Pharm Final

Question 1

A patient who is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling anxious and is having trouble breathing. What will the nurse do first?

Answer 1

stop the antibiotic infusion

Question 2

Sulfamethoxazole/trimethoprim is a prototype for which drug classification?

Answer 2

antibiotics

Question 3

Nursing Interventions for clients taking aminoglycosides include the following except:

Answer 3

monitor bp every 4 hours

Question 4

Which of the following medications can be classified as an aminoglycoside?

Answer 4

gentamycin

Question 5

Tetracycline has been prescribed for skin disorders such as acne. Other uses for tetracycline include

Answer 5

chlamydia

Question 6

The purpose of antiretroviral drugs is to:

Answer 6

prevent replication by inhibiting one of the steps

Question 7

HIV infection is transmitted in which of the following modes except:

Answer 7

contact with urine and feces

Question 8

Which of the following adverse events has been reported with the use of protease inhibitors, such as indinavir?

Answer 8

bone marrow suppression

Question 9

The influenza vaccine is recommended for which of the following groups except:

Answer 9

6 months old or younger

Question 10

Which of the following is the best description of why culture and sensitivity testing is done in the lab?

Answer 10

identify the drug to control the infecting organism

Question 11

Isoniazid (INH) is used in the treatment of tuberculosis. Which of the following can be classified as an adverse effect?

Answer 11

liver toxicity

Question 12

The best approach to health promotion related to influenza is :

Answer 12

annual vaccination for prevention

Question 13

Bone and teeth discoloration of the fetus are potential adverse effects when which of the following drugs is administered to pregnant women?

Answer 13

tetracyclines

Question 14

Anti-inflammatories are commonly used to treat which of the following conditions?

Answer 14

pain and inflammation

Question 15

Foreign agents that elicit a specific immune response are called:

Answer 15

antigens

Question 16

An antibiotic with a broad spectrum is one that:

Answer 16

is effective against a large

Question 17

Trough serum levels for gentamicin (Garamycin) should be drawn:

Answer 17

30-60 minutes before the next dose is given

Question 18

The client receives a non-steroidal anti-inflammatory drug for treatment of arthritis. What is a priority for the nurse to include when doing medication education?

Answer 18

“take medication with food”

Question 19

Which of the following is essential to teach a client who is on antibiotic therapy?

Answer 19

take the full prescription as ordered, even if symptoms are improved

Question 20

Which factor is most responsible for noncompliance in taking medications to treat HIV?

Answer 20

unpleasant side effects

Question 21

Which of the following conditions is effectively treated with acyclovir (Zovirax)?

Answer 21

herpes virus

Question 22

A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?

Answer 22

deceased uric acid levels

Question 23

The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?

Answer 23

antipyretic

Question 24

NSAIDs (non-steroidal anti-inflammatory drugs) are frequently taken to decrease inflammation; however, these agents may also be taken for the following purposes except:

Answer 24

decreased blood pressure

Question 25

Macrolides are effective by:

Answer 25

inhibiting protein synthesis

Question 26

Side effects associated with most cephalosporins (Cefazolin, Ancef) Include:

Answer 26

rash, uticaria

Question 27

When antibacterials are prescribed for the treatment of an infection and a culture is ordered:

Answer 27

a culture should be taken before the initial dose of the antibiotic is administered

Question 28

Penicillins (Penicillin G) mechanism of action is to:

Answer 28

disrupt the cell wall

Question 29

An infection caused by a secondary pathogen that can occur during prolonged antibiotic therapy is known as:

Answer 29

superinfection

Question 30

Amphotericin B is used for the treatment of:

Answer 30

fungal infection

Question 31

A common adverse effect of ibuprofen is

Answer 31

gastrointestinal upset

Question 32

A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?

Answer 32

Hepatitis B immunoglobulin (BayHep B)

Question 33

The nurse is preparing to administer a vaccine to a child. Patient education involves explaining to the parent the purpose of the vaccine. The nurse would discuss that the purpose of the vaccine is:

Answer 33

prevention of illness

Question 34

Which of the following describes an infection that is acquired by a person who has not recently been hospitalized or had a medical procedure within the past year?

