Exam 1 Flashcards
Which statement best defines how a chemical becomes a drug
a. A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug
B. A chemical becomes a drug when it is introduced into the body to cause a change
C. A chemical is considered a drug when the FDA approves its release to be marketed
d. A chemical must have demonstrated therapeutic value to become a drug
A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug
The telephone triage nurse receives a call from a client asking for a prescription for an opioid (narcotic) to manage the client’s surgical pain. The nurse explains that opioid prescriptions must be written and cannot be called in to the pharmacy.
The client says, “Why are opioids so difficult to get a prescription for?” What is the nurse’s best response?
a. “The Drug Enforcement Agency (DEA) determines the risk for addiction and the Food and Drug Administration (FDA) enforces their control.”
b. “The increase in the number of drug addicts has made the rules stronger.”
c. “The Centers for Disease Control and Prevention (CDC) regulates use of controlled substances to reduce the risk of injury.”
d. “Controlled substances such as opioids are controlled by the FDA and the DEA.”
“Controlled substances such as opioids are controlled by the FDA and the DEA.”
A nurse working for a drug company is involved in phase I drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development?
a. Working with animals who are given experimental drugs
B. Monitoring drug effects in patients who are selected to participate in a study, who have the disease that the drug is meant to treat
C. Administering investigational drugs to patients
D. Informing healthy, young volunteer participants of possible risks that could occur from taking an experimental drug
Informing healthy, young volunteer participants of possible risks that could occur from taking an experimental drug
The nursing instructor observes several nursing students administer medications To their assigned clients. What students are demonstrating safe practice? Select all that apply.
A. The student checks the label on the medication against the administration record three times
b. The student enters the client’s room and asks the client “Are you Mr.
Lopez?”
C. The student checks the drug’s brand name and generic name before taking it to the client
D.The student documents the medication upon exiting the client’s room.
E. The student inspects the client’s arm band prior to giving a medication
A,c,d,e
The nurse is applying the nursing process to the care of a client with diabetes.
The client has been prescribed a new antihyperglycemic. What activity should the nurse do first?
a. Assess the client for any other chronic conditions
b. Teach a client about the drug’s potential adverse effects
c. Teach the client how to safely store the medication
d. Determine that drug has stabilized the client’s blood glucose levels
Assess the client for any other chronic conditions
Before administering a new medication, the nurse has consulted a drug guide to confirm the recommended dosage range. When interpreting this information, the nurse should consider what principle?
a.
Recommendations are based on clients of Caucasian ethnicity
b. Recommendations are made by the manufacturer based on the most likely recipient population
C. Recommendations are based on a 150-pound (68 kg) adult male
d. Recommendations are based on a young adult male with good health
Recommendations are based on a 150-pound (68 kg) adult male
What statement would indicate that a mother is administering the incorrect dosage of liquid medication to her child?
a. “I use a calibrated medication cup to administer the medication.”
b. “I use the measuring teaspoon that I cook with.”
c. “I give the medication at the times indicated on the prescription.”
d. “I use a household teaspoon to administer the medication.”
d. “I use a household teaspoon to administer the medication.”
The nurse checks a clients temperature before administers a standing prescription for acetaminophen for temperatures over 100°F (37.8°C). The client’s temperature is 98.9°F (37.2°C), so the nurse decides to withhold the dose of acetaminophen. Withholding the dose represents which phase of the nursing
process?
a. Implementation
b. Analysis
c. Evaluation
d, Planning
Implementation
A 27-year-old male is admitted to the emergency department (ED) after a se motorcycle accident. The client has a head injury, abrasions covering the left sia of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the ICU. The nurse who is going to care for this client in the ICU knows that one of their most important responsibilities in regard to drug therapy is to:
a. prescribe a therapeutic dose of morphine
b. continue curative treatment
c. institute life-saving treatment monitor the client’s response
D. monitor the client’s response
monitor the client’s response
Cefuroxime 1g in 50mL normal saline solution (NS) is ordered to be infused over
30 minutes. The tubing drop factor is 60gtt/mL. How many drops per minute should be given to infuse the total amount of cefuroxime over 30 minutes?
100 gtt/min
The provider orders 2L of NS to be infused from 1900 to 0700. How many milliliters per hour should the IV pump be programmed for?
166.7 mL/HR
A patient with sepsis has an order for cefazolin 1g in 50mL of D5W IV over 30 minutes. How many milliliters per minute will the patient receive?
1.7 mL/min
patient has a continuous infusion at 8mL/h. The insulin concentration is regular insulin 100 units in 200mL of 0.9% NS. Calculate how many units per hour of insulin the patient is receiving?
4 units
Your patient gets an order for D5NS at a rate of 100mL/hr. The unit you work on does not have any more intravenous infusion pumps. You obtain intravenous tubing with a drip factor of 20, how many drops per minute should the patient receive?
33 gtt/min
Your patient is getting a heparin infusion at 15mL/h. The heparin concentration is
25,000 units in 500mL of D5W. How many units per hour is the patient receiving?
750 units
AC
BEFORE MEALS
PC
AFTER MEALS
STAT
NOW
Q4H
EVERY 4 HOURS
QID
ONCE A DAY
