Before administering a medication, what does the nurse need to know to evaluate how individual patient variability might affect the patient's response to t
... [Show More] he medication? (select all that apply)
A)Chemical stability of the medication
B)Patient's diagnosis
C)Family medical history
D)Ease of administration
E)Patient's age - ✔✔ B)Patient's diagnosis
C)Family medical history
E) Patient's Age
What is a desired outcome when a drug is described as easy to administer?
A)It is usually relatively inexpensive to produce.
B) It can be stored indefinitely without need for refrigeration.
C)It enhances patient adherence to the drug regimen.
D)It does not interact significantly with other medications. - ✔✔ C)It enhances patient adherence to the drug regimen.
A patient tells the nurse that an analgesic he will begin taking may cause drowsiness and will decrease pain up to 4 hours at a time. Based on this understanding of the drug's effects by the patient, the nurse will anticipate which outcome?
Increased likelihood of drug overdose
Improved compliance with the drug regimen
Decreased motivation to take the drug
Decreased chance of having a placebo effect - ✔✔ Improved compliance with the drug regimen
What are some properties of an ideal drug? (select all that apply)
Chemical stability
Irreversible action
A recognizable trade name
Predictability
Ease of administration - ✔✔ Chemical stability
Predictability
Ease of administration
A patient asks a nurse why drugs that have been approved by the FDA still have unknown side effects. What will the nurse tell the patient?
Researchers tend to conduct studies that will prove the benefits of their new drugs.
Subjects in drug trials do not always represent the full spectrum of possible patients.
Testing for all side effects of a medication would be prohibitively expensive.
Patients in drug trials often are biased by their preconceptions of a drug's benefits. - ✔✔ Subjects in drug trials do not always represent the full spectrum of possible patients.
A nursing student asks a nurse about pharmaceutical research and wants to know the purpose of randomization in drug trials. The nurse explains that randomization is used to do what?
To compare the outcome caused by the treatment to the outcome caused by no treatment
To prevent subjects from knowing which group they are in and prevent preconception bias
To ensure that differences in outcomes are the result of treatment and not differences in subjects
To make sure that researchers are unaware of which subjects are in which group - ✔✔ To ensure that differences in outcomes are the result of treatment and not differences in subjects
The FDA Amendments Act (FDAAA) was passed in 2007 to address which aspect of drug safety?
Expediting the approval process of the U.S. Food and Drug Administration (FDA) so that needed drugs can get to market more quickly
Requiring manufacturers to notify patients before removing a drug from the market
Allowing pharmaceutical companies to identify off-label uses of medications approved for other uses
Evaluating drug safety information that emerges after a drug has been approved and is in use - ✔✔ Evaluating drug safety information that emerges after a drug has been approved and is in use
A nurse consults a drug manual before giving a medication to an 80-year-old patient. The manual states that older-adult patients are at increased risk for hepatic side effects. Which action by the nurse is correct?
Notify the provider that this drug is contraindicated for this patient.
Contact the provider to discuss an order for pretreatment laboratory work.
Ensure that the drug is given in the correct dose at the correct time to minimize the risk of adverse effects.
Request an order to give the medication intravenously so that the drug does not pass through the liver. - ✔✔ Contact the provider to discuss an order for pretreatment laboratory work.
A nurse is preparing to administer medications. Which patient would the nurse consider to have the greatest predisposition to an adverse reaction?
A 9-year-old boy with an ear infection
A 50-year-old man with an upper respiratory tract infection
A 75-year-old woman with cystitis
A 30-year-old man with kidney disease - ✔✔ A 30-year-old man with kidney disease
A postoperative patient is being discharged home with acetaminophen/hydrocodone [Lortab] for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is correct?
"There are no known drug interactions, so this will be safe."
"Tylenol and Lortab are different drugs, so there is no risk of overdose."
"Taking the two medications together poses a risk of drug toxicity."
"It is not safe to take over-the-counter drugs with prescription medications." - ✔✔ "Taking the two medications together poses a risk of drug toxicity."
A patient receives a drug that has a narrow therapeutic range. The nurse administering this medication will expect to do what?
Administer the drug at intervals longer than the drug half-life.
Teach the patient that maximum drug effects will occur within a short
period.
Monitor plasma drug levels. [Show Less]