MID COURSE QUIZ Flashcards
A patient is prescribed metoprolol, 50 mg twice a day. The nurse is to administer the first dose of metoprolol to this client. What is most important for the nurse to teach the client about this medication?
A. The medication is applied topically
B. The medication is delivered by tablet only
C. The medication is safe and effective
D. The medication can cause a drop in blood pressure with position changes
D. The medication can cause a drop in blood pressure with position changes
A client is starred on warfarin 2 mg daily. What should the nurse understand related to this particular anticoagulant therapy?
A. The international normalized ratio (INR) is monitored to determine appropriate dose.
B. The activated partial thromboplastin time (aTPP) is used to determine proper prescribed dose.
C. A possible adverse effect is thrombocytopenia
D. This medication is safe to administer during pregnancy
A. The international normalized ratio (INR) is monitored to determine appropriate dose.
The client has been prescribed diphenhydramine. For which conditions could the nurse administer this medication? SATA A. Anaphylaxis B. Productive cough C. Insomnia D. Asthma E. Mild allergic reactions F. Motion Sickness
A. Anaphylaxis
C. Insomnia
E. Mild allergic reactions
F. Motion Sickness
Beta-adrenergic blockers ( beta blockers ) are negative chronotypes, working by slowing down on the heart rate, reducing cardiac output, and thereby reducing blood pressure. Which medication is a beta-adrenergic blocker? A. nifedipine B. atenolol C. prazosin D. alprazolam
B. atenolol
A client is prescribed guaifenesin 800 mg by mouth every 12 hours. Which statement best describes the action of this medication?
A. It blocks the cough reflex
B. It decreases respiratory effort by lowering the respiratory rate so the client can breathe easier
C. It decreases the surface tension of secretions to help the client cough up and spit out excessive mucous
D. It breaks down the mucus associated with cystic fibrosis
C. It decreases the surface tension of secretions to help the client cough up and spit out excessive mucou
The nurse is reviewing pharmacology terms for a group of newly graduated nurses. How does the nurse explain a drug’s half-life?
A. When one half of the original amount of a drug is absorbed into the circulation.
B. The time it takes for one half of the original amount of a drug to be removed from the body.
C. When one half of the original amount of the drug reaches the target cells.
D. The time for the drug to cause half of its therapeutic response
B. The time it takes for one half of the original amount of a drug to be removed from the body.
A nurse is teaching her client about benzodiazepines. What most common undesirable adverse effect of benzodiazepines should the nurse educate the client about?
A. Hypotension
B. Hypertension
C. CNS excitability
D. CNS depression
D. CNS depression
Which statement is true about furosemide?
A. This medication has an adverse effect of hypokalemia
B. This medication decreases glucose
C. This medication will cause weight gain
D. This medication has little diuretic effect
A. This medication has an adverse effect of hypokalemia
A client is prescribed atorvastatin, 20 mg by mouth once daily. What is the primary use of this medication?
A. To reduce potassium level
B. To decrease the heart rate
C. To decrease the blood pressure
D. To reduce serum-lipid levels
D. To reduce serum-lipid levels
A client is taking phenytoin. The nurse should understand the therapeutic use for all medications. Why is the client receiving this medication?
A. It is prescribed to clients diagnosed with depression
B. It is an antipsychotic medication to control behavior
C. It is used to prevent or control seizure activity
D. It given to diabetic clients to lower blood glucose levels
C. It is used to prevent or control seizure activity
A client is prescribed clopidogrel 75 mg once daily. The nurse understands that which statement describes the therapeutic effects of clopidogrel?
A. It will prevent all strokes and heart attacks from occurring
B. It increases platelet aggregation in order to prevent blood clots from forming
C. It will help decrease the risk for bleeding and prevent the formation of blood clots
D. IT helps decrease the occurrence of clotting events such as transient ischemic attacks and strokes
D. IT helps decrease the occurrence of clotting events such as transient ischemic attacks and strokes
A client received prolonged treatment for severe ventricular dysrhythmias and noticed marked skin coloration changes. Which cardiac medication has been associated with the adverse effect of grey-blue skin hyperpigmentation?
A. digoxin
B. amiodarone
C. nitroglycerin
D. furosemide
B. amiodarone
The health care provider prescribes spironolactone 50 mg two times a day. What is a common adverse effect of this medication?
A. Hyperkalemia
B. Liver toxicity
C. Urinary retention
D. Severe renal-failure
A. Hyperkalemia
Adjunct drugs, such as benzodiazepines, are often given with anesthetic drugs. What are the intended effects of using adjunct anesthetic drugs? SATA
A. Decreased blood pressure B. Amnesia C. Sedation D. Respiratory depression E. Increase urine output
B. Amnesia
C. Sedation
The nurse is administering parenteral drugs. Which statement is true regarding parenteral drugs?
A. Parenteral drugs exert their effects while circulating in the bloodstream
B. Absorption of parenteral drugs is affected by reduced blood flow to the stomach
C. Parenteral drugs bypass the first-pass effect
D. Absorption of parenteral drugs is faster when the stomach is empty
C. Parenteral drugs bypass the first-pass effect
Which statement best describes why older adult clients are more likely to experience adverse effects and toxicity from medications?
A. Adults lose weight and muscle mass with advancing age
B. Organ function declines with advancing age
C. Older adult clients generally take fewer medications than other population groups
D. Oder adults are often seen by multiple health care providers
B. Organ function declines with advancing age
Which statements are true regarding neonates/infants and pharmacokinetics? SATA
A. Drugs will be absorbed quicker due to the acidic pH in the stomach
B. The kidney function is immature so drugs are not excreted at the expected rate
C. Drugs might cross the blood brain barrier because it is immature
D. The liver function is immature so drugs are not metabolized at the expected rate
E. Drugs will be absorbed slower due to the increased GI motility
B. The kidney function is immature so drugs are not excreted at the expected rate
C. Drugs might cross the blood brain barrier because it is immature
D. The liver function is immature so drugs are not metabolized at the expected rate
