Unit 3 - Chapter Questions (8,9,10,11) Flashcards
(8) A patient in her first trimester of pregnancy asks the nurse which medications should be avoided during pregnancy. The nurse’s response is based on the knowledge that during pregnancy:
A. Most OTC meds are safe
B. When possible, drug therapy is postponed until after pregnancy and lactation
C. It is wise to discontinue all drugs used in treating medical conditions
D. The decision whether or not to take meds is the responsibility of the woman
B. When possible, drug therapy is postponed until after pregnancy and lactation
(8) The nurse is preparing to discuss drug use during pregnancy with a group of nursing students. The main topic is the FDA drug classifications. Which of the following drugs should the nurse inform the students are the most detrimental to the fetus?
A. A
B. B
C. C
D. X
D. X
(8) A pregnant patient asks the nurse what factors determine if a drug will cross the placenta. The nurse’s response will be based on which of the following principles.
A. Highly lipid-soluble drugs cross the placental membrane more easily than low lipids.
B. The lower the lipid content, the easier it crosses the placental membrane
C. Drugs with a large molecular weight (MW) pass rapidly through the placental membrane
D. Highly protein-bound drugs pass rapidly through the placental membran
A. Highly lipid-soluble drugs cross the placental membrane more easily than low lipids.
(8) The nurse is administering meds to a group of pregnant women. At which stage of fetal development will congenital malformations least likely occur.
A. 1-2 weeks
B. 3-4 weeks
C. 5-6 weeks
D. 7-8 weeks
A. 1-2 weeks
(8) The community health nurse is visiting a postpartum mother who is breast-feeding her 3.2 kg (7 lb) infant daughter. Which of the following statements, if made by the mother, indicated that further teaching is necessary? Select all that apply.
A. When using OTC meds, I should take only the lowest effective dose
B. The higher the dose of medication, the more likely it will be secreted into breast milk
C. I shouldn’t take any drug during breast-feeding, even my prescriptions
D. Meds in liquid form should be avoided since it more readily enters the breast milk
E. Now that I’m no longer pregnant, I don’t need to worry about the meds affecting my baby
A. When using OTC meds, I should take only the lowest effective dose
C. I shouldn’t take any drug during breast-feeding, even my prescriptions
D. Meds in liquid form should be avoided since it more readily enters the breast milk
E. Now that I’m no longer pregnant, I don’t need to worry about the meds affecting my baby
(8) The nurse administering meds to a patient who is 32 weeks pregnant. Which of the following normal physiological principles associated with pregnancy will affect drug absorption.
A. Meds are absorbed and distributed more quickly in pregnant women
B. There is greater hemoconcentration of drugs in pregnant patients
C. Drugs remain longer in the GI tract, leading to extended time for absorption
D. Drug metabolism is highly effected by pregnancy
C. Drugs remain longer in the GI tract, leading to extended time for absorption
(10) In general, drug absorption in the older adult i somewhat slowed. What physiological changes may account for this? Select all that apply.
A. Increased gastric pH B. Decreased rate of blood flow to the GI tract C. Increased gastrointestinal motility D. Increased body surface area E. Decreased cardiac output
A. Increased gastric pH
B. Decreased rate of blood flow to the GI tract
(10) The nurse completes an initial home assessment of an independent 82-year-old woman recently diagnosed with type 2 diabetes mellitus managed with insulin injections. What is the most appropriate nursing action for insulin administration for this patient?
A. Teach the daughter how to administer the insulin to her mother
B. Instruct the patient how to administer the insulin
C. Recommend daily visits by a home health aide to give the insulin
D. Ask the health care provider to change the order to an oral antidiabetic med
B. Instruct the patient how to administer the insulin
(10) Which age-related change in the older patient makes it necessary to reduce drug dosages?
A. Decrease in total body fat
B. Decrease in renal blood flow
C. Increase in plasma protein levels
D. Increase in total body water
B. Decrease in renal blood flow
(10) Older adults experience adverse effects more frequently than young adults due to which of the following? Select all that apply.
A. Excessive prescribing B. Multiple -drug therapy C. Increased drug sensitivity D. Increased body mass E. Lack of consistent exercise
A. Excessive prescribing
B. Multiple -drug therapy
E. Lack of consistent exercise
(10) One third of older adult patients report that they are often nonadherent with drug therapy. Which response is given most frequently for nonadherence?
A. The drugs prevented me from doing other things I wanted to do
B. I didn’t have my medicine with me
C. I wanted to save money
D. I didn’t believe the drugs were effective
B. I didn’t have my medicine with me
(10) Which statement by the patient would inform the nurse that more teaching is necessary prior to discharging?
A. It doesn’t matter if the med works as long as the doctor prescribed it
B. This medication is fully covered by my health insurance
C. I have been taking my meds by myself all my life
D. I don’t mind making changes to my lifestyle while I am on this drug
A. It doesn’t matter if the med works as long as the doctor prescribed it
(11) In initiating holistic care with a patient who has chronic headaches, which action would the nurse take?
A. tell the patient to take tylenol as directed on the label
B. ask the patient what he or she believes may be contributing to the problem
C. monitor the patient’s pupil response to light
D. refer the patient to an opthalmologist for an eye exam
B. ask the patient what he or she believes may be contributing to the problem
(11) Various psychosocial variables may influence nonadherence to pharmacotherapy. An example of his would occur when the patient reports that the prescribed drug:
A. produces an unpleasant aftertaste
B. is a very large tablet and difficult to swallow
C. is too expensive for the patient to afford
D. potentially causes hepatotoxicity
C. is too expensive for the patient to afford
(11) A Native American patient states, “I will only take meds that are approved by the Shaman.” he nurse understands that this statement reflects the patient’s:
A. ethnicity
B. cultural belief
C. genetic polymorphism
D. health-related bias
B. cultural belief
