Nclex Practice Flashcards
It is important for the nurse to be aware of the 4 sequential processes of the pharmacokinetic face. What are these processes?
- Absorption
- Distribution
- Metabolism
- Excretion
Is expected that the nurse will question the health care provider if the drug with a halftime of greater than 24 hours is order to be given more than how often?
Once daily
Which of the following statements is correct?
A. A drug bound to a protein is an active drug.
B. A drug not bound to a protein is an active drug.
C. Most receptors are found under cell membrane.
D. Toxic effects can result if the trough level is low.
B. A drug not bound to a protein is an active drug.
The nurse notices that one of the clients drugs has a low therapeutic index. What is the most important nursing implication of this?
A narrow margin of safety.
One of the clients drugs has the potential adverse effect of nephrotoxicity which test is most accurate to determine renal function?
Creatinine clearance
The nurse reviews the clients medication regimen, including the interval of drug dosage, which is related to which of the following? A. Stimulation of receptors B. Trough level C. Therapeutic index D. Half-life
D. Half-life
Nursing responsibilities in the assessment phase of the nursing process include which responsibilities? Select all that apply.
A. Identify side effects of drugs that are nonspecific.
B. Check peak and trough levels of drugs.
C. Advise client to avoid fatty foods prior to ingesting enteric-coated tablets.
D. Evaluate client’s reaction to drug.
A. Identify side effects of drugs that are nonspecific.
B. Check peak and trough levels of drugs.
During a medication review session, the client comments, “I just do not know why am taking all of these pills.” This comment suggests which nursing diagnosis?
Deficient knowledge
The nurse is developing goals in collaboration with the client. Which is the best goal statement?
A. The client will self-administer albuterol by tomorrow.
B. The client will self-administer the prescribed dose of albuterol by the end of the second teaching session.
C. The client will independently self-administer the prescribed dose of albuterol by the end of the second teaching session.
D. The client will organize her medications by tomorrow.
C. The client will independently self-administer the prescribed dose of albuterol by the end of the second teaching session.
The nurse is aware of the many factors related to effective health teaching about the medication. The most essential component of the teaching plan is to do which? A. Provide written instructions. B. Establish a trust relationship. C. Use colorful charts. D. Review community resources.
B. Establish a trust relationship.
A medication health teaching plan is tailored to a specific client. Comment topics for health teaching include which? Select all that apply.
A. Importance of adherence to the prescribed regimen
B. How to administer medications
C. What side/adverse effects to report to the Healthcare provider
D. Instruction of the client on what food should be eaten
A. Importance of adherence to the prescribed regimen
B. How to administer medications
C. What side/adverse effects to report to the Healthcare provider
The clients goals have been met during hospitalization. By the time of discharge, which nursing diagnosis is most probable?
A. Knowledge deficient
B. Ineffective coping
C. Readiness for enhanced social interaction
D. Readiness for enhanced self-care activities
D. Readiness for enhanced self-care activities
What legislation increased controls on drug safety and requires a adverse reactions and that contraindications must be included on the label?
Kefauver-Harris Amendment to 1938 act.
The nurse is reviewing the client’s list of medications enosis several have the highest these potential. According to US standards, the highest potential for abuse of drugs with accepted medical use is found in drugs included in which schedule?
II
The nurses reviewing the drug approval process in the United States and was that the FDA modernization act of 1997 contains which provisions? Select all that apply.
A. Review of new drugs is accelerated.
B. Drug companies are to provide information on “off-label” drugs.
C. Privacy of individually identifiable health information is to be protected.
D. Drug companies are to notify of plans to discontinue drugs.
A. Review of new drugs is accelerated.
B. Drug companies are to provide information on “off-label” drugs.
D. Drug companies are to notify of plans to discontinue drugs.
