1 A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day
... [Show More] should the nurse expect to administer this medication?
A. one
B. two
C. three
D. four one
2 A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages?
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. PVD
E. concurrent use of medication the same pathway metabolizes
liver failure, concurrent use of medication the same pathway metabolizes
3 A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all)
A. have the client lie on her side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter her eye
D. Drop the medication into the center of the client's conjunctival sac
E. Instruct the client to close her eye gently after instillation
B, D, E ask the client to look up at the ceiling, drop the medication into the center of the client's conjunctival sac, instruct the client to close her eye gently after instillation
4 A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch" I will apply the patch to an area of skin with no hair
5 A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take?
A. obtain a blood specimen immediately prior to administering the next dose of medication
B. verify that the client has been taking the medication for 24 hours before obtaining a blood specimen
C. ask the client to provide a urine specimen after the next dose of medication
D. administer the medication, and obtain a blood specimen 30 minutes later
obtain a blood specimen immediately prior to administering the next dose of medication
6 A nurse is preparing client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply)
A. maintain skill competency
B. determine the dosage
C. monitor for adverse effects
D. safeguard medications
E. identify the client's diagnosis
A, C, D, the others are responsibilities of the physician not nurse
maintain skill competency, monitor for adverse effects, safeguard medications [Show Less]