olympics 1

Question 1

the. use is reviewing medication errors which situation is an example of a mediaction error

Answer 1

a patient received a double dose cause its not cut in half

Question 2

the nurse is administering medication to a patient who is in renal failure resulting from end stage renal disease. the nurse is aware that patients with kidney failure what pharmacokinetic phase would occur

Answer 2

excretion

Question 3

which is the name undue which a drug is listed by the U.s Food and drug administration (FDA)

Answer 3

official

Question 4

what do drug blood levels indicate

Answer 4

they determine if he amount of drug in the body is in a theraputetic range

Question 5

before giving a drug to patient which steps should you take to ensure safe drug administration (SADA)

Answer 5

2 forms of identiafcation
ask patient drug allergies
check drug before moving it Fromm dosage cart
check the dose and check the drug

Question 6

what some will the trough blood level to be drawn if the nurseadmisinsteres the intravenous medication dose at 9AM

Answer 6

8;30

Question 7

digoxin Is in a 0.125mcg convert to MCG

Answer 7

125

Question 8

which factor affect drug action ( SADA)

Answer 8

age , body weight , metabolic rate illness

Question 9

the nurse transcribes an order to administer valium 10mg iv stat this order is interpreted by the nurse to mean it should be a provided how ( SADA)

Answer 9

immediately , one time only , intravenously

Question 10

which factor in a patient would influence GI absorption of medications (SADA)

Answer 10

stomach Pg, , Blood flow to gastic mucosa

Question 11

which medication route provides the moist rapid onset of a medication , but also poses the greatest risk to adverse effects

Answer 11

Intravenous ( IV)

Question 12

the nurse is administering lomotil a schedule V drug which statement is true about this drug classification

Answer 12

abuse potential for this drug is low

Question 13

the nurse is preparing to care foe a patient who will be taking to antihypertensive medication which action by the nurse is part of assent step of nursing process

Answer 13

question the patient about over the counter medication

Question 14

the nurse administer 50 mg at 6 am that has half life of 8 hours what time will it be when 25 mg of the drug has been eliminated from the body

Answer 14

2pm

Question 15

you are caring for a patient with liver failure who will be Starting on anticoagulant for the treatment of deep vein thrombosis what effect will prolly happen

Answer 15

the anticoagulant will be prolonged and pose a risk for bleeding

Question 16

Patient has a head ache and need otc meds which form will work the fastest

Answer 16

A powder

Question 17

the nurse recognizes that which factor would contribute to digoxin toxicity in a 92 year old patient ( SADA_

Answer 17

prolonged half life go the drug digoxin , improved renal function

Question 18

a drug dose 800mg has a half life of 5 hours identify how much drug will remain in the body after one life

Answer 18

400 mg

Question 19

whichh action owill the nurse take if a dosage is unclear on a health care patient order

Answer 19

contact the health care provider to clarify the correct dosage

Question 20

what information should be included in the teaching plan for a young woman who has to begun on a 10 day course of orlaal antibiotics therapy for an infection

Answer 20

antibiotics interact with birth control ills making them less effective

Question 21

which is the best description of when drug interactions occur

Answer 21

on the alteration of the effect of one dry by another drug

Question 22

the nurse has been mo tiring the patient progress on a new drug regimen sine the first dose and documenting at the patient therapeutic response to the medication . which phase of the nursing process do these actions illustrate

Answer 22

evaluation

Question 23

when administering drugs the nurse remembers that the duration of a action drugg is defined as which of these

Answer 23

the time period at which drug concretion is sufficient to cause therapeutic response

Question 23

convert 75 mcg into milligram strength dont round

Answer 23

0.075mg

Question 24

which of the following nursing actions is an example of evaluating patient response to drug therapy

Answer 24

taking the temperature of a patient an hour after giving an antipyretic

Question 24

6 routes of med adminstertion

Answer 24

right drug , right route , right dose , right time ,right patient

Question 24

which of th following routes of excretion of drug metabolites from the body (SADA)

