Identifying client problems related to drug therapy B. Identifying the expected outcomes of treatments given C. Classifying the clients according to their age groups D. Categorizing the drugs based on their therapeutic actions

A

As the nurse administers a drug to the client, the client says, "This doesn't look like my usual pill." Which response by the nurse would be most appropriate? Select one: A. "Let me double-check with your doctor and the order." B. "This is the pill the pharmacy sent." C. "It must be from a different manufacturer." D. "It looks different? Are you sure?"

A

The health care provider has asked a nurse to administer a drug intravenously to an unresponsive client. How can the nurse ensure that the drug is administered to the right client? Select one: A. By checking the client's wristband B. By waking the client up to ask their name C. By identifying the client's room number D. By asking the nursing assistant for the client's location

A

The nurse is preparing to administer a buccal medication to a client. The nurse will instruct the client to place the drug at which location? Select one: A. Against the cheek mucous membrane B. Inside the rectum C. Under the tongue D. At the back of the tongue

A

The nurse is preparing to teach a client about a new drug which is the in the fourth phase of development. Which activity will the nurse explain as best illustrates this phase? Select one: A. Health care providers report adverse effects to FDA. B. The drug is given to clients with the disease. C. Healthy volunteers are involved in the test. D. In vitro tests are performed using human cells.

A

The nurse notes on assessment after administration of a drug the client has developed itching and a skin rash. The nurse interprets these findings as indicating which possible reaction? Select one: A. Allergic reaction B. Toxicity C. Crystalluria D. Angioedema

A

The nurse prepares a teaching plan to help a client with viral influenza learn how to administer the prescribed drugs at home. Which factor would the nurse be alert to as posing an obstacle in the client's learning process? Select one: A. Varied or different literacy levels B. Prior knowledge C. Lack of high grasping skills D. Previous experience

A

Prior to administering a prescribed drug, the nurse determines the correct client by which method? Select all that apply. Select one or more: A. Asking the client to identify themselves and give their birth date B. Using a current picture of the client if available C. Asking a client if they are the correct client D. Checking a client's name on the wristband E. Checking a client's chart

A, B, D

After teaching a group of nursing students about antidiabetic drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as producing the glucose-lowering effects by delaying the digestion and absorption of carbohydrates in the intestine? Select all that apply. Select one or more: A. Miglitol B. Acarbose C. Pioglitazone D. Metformin E. Glimepiride

A, B

The nurse makes use of the psychomotor domain when information is given to the client or caregiver about which concept? Select all that apply. Select one or more: A. Instruction on the correct administration of insulin B. Instruction on how to use a glucometer C. Review of how frequently to administer insulin D. Review of adverse reactions associated with insulin E. Review of complications associated with diabetes

A, B

The nurse is assessing a client for risk factors associated with type 2 diabetes. Which findings would the nurse prioritize? Select all that apply. Select one or more: A. Impaired glucose tolerance B. History of gestational diabetes C. Obesity D. Younger age E. Caucasian race

A, B, C

A nurse is working with a client on ways to safely adapt drug administration in the home. Which suggestion would be appropriate? Select all that apply. Select one or more: A. Providing written instructions B. Preparing a daily calendar C. Developing a clear, easy-to-read dosing schedule D. Utilizing a pill box E. Keeping all medications locked up

A, B, C, D

As the nurse is taking a verbal medication order over the phone from the health care provider, the nurse will employ which necessary responses? Select all that apply. Select one or more: A. Write down the order B. Clarify any unclear information C. Obtain verbal confirmation that the information is correct D. Repeat back the information exactly as written E. Record the order as soon as the MAR is retrieved

A, B, C, D

The nursing instructor is explaining the safe use of prescription drugs. After the discussion, the students correctly choose which actions as being the most important? Select all that apply. Select one or more: A. Administering drugs B. Monitoring clients for drug effects C. Educating clients/caregivers about drugs D. Evaluating clients for toxic effects E. Prescribing drugs

A, B, C, D

A health care provider has written an order for a new drug. As the nurse prepares to administer the drug, which factors will the nurse expect to find in the order? Select all that apply. Select one or more: A. Client's name B. Frequency of administration C. Route of administration D. Drug name E. Dosage form

A, B, C, D, E

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. Select one or more: A. Normal dosage range B. Special precautions in administration C. Drug's most common adverse effects D. Reason for use of the drug E. Drug's general action

A, B, C, D, E

A nurse identifies a nursing diagnosis of Ineffective Health Management for a client. Which factors would the nurse point out as supporting this nursing diagnosis? Select all that apply. Select one or more: A. Visual impairment B. Forgetfulness C. Cognitive deficits D. Order entry error E. Mobility issues

