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Chapter 28: Medications

Alexandra Bozan 52 questions

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  1. 1A nurse administers a does of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What would be the appropriate initial action of the nurse in this situation?
    1. AReadminister the medication and notify the primary care provider
    2. BReadminister the pill in a liquid form if possible
    3. CAssess the vomit, looking for the pill
    4. DNotify the primary care provider
  2. 2A nurse is administering an oral medication to a patient via a gastric tube. The nurse observes the medication enter the tube, and the tube becomes clogged. What would be the appropriate initial action of the nurse in this situation?
    1. AAttempt to dislodge the medication with a 10 mL syringe
    2. BNotify the primary care provider
    3. CRemove the tube and replace it with another tube
    4. DFlush the tube with 60 mL of water
  3. 3A nurse who is administering medications to patients in an acute care setting studies the pharmacokinetics of the drugs being administered. Which statements accurately describe these mechanisms of action?
    1. ADistribution occurs after a drug has been absorbed into the bloodstream and is made available to body fluids and tissues
    2. BMetabolism is the process by which a drug is transferred from its site of entry into the body to the bloodstream
    3. CAbsorption is the change of a drug from its original form to a new form, usually occurring in the liver
    4. DDuring first-pass effect, drugs move from the intestinal lumen to the liver by way of the portal vein instead of going into the system's circulation
    5. EThe gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes of drug absorption
    6. FExcretion is the process of removing a drug, or its metabolites (products of metabolism) from the body
  4. 4A nurse is reconstituting powdered medication in a vial. Which action is a recommended step in this process?
    1. AThe nurse draws up the proper amount of powdered medication into the syringe
    2. BThe nurse inserts the needle through the rubber stopper of the diluent vial
    3. CThe nurse gently agitates the powdered medication vial to mix the powder and diluent completely
    4. DThe nurse draws up the prescribed amount of medication while holding the syringe horizontally at eye level
  5. 5A medication order reads "K-Dur, 20 mEq po bid" When and how does the nurse correctly give this drug?
    1. ADaily at bedtime by subcutaneous route
    2. BEvery other day by mouth
    3. CTwice a day by the oral route
    4. DOnce a week by transdermal patch
  6. 6A nurse is preparing medications for patients in the ICU. The nurse is aware that there are patient variables that may affect the absorption of these medications. Which statements accurately describe these variables?
    1. APatients in certain ethnic groups obtain therapeutic responses at lower doses or higher doses than those actually prescribed
    2. BSome people experience the same response with a placebo as with the active drug used in studies
    3. CPeople with liver disease metabolize drugs more quickly than people with normal liver functioning
    4. DA patient who receives a pain medication in a noisy environment may not receive full benefit from the medication's effects
    5. EOral medications should not be given with food as the food may delay the absorption of the medications
    6. FCircadaian rhythms and cycles may influence drug action
  7. 7A physician orders a pain medication for a postoperative patient that is a PRN order. When would the nurse administer this medication?
    1. AA single dose during the postoperative period
    2. BDoses administered as needed for pain relief
    3. COne dose administered immediately
    4. DDoses routinely administered as a standing order
  8. 8A nurse is administering a pain medication to a patient. In addition to checking his identification bracelet, the nurse correctly verifies his identity by
    1. AAsking the patient his name
    2. BReading the patient's name on the sign over the bed
    3. CAsking the patient's roommate to verify his name
    4. DAsking, "Are you Mr. Brown?"
  9. 9The nurse is administering a medication to a patient via a nasogastric tube. Which are accurate guidelines related to this procedure?
    1. ACrush the enteric-coated pill for mixing in a liquid
    2. Bflush open the tube with 60 mL of very warm water
    3. CCheck for proper placement of the nasogastric tube
    4. DGive each medication separately and flush with water between each drung
    5. ELower the head of the bed to prevent reflux
    6. FAdjust the amount of water used if patient's fluid intake is restricted
  10. 10A medication order reads "Hydromorphone, 2 mg IV every 3 to 4 hours PRN pain" The prefilled cartridge is available with a label reading "Hydromorphone 2mg/ 1 mL" The cartridge contains 1.2 mL of hydromorphone. Which nursing action is correct?
    1. AGive all the medication in the cartridge because it expanded when it was mixed
    2. BCall the pharmacy and request the proper dose
    3. CRefuse to give the medication
    4. DDispose of 0.2 mL correctly before administering the drug

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Unit V: Actions Basic to Nursing Care Chapter 38: Oxygenation and Perfusion
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English
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