(2) Therapeutics SLO Flashcards
Andrew is caring for several patients. Which patient is he anticipating to have the least ability to metabolize drugs? A. A 52-year old woman with hot flashes B. A 22- year old pregnant female C. A 32-year old man with kidney stones D. A 50-year old man with hypertension E. A 3-day old premature baby
3-day old premature baby
Cesar is getting the history of a diabetic patient who is taking several different medications. One of the drugs stimulates gastric peristalsis. Cesar recognizes that this drug may have which effect on the other oral medications this patient is taking?
A. Increased absorption and excretion
B. Decreased absorption & increased excretion
C. Increased metabolism
D. Decreased absorption and excretion
E. Increased absorption & decreased excretion
Decreased absorption & increased excretion
Cesar is teaching a patient how to self-administer an asthma medication using a fixed dose inhaler. Which statement made by the client indicates that Cesar has successfully communicated important information about this drug?
A. “I should only take this in the morning.”
B. “Inhaled medications are rapidly broken down by the liver.”
C. “I should expect to feel effects nearly instantly.”
D. “Inhaled medications represent a larger dose than oral forms of the same drug.”
E. “Its okay to share my medication with family members, but no one else.”
“I should expect to feel effects nearly instantly.”
Esther knows that a drug with a high therapeutic index is: A. Expensive B. More effective than a low index drug C. Probably safe D. Risky for kids E. Very dangerous
Probably safe
TRUE or FALSE: If someone is a fast metabolizer of a drug, they are genetically different than someone who is a slow, or poor, metabolizer.
True
Leslie is caring for several patients. Which patient is she anticipating to have problems with urinary retention?
A. A 65-year old man, with benign prostatic hypertrophy (BPH), taking diphenhydramine for an allergy
B A 25-year old woman, taking amitriptyline to treat major depressive disorder
C. A 55-year old Asian taking Sudafed to treat cold symptoms
D. A & B only
E. All the above (A, B and C)
A 65-year old man, with benign prostatic hypertrophy (BPH), taking diphenhydramine for an allergy, A 25-year old woman, taking amitriptyline to treat major depressive disorder, A 55-year old Asian taking Sudafed to treat cold symptoms. ALL
Naleo, a nurse on a geriatrics floor, is administering a dose of digoxin to one of her patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. Naleo explains that as people get older, their kidneys and liver do not work as well as someone who is younger. If the dose was as high as her niece’s, the drug will tend to:
A. Have a shorter half life
B. Not be distributed as widely
C. Be absorbed better from the gastrointestinal tract
D. Accumulate
E. Be processed faster by the liver
Accumulate
Someone who is a fast metabolizer of a drug will require \_\_?\_\_ of it to get the same response as a poor metabolizer. A. There is no way to tell B. Double the amount C. The same amount D. More E. Less
More
Someone who requires 1/3 of the normal dose of a drug to get a normal response, may be __?__
A. None of the listed answers can be correct
B. An intermediate metabolizer
C. A fast metabolizer
D. An ultra fast metabolizer
E. A poor metabolizer
A poor metabolizer
Which is a drug-induced disease related to the peripheral nervous system? A. Bone marrow suppression B. Kidney failure C. Urinary retention D. Weight gain E. Allergy
Urinary retention
Which is NOT one of the six "rights?" A. Client B. Dose C. Drug D. Route E. Clinician
Clinician
Which is NOT GENERALLY CONSIDERED to be a clinically significant type of drug interaction, but may potentially be, depending on the combination of drugs?
A. Competition for plasma protein binding
B. Alteration of renal clearance
C. Inhibition of metabolic enzymes
D. Inhibition of absorption
E. Induction of metabolic enzymes
Competition for plasma protein binding
Which should you know BEFORE you administer a medication?
A. Effect(s) caused by the drug
B. All the answers are correct
C. Purpose and use of the product
D. Onset and duration
E. Generic and Trade name of the product
Onset and duration Effect(s) caused by the drug Purpose and use of the product Generic and Trade name of the product ***ALL***
Which client characteristics should the nurse consider important information because it (they) may affect the physiological response to various types of drug therapy? A. 82-year old female B. Obesity C. Asian D. Mother and brother with diabetes E. All the above
82-year old female Obesity Asian Mother and brother with diabetes ***ALL***
Which product is more likely to produce a local effect? A. Capsule B. IM injection C. Topical D. Oral Suspension E. IV injection
Topical
