Pharm Final Flashcards
(178 cards)
1
Q
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?
A
stop the antibiotic infusion
2
Q
Sulfamethoxazole/trimethoprim is a prototype for which drug classification?
A
antibiotics
3
Q
Nursing Interventions for clients taking aminoglycosides include the following except:
A
monitor bp every 4 hours
4
Q
Which of the following medications can be classified as an aminoglycoside?
A
gentamycin
5
Q
Tetracycline has been prescribed for skin disorders such as acne. Other uses for tetracycline include
A
chlamydia
6
Q
The purpose of antiretroviral drugs is to:
A
prevent replication by inhibiting one of the steps
7
Q
HIV infection is transmitted in which of the following modes except:
A
contact with urine and feces
8
Q
Which of the following adverse events has been reported with the use of protease inhibitors, such as indinavir?
A
bone marrow suppression
9
Q
The influenza vaccine is recommended for which of the following groups except:
A
6 months old or younger
10
Q
Which of the following is the best description of why culture and sensitivity testing is done in the lab?
A
identify the drug to control the infecting organism
11
Q
Isoniazid (INH) is used in the treatment of tuberculosis. Which of the following can be classified as an adverse effect?
A
liver toxicity
12
Q
The best approach to health promotion related to influenza is :
A
annual vaccination for prevention
13
Q
Bone and teeth discoloration of the fetus are potential adverse effects when which of the following drugs is administered to pregnant women?
A
tetracyclines
14
Q
Anti-inflammatories are commonly used to treat which of the following conditions?
A
pain and inflammation
15
Q
Foreign agents that elicit a specific immune response are called:
A
antigens
16
Q
An antibiotic with a broad spectrum is one that:
A
is effective against a large
17
Q
Trough serum levels for gentamicin (Garamycin) should be drawn:
A
30-60 minutes before the next dose is given
18
Q
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?
A
“take medication with food”
19
Q
Which of the following is essential to teach a client who is on antibiotic therapy?
A
take the full prescription as ordered, even if symptoms are improved
20
Q
Which factor is most responsible for noncompliance in taking medications to treat HIV?
A
unpleasant side effects
21
Q
Which of the following conditions is effectively treated with acyclovir (Zovirax)?
A
herpes virus
22
Q
A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?
A
deceased uric acid levels
23
Q
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?
A
antipyretic
24
Q
NSAIDs (non-steroidal anti-inflammatory drugs) are frequently taken to decrease inflammation; however, these agents may also be taken for the following purposes except:
A
decreased blood pressure
25
Macrolides are effective by:
inhibiting protein synthesis
26
Side effects associated with most cephalosporins (Cefazolin, Ancef) Include:
rash, uticaria
27
When antibacterials are prescribed for the treatment of an infection and a culture is ordered:
a culture should be taken before the initial dose of the antibiotic is administered
28
Penicillins (Penicillin G) mechanism of action is to:
disrupt the cell wall
29
An infection caused by a secondary pathogen that can occur during prolonged antibiotic therapy is known as:
superinfection
30
Amphotericin B is used for the treatment of:
fungal infection
31
A common adverse effect of ibuprofen is
gastrointestinal upset
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?
Hepatitis B immunoglobulin (BayHep B)
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:
prevention of illness
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?
community acquired infection
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?
notify the pharmacy to obtain the cyclosporine (Sandimmune) form of the drug.
36
The nurse is applying bacitracin to a patient's skin infection. What is an adverse effect for bacitracin?
itching and burning
37
A nurse is teaching a patient the mechanism of action of cyclosporine. Which of the following describes the mechanism of action of cyclosporine?
suppress certain T-lymphocyte cell lines
38
Which of the following can be described as a suspension of live, attenuated or killed microorganism that stimulates production of antibodies?
vaccines
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?
gout
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.
loratadine
41
Which of the following is needed for glucose to enter the cells?
insulin
42
When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action?
having direct action on the cough center
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?
increased growth
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?
recent MI
45
A patient is prescribed dextromethorphan and the nurse is explaining that the use of the drug is
antitussive
46
Before administering dextromethorphan, the nurse should monitor:
cough
47
Asthma is characterized by:
inflammation and bronchospasms
48
Which of the following medications are given for asthma prophylaxis:
montelukast
49
Diphenhydramine is from which drug classification?
antihistamine
50
Beta 2 adrenergic agonist, a sympathomimetic, is an effective drug group to control asthma. The action of beta 2 adrenergic is to:
enhance bronchodilation
51
A common adverse effect of bronchodilators is:
tachycardia
52
Which is the most common adverse effect of diphenhydramine?
drowsiness
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:
Albuterol, a beta agonist bronchodilator, by inhalation
54
When a patient is receiving vasopressin, the nurse will monitor for which therapeutic response?
Increased blood pressure
Medication being administered in ICU
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?
Diabetes insipidus
a rare disorder that causes the body to make too much urine
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?
In the morning
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?
"This is an expected adverse effect. Let me take your pulse."
