UNIT 1 POST TEST

Question 1

An elderly woman took a prescription medicine to help her to sleep; however, she felt restless all night and did not sleep at all. The nurse recognizes that this woman has experienced which type of reaction or effect?

Answer 1

Idiosyncratic reaction

Question 2

While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which phase of pharmacokinetics may occur?

Answer 2

Metabolism

Question 3

A patient who has advanced cancer is receiving opioid medications around the clock to “keep him comfortable” as he nears the end of his life. Which term best describes this type of therapy?

Answer 3

Palliative therapy

Question 4

The nurse is giving medications to a patient in heart failure. The intravenous route is chosen instead of the intramuscular route. The nurse knows that the factor that most influences the decision about which route to use is the patient’s

Answer 4

diminished circulation

Question 5

A patient has just received a prescription for an enteric coated stool softener. When teaching the patient, the nurse should include which statement?

Answer 5

“Be sure to swallow the tablet whole without chewing it.”

Question 6

Each statement describes a phase of pharmacokinetics. Put the statements in order, with 1 indicating the phase that occurs first and 4 indicating the phase that occurs last.

Answer 6

1. A drug moves from the intestinal lumen into the mesenteric blood system.
2. A drug binds to the plasma protein albumin and circulates through the body.
3. Drug metabolites are secreted through passive glomerular filtration into the renal tubules
4. Enzymes in the liver transform the drug into an inactive metabolite.