Sherpath Quizzes

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Why are specific meds classified as "high-alert" meds?

Potential for patient harm is higher with these meds

A patient is given a prescription for azithromycin [Zithromax] and asks the nurse why the dose on the first day is twice the amount of the dose on the next 4 days. Which reply by the nurse is correct?

"A large initial dose helps get the drug to optimal levels in the body faster" (loading dose)

The nurse is providing education to a group of patients interested in complementary medicine. What is the most important information to include?

"Confirm with your health care provider that any herbs you take will not interact w/prescribed meds"

The patient admitted with cardiac problems informs the nurse that to lose weight quickly, she tends to do the grapefruit diet once a month. What information is the priority for the nurse to teach the patient in relation to this dietary intervention?

"Grapefruit juice interferes with many drugs. This is not a safe intervention" (grapefruit interferes with the metabolism of many drugs)

The nurse is assessing a patient's understanding of discharge instructions regarding cholestyramine. Which response assures the nurse that the patient has learned the instructions?

"I will increase fiber in my diet" (cholestyramine can cause constipation)

A patient receiving atorvastatin therapy to reduce high cholesterol levels calls the clinic & reports, "I am experiencing severe pain in both my legs." What is the nurses best response?

"Stop taking the drug & visit the clinic immediately" (myopathy an adverse effect of atorvastatin)

How many times will the nurse verify a prescription order before administering a med to the patient?

3 times

What are the nursing implications of the Health Insurance Portability & Accountability Act (HIPAA) legislation?

A nurse should share confidential information only with the direct care staff & those that the patient consent to inform

Which are the pharmacokinetic changes that may be evident due to age-related changes in cardiac, hepatic & renal function in geriatric patients?

Decreased excretion & decreased metabolism

Which statement best reflects the nurse's understanding of cultural influences on drug therapy & other health practices?

Administration of some drugs may elicit varied responses in specific racial-ethnic groups

A nurse is reviewing a patient's medical record before administering a med. Which 3 factors can alter the patient's physiologic response to the drug?

Age, gender and genetic factors affect a person's ability to absorb, metabolize & excrete drugs

A patient has been receiving an antibiotic with a small therapeutic index for 10 days. Upon assessment, the nurse notes an increase in the drug's side effects. What would be the nurse's priority action?

Ask the prescriber to order a plasma drug level test (tests for toxicity)

The nurse knows that simvastatin exerts its action by doing what?

By inhibiting the enxyme HMG-CoA reductase (reducing rate of cholesterol production)

Which (3) factors are defined by the Nurse Practice Acts?

Educational requirements for nurses, expanded nursing roles for patient care & differences between nursing & medical practice

The nurse will administer a drug to an adolescent. What is an appropriate technique for administering meds to patients in this age range?

Encourage patient participation

In which gestational period is drug therapy associated with a greater incidence of drug-induced developmental defects in the newborn?

First trimester

What is the desired outcome when a drug is described as easy to administer?

It enhances patient adherence to the drug regimen

What are properties of an ideal drug?

Predictability, ease of administration, chemical stability, reversible action & simple generic name

Which 3 strategies are helpful in preventing medication errors in nursing practice?

Provide patients w/proper education, verify med orders before administering, develop professional relationships w/pharmacists

The nurse is caring for an older adult. The patient tells the nurse, "I cannot take this medication, because this tablet is white and I take pink tablets at home." Which action is most appropriate?

Verify the patient's prescription (listen & honor patient concerns)


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