A, B, C, E

A nurse is preparing an in-service on the subject of preventing medication errors. Which actions will the nurse illustrate in the discussion? Select all that apply. Select one or more: A. Rechecking all calculations B. Avoiding distractions and concentrating on only one task at a time C. Practicing the five + 1 rights of drug administration D. Always administering the drug before answering any of the client's questions E. Confirming any questionable orders

A, B, C, E

Which actions reflect a nurse's responsibility when a drug is prescribed for a client? Select all that apply. Select one or more: A. Reporting adverse reactions B. Monitoring for therapeutic response C. Teaching the client information needed to administer drugs safely at home D. Checking for drug-drug interactions E. Administering the drug to the client

A, B, C, E

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 site? Select all that apply. Select one or more: A. Upper arm B. Upper thigh C. Inner forearm D. Upper abdomen E. Gluteus maximus

A, B, D

A nurse needs to teach a 70-year-old client with diabetes about the administration of newly prescribed oral medications. Which activities would be most appropriate in helping the nurse learn about the client's affective behavior? Select all that apply. Select one or more: A. Developing a therapeutic relationship with the client B. Approaching the client with respect C. Overlooking the concern of the client's family D. Nurturing a relationship based on trust and respect E. Avoiding the client's queries on sensitive issues

A, B, D

A nursing student is preparing information about the Controlled Substances Act of 1970. The student can correctly teach a client which factors are regulated by the Act? Select all that apply. Select one or more: A. Dispensing B. Manufacturing C. Formulation D. Distribution E. Elimination

A, B, D

The nurse is caring for a client with a nasogastric tube and is to receive an oral medication. Which action by the nurse would be most appropriate? Select all that apply. Select one or more: A. Dissolving crushed tablets in water prior to administration B. Checking the tube for placement C. Not diluting liquids prior to administration D. Flushing the tube with water after drugs are administered E. Clearing the tube with air prior to administration

A, B, D

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. Select one or more: A. Excretion B. Distribution C. Administration D. Metabolism E. Absorption

A, B, D, E

The nurse identifies a nursing diagnosis of Effective Self Health Management. Which actions of the client would the nurse use to support this nursing diagnosis? Select all that apply. Select one or more: A. Demonstrates ability to understand medication regimen. B. Verbalizes desire to manage the medication regimen. C. Exhibits difficulty in ability to remember. D. States desire to learn about the prescribed medication. E. Demonstrates ability to complete other tasks of daily living.

A, B, D, E

A nurse is preparing to lead a community discussion related to the Dietary Supplement Health and Education Act (DSHEA). Which factors concerning the Act should the nurse be prepared to include in the discussion? Select all that apply. Select one or more: A. Gives the FDA power to enforce the laws governed by the act. B. Permits general health claims. C. Allows for DEA enforcement of the act. D. Permits curative health claims. E. Defines specific substances as "dietary supplements."

A, B, E

A nursing instructor is preparing to teach a group of students about the Orphan Drug Program. The instructor determines the class is successful after the students choose which points as relating to the program? Select all that apply. Select one or more: A. Provides for incentives, such as research grants, protocol assistance, and special tax credits, to develop products to treat rare diseases. B. Grants 7 years of exclusive marketing rights to the manufacturer if approved. C. Accelerates approval of drugs based on preliminary evidence before formal demonstration of client benefits. D. Grants provisional approval with a written commitment from the drug company to formally demonstrate client benefits. E. Encourages the development and marketing of products to treat rare diseases

A, B, E

After teaching a group of nursing students about health communication, the instructor determines that the teaching was successful when the students choose which factors being important? Select all that apply. Select one or more: A. Cultural competency B. Health literacy C. Learning style D. Learning domain E. Identification of limited English proficiency

A, B, E

A nurse has been actively teaching a client how to properly administer their daily insulin injections. The nurse determines the teaching is successful with which outcome? Select all that apply. Select one or more: A. Increased ability of client to manage drug therapy B. Lengthened time for client outcomes C. Improved client outcomes D. Limited ability of client to manage drug therapy E. Decreased adherence with drug regimen

A, C

A nurse is preparing a teaching plan for a client who is prescribed an oral medication. Which mechanisms for absorption will the nurse illustrate in the teaching? Select all that apply. Select one or more: A. Active transport B. Endocytosis C. Pinocytosis D. Passive transport E. Transposition

A, C, D

A nurse is preparing a teaching plan for a client. When developing this plan, which actions would the nurse do to improve a client's motivation to learn? Select all that apply. Select one or more: A. Create an accepting and positive atmosphere. B. Do not include caregivers in the education process as it is a HIPAA violation. C. Educate the client about their disease process. D. Encourage client participation in goal planning. E. Ignore the client's questions until you are finished teaching.