58
The nurse is preparing to administer propylthiouracil to a patient. Before administration the nurse explains that propylthiouracil is used to treat:
hyperthyroidism
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:
liver and bone marrow toxicity
60
The nurse is explaining the use of Levothyroxine to the patient. Which of the following is the correct use for Levothyroxine:
Thyroid gland is not functioning
61
The nurse is explaining to a patient that codeine produces which of the following adverse effect:
sedation
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?
loosens and thins respiratory secretions.
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?
15 minutes
64
The nurse is providing teaching for long acting insulin. Which of the following is classified as a long acting insulin?
lantus
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:
24 hours
66
The nurse instructs the patient that short acting insulin will last:
6-10 hours
67
A patient has just been diagnosed with Type 2 diabetes, what should the nurse monitor?
diet and blood glucose
68
When teaching about hypoglycemia. The nurse will make sure that the patient is aware of the early signs of hypoglycemia, including:
confusion and sweating
69
When monitoring a patient's response to oral antidiabetic drugs, the nurse knows which laboratory result would indicate a therapeutic response?
Fasting blood glucose level of 92 mg/dL
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?
Contact the prescriber for further orders.
71
Which action is most appropriate regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?
Give it within 15 minutes of mealtime
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?
Hemoglobin A1C level
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?
administer glucagon
74
The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true?
Only regular insulin can be administered intravenously
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?
The corticosteroids may cause an increase in glucose levels.
76
When teaching a patient who is starting metformin (Glucophage), which instruction by the nurse is correct?
"Take the medication with food to reduce gastrointestinal (GI) effects."
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?
pregnancy test
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?
in the morning with an 8-ounce glass of water
79
Cardiac glycosides, such as digoxin (lanoxin), are effective in treating congestive heart failure (CHF) because they are:
Positive Inotropics
80
What is a priority nursing intervention for a patient who has just begun antihypertensive treatment with Captopril?
Take the patient’s blood pressure
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?
Hydrochlorothiazide (HydroDIURIL) decreases the fluid in your bloodstream and this lowers your blood pressure."
***simple for the patient, decrease fluid in bloodstream, lower BP
82
The nurse is providing care to a patient who has experienced several episodes of angina. What is the primary outcome for this patient?
The patient will experience relief of chest pain with(nitroglycerin) nitrate therapy.
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?
"These medications decrease how much oxygen my heart needs."
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?
report muscle pain, tenderness or weakness right away
85
One of the beta-adrenergic blockers (beta blockers) was Metoprolol (Lopressor). This drug blocks:
beta 1 and beta 2 receptors
86
Before administering digoxin (Lanoxin), what must the nurse assess?
Apical pulse rate
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:
Decreased blood pressure
88
Metoprolol (Lopressor) is a nonselective adrenergic blocker, and is contraindicated for a client with asthma because it may cause:
Bronchial constriction
89
A common side effect with early use of Nitrogycerine (NTG) is:
Headache
90
When assessing a client on Metoprolol (Lopressor) the nurse should expect to find:
Decreased pulse rate
91
All of the following are lifestyle changes EXCEPT
eat foods high in cholesterol and saturated fats
92
A potassium sparing diuretic is?
Spironolactone (aldactone)
93
What is the main function of a diuretic?
change the volume or the composition of body fluids
94
The nurse is administering hydrochlorothiazide (microzide) what lab value should the nurse monitor?
Potassium
95
A patient is taking spironolactone (aldactone) which of the following is a contraindication?
hyperkalemia
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?
"I know I need to give up my cigarettes and alcohol."
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:
PT/INR
98
Loop diuretics act on the:
loop of henle
99
Two main reasons for the use of diuretics are to:
decrease blood pressure and decrease fluid
100
Which of the following drugs may be given to reduce the effects of sodium retention?
diuretic
101
Which of the following high blood test(s) does NOT indicate an increased risk for coronary artery disease?
high density lipoprotein (HDL) (H is happy cholesterol)
102
The client's serum cholesterol is elevated. Atorvastin (Lipitor) is prescribed. The action of atorvastin (Lipitor) is to:
inhibit synthesis of cholesterol
103
Prior to administering a calcium channel blocker (Diltiazem), which of the following would the nurse assess?
Ensure the blood pressure has been taken
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?
"Most patients with lipid disorders have chest pain or shortness of breath."
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?
Chronic pain
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?
Zolpidem (ambien)
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?
Respiration rate
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?
Administer naloxone or narcan
109
The nurse is assessing a patient for contraindications to drug therapy with acetaminophen. Which patient should not receive acetaminophen?
patient with history of liver disease
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?
Diazepam (valium)
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?
A musculoskeletal injury
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?
Narrow-angle glaucoma
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?
A history of peptic ulcers
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?
The medication should be given 4 to 6 hours before bedtime to diminish insomnia.
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:
Migraine headaches
116
When teaching a patient about taking the drug lithium at home, the nurse will include which instruction?
Regular, consistent dosing is important for successful treatment
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?
"Stopping this medication abruptly may cause withdrawal seizures. A refill is needed right away."