Answer 24

feces ,urine, breast milk

Question 25

a nurse is giving an enteral medication the patient ask why this method is preferable for this how will the use apply

Answer 25

this route is safer less expensive nd more conveint

Question 26

when taking a telephone order for medication which action by the nurse is most approbate

Answer 26

repeat the order to prescriber before having up the telephone

Question 27

the nurse is adminseting parental drugs which statement is true regarding parental drugs

Answer 27

parental drugs bypass the first effect

Question 27

the nurse asses who blood level to determine the mount of circulating medication in a patient drug

Answer 27

drug

Question 28

when obtain a patient health history which assent data would the nurse identify as having th e most effect on the drug metabolism

Answer 28

history of liver disease

Question 29

a patient has been raving IV penicillin for pneumonia for sevrel Fays and begins to complain of general itching the nurse auscaltitates bilateral wheezing and notes a temperature of 38.5 degrees which is the correct action by the nurse

Answer 29

hold the next dose and notify the prescriber of the symptoms

Question 30

when given a schedules morning medication th patient states” haven’t seen the pill before

Answer 30

“let me check the on the order first before you take it

Question 31

the nursing assessment identifies that the client is nauseated and can not Tylenol orally which is regarding the substation of this medication to suppository form

Answer 31

it is contradicted without an order from the health are provider

Question 32

you have given the antibiotic penicillin as presribed to a patient with no reported drug allergies thirty minutes after receive the drug the patent notified you that he .she has developed swelling of the lips what is your best first action

Answer 32

report the finding to the RN or health care provider and remain with patient

Question 32

the nurse will be injecting a drug into the superficial skin layers immedicalty underneath the epidermal layer of skin which route does this describe

Answer 32

intradermal

Question 33

a patent tells the nurse that the has been presveube has caused a lot of stomach discomfort in the past what will the nurse ask the prescriber wh

Answer 33

whether an enterc coated for of the drug is available

Question 34

which statement s true about the OTC drug

Answer 34

they are sold without a prescription

Question 35

when would it be appropriate to withhold a drug instead of giving it oi a patient

Answer 35

when any part of the drug order is unclear

Question 36

what is the proccess by which molecule move from a region of higher conception to one lower concentration

Answer 36

diffusion

Question 37

the nurse planning patient teaching regarding drug names would include which statement (SADA)

Answer 37

the official name is the name under which listed by the FDA , Brand names are waste rot pronounce spell and remember , the first letter of the generic name is not capitalized

Question 37

a patient receives a drug that has a narrow therapeutic range the nurse administering this medication will expect to do what

Answer 37

monitor plasma drug lvls

Question 38

a nurse is preparing ti administer medication which patient would the nurse consider to have predisposition to an adverse reaction

Answer 38

a 30 year old man with kidney disease

Question 39

the patient is to receive oral guaigensins ( mucinex) twice a day today the nurse was busy and gave medication 2 hours after the scheduled dose was due what type of problem does this represent

Answer 39

right time

Question 40

the nurse assess hives in a patientt started on a new medication what is the nurse prior action

Answer 40

notifyy physical of allergic reaction

Question 40

which lab test ouch be used to asses liver and or renal function before adminseting medication (SATA)

Answer 40

LDH,ADH,CR,BUN

Question 41

the mediation order reads “ give ondansetron (zofran 4mg 20 minutes before begging a check therapy to prevent nausea “ he nurse notes that the route is missing from the order what is the nurses best action

Answer 41

contact the prescriber to clarify the route of the medication order

Question 42

metering dermal is a narcotic whither high potential fir a physical drug dependency under which classification does drug approach fall

Answer 42

2

Question 43

an adult male patient is 1 dY Post operative from a total hip replacement on a pain Cale 1-10 what meds should e give em

Answer 43

6 mg morphine sulfate intravenously

Question 44

what would the FDA to expired drug development and approval for an outbreak of smallpox for which there is no know treatment t

Answer 44

fast track the inverstigonal drug

Question 45

when reviewing pediatric medicainon adminstrition the nurse recognizes that which type of medication error is most common with children

