Quiz Chapter 3 Flashcards
When teaching a pregnant mother about the effects of medication on the fetus, the nurse recognizes that the greatest harm from maternally ingested medications occurs during which time.?
A) first trimester B) second trimester C) third trimester D) birthing process
A) first trimester
The physiologic changes that normally occur in the older adult have which implication for drug response in this patient? A) drug metabolism is faster B) drug half-life is lengthened C) drug elimination is faster D) protein binding is more efficient
B) drug half-life is lengthened
When calculating pediatric dosages, what will the nurse take into consideration?
A) utilization of drug reference recommendations based on milligram per kilogram of body weight is the preferred method
B) calculated doses based on bodyweight need to be increased by 10% due to immature renal and hepatic function
C) dosage calculation according to bodyweight is the most accurate method because it takes into account differences and maturational development
D) dosage calculation by body surface area (BSA) is the most accurate method because it takes into account the difference in size of the child and or neonatal
D
The nurse is admitting and 82-year-old patient for treatment of heart failure. During assessment of the patient’s history, the nurse notes a subjective complaints of chronic constipation. Of the prescribed medications the patient was taking prior to admission, which with the nurse suspect might contribute to this gastrointestinal complaint?
A) naproxen (Aleve), a nonsteroidal anti-inflammatory drug
B) warfarin sodium (Coumadin), an anticoagulant
C) verapamil (Calan), a calcium channel-blocking drug
D) spironolactone (Aldactone), a potassium-sparing diuretic
C)
Which actions will the nurse performed to ensure the medication dose for a pediatric patient is correct? (Select all that apply):
A) use the current drug reference to determine usual dosage per 24 hours
B) determine the dose parameters by multiplying the weight by the minimum and maximum daily doses of the drug (a safe range)
C) determine the total amount of the drug to administer per dose and per day
D) compare the drug dosage prescribed with the calculated safe range
E) if the drug dosage prescribed varies from recommended reference range notify the provider
F) use the patient’s weight in pounds
A, B, C, D, E
A nurse working with elderly patients is concerned about the number of medications each patient is taking. Which will the nearest SS as the highest priority for the patients related to polypharmacy? A) drug interactions B) cost of medications C) schedule of medications D) nonadherence to drug regimen
A) drug interactions
A mother as a one-month-old infant calls the clinic and ask the nurse if the medication she is taking give me pass to her infant during breast-feeding. What is the appropriate response for this patient?
A) “you should not take any medication while breast-feeding. “
B) “only certain medications past incidents while breast-feeding. “
C) “I will leave the doctor a message to return your call. “
D) “drugs can cross from mother to infant in breastmilk, so it will depend on the drug you’re taking. “
D) “drugs can cross your mother to infant in breastmilk, so it will depend on the drug you’re taking. “
Knowing that the albumin in neonates and infants has a lower binding capacity for medications, the nurse can expect the prescriber to perform which action to minimize the risk of toxicity?
A) decrease the amount of drug given
B) increase the amount of drug given
C) shorten the time interval between doses
D) administer the medication intravenously
A)
The nurse working in a prenatal clinic recognizes that the safety or potential harm of drug therapy during pregnancy relates to which factor? A. Maternal blood type B. Fetal sex C. Drug properties D. Diet of mother
C)
