Chapter 04: Patient Focused Considerations Flashcards
During the last trimester of pregnancy, drug transfer to the fetus is more likely to occur.
Which is a reason for this possibility?
a. Fetal size
b. Decreased surface area
c. Enhanced placental blood flow
d. Increased amount of bound drug in maternal circulation
c. Enhanced placental blood flow
Which type of dosage calculation is used most commonly when calculating drug dosages for children? a. Fried’s rule b. Clark’s rule c. Young’s rule d. The mg/kg formula
d. The mg/kg formula
- A 22-year-old patient is in the twenty-sixth week of pregnancy and has developed gestational
diabetes and pneumonia. She is given medications that pose a possible fetal risk, but the
potential benefits may warrant the use of the medications in her situation. Which is the Food
and Drug Administration (FDA) pregnancy safety category for this medication?
a. Category B
b. Category C
c. Category D
d. Category X
c. Category D
While assessing an 82-year-old woman, the nurse determines that the patient is experiencing
polypharmacy. What is this experience most likely to indicate?
a. The patient has a lower risk of drug interactions.
b. The patient takes medications for one illness several times a day.
c. The patient risks problems only if she also takes over-the-counter medications.
d. The patient takes multiple medications for several different illnesses.
d. The patient takes multiple medications for several different illnesses
Which statement is true in regard to children?
a. Their levels of microsomal enzymes are decreased compared to those of adults.
b. Their total body water content is much less than that of adults.
c. Their first-pass elimination is increased because of higher portal circulation.
d. Gastric emptying is more rapid than that of adults because of increased peristaltic
activity.
a. Their levels of microsomal enzymes are decreased compared to those of adults.
For accurate medication administration to young patients, the nurse must take into account
which information?
a. Weight, height, age, and organ maturity
b. Age, glomerular filtration rate, and weight
c. Weight, height, body temperature, and age
d. Weight, height, and total body water content
a. Weight, height, age, and organ maturity
An older adult patient will often experience a reduction in the stomach’s ability to produce
hydrochloric acid. This change will result in which alteration?
a. Delayed gastric emptying
b. Increased gastric acidity
c. Decreased intestinal absorption of medications
d. Altered absorption of select drugs
d. Altered absorption of select drugs
Which is the reason drug toxicity is more likely to occur in the neonate?
a. The lungs are immature.
b. The kidneys are smaller.
c. The liver is not fully developed.
d. Renal excretion of the drug is faster.
c. The liver is not fully developed.
An 83-year-old female patient has been given a thiazide diuretic to treat mild heart failure.
She and her daughter should be taught to watch for which complications?
a. Dizziness and constipation
b. Fatigue and dehydration
c. Daytime sedation and lethargy
d. Edema and blurred vision
b. Fatigue and dehydration
Which complication is common with an older adult patient who is taking digoxin?
a. Hallucinations
b. Edema
c. Dry mouth
d. Constipation
a. Hallucinations
The nurse is aware that confusion, ataxia, and increased risk for falls are older adult patients’ common responses to which medication? a. Laxatives b. Anticoagulants c. Sedatives d. Diuretics
c. Sedatives
The nurse is trying to give a liquid medication to a 2-year-old child and notes that the
medication has a strong taste. The best way for the nurse to give this medication to a child is
to
a. give the medication with spoonfuls of sherbet.
b. add the medication to the child’s bottle.
c. tell the child you have candy.
d. add the medication to a cup of milk.
a. give the medication with spoonfuls of sherbet.
For which cultural group must the nurse respect the value placed on natural health products,
the use of heat, and a concern for the balance of opposing forces that lead to illness or health?
a. Hispanic Canadians
b. Asian Canadians
c. Indigenous peoples
d. Black people of African descent
b. Asian Canadians
A nurse is assessing an older adult Indigenous woman who is being treated for hypertension.
During the assessment, what important information should the nurse remember or expect in
regard to culture?
a. The patient should be discouraged from using traditional remedies and rituals.
b. The nurse should expect the patient to value protective bracelets and herbal teas.
c. The nurse should remember that the balance between body, mind, and environment
is important to this patient’s health beliefs.
d. The assessment should include information about cultural practices and beliefs
regarding medication, treatment, and healing.
d. The assessment should include information about cultural practices and beliefs
regarding medication, treatment, and healing.
Which ethnocultural group believes in harmony with nature and views ill spirits as causing disease? a. Black people of African descent b. South Asian Canadians c. Filipino Canadians d. Indigenous peoples
d. Indigenous peoples