Answer 34

community acquired infection

Question 35

A patient has an order for cyclosporine (Sandimmune). The nurse finds that cyclosporine modified (Neoral) is available in the automated medication cabinet. Which action by the nurse is correct?

Answer 35

notify the pharmacy to obtain the cyclosporine (Sandimmune) form of the drug.

Question 36

The nurse is applying bacitracin to a patient’s skin infection. What is an adverse effect for bacitracin?

Answer 36

itching and burning

Question 37

A nurse is teaching a patient the mechanism of action of cyclosporine. Which of the following describes the mechanism of action of cyclosporine?

Answer 37

suppress certain T-lymphocyte cell lines

Question 38

Which of the following can be described as a suspension of live, attenuated or killed microorganism that stimulates production of antibodies?

Answer 38

vaccines

Question 39

The nurse notes in a patient’s medication history that the patient is taking allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient has which disorder?

Answer 39

gout

Question 40

The patient has a cold and is complaining of a “stuffy nose.” The healthcare provider suggests that the patient use an antihistamine. The nurse recognizes which of the following drugs is an antihistamine.

Answer 40

loratadine

Question 41

Which of the following is needed for glucose to enter the cells?

Answer 41

insulin

Question 42

When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action?

Answer 42

having direct action on the cough center

Question 43

Mom reports that her 8-year-old child has not been growing and she is worried about her child’s height. The child is being treated with somatropin. In follow-up visits, the nurse will monitor for which expected outcome?

Answer 43

increased growth

Question 44

A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid hormone replacement drug (Levothyroxine). The nurse assesses for which potential contraindication to this drug?

Answer 44

recent MI

Question 45

A patient is prescribed dextromethorphan and the nurse is explaining that the use of the drug is

Answer 45

antitussive

Question 46

Before administering dextromethorphan, the nurse should monitor:

Answer 46

cough

Question 47

Asthma is characterized by:

Answer 47

inflammation and bronchospasms

Question 48

Which of the following medications are given for asthma prophylaxis:

Answer 48

montelukast

Question 49

Diphenhydramine is from which drug classification?

Answer 49

antihistamine

Question 50

Beta 2 adrenergic agonist, a sympathomimetic, is an effective drug group to control asthma. The action of beta 2 adrenergic is to:

Answer 50

enhance bronchodilation

Question 51

A common adverse effect of bronchodilators is:

Answer 51

tachycardia

Question 52

Which is the most common adverse effect of diphenhydramine?

Answer 52

drowsiness

Question 53

A patient with asthma asks which of the prescribed medications should be used in the event of an acute episode of bronchospasm. The nurse will instruct the patient to use:

Answer 53

Albuterol, a beta agonist bronchodilator, by inhalation

Question 54

When a patient is receiving vasopressin, the nurse will monitor for which therapeutic response?

Answer 54

Increased blood pressure
Medication being administered in ICU

Question 55

A patient’s medication order indicates that he is to receive a dose of vasopressin. The nurse is aware that this drug is indicated for which of the following conditions?

Answer 55

Diabetes insipidus
a rare disorder that causes the body to make too much urine

Question 56

A patient, newly diagnosed with hypothyroidism, has received a prescription for thyroid replacement therapy. The nurse will instruct the patient to take this medication at which time of day?

Answer 56

In the morning

Question 57

After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse’s best response?

Answer 57

“This is an expected adverse effect. Let me take your pulse.”

Question 58

The nurse is preparing to administer propylthiouracil to a patient. Before administration the nurse explains that propylthiouracil is used to treat:

Answer 58

hyperthyroidism

Question 59

The nurse is preparing to educate her patient on adverse effects for the drug propylthiouracil. The nurse recognizes which of the following as an adverse effect for propylthiouracil:

Answer 59

liver and bone marrow toxicity

Question 60

The nurse is explaining the use of Levothyroxine to the patient. Which of the following is the correct use for Levothyroxine:

Answer 60

Thyroid gland is not functioning

Question 61

The nurse is explaining to a patient that codeine produces which of the following adverse effect:

Answer 61

sedation

Question 62

The nurse is preparing to administer guaifenesin, and is looking up the mechanism of action. Which of the following indicates the mechanism of action for guaifenesin?