118
A patient has been treated with antiparkinson medications for 3 months. What therapeutic responses should the nurse look for when assessing this patient?
Improved ability to perform activities of daily living
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?
Cardiac dysrhythmias, hypotension, muscle cramps
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?
Knowledge deficit
121
The nurse is explaining the mechanism of action for benztropine mesylate to a patient. The nurse's best response is:
Blocks the neurotransmitter, acetylcholine.
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?
depression
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?
Orthostatic hypotension
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?
"It may take up to 6 weeks to notice any therapeutic effects. Let's wait a little longer to see how he does."
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?
"These cravings may persist for several months."
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?
Methadone
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?
Stimulants (increased alertness, elevated mood)
128
The nurse is aware that adrenergic drugs produce effects similar to which of these nervous systems?
Sympathetic nervous system
129
When a patient is taking an adrenergic drug, the nurse expects to observe which effect?
Increased heart rate
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?
bradycardia
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?
It causes increased bladder tone and motility
132
A patient is asking the nurse what the adverse effects are with caffeine. Which of the following is an adverse effect of caffeine?
Warm and flushing
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?
tremors
134
The nurse is reviewing drug classifications. The nurse recognizes zolpidem belongs to which classification:
Nonbenzodiazepine
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?
"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."
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?
"Using this drug may relieve your symptoms, but it does not address the cause.
Please make an appointment with your health care provider."
137
The physician has ordered several medications for the patient. What does the nurse recognize as responsibilities regarding administration of medications?
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
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?
Assess the pt reading level
139
For accurate medication administration to pediatric patients, the nurse must take into account which criteria?
Organ maturity
140
The nurse is administering drugs to neonates and will consider which factor may contribute the most to drug toxicity?
The liver is not fully developed
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?
Follow the medication with a carbonated beverage.
142
The nurse is administering medications to several patients. The nurse is following safe medication administration by
Dispensing drugs for one patient at a time
143
The nurse is preparing to give an injection to a 4-year-old child. Which intervention is age appropriate for this child?
Offer a brief, concrete explanation of the procedure at the patient's level and with the parent or caregiver present.
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?
The patient has had the study's purpose, procedures, and the risks involved explained to him.
145
The nurse is reviewing medication errors. Which situation is an example of a medication error?
A patient receives a double dose of a medication because the nurse did not cut the pill in half.
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?
"Let me check on the order first before you take it."
147
The nurse notices that she administered the wrong medication. What is the nurse's next action?
Notify the physician
148
Which nursing diagnosis is appropriate for the patient who has just received a prescription for a new medication?
Deficient knowledge related to newly prescribed drug therapy
149
The nurse is developing a care plan for a patient who will be self-administering insulin injections. Which statement reflects a measurable outcome?
The patient will demonstrate the proper technique of self-administering insulin injections.
150
During a nursing assessment, which question by the nurse allows for greater clarification and additional discussion with the patient?
“What medications do you take”
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?
Develop large-print handouts that reflect the verbal information presented.
152
Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with hypertension?
Providing education on keeping a journal of blood pressure readings
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?
Contact the prescriber to clarify the route of the medication ordered.
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?
Excretion
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?
Evaluation
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?
Adverse effect
157
To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route?
Intravenous
158
The nurse is assessing a newly admitted patient's current medication. What does the best objective data include.
The nurse checks the prescription bottles the patient had brought to the hospital.
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?
Right time
160
The nurse will be injecting a drug into the fatty tissue of the patient's abdomen. Which route does this describe?
subcutaneous
161
Before administering any medication, what is the nurses priority action?
Checking PT identifiers
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?
Discard medication and repeating preparation
163
When giving a buccal medication to a patient, which action by nurse is appropriate?
Placing the medication between upper or lower molar teeth and the cheek
164
The nurse is administering a medication sublingually. Where will the medicine be placed
Under the tongue
165
Which of the following is not included in the Nine rights of Medication Administration?
Right Treatment
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?
Psychomotor domain
167
The nurse is administering two IV meds at the same time. Before administration the nurse should check for?
compatibility
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?
The patient uses multiple medications simultaneously
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?
Milligram per kilogram of body weight formula
170
Nurses have the ethical responsibility to tell the truth to their patients. What is this principle known as?
Veracity
171
Which of the following is not considered one of the nine rights of medication administration?
right diagnosis
172
What is adverse effect?
An unexpected event
173
During an admission assessment, the nurse discovers that the pt does not speak English. Which is considered an ideal resource of translation?
A translator who does not know the patient
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?
Assisting the pt with obtaining and learning to use a calender or pill container
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?
Contact the prescriber to clarify the order
176
When taking a telephone order for a medication, which action by nurse is most appropriate?
Repeat order to prescriber before hanging up the telephone
177
The nurse is performing an assessment of a newly admitted pt. What is an example of subjective data?
The patient reports that he uses herbal product
178
The nurse is reviewing pharmacology terms for a group of newly graduated nurses. Which sentence defines a drugs half life?
The time it takes for one half of the original amount of drug to be removed from the body