Answer 45

dosing errors

Question 46

the nurse is teaching an elderly patient with difficulty swallowing about his medication which explanation which explanation by the nurse is the most help full

Answer 46

tablets that are scored can be broken half

Question 46

a 62 year old patient with liver diesel asks you why he is receiving intravenously rather than by out what is your best response

Answer 46

your liver disease impair the transofmariton of a drug into its active form

Question 47

what drugs can cause birth defects

Answer 47

tetraogens

Question 47

the patient is experience chest pain and needs o take a sublingual form of nitroglycerin where does the nurse instruct the patient to place

Answer 47

under the tongue

Question 48

a patient claims to get better effects with a. tablet of brand X of a drug than with a tablet of brand Y both brands content he same amount of active ingredient what does the nurse know to be most likely

Answer 48

tablets can differ In composition and can have differing rates of disintegration and dissolution which can alter the drug effect sin the body

Question 49

a patient who is beggingng a new cholsetrol lowering drug tells you he wants to drink grapefruit

Answer 49

taking grapefruit juice can reduce the effective ness of the drug

Question 50

you are about to give the prescribed drugs to a patient in your care when you approach the [atient with the drugs the patient refuses to take one of the drugs. best action to take

Answer 50

notify the charge nurse or provider

Question 51

which is an example o an interdependent nursing action

Answer 51

administer demerol 50mg IM every 4 hours PRN

Question 52

after giving instructions to an expectant mother about taking medication during pregnancy which patient statement indicated the need for further teaching

Answer 52

I will limit my alcohol intake to only one glass of wine weekly

Question 52

a patient is given a prescription for Zithromax and ask the nurse why its 2x the amount then the next. what’s the correct response

Answer 52

a large initial dose helps to get the drug to optima levels in the body faster

Question 53

the nurse is administering to antibiotic IM which blood level determines the lowest amount of medication present in patient

Answer 53

trough

Question 53

the nurse is reviewing pharmacolgy terms for group of newly p grad nurses which statement defines a drugs half life

Answer 53

the time it takes for one half of the original amount of a drug to be removed froimt eh body

Question 54

what is he process by which drug is transported by circulating body fluid to the receptor sites

Answer 54

distrubiton

Question 55

which drug route would you expect to be the most rapidly absorbed

Answer 55

intravenous injection

Question 56

the nose can prevent medication errors by flowing which principles (SATA)

Answer 56

Use two patient identified before giving medicating always following the right of medication adminstertion minimize the use of verbal and telephone orders

Question 56

the patient 400mg of an oral drug at noon this drug has ah alf life of 2 h at what time will 100 mg remain

Answer 56

4

Question 57

which action will the nurse take when it is determined that the narcotic count is incorrect while boating a medication from the narcotic area

Answer 57

report the discrenspancy to the charge nurse

Question 58

the nurse is reviewing a list of verbal medication order which is the nurse notation of the dose of the drug ordered

Answer 58

levothryoxine 0.75 mg

Question 58

what will the nurse need to determine first in fort to mic two drugs in the same syringe

Answer 58

compatibly of drugs

Question 59

what is the primary purpose of the nursing assessment

Answer 59

exploring the patient responses to health problems

Question 59

which route enables drug absorption more rapidly that the subsetroute

Answer 59

IV route IM route , INhaleationsublingual

Question 60

the nurse determines that a presrcinves medication has not been administered as ordered on the previous shift what will the nurse do

Answer 60

complete an incident report

Question 61

duringa period of time when the coupitirxed medication order system was down the prescribe wrote admission and the nurse is transcribing them the nurse can’t read what it says what should it. mean

Answer 61

contact the prescriber to clarify the order

Question 61

which statements about variables hat influence drug action is.are true

Answer 61

body weight can affect the theraptuci response od a medication., chronic smoker may metabolize drugs more rapidly than nonsmokers , a patient attitude and exception affect to amedciation

Question 62

a physician order indicates to administer a medication to patient via percouanteous route the nurse can acnitciapte that the patient will receive the medication