A, C, D

A nurse presents information to a client with diabetes regarding injections to be administered at home after discharge. Which intellectual activities are involved when the client interprets this information using the cognitive domain of learning? Select all that apply. Select one or more: A. Decision making B. Opinions C. Recall D. Thought E. Attitude

A, C, D

When teaching a client, the nurse interprets the client is utilizing the cognitive domain by applying which actions? Select all that apply. Select one or more: A. Make a decision B. Demonstrate a physical skill C. Process new information D. Ask questions E. Form new beliefs

A, C, D

A nurse is preparing a presentation for a group of clients requiring long-term medication therapy. The nurse expects to include common reasons for noncompliance with self-medication administration. Which points would the nurse be most likely to include? Select all that apply. Select one or more: A. Bothersome adverse effects B. Depression C. Lack of knowledge about expected results D. Lack of information about the drug E. Anxiety

A, C, D, E

A nurse is preparing a teaching plan and is determining the best time for teaching. Which times would be inappropriate for client teaching? Select all that apply. Select one or more: A. While the client is sedated B. The day of admission C. When there are visitors D. Immediately prior to discharge E. While the client is in pain

A, C, D, E

A nursing student is preparing to administer an IM injection to a client. The student anticipates the medication will be found in which form? Select all that apply. Select one or more: A. Ampules containing liquid form of the drug B. Reusable cartridges C. Reusable vial containing liquid form of the drug D. Vial containing drug powder E. Disposable syringes

A, C, D, E

When administering an intradermal injection, the nurse would use a 1-mL syringe with which gauge of needle? Select all that apply. Select one or more: A. 25 gauge B. 23 gauge C. 26 gauge D. 24 gauge E. 27 gauge

A, C, E

The nurse is preparing to teach a client with diabetes about the new antidiabetic medication the health care provider has prescribed. Which drug will the client be receiving if the nurse explains it produces its glucose-lowering effect by decreasing insulin resistance and increasing insulin sensitivity? Select all that apply. Select one or more: A. Pioglitazone B. Acarbose C. Miglitol D. Rosiglitazone E. Metformin

A, D

A nurse is preparing a teaching plan to address the domains of learning. Which factors would the nurse address when focusing on the cognitive domain? Select all that apply. Select one or more: A. Recall B. Feelings C. Beliefs D. Decision making E. Thought

A, D, E

After a class discussion, a group of nursing students are able to point out which factors apply to nonprescription medications? Select all that apply. Select one or more: A. Should be taken only as directed on the label B. Require a licensed health care provider's signature C. Can be taken without risk to the client D. Are referred to as over-the-counter drugs E. Have certain labeling requirements

A, D, E

After teaching a group of students about the domains of learning, the instructor determines that the teaching was successful when the students choose which domains? Select all that apply. Select one or more: A. Psychomotor domain B. Psychological domain C. Physical domain D. Affective domain E. Cognitive domain

A, D, E

The nurse is prepared to compete the evaluation phase of the nursing process. Which activities will the nurse perform? Select all that apply. Select one or more: A. Ongoing assessment B. Initial assessment C. Independent nursing actions D. Collection of subjective data E. Collection of objective data

A, D, E

As the nurse prepares to teach a client about a new drug, the nurse is aware which dosage forms would most likely require relatively little client teaching? Select all that apply. Select one or more: A. Capsules B. Inhalers C. Transdermal patches D. Injectables E. Tablets

A, E

A nurse is assessing a client's ability to learn. Which factors would be most important for the nurse to consider? Select all that apply. Select one or more: A. Literacy level B. Language C. Visual impairment D. Presence of a learning impairment E. Hearing impairment

ALL

A nurse is conducting a teaching session for a client newly diagnosed with type 2 diabetes on the importance of monitoring the blood glucose. The nurse determines additional teaching is necessary after the client makes which statement? Select one: A. "I should clean my finger with warm, soapy water." B. "I should prick the tip of my finger to get the blood." C. "I should avoid smearing the blood on the test strip." D. "I should massage my finger to get a hanging drop of blood."