Answer 62

loosens and thins respiratory secretions.

Question 63

The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within which time frame?

Answer 63

15 minutes

Question 64

The nurse is providing teaching for long acting insulin. Which of the following is classified as a long acting insulin?

Answer 64

lantus

Question 65

A client is asking the nurse how long the insulin will last. The nurse explains that the long acting insulin (Lantus, Levimir) will last:

Answer 65

24 hours

Question 66

The nurse instructs the patient that short acting insulin will last:

Answer 66

6-10 hours

Question 67

A patient has just been diagnosed with Type 2 diabetes, what should the nurse monitor?

Answer 67

diet and blood glucose

Question 68

When teaching about hypoglycemia. The nurse will make sure that the patient is aware of the early signs of hypoglycemia, including:

Answer 68

confusion and sweating

Question 69

When monitoring a patient’s response to oral antidiabetic drugs, the nurse knows which laboratory result would indicate a therapeutic response?

Answer 69

Fasting blood glucose level of 92 mg/dL

Question 70

A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO (nothing by mouth) since midnight. What is the best action by the nurse regarding the administration of her oral antidiabetic drugs?

Answer 70

Contact the prescriber for further orders.

Question 71

Which action is most appropriate regarding the nurse’s administration of a rapid-acting insulin to a hospitalized patient?

Answer 71

Give it within 15 minutes of mealtime

Question 72

After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the patient’s adherence to the antidiabetic therapy over the past few months?

Answer 72

Hemoglobin A1C level

Question 73

A patient in the emergency department was showing signs of hypoglycemia and had a fingerstick glucose level of 34 mg/dL. The patient has just become unconscious. What is the nurse’s next action?

Answer 73

administer glucagon

Question 74

The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true?

Answer 74

Only regular insulin can be administered intravenously

Question 75

A patient with a history of chronic obstructive pulmonary disease (COPD) and type 2 diabetes has been treated for pneumonia for the past week. The patient has been receiving intravenous corticosteroids as well as antibiotics as part of his therapy. At this time, the pneumonia has resolved, but when monitoring the blood glucose levels, the nurse notices that the level is still elevated. What is the best explanation for this elevation?

Answer 75

The corticosteroids may cause an increase in glucose levels.

Question 76

When teaching a patient who is starting metformin (Glucophage), which instruction by the nurse is correct?

Answer 76

“Take the medication with food to reduce gastrointestinal (GI) effects.”

Question 77

A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy?

Answer 77

pregnancy test

Question 78

The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax). Which statement by the patient indicates a good understanding of when this drug should be taken?

Answer 78

in the morning with an 8-ounce glass of water

Question 79

Cardiac glycosides, such as digoxin (lanoxin), are effective in treating congestive heart failure (CHF) because they are:

Answer 79

Positive Inotropics

Question 80

What is a priority nursing intervention for a patient who has just begun antihypertensive treatment with Captopril?

Answer 80

Take the patient’s blood pressure

Question 81

The patient receives hydrochlorothiazide (HydroDIURIL). He tells the nurse he is urinating a lot and questions how this drug affects his blood pressure. What is the best response by the nurse?

Answer 81

Hydrochlorothiazide (HydroDIURIL) decreases the fluid in your bloodstream and this lowers your blood pressure.”
***simple for the patient, decrease fluid in bloodstream, lower BP

Question 82

The nurse is providing care to a patient who has experienced several episodes of angina. What is the primary outcome for this patient?

Answer 82

The patient will experience relief of chest pain with(nitroglycerin) nitrate therapy.

Question 83

The nurse is teaching a class on antianginal drugs to a group of patients who have experienced myocardial infarctions (MIs). The nurse determines that learning has occurred when a patient makes which statement?

Answer 83

“These medications decrease how much oxygen my heart needs.”

Question 84

The client is to take atorvastatin (Lipitor) to lower a high serum cholesterol level. What would the nurse include in the teaching for this drug?

