EXAM #2 Review Questions Flashcards
During a medication review session, a patient states, “ I do not know why I am taking all of these pills.” Based on this piece of subjective data, which problem will the nurse identify?
a. Pain
b. Knowledge
c. Fatigue
d. Anxiety
b. Knowledge
The nurse is developing goals in collaboration with a patient. Which is the best goal statement?
a. The patient will self-administer albuterol by taking a deep breath before inhaling
b. The patient will self-administer albuterol by the end of the second teaching session.
c. The patient will independently self-administer the prescribed dose of albuterol by the end of the second teaching session.
d. The patient will organize his or her medications according to the time each medication is due.
c. The patient will independently self-administer the prescribed dose of albuterol by the end of the second teaching session.
When developing an effective medication teaching plan, which component will the nurse identify as most essential?
a. Written instructions
b. The patient’s readiness to learn
c. Use of colorful charts
d. A review of community resources
b. The patient’s readiness to learn
When developing an individualized medication teaching plan, which topics will the nurse include? (Select all that apply)
a. Adherence to the prescribed drug regimen.
b. Always use the prescribed drug route.
c. Know adverse side effects to report to doctor.
d. Always double the next dose if drug is missed
e. Tell the doctor when taking the over-the-counter- (OTC) supplements.
a. Adherence to the prescribed drug regimen b. Always using the prescribed drug route
c. Knowing adverse side effects to report to doctor
e. Telling the doctor when taking over-the-counter (OTC) supplements
The Nursing Alliance for Quality Care’s focus is for health care provider’s to strive for which goal?
a. Quality and safety in medication administration
b. Confidentiality as determined by the patient
c. Development of a patient relationship/family engagement
d. Patient independence within the family of origin
c. Development of a patient relationship/family engagement
Which teaching strategy is most likely to succeed in health teaching with the patient and family?
a. Know the reason why each drug was ordered
b. Have the patients learn the generic name of each pill
c. A repeat demonstration should follow the nurse’s teaching
d. Have the patient identify the number and color of the pills
c. A repeat demonstration should follow the nurse’s teaching.
Prioritize the steps of the nursing process:
a. Planning
b. Problem (diagnosis)
c. Assessment
d. Evaluation
e. Implementation
f. Concept
f. Concept
c. Assessment
b. Problem (diagnosis)
a. Planning
e. Implementation
d. Evaluation
Which components of pharmacokinetics does the nurse need to understand before administering a drug? (Select all that apply.)
a. Drugs with a smaller volume of drug distribution have a longer half-life.
b. Oral drugs are dissolved through the process of pinocytosis.
c. Patients with kidney disease may have fewer protein-binding sites and are at risk for drug toxicity.
d. Rapid absorption decreases the bioavailability of the drug.
e. When the drug metabolism rate is decreased, excess drug accumulation can occur, which can cause toxicity.
ANS: E, C
c. Patients with kidney disease may have fewer protein-binding sites and are at risk for drug toxicity.
e. When the drug metabolism rate is decreased, excess drug accumulation can occur, which can cause toxicity
The nurse will question the health care provider if a drug with a half-life ( t ½) of more than 24 hours is ordered to be given more than how often?
a. Once daily
b. Every other day
c. Twice weekly
d. Once weekly
a. Once daily
The nurse is explaining drug action to a nursing student. Which statement made by the nurse is correct?
a. Water-soluble and ionized drugs are quickly absorbed.
b. A drug not bound to protein is an active drug.
c. Most receptors are found under the cell membrane.
d. Toxic effects can result if the trough level is low.
b. A drug not bound to protein is an active drug.
The nurse is meeting with a community group about drug safety. The nurse must emphasize that patients at high risk for drug interactions include which groups? (Select all that apply.)
a. Older patients
b. Patients with chronic health conditions
c. Patients taking three or more drugs
d. Patients dealing with only one pharmacy
e. Patients covered by private insurance
ANS: A,B,C
a. Older patients
b. Patients with chronic health conditions
c. Patients taking three or more drugs
The nurse is describing to a patient the synergistic effects of two of his medications. Which statement by the nurse is correct about synergistic drug effects?
a. Two drugs have antagonistic effects on each other.
b. The action of a drug is nullified by another drug.
c. One drug acts as an antidote to the side effects of another drug. d. A greater effect is achieved when two drugs are combined.
d. A greater effect is achieved when two drugs are combined.
A Native American patient is newly diagnosed with type 2 diabetes mellitus and is prescribed the antidiabetic drug metformin 500 mg by mouth with morning and evening meals. Which statement best indicates to the nurse that the patient will adhere to the therapeutic regimen?
a. I will no longer put sugar on my cereal because that will help me be healthier.
b. If I take this medicine, I will feel better soon and won’t have to take it anymore.
c. To reduce the possibility of damage to my body, I must take the medicine as scheduled.
d. I have diabetes because of my ancestry, so there’s not much I can do about it.
a. I will no longer put sugar on my cereal because that will help me be healthier.
The nurse is aware that the rate of absorption can be changed by which actions? (Select all that apply.)
a. Modifying gastric emptying time
b. Changing gastric pH c. Decreasing inflammation
d. Forming drug complexes
e. Eating too slowly
ANS: A,B,D
a. Modifying gastric emptying time
b. Changing gastric pH
d. Forming drug complexes
The nurse is meeting with a community group about drug safety. The nurse must emphasize that patients at high risk for drug interactions include which groups? (Select all that apply.)
a. Older patients
b. Patients with chronic health conditions
c. Patients taking three or more drugs
d. Patients dealing with only one pharmacy
e. Patients covered by private insurance
ANS: A,B,C
a. Older patients
b. Patients with chronic health conditions
c. Patients taking three or more drugs
The nurse recognizes that when a patient takes a hepatic enzyme inducer, the dose of warfarin is usually modified in which way?
a. It is increased.
b. It is decreased.
c. It remains the same. d. It is unpredictable.
a. It is increased.
Codeine is an example of a(n) _______________ as the cytochrome P450 system metabolizes the drug to facilitate receptor affinity.
a. agonist
b. prodrug
c. antagonist
d. enzyme
b. prodrug
The nurse is reviewing a patient’s current medications. Which herbal products interfere with the action of anticoagulants? (Select all that apply.)
a. Astragalus
b. Garlic
c. Ginger
d. Licorice root
e. Gingko
ANS: B, E
b.Garlic
e.Gingko
Labeling of herbal products is important. Which is an appropriate claim for an herbal product?
a. Prevents diabetes
b. Helps increase blood flow to the extremities
c. Cures Alzheimer disease
d. Is safe for all
b. Helps increase blood flow to the extremities
The nurse educator on the unit receives a list of high-alert drugs. Which strategy is recommended to decrease the risk of errors? (Select all that apply.)
a. Store drugs on a shelf for quick retrieval.
b. Limit access to high-alert drugs.
c. Use special labels for high-alert drugs.
d. Provide increased training to staff.
e. Standardized the ordering and preparation
ANS: B,C,D,E
b. Limit access to high-alert drugs.
c. Use special labels for high-alert drugs.
d. Provide increased training to staff.
e. Standardized the ordering and preparation