B

A nurse is caring for client who states "I dislike hospitals because people die in them". What is the major cause of 1 in 10,000 hospital deaths that occur each year in the United States? Select one: A. Computerized medication order entry B. Calculating a medication dose C. Bar coding systems D. Administration of a medication

B

A client with hyperinsulinism has been prescribed diazoxide. After administration, which adverse reaction should the nurse prioritize? Select one: A. Flatulence B. Tachycardia C. Myalgia D. Epigastric discomfort

B

A health care provider instructs a nurse to administer a medication to a client STAT. Which action by the nurse would be most appropriate? Select one: A. Insist on obtaining a written report before administering any drug B. Administer the drug as ordered by the health care provider C. Forgo obtaining the health care provider's order after the drug has been administered D. Document the administration of the drug only after receiving the health care provider's order

B

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? Select one: A. Obtain history of drug allergy. B. Check for adverse drug reactions. C. Perform a culture and sensitivity test. D. Record symptoms of the condition.

B

A nurse has collected all the relevant data and is now clustering the information to determine the client's needs. The nurse is involved in which phase of the nursing process? Select one: A. Implementation B. Analysis C. Assessment D. Planning

B

A nurse is assessing a client and notes the client has developed swelling of the eyelids and lips after administration of a prescribed medication. What does the nurse interpret this finding to specifically indicate? Select one: A. Mild allergic reaction B. Angioedema C. Anaphylactic shock D. Drug idiosyncrasy

B

After administering a prescribed medication for pain relief, the nurse is evaluating the client's response to therapy. Which finding would the nurse document as objective data? Select one: A. Client reports feeling sleepy after taking the drug. B. Client identifies a pain rating of 3 out of 10. C. Client states that pain is much less. D. Client's wife reports the client was moaning in his sleep.

B

After teaching a group of students about the nursing process, the instructor determines that the teaching was successful when the students explain the goals and expected outcomes as components of which phase? Select one: A. Analysis B. Planning C. Implementation D. Assessment

B

The nurse concludes the nursing diagnosis of Noncompliance for a client. What would the nurse most likely identify as the expected outcome? Select one: A. Client verbalizes desire to manage prescribed medication schedule. B. Client demonstrates ability to maintain adherence to prescribed drug therapy. C. Client identifies the reason for the prescribed drug therapy for his illness. D. Client verbalizes understanding of when to call the health care provider.

B

The nurse determines a client is a kinesthetic learner. Which would the nurse focus on when teaching this client about drug administration? Select one: A. Watching the nurse perform the procedure B. Doing the actual steps of the procedure C. Listening to the nurse's instructions D. Observing how to perform the steps

B

The nurse has administered glipizide and warfarin to a client. Which finding on assessment should the nurse prioritize? Select one: A. Increased risk of lactic acidosis B. Increased hypoglycemic effect C. Increased risk for bleeding D. Risk of acute renal failure

B

The nurse is monitoring a client with heart failure for effectiveness of the digoxin therapy. Which factor should the nurse closely monitor for potential signs of toxicity? Select one: A. Seizure activity B. Drug blood level C. Blood pressure D. Urinary output

B

The nurse is teaching a client about a newly prescribed medication which is an enteric-coated tablet. Which statement by the nurse best explains this form of medication? Select one: A. "The medication bypasses the GI tract and goes quickly into the bloodstream." B. "The drug dissolves into fragments after it reaches your small intestine." C. "The medication dissolves directly from the stomach into the body." D. "The drug breaks up into pieces as it moves through the stomach."

B

A nurse is teaching a client about the insulin product which has been prescribed. The nurse determines the session is successful when the client correctly chooses which insulin they will be using that acts by lowering the blood glucose by increasing the activity of the beta cells in the pancreas? Select all that apply. Select one or more: A. Acarbose B. Glyburide C. Glipizide D. Metformin E. Pioglitazone

B, C

he nursing instructor determines the discussion on medication administration routes was successful when the students correctly choose which examples of a topical drug? Select all that apply. Select one or more: A. Capsule B. Eye drops C. Suppository D. Nebulized bronchodilator E. Nicotine patch

B, C

A nurse is developing a teaching plan for a client who is receiving medications. Which points would the nurse expect to include in the teaching plan? Select all that apply. Select one or more: A. Chemical name of the drug B. Method for administering the drug C. Expected effect of the drug D. Information to report to the primary health care provider E. Calculation for the prescribed dosage

B, C, D

The nurse is preparing to administer insulin glargine to a client. Which actions will the nurse prioritize when preparing the insulin? Select all that apply. Select one or more: A. Shake the vial vigorously. B. Check the health care provider's orders for the type and dosage of insulin. C. Remove all air bubbles from the syringe barrel. D. Check the expiration date on the vial. E. Mix with short-acting insulin prior to administration.

