Unit 1 - Intro & Safety - Chapter Questions Flashcards

1
Q

The medical conditions for which a drug is approved

A

Indications

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2
Q

The nurse is using a drug handbook to determine the indications for the drug furosemide (Lasix). The term “indications” is defined as the:

A. Way a drug works on the target organs
B. Amount of the drug to be administered
C. Conditions for which a drug is approved
D. Reason that the drug should not be given

A

C. Conditions for which a drug is approved

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3
Q

While completing the health history, the nurse asks the patient. “What medications do you take regularly?” Which drug name would the nurse expect the patient to use in providing the answer?

A. Chemical
B. Generic
C. Trade
D. Standard

A

C. Trade

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4
Q

Names designed to help the patient remember the name of the drug

A

Trade/Proprietary names

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5
Q

When providing nursing care for a patient, the nurse understand that drugs are:

A. Out of many tools available to prevent or treat human suffering
B. The most important part of the therapeutic treatment plan
C. Primarily the concern of the health care provider and not included in nursing care
D. Substances that should be relied on for health and wellness

A

A. One of many tools available to prevent or treat human suffering

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6
Q

Which patient characteristics, of notes in the patient’s medical record, would the nurse consider important information that may affect the physiological response to various types of drug therapy? Select all that apply:

A. 82-year-old and female
B. Asian and obese
C. Past medical history of kidney disease
D. Mother and sister with diabetes
E. Has no medical insurance
A

A. 82-year-old and female
B. Asian and obese
C. Past medical history of kidney disease
D. Mother and sister with diabetes

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7
Q

The nurse is looking up a drug that has been prescribed and wants to know the therapeutic classification for the drug. Which of the following would indicate a therapeutic classification:

A. Beta-adrenergic antagonist
B. Antihypertensive
C. Diuretic
D. Calcium channel blocker

A

B. Antihypertensive

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8
Q

The nurse is asked by a family member “They’re giving Mom Motrin and she takes Advil. Hasn’t the wrong drug been ordered?” The nurse will respond, knowing that:

A. There has been an error in the order and the nurse will contact the health care provider
B. There may be a reason for the health care provider to order a different drug
C. Not all health care agencies but the same generic drugs and that may account for the difference
D. Motrin and Advil are trade names for the same generic drug, ibuprofen

A

D. Motrin and Advil are trade names for the same generic drug, ibuprofen

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9
Q

The nurse knows that governmental drug legislation requires the drug manufacturer to prove that a drug is both safe and:

A. Free of adverse effects and potential reactions
B. Effective for a specified purpose
C. Reasonable in cost and easily accessible
D. Beneficial to various population groups

A

B. Effective for a specified purpose

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10
Q

The drug research participant with a particular disease is taking part in an investigative study to examine the fats of a new drug. Previously, this drug was tested using healthy volunteers. The best phase of the clinical trial investigation is which the patient will be participating is:

A. Phase 1
B. Phase 2
C. Phase 3
D. Phase 4

A

B. Phase 2

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11
Q

When considering various drug therapies, the nurse knows that most drug testing and approval occurs with which population?

A. Multiple population types and is usually safe for all patients
B. Caucasian makes and may not be safe for other populations
C. Older adults, and may be harmful to children and adolescents as well
D. Animals, which verifies the drug’s effectiveness in humans

A

B. Caucasian makes and may not be safe for other populations

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12
Q

The patient requests that a refill prescription of a Schedule II controlled substance be telephoned to the drug store. When responding to the patient, the nurse would consider which factor? Refills of Schedule II drugs:

A. Are less costly than the original prescription
B. Must be listened to by at least two people
C. Are verified through the local DEA office
D. are not permitted under federal law

A

D. Are not permitted under federal law

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13
Q

The nurse knows that drugs that are subject to stricter regulations are those:

A. With a high potential for abuse or dependency
B. That are most costly and difficult to produce
C. With adverse effects and high occurrence of drug or food interactions
D. That have taken years to be proven effective in the laboratory

A

A. With a high potential for abuse and dependency

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14
Q

A nurse notes that multiple patients had a reaction to the same medication, a drug that has been available for several years. Which action should the nurse take? Select all that apply:

A. File and Adverse Event Report with the FDA
B. Note the reaction in the patient’s chart
C. Notify the health care provider who ordered the drug
D. Wait until the FDA sends a notification of the drug’s recall before informing the patient
E. Compare each patient’s reaction to determine if it is the same

A

A. File an Adverse Event Report
B. Note the reaction in the patient’s chart
C. Notify the health care provider who ordered the drug

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15
Q

It is 2:45 am and the nurse has telephones the prescriber to report that the patient is experiencing an acute episode of postoperative pain. How can the nurse avoid medication errors when receiving a telephone order from a prescribed?

A. Decline to accept the telephone order
B. Refuse to call the prescribed but attempt to comfort the patient
C. Instruct the patient’s family to call the prescriber
D: repeat the order verbally to ensure accuracy

A

D. Repeat the order verbally to ensure accuracy

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16
Q

The nurse cannot read the number of milligrams (my) to be administered in a drug order written by the health care provider. It is questionable whether 125 mg, 1.25 mg, 12.5 mg should be administered. What action would be most appropriate to prevent a medication error?

A. Telephone the health care provider about the illegible medication order
B. Ask another nurse to read the questionable medication order
C. Contact the pharmacist about the medication order
D. Consult a drug handbook and administer the normal dose

A

A. Telephone the health care provider about the illegible medication order

17
Q

The nurse is counseling the patient on a medication taken daily. Which is a strategy that the nurse should include in this teaching session that might prevent a medication error?

A. Insist on brand-name drugs rather than generic drugs
B. Have all prescriptions filled at one pharmacy
C. Request all prescriptions be placed in easily opener containers
D. Consult the Internet about possible adverse effects

A

B. Have all prescriptions filled at one pharmacy

18
Q

When given a medication, the patient tells the nurse, “I’be never seen this pill before. It’s not like the others I take.” Which would be the most appropriate action for the the nurse to take?

A. Instruct the patient that different brands are frequently used
B. Administer the medication in the existing
C. Verify the order and double-check the drug label
D. Advise the patient to talk with the health care provider and give the drug

A

C. Verify the order and double-check the drug label

19
Q

While administering medication to several patients, the nurse suddenly realizes that the wrong medication had been given to a patient. Which would be the first priority action taken by the nurse?

A. Asses the patient in order to monitor for adverse effects
B. Call the health care provider and report the error
C. Complete the hospital’s drug error form
D. Report the medication error to the FDA

A

A. Assess the patient in order to monitor for adverse effects

20
Q

As the nurse enters the room to administer medication, the patient stats, “I’m in the bathroom. Please leave the m donation on my bedside table and I will take it when I come out.” Which would be the appropriate response by the nurse?

A. “I will leave the medication and follow up with you on 30 minutes”
B. “You must take the medication now or refuse the dose”
C. “Let me know when you are ready, and I will then return with you medicine”
D. “I’ve given the drug to you visitors. Take it when you come out of the bathroom.”

A

C. “Let me know when you are ready, and I will then return with you medicine”

21
Q

Using drugs for which they have not been approved

A

Off-label indications