Quiz
Pharmacokinetics and drug administration nursing questions
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Perguntas do quiz (24)
1An 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?
- AAllergic reaction
- BIdiosyncratic reaction
- CMutagenic effect
- DSynergistic effect
2While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which phase of pharmacokinetics may occur?
- AAbsorption
- BDistribution
- CMetabolism
- DExcretion
3A patient who had a thyroidectomy is now taking levothyroxine, a thyroid hormone, daily. Which term best describes this type of therapy?
- APalliative therapy
- BMaintenance therapy
- CSupportive therapy
- DSupplemental therapy
4The nurse is giving medications to a patient in heart failure. The intravenous route is chosen instead of the intramuscular route. What patient function does the nurse recognize as the most influential when deciding to use the intravenous route of drug administration?
- AAltered biliary function
- BIncreased glomerular filtration
- CReduced liver metabolism
- DDiminished circulation
5A patient has just received a prescription for an enteric-coated stool softener. When teaching the patient, the nurse should include which statement?
- A“Take the tablet with 2 to 3 ounces of orange juice.”
- B“Avoid taking all other medications with any enteric-coated tablet.”
- C“Crush the tablet before swallowing if you have problems with swallowing.”
- D“Be sure to swallow the tablet whole without chewing it.”
6Each 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.
a. Enzymes in the liver transform the drug into an inactive metabolite.
b. Drug metabolites are secreted through passive glomerular filtration into the renal tubules.
c. A drug binds to the plasma protein albumin and circulates through the body.
d. A drug moves from the intestinal lumen into the mesenteric blood system.- Ad, c, a, b
- Ba, c, d, b
- Cc, a, b, d
- Dd, c, b, a
7A drug that delivers 300 mg has a half-life of 4 hours. How many milligrams of drug will remain in the body after 1 half-life? [blank_start]____________[blank_end]
- A150 mg
8The nurse is reviewing the various forms of topical medications. Which of these are considered topical medications? (Select all that apply.)
- ARectal ointment for hemorrhoids
- BEye drops for inflammation
- CSublingual tablet for chest pain
- DInhaled medication for asthma
- EIntradermal injection for tuberculosis testing
9The nurse keeps in mind that which measure is used to reduce the risk of medication errors.
- AWhen questioning a drug order, keep in mind that the prescriber is correct.
- BBe careful about questioning the drug order a board-certified physician has written for a patient.
- CAlways double-check the many drugs with sound-alike and look-alike names because of the high risk of error.
- DIf the drug route has not been specified, use the oral route.
10During the medication administration process, it is important that the nurse remembers which guideline?
- AWhen in doubt about a drug, ask a colleague about it before giving the drug.
- BAsk what the patient knows about the drug before giving it.
- CWhen giving a new drug, be sure to read about it after giving it.
- DIf a patient expresses a concern about a drug, stop, listen, and investigate the concerns.
11If a student nurse realizes that he or she has made a drug error, the instructor should remind the student of which concept?
- AThe student bears no legal responsibility when giving medications.
- BThe major legal responsibility lies with the health care institution at which the student is placed for clinical experience.
- CThe major legal responsibility for drug errors lies with the faculty members.
- DOnce the student has committed a medication error, his or her responsibility is to the patient and to being honest and accountable.
12The nurse is giving medications to a newly admitted patient who is to receive nothing by mouth (NPO status) and finds an order written as follows: “Digoxin, 250 mcg stat.” Which action is appropriate?
- AGive the medication immediately (stat) by mouth because the patient has no intravenous (IV) access at this time.
- BClarify the order with the prescribing physician before giving the drug.
- CAsk the charge nurse what route the physician meant to use.
- DStart an IV line, then give the medication IV so that it will work faster, because the patient's status is NPO at this time.
13The nurse is reviewing medication orders. Which digoxin dose is written correctly?
- Adigoxin .25 mg
- Bdigoxin .250 mg
- Cdigoxin 0.250 mg
- Ddigoxin 0.25 mg
14The nurse is administering medications. Examples of high-alert medications include: (Select all that apply.)