B, C, D

A nurse is preparing to administer a prescribed drug via an intramuscular injection. Which would be most appropriate for the nurse to do? Select all that apply. Select one or more: A. Recap the needle before disposal B. Place pressure on the area after removing the needle C. Aspirate after inserting the needle D. Cleanse skin at injection site E. Always wear gloves

B, C, D, E

A nursing instructor is teaching a group of nursing students the various work factors which can contribute to dosage calculation errors. The instructor determines the students grasp the concepts by choosing which potential factors? Select all that apply. Select one or more: A. Temperature B. Noise C. Heavy workload D. Interruptions E. Poor lighting

B, C, D, E

A nursing instructor is teaching the nursing process to a group of nursing students. The instructor determines that the session was successful when the students choose which as a phase of the nursing process? Select all that apply. Select one or more: A. Documentation B. Evaluation C. Assessment D. Planning E. Analysis

B, C, D, E

When administering parenteral drugs, which route could the nurse use? Select all that apply. Select one or more: A. Intradural B. Intramuscular C. Intradermal D. Intravenous E. Subcutaneous

B, C, D, E

When preparing a teaching plan for a group of nursing students about drug administration and the nursing process, the instructor expects to include information about the most frequently used nursing diagnoses associated with drug administration. Which diagnoses would the instructor most likely include? Select all that apply. Select one or more: A. Ineffective Coping B. Readiness for Enhanced Health Management C. Deficient Knowledge D. Ineffective Health Management E. Noncompliance

B, C, D, E

A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect if which additional drugs are initiated? Select all that apply. Select one or more: A. Lithium B. Levothyroxine C. Atenolol D. Phenytoin E. Amlodipine

B, C, E

A group of nursing students are learning to categorize drugs into the various Food and Drug Administration (FDA) categories. Which categories are established by the FDA? Select all that apply. Select one or more: A. Metabolite B. Prescription C. Nonprescription D. Noncontrolled substance E. Controlled substance

B, C, E

The nurse is assessing a client and suspects that the client may have limited health literacy. Which actions would support this suspicion? Select all that apply. Select one or more: A. Clear description of how to take the medication B. Difficulty naming the medication C. Inability to explain the purpose of the medication D. English as the primary language E. Problems filling out forms accurately

B, C, E

A nurse is teaching a client how to read the label of an OTC medication. Which differences between the trade and generic name should the nurse include in the teaching? Select all that apply. Select one or more: A. The trade name is often in parentheses. B. The trade name is followed by a registration symbol. C. The trade name is written in smaller print. D. The trade name is usually capitalized. E. The trade name is found under the generic name.

B, D

After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on which assessment findings? Select all that apply. Select one or more: A. Increased urination B. Confusion C. Increased thirst D. Headache E. Diaphoresis

B, D, E

The nursing instructor is preparing to teach about various sources used for developing medication. Which sources should the instructor include in the discussion? Select all that apply. Select one or more: A. Mold B. Plants C. Animals D. Synthetic sources E. Minerals

B, D, E

When using a bar-coded point-of-care medication system, the nurse would scan which items prior to drug administration? Select all that apply. Select one or more: A. Client's hospital chart B. Nurse's identification badge C. Client's medication administration record D. Client's identification band E. Drug unit dose package

B, D, E

A client is administered insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at about which time? Select one: A. 10 AM. B. 11 AM. C. 9 AM. D. 8:15 AM.

C

A client is prescribed 500 mg of ampicillin IM. The drug is supplied in a multidose vial that requires reconstitution with 2 mL sterile water for injection. The resulting concentration contains 250 mg/mL. The nurse would administer how much of the drug? Select one: A. 1 mL B. 1.5 mL C. 2 mL D. 0.5 mL

C

A client with hypertension and the caregiver wish to learn how to properly use a sphygmomanometer. The nurse will utilize which domain of learning to accomplish this teaching? Select one: A. Intellectual domain B. Affective domain C. Psychomotor domain D. Cognitive domain

C

A health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate? Select one: A. Give small volumes of doses B. Inject only the inner part of the forearm C. Apply next dose to a new site D. Check the infusion rate

C

A nurse concludes a nursing diagnosis of Noncompliance is appropriate for a client. Which factor would be most important for the nurse to determine? Select one: A. Whether the client's symptoms were relieved with the drug B. When the client stopped taking the drug C. What was the exact reason for stopping the drug D. What adverse reactions the client experienced

C

A nurse has administered an opioid drug to a client. Which action would be most appropriate for the nurse to do immediately after administering the drug? Select one: A. Monitor the vital signs of the client B. Inform the client about the type of drug C. Document administration of the drug D. Update the health care provider regarding the client's condition

C

A nurse has determined a client has developed a hypoglycemic reaction. Which interventions should the nurse perform if the client can adequately demonstrate swallowing and gag reflexes? Select one: A. Administer glucagon by the parenteral route. B. Administer oral antidiabetics to the client. C. Give oral fluids or candy. D. Administer the insulin via insulin pump.