Answer 84

report muscle pain, tenderness or weakness right away

Question 85

One of the beta-adrenergic blockers (beta blockers) was Metoprolol (Lopressor). This drug blocks:

Answer 85

beta 1 and beta 2 receptors

Question 86

Before administering digoxin (Lanoxin), what must the nurse assess?

Answer 86

Apical pulse rate

Question 87

Diltiazem, a calcium channel blocker, promotes vasodilation of the coronary vessels. When monitoring for the effects of this drug, the nurse should assess for:

Answer 87

Decreased blood pressure

Question 88

Metoprolol (Lopressor) is a nonselective adrenergic blocker, and is contraindicated for a client with asthma because it may cause:

Answer 88

Bronchial constriction

Question 89

A common side effect with early use of Nitrogycerine (NTG) is:

Answer 89

Headache

Question 90

When assessing a client on Metoprolol (Lopressor) the nurse should expect to find:

Answer 90

Decreased pulse rate

Question 91

All of the following are lifestyle changes EXCEPT

Answer 91

eat foods high in cholesterol and saturated fats

Question 92

A potassium sparing diuretic is?

Answer 92

Spironolactone (aldactone)

Question 93

What is the main function of a diuretic?

Answer 93

change the volume or the composition of body fluids

Question 94

The nurse is administering hydrochlorothiazide (microzide) what lab value should the nurse monitor?

Answer 94

Potassium

Question 95

A patient is taking spironolactone (aldactone) which of the following is a contraindication?

Answer 95

hyperkalemia

Question 96

The nurse is teaching the patient about lifestyle modifications to help manage the patient’s hypertension. The nurse determines that teaching has been effective when the patient makes which statement?

Answer 96

“I know I need to give up my cigarettes and alcohol.”

Question 97

Lab work needs to be drawn on the client who is on warfarin (Coumadin). The nurse should expect that the health care provider will order which lab test:

Answer 97

PT/INR

Question 98

Loop diuretics act on the:

Answer 98

loop of henle

Question 99

Two main reasons for the use of diuretics are to:

Answer 99

decrease blood pressure and decrease fluid

Question 100

Which of the following drugs may be given to reduce the effects of sodium retention?

Answer 100

diuretic

Question 101

Which of the following high blood test(s) does NOT indicate an increased risk for coronary artery disease?

Answer 101

high density lipoprotein (HDL) (H is happy cholesterol)

Question 102

The client’s serum cholesterol is elevated. Atorvastin (Lipitor) is prescribed. The action of atorvastin (Lipitor) is to:

Answer 102

inhibit synthesis of cholesterol

Question 103

Prior to administering a calcium channel blocker (Diltiazem), which of the following would the nurse assess?

Answer 103

Ensure the blood pressure has been taken

Question 104

The community health nurse visits a patient who has been prescribed atorvastatin (Lipitor). Which of the following statements, if made by the patient, indicates that further teaching is necessary concerning this drug therapy?

Answer 104

“Most patients with lipid disorders have chest pain or shortness of breath.”

Question 105

A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?

Answer 105

Chronic pain

Question 106

A patient has experienced insomnia for months, and the physician has prescribed medication to help with this problem. The nurse expects which drug to be used for treatment of insomnia?

Answer 106

Zolpidem (ambien)

Question 107

A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining of severe pain around his incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient?

Answer 107

Respiration rate

Question 108

A patient is in the recovery room after having a lengthy surgery. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for which priority action at this time?

Answer 108

Administer naloxone or narcan

Question 109

The nurse is assessing a patient for contraindications to drug therapy with acetaminophen. Which patient should not receive acetaminophen?

Answer 109

patient with history of liver disease

Question 110

A patient who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?

Answer 110

Diazepam (valium)

Question 111

The nurse notes in the patient’s medication history that the patient is taking cyclobenzaprine (Flexeril). Based on this finding, the nurse interprets that the patient has which disorder?

Answer 111

A musculoskeletal injury

Question 112

Temazepam (Restoril) is prescribed for a patient with anxiety. The nurse checks the patient’s medical history, knowing that this medication is contraindicated in which disorder?