- AChemotherapeutic agents
- BAntibiotics
- COpiates
- DAntithrombotics
- EPotassium chloride for injection
15Convert 250 micrograms to milligrams. Be sure to depict the number correctly according to the guidelines for decimals and zeroes. [blank_start]________[blank_end]
- A0.25 mg
16The nurse is performing medication reconciliation during a patient's admission assessment. Which question by the nurse reflects medication reconciliation?
- A“Do you have any medication allergies?”
- B“Do you have a list of all the medications, including over-the-counter, you are currently taking?”
- C“Do you need to take anything to help you to sleep at night?”
- D“What pharmacies do you use when you fill your prescriptions?”
17A 47-year-old patient with diabetes is being discharged to home and must take insulin injections twice a day. The nurse keeps in mind which concepts when considering patient teaching?
- ATeaching needs to begin at the time of diagnosis or admission and is individualized to the patient's reading level.
- BThe nurse can assume that because the patient is in his forties he will be able to read any written or printed documents provided.
- CThe majority of teaching can be done with pamphlets that the patient can share with family members.
- DA thorough and comprehensive teaching plan designed for an eleventh-grade reading level needs to be developed.
18The nurse is developing a discharge plan regarding a patient's medication. Which of these statements about the discharge plan is true?
- AIt will be developed right before the patient leaves the hospital.
- BIt will be developed only after the patient is comfortable or after pain medications are administered.
- CIt will include videos, demonstrations, and instructions written at least at the fifth-grade level.
- DIt will be individualized and based on the patient's level of cognitive development.
19The nurse is responsible for preoperative teaching for a patient who is mildly anxious about receiving pain medications postoperatively. The nurse recognizes that this level of anxiety may
- Aimpede learning because anxiety is always a barrier to learning.
- Blead to major emotional unsteadiness.
- Cresult in learning by increasing the patient's motivation to learn.
- Dreorganize the patient's thoughts and lead to inadequate potential for learning.
20What action by the nurse is the best way to assess a patient's learning needs?
- AQuiz the patient daily on all medications.
- BBegin with validation of the patient's present level of knowledge.
- CAssess family members' knowledge of the prescribed medication even if they are not involved in the patient's care.
- DAsk the caregivers what the patient knows about the medications.
21Which technique would be most appropriate to use when the nurse is teaching a patient with a language barrier?
- AObtain an interpreter who can speak in the patient's native tongue for teaching sessions.
- BUse detailed explanations, speaking slowly and clearly.
- CAssume that the patient understands the information presented if the patient has no questions.
- DProvide only written instructions.
22A nursing student is identifying situations that involve the psychomotor domain of learning as part of a class project. Which are examples of learning activities that involve the psychomotor domain? (Select all that apply.)
- ATeaching a patient how to self-administer eyedrops
- BHaving a patient list the adverse effects of an antihypertensive drug
- CDiscussing what foods to avoid while taking antilipemic drugs
- DTeaching a patient how to measure the pulse before taking a beta blocker
- ETeaching a family member how to give an injection
- FTeaching a patient the rationale for checking a drug's blood level
23The nurse is instructing an older adult patient on how to use his walker. Which education strategies are appropriate? (Select all that apply.)
- ASpeak slowly and loudly.
- BEnsure a quiet environment for learning.
- CRepeat information frequently.
- DAllow for an increased number of return demonstrations.
- EProvide all the information in one teaching session.
24You are reviewing newly prescribed medications with the wife of a patient who will be discharged today on a liquid diet after jaw surgery. She will be giving the patient his medications. There is a prescription for liquid metoclopramide (Reglan), 10 mg PO before breakfast and dinner. The medication is available in a strength of 5 mg/mL. How many mL will she need to give for each dose? [blank_start]______[blank_end]
- A10 mL
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- Quiz sobre Sem título, criado por Ruby Gracia em 26-01-2018.
- Autor
- Ruby Gracia
- Idioma
- English
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