Quiz 2: Intro to Pharm and Blood Products

A nurse is assessing the client's home medication use. After listening to the client list current medications, the nurse asks what priority question? ""Are these medications safe to take during pregnancy?"" ""Are any of these medications orphan drugs?"" ""Do you take any over-the-counter medications?"" ""Do you take any generic medications?""

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

The nurse should ask what specific questions when collecting a client's medication history? Select all that apply. "Do you take any natural supplements or vitamins?" "Do you ever use any recreational drugs?" "Do you take any prescribed medications? "Do you take any over-the-counter medications?" "Do you take any herbal supplements?"

"Do you take any natural supplements or vitamins?" "Do you ever use any recreational drugs?" "Do you take any prescribed medications? "Do you take any over-the-counter medications?" "Do you take any herbal supplements?"

While collecting a medication history, the client admits to doubling the recommended dosage of acetaminophen, saying "It's harmless or they would require a prescription." What is the nurse's best response? "Taking medications like that is careless and you could cause yourself serious harm if you keep doing it." "Sometimes you need to take more than the package directs to treat the symptoms. It's important not to do this frequently. "Over the counter drugs are serious medications and carry serious risks if not taken as directed." "Did you take a generic or brand name version of this medication?"

"Over the counter drugs are serious medications and carry serious risks if not taken as directed."

The nurse explains the Drug Enforcement Agency's (DEA's) schedule of controlled substances to the nursing assistant who asks, "Do you ever get a prescription for schedule I medications?" What is the nurse's best response? "Schedule I medications have no medical use so they are not prescribed." "Schedule I medications are only prescribed in monitored units for client safety." "Schedule I medications have the lowest risk for abuse and do not require a prescription." "Schedule I medications are found in antitussives and antidiarrheals sold over the counter."

"Schedule I medications have no medical use so they are not prescribed."

A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply) liver failure peripheral vascular disease Increased renal excretion Increased medication-metabolizing enzymes concurrent use of medication using the same metabolic pathway

???

The nurse should consider teratogenic effects when caring for what clients? Select all that apply An 81-year-old male with chronic heart failure and peripheral edema A 74-year-old female being treated in the intensive care unit for multiorgan dysfunction syndrome A 37-year-old female client who is taking fertility drugs A 29-year-old client receiving prenatal care in her first trimester of pregnancy A 41-year-old male who is immunocompromised following bone marrow transplant

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

Which of the following is absolutely essential for the nurse to know prior to administering any patient medication? Weight Medical history Diagnosis Allergies

Allergies

The nurse has just administered a client's medication. What action should the nurse perform next? Assess for medication allergies Assess for drug effects Assess for preexisting conditions Perform a comprehensive health assessment

Assess for drug effects

The nurse is assessing a client new to the clinic. The client says she is allergic to penicillin. What action should the nurse do next? Perform a comprehensive health assessment Document that the client is allergic to penicillin Continue to assess the client for other allergies Assess the exact nature of the client's response to the drug

Assess the exact nature of the client's response to the drug

A nurse is preparing to transfuse a unit of packed red blood cells (PRBCs) to a client who has severe anemia. Which of the following interventions is the priority for preventing an acute hemolytic reaction? Ensure that the client has a patient IV line before obtaining blood product from the refrigerator Take a complete set of vital signs before beginning transfusion and periodically during the transfusion. Stay with the client for the first 15 to 30 minutes of the transfusion Confirm the correct client and blood product with another nurse

Confirm the correct client and blood product with another nurse

A nurse is caring for a client who has an activated partial thromboplastin time (aPTT) greater than 1.5 times the expected reference range. Which of the following blood products should the nurse prepare to transfuse? Packed red blood cells Fresh frozen plasma Whole blood Albumin

Fresh frozen plasma

The nurse is caring for a client with edema caused by escape of fluid from the intravascular compartment to the extracellular space. What type of IV solution should the nurse administer to draw the fluid back into the intravascular compartment? Hypertonic solution Isotonic solution Osmotic solution Hypotonic solution

Hypertonic solution

When involved in phase III drug evaluation studies, what action should the nurse perform? Monitor and observe clients closely for adverse effects Make decisions that will determine effectiveness of the drug Change the dosage of the prescribed drug based on client preference. Work with animals which are given experimental drugs

Monitor and observe clients closely for adverse effects

A client with O+ blood is in need of an emergent transfusion. The blood bank does not have O+ blood available. What other type of blood is acceptable for this situation? B+ Any rh+ type blood is acceptable O- A-

O-

The nurse is reviewing the function of receptor sites in cell physiology. What role of receptor sites should the nurse understand? Reacting with specific chemicals outside the cell to change the function of that chemical Maintaining contact with outside proteins to prevent lysis of the cell wall Maintaining contact with inside proteins to prevent lysis of the cell wall Reacting with specific chemicals outside the cell to stimulate a reaction within the cell

Reacting with specific chemicals outside the cell to stimulate a reaction within the cell

A nurse on a medical/surgical floor administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors may be responsible for the client's drowsiness? First-pass effect Reduced cardiac function Delayed toxic effect Reduced hepatic function

Reduced hepatic function

The caregiver of an older adult client with ischemic heart disease tells the nurse that the client is only taking around half of the prescribed dosage of several medications. What possible effect should the nurse explain when providing health education? Increased risk of primary actions Superinfection Antibiotic resistance Reduced therapeutic effect

Reduced therapeutic effect

When assessing a client before starting a drug regimen, how should the nurse best assess the client's ability to excrete medications? Assess the client's nutritional and hydration status Review the client's AST, ALT, bilirubin, and albumin levels Weigh the client and measure the client's abdominal girth Review laboratory values which measure kidney function

Review laboratory values which measure kidney function

The nurse learns that a drug needed by the client is classified as an orphan drug. The nurse should recognize what possible characteristics of this drug? Select all that apply. It is produced by a company that only manufactures drugs. The drug has dangerous adverse effects. The drug treats an extremely rare disease. The patent on the medication is still effective. The drug is rarely prescribed.

The drug has dangerous adverse effects. The drug treats an extremely rare disease. The drug is rarely prescribed.

The nurse has weighed a new client during the admission assessment. This action will best contribute to safe medication administration by: confirming whether subcutaneous or intramuscular injections are more appropriate. allowing the care team to prescribe the correct medication dosage. determining whether to give a generic or brand name medication. identifying nutritional deficiencies that may affect the drug regimen.

allowing the care team to prescribe the correct medication dosage.