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 should
... [Show More] the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four - ANSWER- A. Medications with long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this medication once a day.
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? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - ANSWER- Answer:
C. Liver failure decreases metabolism and thus increases the concentration of a medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabolism, thereby increasing the concentration of one or both medications. This requires decreasing the dosage of one or both medications.
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. - ANSWER- C. The client should apply the patch to a hairless
area of skin to promote absorption of the medication.
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 hr before obtaining
a lood specimen.
C.Ask the client to pr
ovide a urine specimen after the next dose of medication.
D.Administer the medication,and obtain a blood specimen 30 min late - ANSWER- A. To verify trough levels of a medication, the
nurse should obtain a blood specimen immediately
before administering the next dose of medication.
A nurse is preparing a 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 - ANSWER- A.maintaining skill competency and using appropriate
administration techniques are legal responsibilities of the nurse
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWER- C. A routine or standard prescription identifies medications
to give on a regular schedule with or without a termination
date or a specific number of doses. The nurse will administer
this medication every day until the provider discontinues it. [Show Less]