C

A nurse is preparing a teaching session for a client who is prescribed miglitol. The nurse would instruct the client to administer this drug at which time? Select one: A. 30 minutes before eating breakfast B. At bedtime C. Three times a day with the first bite of a meal D. Before or after a meal during the day

C

A nurse is preparing to administer insulin glargine to a client. What precaution should the nurse take when administering this drug? Select one: A. Be sure the insulin has been refrigerated. B. Shake the vial vigorously before withdrawing insulin. C. Avoid mixing glargine with other insulin. D. Administer glargine via IV route.

C

A nurse is preparing to administer insulin to the client. Which interventions should the nurse perform before administering each insulin dose? Select one: A. Keep prefilled syringes horizontally. B. Check for symptoms of myalgia or malaise. C. Inspect the previous injection site for inflammation. D. Mix the insulin with sterile water in the syringe.

C

A nurse is reading a journal article about seasonal allergies and comes across the name of the drug loratadine. The nurse determines this drug name as which type? Select one: A. Chemical B. Trade C. Generic D. Brand

C

A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home? Select one: A. Expect to add an oral sulfonylurea with the drug. B. Administer the drug with breakfast. C. Administer the drug with the first bite of the meal. D. Report unusual somnolence to the primary health care provider.

C

A nurse prepares to administer a prescribed medication and collects the necessary data. Based on this information, the nurse decides to withhold the drug and contact the prescriber. The nurse is in which phase of the nursing process? Select one: A. Evaluation B. Assessment C. Implementation D. Planning

C

A nurse who has been caring for a client determines that the plan has been successful based on which factor? Select one: A. Client is better able to communicate with the nurse. B. Subjective and objective data are successfully obtained. C. Expected outcomes are accomplished. D. Client does not experience anxiety during therapy.

C

A nursing instructor is teaching how to perform dosage calculations using dimensional analysis. Which would the instructor emphasize to ensure accuracy? Select one: A. Decimals rather than fractions are used to determine amounts. B. A formula that is specific to the drug being administered is needed. C. The focus is on the unit of measure set up in a specific order. D. Proportions are needed but labels related to units are not important.

C

After teaching a group of nursing students about measurement systems, the instructor determines that the teaching was successful when the students choose what units as part of the metric system? Select one: A. Minims B. Drams C. Grams D. Grains

C

After teaching a group of nursing students about pharmacokinetics, the instructor determines that the teaching was successful when the students identify which phase as first? Select one: A. Drug is eliminated from the body B. Body changes drug for excretion C. Drug is made available for use in the body D. Drug is transported throughout the body

C

After teaching a group of students about the basics of pharmacology, the students will be able to choose which aspect as the most critical to remember? Select one: A. Drug class B. Drug name C. Drug action D. Drug source

C

The health care provider orders chlorpromazine 25 mg IM. The drug is supplied as chlorpromazine 50 mg/mL in a 1-mL ampule. How much would the nurse administer? Select one: A. 0.75 mL B. 0.25 mL C. 0.5 mL D. 1 mL

C

The nurse is preparing to administer an intradermal injection. The nurse would insert the needle at which angle? Select one: A. 30 degrees B. 45 degrees C. 15 degrees D. 90 degrees

C

The nurse is unable to read the health care provider's handwriting for a new drug order. Which action by the nurse would be most appropriate in this situation? Select one: A. Try to interpret the handwriting B. Obtain a verbal order C. Question the order with the primary health care provider D. Confirm the order with a nearby health care provider

C

A client has been receiving metformin for several months arrives for a routine follow-up appointment reporting vague symptoms. Which assessment findings should the nurse prioritize? Select all that apply. Select one or more: A. Malaise B. Muscular pain C. Tachypnea D. Abdominal pain E. Hypertension

C, D

A nurse is preparing to administer Synthroid to a client. Which format will the nurse expect the dosage to be written as? Select all that apply. Select one or more: A. Synthroid .175 mg B. Synthroid 175.0 mcg C. Synthroid 0.175 mg D. Synthroid 175 mcg E. Synthroid .1750 mg

C, D

Client goals are set during the planning stage of the client's teaching plan. When the nurse is developing client-specific goals, which factors concerning goals should the nurse keep in mind? Select all that apply. Select one or more: A. Set mainly by the nurse. B. Set mainly by the health care provider. C. Attainable. D. Measurable. E. Set mainly by the client