Answer 112

Narrow-angle glaucoma

Question 113

A patient is receiving instructions regarding the use of caffeine. The nurse shares that caffeine should be used with caution if which of these conditions is present?

Answer 113

A history of peptic ulcers

Question 114

6-year-old boy has been started on an extended-release form of methylphenidate hydrochloride (Ritalin) for the treatment of attention deficit hyperactivity disorder (ADHD). During a follow-up visit, his mother tells the nurse that she has been giving the medication at bedtime so that it will be in his system when he goes to school the next morning. What is the nurse’s appropriate evaluation of the mother’s actions?

Answer 114

The medication should be given 4 to 6 hours before bedtime to diminish insomnia.

Question 115

The nurse is preparing to administer sumatriptan (Imitrex) to a patient. Prior to administration, the nurse explains to the patient the use of this medication is for:

Answer 115

Migraine headaches

Question 116

When teaching a patient about taking the drug lithium at home, the nurse will include which instruction?

Answer 116

Regular, consistent dosing is important for successful treatment

Question 117

A patient has been taking an antiepileptic drug for several years as part of his treatment for partial seizures. His wife has called because he ran out of medication this morning and wonders if he can go without it for a week until she has a chance to go to the drugstore.
What is the nurse’s best response?

Answer 117

“Stopping this medication abruptly may cause withdrawal seizures. A refill is needed right away.”

Question 118

A patient has been treated with antiparkinson medications for 3 months. What therapeutic responses should the nurse look for when assessing this patient?

Answer 118

Improved ability to perform activities of daily living

Question 119

Carbidopa-levodopa (Sinemet) is prescribed for a patient with Parkinson’s disease. Which of the following are common adverse effects that can occur with this medication?

Answer 119

Cardiac dysrhythmias, hypotension, muscle cramps

Question 120

The nurse is developing a care plan for a patient who is taking a newly prescribed anticholinergic drug. Which nursing diagnosis would be appropriate for this patient?

Answer 120

Knowledge deficit

Question 121

The nurse is explaining the mechanism of action for benztropine mesylate to a patient. The nurse’s best response is:

Answer 121

Blocks the neurotransmitter, acetylcholine.

Question 122

The nurse reads in the patient’s medication history that the patient is taking bupropion. The nurse interprets that the patient may have which disorder?

Answer 122

depression

Question 123

A patient has been admitted to the emergency department with a suspected overdose of a tricyclic antidepressant. The nurse will prepare for what immediate concern?

Answer 123

Orthostatic hypotension

Question 124

The wife of a patient who has been diagnosed with depression calls the office and says, “It’s been an entire week since he started that new medicine for his depression, and there’s no change! What’s wrong with him?” What is the nurse’s best response?

Answer 124

“It may take up to 6 weeks to notice any therapeutic effects. Let’s wait a little longer to see how he does.”

Question 125

A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel “normal” again. Which statement by the nurse is correct?

Answer 125

“These cravings may persist for several months.”

Question 126

A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?

Answer 126

Methadone

Question 127

A 29-year-old male patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic and euphoria, tachycardia, and fever. The nurse suspects that he may be experiencing the effects of taking which substance?

Answer 127

Stimulants (increased alertness, elevated mood)

Question 128

The nurse is aware that adrenergic drugs produce effects similar to which of these nervous systems?

Answer 128

Sympathetic nervous system

Question 129

When a patient is taking an adrenergic drug, the nurse expects to observe which effect?

Answer 129

Increased heart rate

Question 130

The nurse is teaching a patient about the possible adverse effects of donepezil (Aricept) for Alzheimer’s disease. Which of the following is a possible adverse effect of this medication?

Answer 130

bradycardia

Question 131

The nurse is reviewing the use of bethanechol in a patient who is experiencing urinary retention. Which statement best describes the mechanism of action of bethanechol?

Answer 131

It causes increased bladder tone and motility

Question 132

A patient is asking the nurse what the adverse effects are with caffeine. Which of the following is an adverse effect of caffeine?