Answer 62

topically

Question 63

what is the nurse primary source of information when obtain a patient history

Answer 63

the patient

Question 64

when telling patient about a new drug that has been prescribed the patient asks you to explain the difference a side effectt and andadverese reaction what is your best response

Answer 64

side effects re mild and adverse effects are severe

Question 65

the nurse has determine the the pain medication give n to a patient a hour ago has Beene effective the nurse is using which step of the nursing process

Answer 65

evaluation

Question 66

a resident in along term care faculty reports difficulty swallowing enteric coated aspiring and ask the nurse to crush it prior to administration whats he most appropriate thing to do

Answer 66

hold the medication and notify the physician

Question 66

which route of drug excreation

Answer 66

GI tract feces , Genitourinary GU , Urine respirator system exhalation

Question 67

a patient developed hives and itching after receiving a drug for the dirs time. which instruction by the nurse is accurate

Answer 67

stop the medication and encoueg the patient to wear an alert braclet for the allergy

Question 67

a patient who has advanced cancer is receiving opioid medication around the clock to keep him comfortble as he nears the end of his life which term best describes this therapy

Answer 67

palliative therapy

Question 68

the nurse is perfuming an example of an assmengt if Newley admitted patient which I an example of subjunctive data

Answer 68

the patient reports that he uses herbal product gingko

Question 68

which patient require special consideration for medication adminsteriton

Answer 68

a 29 year old pregnant woman , a 2 month old baby an 82 year ild nurse

Question 69

which nursing action is not appositive when giving drugs to a patient

Answer 69

leaving the drug at the patient bedside take when he/she awakens

Question 70

you are giving an oral due go the piton for this drug by the body which mechanisms the first to be involved

Answer 70

abosrbtion

Question 71

when given an intra venous meds the patient states “ o usually take pills why does this have to be given in the arm”

Answer 71

the action of medication will begin sooner when given intravenously

Question 72

patient becomes hypo tensive after taking rug. what effect is he experiencing

Answer 72

an adverse effect of the drug

Question 73

what is the difference between the generic and the trade names

Answer 73

the trade name is one that is registers to a specific drug manufacture

Question 74

prior to the adminstriaon of a nephritic drug the nurse determines that the kidney lab data are within normal range, what part of ADPIE is this

Answer 74

assmesnst

Question 75

the patient is revving two different drugs art current diagnosis and dosage form both drugs have he same concentration of the active ingredient which term is used to identify principle

Answer 75

bioequivalent

Question 76

which medication order requires nursingg judgment and mean administer if need

Answer 76

morphine 4 MG iv every 4 hours PRN

Question 76

which is always true regarding the generic name for drug

Answer 76

its the same in any country

Question 77

when administering a new medaction to a patient the nurse read that it is highlyy protein bound assuming that the patent albumin levels are normal the nurse would expect which result asa compared to a medication that is not highly protein bound

Answer 77

the duration of action the medcication will be longer

Question 77

where would the procedures and tramtnets be directed by the health care provider be found

Answer 77

physicians order form

Question 78

a nurse is conducting a counting education call on pharmacologyt to evaluate the learning odf nurse in the class. which drug name gives information about the drug pharcolgic classification is??

Answer 78

amoxicillin

Question 78

1omg PO every ^6 hours the half life drug is approximly 6 hours the nurse is preparing to administer the first tdoeseat 8am ontuesday when will the serum drug pakteuo

Answer 78

8 am

Question 79

which action should you takee to ensure that your are giving a drug to the rich tpatient

Answer 79

asking the patient to state their name and birthdate and then checking the patients identification bracelet

Question 80

fir which reasons is/are elerdlt patient at increase risk for drug interactions and toxicity (SATA)

Answer 80

they have higher incident of malnourishment. They have increase sue of multiple mediation hepatic function is reduced

Question 81

what are the possible responses a patient can have drug action (SATA)

Answer 81

desired action ,adverse effects , side effects

Question 82

which life thwarting illnesss may occur as result of aspiring (salicylate ) admisntrionduring viral illness to patient younger then 20 years of age

Answer 82

reyes syndrome