C, D

A nurse has administered glimepiride to a client with diabetes. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply. Select one or more: A. Lactic acidosis B. Edema C. Nausea D. Heartburn E. Hypoglycemia

C, D, E

A nurse is preparing to document an assessment. Which findings would be documented as objective findings? Select all that apply. Select one or more: A. Medication history B. Chief concern C. Temperature D. Heart rate E. Respiratory rate

C, D, E

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. Select one or more: A. Lack of effectiveness of drug B. Lack of a college education C. Cognitive limitation D. Inability to remember E. Lack of interest in learning

C, D, E

A nurse is preparing to administer a new drug to a client who also receives insulin detemir. Which medication might the nurse be administering which will result in a decreased insulin dosage? Select all that apply. Select one or more: A. Diltiazem B. Albuterol C. Sulfamethoxazole/trimethoprim D. Metoprolol E. Fenofibrate

C, D, F

A nurse is engaged in teaching a client with low health literacy. Which statement would be most appropriate? Select all that apply. Select one or more: A. "Your test results are all negative." B. "Your doctor wants you to take this analgesic." C. "You should take this pain killer when you start to hurt." D. "This cream is for the lesion on your arm." E. "This medication will help your tumor get smaller."

C, E

After a class discussing the various systems of measurement, the instructor determines the teaching was successful when the students correctly choose which type as a metric system unit? Select all that apply. Select one or more: A. Inch B. Ounce C. Centimeter D. Pound E. Milligram

C, E

The nurse is preparing a presentation for a local community group about diabetes. Which facts should the nurse include when explaining type 1 diabetes? Select all that apply. Select one or more: A. Formally known as non-insulin-dependent diabetes mellitus B. Obesity a risk factor C. Occurs before age 20 D. Insidious onset E. Insulin supplementation required for survival

C, E

The nurse is preparing to properly document the administration of a medication. The nurse correctly writes out the note utilizing which format? Select all that apply. Select one or more: A. IU B. QD C. 2.0 mg D. 0.2 mg E. Units

C, E

To facilitate the teaching and learning process, the nurse prepares to develop a therapeutic relationship with a client. The nurse would ensure development of which factors? Select all that apply. Select one or more: A. Dedication B. Education C. Respect D. Commitment E. Trust

C, E

A client is to be discharged to home and the nurse caring for the client has to provide education regarding the appropriate use of prescribed drugs. Which factor would be most important in promoting learning? Select one: A. Attitude B. Grasping power C. Interest D. Motivation

D

A nurse is assessing a client receiving insulin glargine 20 units at bedtime. The nurse determines the insulin requirement may increase when preparing to administer which new drug? Select all that apply. Select one or more: A. Metoprolol B. Estradiol C. Fenofibrate D. Niacin E. Methylprednisolone

D

A nurse is assessing a pregnant client who admits to a cocaine addiction. Which condition of the baby should the nurse explain and prepare the client for after the child is born? Select one: A. Hypertension. B. CNS defects. C. Diabetes. D. Addiction to drugs.

D

A nurse is preparing to administer an intramuscular injection to a client for the first time. What would be most important for the nurse to do? Select one: A. Obtain information about the drug B. Inquire if the client has any objections to syringes C. Discuss the dosage with other nurses D. Obtain the client's allergy history

D

A nurse is preparing to administer exenatide to a client with type 2 diabetes. The nurse will question this order if which condition is noted in the client's medical record? Select one: A. Kidney disease B. Liver disease C. Severe heart failure D. Diabetic ketoacidosis

D

A nurse is providing care to a client who has been admitted to the health care facility. When administering drugs to this client, what would be most important for the nurse to do before administering a drug to the client? Select one: A. Provide the basis for the selection of nursing interventions. B. List the potential goals to be achieved by the client. C. Review the related nursing diagnosis. D. Review the subjective and objective data.

D

A nurse is required to give an intramuscular (IM) injection to an 18-month-old toddler. The nurse would prepare which site for administration? Select one: A. Deltoid muscle B. Dorsogluteal site C. Ventrogluteal site D. Vastus lateralis

D

A nurse suspects the client had an adverse reaction to a prescribed medication due to an interaction with an unreported over-the-counter supplement. Which action by the nurse will best assist in preventing future similar incidents? Select one: A. Document the incident and report to the health care provider B. Instruct the client to avoid combining medications in the future C. File a report with the State Board of Nursing D. File a report with MedWatch

D

A nursing instructor determines the nursing student is performing an oral drug administration correctly after comparing the drug label and MAR how many times? Select one: A. 4 B. 5 C. 2 D. 3

D

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes? Select one: A. Young age B. Regular exercise C. Polyuria D. Obesity