Answer 132

Warm and flushing

Question 133

The nurse is administering methylphenidate to a patient and teaches the patient adverse effects. Which of the following is an adverse effect of methylphenidate?

Answer 133

tremors

Question 134

The nurse is reviewing drug classifications. The nurse recognizes zolpidem belongs to which classification:

Answer 134

Nonbenzodiazepine

Question 135

A woman is visiting the prenatal clinic and shares with the nurse her desire to go natural with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can “avoid taking any drugs.” Which statement by the nurse is correct?

Answer 135

“It’s important to remember that herbal remedies do not have proven safety ratings for “It’s important to remember that herbal remedies do not have proven safety ratings for pregnant women.”

Question 136

The patient has been taking an over-the-counter (OTC) acid-reducing drug because he has had stomach problems for several months. He tells the nurse that the medicine helps as long as he takes it, but once he stops it, the symptoms return. Which statement by the nurse is the best advice for this patient?

Answer 136

“Using this drug may relieve your symptoms, but it does not address the cause.
Please make an appointment with your health care provider.”

Question 137

The physician has ordered several medications for the patient. What does the nurse recognize as responsibilities regarding administration of medications?

Answer 137

Knowing the reason for the medication was prescribed for this patient

Knowing how the medication is to be administered

Knowing the name of the medication

Question 138

The nurse has several educational pamphlets for the patient about medications the patient is receiving. Prior to giving the patient these pamphlets, what is the primary assessment for the nurse?

Answer 138

Assess the pt reading level

Question 139

For accurate medication administration to pediatric patients, the nurse must take into account which criteria?

Answer 139

Organ maturity

Question 140

The nurse is administering drugs to neonates and will consider which factor may contribute the most to drug toxicity?

Answer 140

The liver is not fully developed

Question 141

The nurse is trying to give a liquid medication to a 2½-year-old child and notes that the medication has a strong taste. Which technique is the best way for the nurse to give the medication to this child?

Answer 141

Follow the medication with a carbonated beverage.

Question 142

The nurse is administering medications to several patients. The nurse is following safe medication administration by

Answer 142

Dispensing drugs for one patient at a time

Question 143

The nurse is preparing to give an injection to a 4-year-old child. Which intervention is age appropriate for this child?

Answer 143

Offer a brief, concrete explanation of the procedure at the patient’s level and with the parent or caregiver present.

Question 144

A patient has been selected as a potential recipient of an experimental drug for heart failure. The nurse knows that when informed consent has been obtained, it indicates which of these?

Answer 144

The patient has had the study’s purpose, procedures, and the risks involved explained to him.

Question 145

The nurse is reviewing medication errors. Which situation is an example of a medication error?

Answer 145

A patient receives a double dose of a medication because the nurse did not cut the pill in half.

Question 146

When giving a scheduled morning medication, the patient states, “I haven’t seen that pill before. Are you sure it’s correct?” The nurse checks the medication administration record and verifies that it is listed. Which is the nurse’s best response?

Answer 146

“Let me check on the order first before you take it.”

Question 147

The nurse notices that she administered the wrong medication. What is the nurse’s next action?

Answer 147

Notify the physician

Question 148

Which nursing diagnosis is appropriate for the patient who has just received a prescription for a new medication?

Answer 148

Deficient knowledge related to newly prescribed drug therapy

Question 149

The nurse is developing a care plan for a patient who will be self-administering insulin injections. Which statement reflects a measurable outcome?

Answer 149

The patient will demonstrate the proper technique of self-administering insulin injections.

Question 150

During a nursing assessment, which question by the nurse allows for greater clarification and additional discussion with the patient?

Answer 150

“What medications do you take”

Question 151

The nurse is setting up a teaching session with an 85-year-old patient who will be going home on anticoagulant therapy. Which educational strategy would reflect consideration of the age-related changes that may exist with this patient?

Answer 151

Develop large-print handouts that reflect the verbal information presented.

Question 152

Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with hypertension?

Answer 152

Providing education on keeping a journal of blood pressure readings

Question 153

The medication order reads, give ibuprofen (Motrin) 600mg, 30 minutes before beginning physical therapy to prevent pain. The nurse notes that the route is missing from the order. What is the nurse’s best action?

