Final Exam Flashcards
Which variables can affect drug absorption? SATA
A. Liver function
B. Blood flow to site of admin
C. Protein binding of drugs
D. Route of admin
E. Presence of receptor agonists
B,D
Absorption = drug from outside to in the body
A effects metabolism
C will effect distribution
D will effect distribution
Lithium levels of a client with bipolar disorder have risen to the minimum level required to have a therapeutic effect. What is the term used to indicate this clients serum lithium levels have been achieved?
A. Critical concentration
B. Dynamic equilibrium
C. Half-life
D. Active transport
A
*lithium levels high to keep therapeutic effect
Dynamic equilibrium = steady level of drug in blood stream to keep effect
General antibiotic information
What are disadvantages of OTC medications? SATA
A. Inaccurate self dx
B. Development of adverse drug reactions and interactions
C. Few visits to the pharmacy to obtain medication
D. Cost to consumers is not reinbursed by insurance companies
E. Earlier resumption of activities of daily living
A, B, D
Which information identifies the responsibilities of the FDA?
A. Regulating credentials for prescribers
B. Setting standers for efficiency and safety
C. Enforcing the control of substances with high abuse potential
D. Determining nation priorities for drug research and development
B
The nurse is preparing to admin digoxin to a client. The clients prescription is 0.125mg tab. The digoxin is available in 0.25 mg tablets. How many tabs should the nurse admin?
0.5 tabs
0.125/0.25
The nurse is preparing to admin potassium chloride. The bag arrives labeled 10 mEq KCL in 50 ml of 0.9% sodium chloride. Calculate the ml/hr
50 ml/hr
The nurse is preparing to hang a fentanyl drip. The prescription for fentanyl is 25 mcg/hr. The bag arrives labeled 100 mcg in 50 ml 5% dextrose in water. What is the ml/hr?
12.5 ml/hr
What are the four processes involved in the pharmacokinetics of a medication? SATA
A. Excretion
B. Lipid solubility
C. Absorption
D. Metabolism
E. Distribution
F. Half-life
A, C, D, E
The caregiver of a client describes the client as having Alzheimer’s disease for 20 years and currently in the late stage of the disease. The caregiver asks the nurse if the client can go back on the medication donepezil. Which response by the nurse is appropriate?
A. Let me discuss your concerns with the prescriber
B. A newer drug that has recently been developed is galantamine
C. The drug is best used early as it slows the progression of Alzheimer’s
D. Donepezil has had research studies finding suggestive of curing Alzheimer’s
C
A client is prescribed levofloxacin. Which should be included in the clients teachings? SATA
A. Report new fever
B. Report diarrhea
C. Report changes in heart rate
D. Report increased appetite
E. Report creamy white, lace like patches on the tongue, mouth, or throat
A, B, C, E
A client is experiencing intense nausea while being treated with antineoplastic drugs. What action should the nurse perform?
A. Provide client with low-residue diet
B. Admin antacids as prescribed, 30 mins before meals
C. Offer mouth rinses q4 hour
D. Provide client with small, frequent meals
D
Which client would most likely benefit from the admin of epoetin alfa?
A. Client with anemia due to bone marrow suppression
B. Client with hemorrhage after abdominal surgery
C. Client dx with iron deficiency anemia
D. Client with severe folic acid deficiency
A
A nurse is providing education to a client prescribed lisinopril. Which statements should be included? SATA
A. Decrease in BP is expected
B. If you develop a cough, call the prescriber
C. You can be expected to urinate more frequently
D. Deceased HR warrants call to the prescriber
E. Your diabetes medication will interfere with the effectiveness of lisinopril
A, B
Which outcome is most important for a client recently dx with hypertension?
A. Verbalization of an understanding of medical regimen
B. Compliance with antihypertensive medications
C. Multiple diastolic BP readings less then 90
D. Compliance with low sodium diet
C