D

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client? Select one: A. Risk for Fluid Volume Deficit B. Acute Confusion C. Anxiety D. Ineffective Breathing Pattern

D

The nurse is conducting ongoing assessment of a client receiving insulin detemir. The nurse would question the effectiveness of the insulin based on which assessment findings? Select all that apply. Select one or more: A. Increased urination B. Increased appetite C. Abdominal pain D. Confusion E. Increased thirst

E, A, C

The nurse is assessing a client's response to sleeping pills and notes continued restlessness and inability to sleep. After an increased dose leads to sleep, which factor should the nurse investigate first? Select one: A. Is this a toxic reaction? B. Is the drug accumulating in the client's body? C. Is this related to a genetic deficiency? D. Is the client now tolerant to the drug?

D

What is the rationale for using a zero when there is no number to the left of the decimal in a medication dosage? Select one: A. Escalation of nursing mistake B. Decrease dosage for medication safety C. Increase prescriber errors D. Reduces chance of drug errors

D

The nurse monitoring a client receiving insulin glulisine notices the client has become confused, diaphoretic, and nauseated; and has a blood glucose of 60 mg/dL. Which emergent treatment would the nurse most likely give? Select all that apply. Select one or more: A. Insulin glargine B. Hard candy C. Glucose tablets D. Orange or other fruit juice E. Insulin detemir

D, C, B

A nurse is preparing to administer a long-acting insulin to a client. Which insulin might the nurse administer? Select all that apply. Select one or more: A. Insulin lispro B. Insulin aspart C. Insulin glulisine D. Insulin glargine E. Insulin detemir

D, E

After teaching an in-service presentation to a group of nurses about diabetes and insulin, the presenter determines that the session was successful when the group correctly chooses which insulins as rapid-acting? Select all that apply. Select one or more: A. Insulin detemir B. Isophane insulin suspension C. Insulin glargine D. Insulin glulisine E. Insulin aspart

D, E

A client is considering using herbal supplements and asks the nurse about them. Which response by the nurse would be most appropriate? A. "Herbal supplements are safe to use because they are regulated closely." B. "The risk of the supplement interacting with any prescription medications is extremely low." C. "Taking more than the recommended amount usually is not harmful because they are natural." D. "Herbal supplements can affect the way other medications will act."

D. "Herbal supplements can affect the way other medications will act."

A nurse is caring for a client diagnosed with a respiratory condition for which drug therapy has been prescribed. What would the nurse need to address when developing appropriate expected outcomes related to the drug therapy? Select one: A. Possible adverse reactions that could occur during the therapy B. Amount of time the client will take to recover fully C. Amount of drugs the client will require during the treatment D. Maximum level of wellness reasonably attainable for the client

NOT A

A client is refusing to take a prescribed medication due to unfamiliarity of the name. What is the nurse's best response? Select one: A. "Okay, I'll just write a note in your record." B. "Would you like to talk to your health care provider about this, first?" C. "Do you remember the name of the pill you were taking?" D. "This is what your health care provider has ordered."

NOT B

The health care provider writes an order for 100,000 U for a client. The nurse discovers the label reads 400,000 units/mL. When preparing to calculate the correct dose, the nurse applies dimensional analysis and calculates which unit of measure? Select one: A. Units B. Milligrams C. Milliliters D. Tablets

NOT C

A group of nursing students are examining information about the client-nurse relationship and the various factors affecting it. The instructor determines a need for additional review when they choose which as a factor? Select one: A. Health care practice attitudes B. Increased cultural diversity C. Health care reform D. Increased rates of chronic illness

NOT D

A nursing instructor is explaining the importance of preventing errors in medication administration and doses. What would the instructor emphasize as the best method for detecting errors? Select one: A. Having each person involved in the process check the dosage B. Reading drug labels very carefully C. Checking calculations three times D. Checking the dosage in a reputable drug reference

NOT D

A nursing student reviews information about a drug and its action before preparing and administering the drug to a client. Which resources are the best choice for this student to consult? Select all that apply. Select one or more: A. Clinical drug reference B. Nurse assigned to the client C. Nursing instructor D. Clinical pharmacist E. Prescribing health care provider

a, d

A nurse caring for a client is articulating the steps for carrying out nursing activities that will assist in achieving client goals. The nurse is in which phase of the nursing process? Select one: A. Assessment B. Implementation C. Planning D. Evaluation

V

A nurse is preparing to administer a prescribed IM medication to a 72-year-old, 98 lb. female client. The nurse integrates knowledge of which factors that could influence the drug response? Select all that apply. Select one or more: A. Age B. Disease C. Sex D. Polypharmacy E. Weight

a, c, e