Answer 153

Contact the prescriber to clarify the route of the medication ordered.

Question 154

The nurse is administering medications to the patient who is in renal failure resulting from end-stage renal disease. The nurse is aware that patients with kidney failure would most likely have problems with which pharmacokinetic phase?

Answer 154

Excretion

Question 155

The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and documenting the patient’s therapeutic response to the medication. Which phase of the nursing process do these actions illustrate?

Answer 155

Evaluation

Question 156

When monitoring the patient receiving an intravenous infusion to reduce blood pressure, the nurse notes that the patient’s blood pressure is abnormally low, and the patient is lethargic and difficult to awaken. This would be classified as which type of adverse drug reaction?

Answer 156

Adverse effect

Question 157

To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route?

Answer 157

Intravenous

Question 158

The nurse is assessing a newly admitted patient’s current medication. What does the best objective data include.

Answer 158

The nurse checks the prescription bottles the patient had brought to the hospital.

Question 159

The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. Which of the following nine rights was not followed?

Answer 159

Right time

Question 160

The nurse will be injecting a drug into the fatty tissue of the patient’s abdomen. Which route does this describe?

Answer 160

subcutaneous

Question 161

Before administering any medication, what is the nurses priority action?

Answer 161

Checking PT identifiers

Question 162

When the nurse is assisting a patient in taking his medications, the medication cup falls to the floor, spilling the tablets. What is the nurses best action at this time?

Answer 162

Discard medication and repeating preparation

Question 163

When giving a buccal medication to a patient, which action by nurse is appropriate?

Answer 163

Placing the medication between upper or lower molar teeth and the cheek

Question 164

The nurse is administering a medication sublingually. Where will the medicine be placed

Answer 164

Under the tongue

Question 165

Which of the following is not included in the Nine rights of Medication Administration?

Answer 165

Right Treatment

Question 166

The nurse is educating a patient with newly diagnosed type 1 diabetes melitus. When the nurse has the patient demonstrate self injection of insulin, which domain of learning is the nurse assessing?

Answer 166

Psychomotor domain

Question 167

The nurse is administering two IV meds at the same time. Before administration the nurse should check for?

Answer 167

compatibility

Question 168

The nurse is assessing a newly admitted 83 year old pt and determines the pt is experiences polypharmacy. Which statement most accurately illustrates polypharmacy?

Answer 168

The patient uses multiple medications simultaneously

Question 169

When discussing dosage calculation for pediatric patients with a clinical pharmacist, the nurse notes that which type of dose calculation is used most commonly in pediatric calculations?

Answer 169

Milligram per kilogram of body weight formula

Question 170

Nurses have the ethical responsibility to tell the truth to their patients. What is this principle known as?

Answer 170

Veracity

Question 171

Which of the following is not considered one of the nine rights of medication administration?

Answer 171

right diagnosis

Question 172

What is adverse effect?

Answer 172

An unexpected event

Question 173

During an admission assessment, the nurse discovers that the pt does not speak English. Which is considered an ideal resource of translation?

Answer 173

A translator who does not know the patient

Question 174

A 60 year old pt is on several new med and expressed that she will forget to take her pills. Which action by the nurse would be most helpful in this situation?

Answer 174

Assisting the pt with obtaining and learning to use a calender or pill container

Question 175

System was down, the prescriber wrote admission orders, and the nurse is transcribing them. Nurse is having difficulty transcribing one order because of prescribers handwriting. Which is the best action for the nurse to take at this time?

Answer 175

Contact the prescriber to clarify the order

Question 176

When taking a telephone order for a medication, which action by nurse is most appropriate?

Answer 176

Repeat order to prescriber before hanging up the telephone

Question 177

The nurse is performing an assessment of a newly admitted pt. What is an example of subjective data?

Answer 177

The patient reports that he uses herbal product

Question 178

The nurse is reviewing pharmacology terms for a group of newly graduated nurses. Which sentence defines a drugs half life?

Answer 178

The time it takes for one half of the original amount of drug to be removed from the body