Which information is of highest priority when obtaining a pharmacologic history from a patient?
a. Allergies
b.Use of over-the-counter medications
c.
... [Show More] Home remedy use
d. Alcohol intake
a. allergies
During the implementation phase of the nursing process, which action will the nurse perform when administering medications?
a. Switch the route of administration based on drug availability.
b. Call the patient by name when entering the room to verify the drug is for the right person.
c. Check the patient's armband before administering the medication.
d. Prepare medications for all patients first, then administer by room to manage time appropriately.
c. check the patients armband before administering the medication
For which activity is the nurse responsible during the evaluation phase of drug administration?
a. Preparing and administering prescribed medications safely
b.Planning measurable outcomes for the patient related to drug therapy
c. Monitoring the patient continuously for therapeutic as well as adverse effects
d. Gathering data in a drug and dietary history
c. monitoring the patient continuously for therapeutic as well as adverse effects
The nurse should include which information when evaluating the outcome after a patient's medication has been administered?
A. Dose of medication administered
B. Time medication administered
C. Patient allergies to medications
D. Therapeutic effect on patient
D. therapeutic effect on the patient
The nurse should check a medication how many times before administration of a medication under the "right drug" part of the Six Rights?
a.One time
b.Three times
c.Five times
d.Depends on the drug being administered
b. three times
The nurse notes that a medication was scheduled to be administered at 0900. A medication error has occurred if the medication was administered at which time?
a. 0800
b. 0830
c. 0900
d. 0930
a. 0800
While the nurse is taking an admission history, the patient reports having a previous allergic reaction to penicillins. What will the nurse document as part of the patient's allergic reaction response to penicillins?
a. Hives
b. Dry eyes
c. Frequent urination
d.Constipation
a. hives
The nurse has an order for administering a medication to the patient. Which providers have legal authority to prescribe medications for patients? (Select all that apply.)
a.Physician
b.Physical therapist
c. Pharmacist
d.Dentist
e. Physician assistant
f.Nurse practitioner
a, d, e, f
which phase of the nursing process requires the nurse to establish a comprehensive baseline of data concerning a particular patient?
a. assessment
b.planning
c.implenmentation
d.evaluation
a. assessment
the nurse monitors the fulfillment of goals, and may revise them, during which phase of the nursing process?
a.assessment
b.planning
c.implementation
d.evaluation
d. evaluation
the nurse prepares and administers prescribed medications during which phase of the nursing process?
a.assessment
b.planning
c.implementation
d.evaluation
c. implementation
when developing a plan of care, which nursing action ensures the goal statement is patient centered?
a.considering family input
b.involving the patient
c.developing the goal first, and then sharing it
d. including the physician
b. involving the patient
during which phase of the nursing process does the nurse prioritize the nursing diagnose?
a. assessment
b.planning
c.implementation
d. evaluation
b. planning
What is the study of the physiochemical properties of drugs and how they influence the body called?
a.Pharmacokinetics
b.Pharmacotherapeutics
c.Pharmacodynamics
d. Pharmacology
c. pharmacodynamics
Pharmacokinetics involves the study of
a. physiologic interactions of drugs.
b.distribution rates among various body compartments.
c. interactions between various drugs.
d. adverse reactions to medications.
b. distribution rate among various body compartments
What is an alternate name for biotransformation of a drug?
a. Absorption
b. Dilution
c.Excretion
d. Metabolism
d. metabolism
A drug given by which route is altered by the first-pass effect?
a. Sublingual
b. Subcutaneous
c. Oral
d. Intravenous
c. oral
Drug half-life is defined as the amount of time required for 50% of a drug to
a. be absorbed by the body.
b. exert a response.
c. be eliminated by the body.
d. reach a therapeutic level.
c. be eliminated by the body
Which action, when performed by the nurse, will increase the absorption of a medication administered intramuscularly?
a. Applying cold packs to the injection site
b. Lowering the extremity below the level of the heart
c. Administering the medication via the Z-track method
d. Massaging the site after injection
d. massage the site after injection
Highly protein-bound drugs
a. increase the risk of drug-drug interactions.
b. typically provide a short duration of action.
c. must be administered with 8 ounces of water.
d. have a decreased effect in patients with a low albumin level.
a. increase the risk of drug-drug interactions
To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route?
a. Subcutaneously
b. Intravenously
c. Intramuscularly
d. Intrathecally
b. intravenously
What is the ratio between a drug's therapeutic effects and toxic effects called?
a. Tolerance
b. Cumulative effect
c. Therapeutic index
d. Affinity
c. therapeutic index
When a patient asks the nurse why a lower dose of intravenous pain medication is being given than the previous oral dose, what knowledge will the nurse draw on to respond to the patient?
a. Medications given intravenously are not affected by the first-pass effect.
b. Medications given orally bypass the portal circulatory system.
c. A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the liver.
d. Drugs administered intravenously enter the portal system prior to systemic distribution.
a. medications given intravenously are not affected by the first-pass effect
when considering the various routes of drug elimination, the nurse is aware that elimination occurs mainly by which route?
a.renal tubules and skin
b.skin and lungs
c.bowel and renal tubules
d.lungs and GI tract
c.bowel and renal tubules
the nurse is aware that excessive drug dosages, impaired metabolism, or inadequate excretion may result in which drug effect?
a.tolerance
b.cumulative effect
c.incompatibility
d.antagonist effect
b. cumulative effect
the nurse recognizes that drugs given by which route will be altered by the first pass effect?
(select all that apply)
a.oral
b.sublingual
c.subcutaneous
d.IV
e.rectal
a, e
if a drug binds with an enzyme and thereby prevents the enzyme from binding to its normal target cell, it will produce which effect?
a.receptor interaction
b.enzyme interaction
c.enzyme interaction
d.nonspecific interaction
c. enzyme interaction
the nurse is reviewing a list of a petitions medications, and notes that on of the drugs is known to have a low therapeutic index. which statement accurately explains this concept?
a.the difference between a therapeutic dose and toxic dose is large
b.the difference between a therapeutic dose and toxic dose is small
c.the does needed to reach a therapeutic level is small
d.the drug has only a slight chance of being effective
b.the difference between a therapeutic dose and toxic dose is small
the nurse prepares to obtain a patient blood sample from a central line for a drug level that is to be drawn just before that medications next dose. what is the timing of this blood draw known as?
a.half-life
b.therapeutic level
c.peak level
d.trough level
d.trough level
lisa is researching botanical and zoologic sources of drugs to treat MS. she is part of a university research team that is currently experimenting with varying the biochemical composition and therapeutic effects of several possible new drug
a.pharmaceutics
b.pharmacokinetics
c.pharmacogenomics
d.pharmacotherapeutics
e.pharmacognosy
f.toxicology
g.pharmacoeconomics
e. pharmacognosy
jeffery works for a pharmaceutical corporation. one of its new drugs looks very promising, and jefferys company is experimenting with dosage forms for this investigational new drug.he is responsible for measuring the relationship between the physiochemical properties of the dosage form and the clinical therapeutic response
a.pharmaceutics
b.pharmacokinetics
c.pharmacogenomics
d.pharmacotherapeutics
e.pharmacognosy
f.toxicology
g.pharmacoeconomics
a. pharmaceutics
micah is performing a cost benefit analysis to compare the effectiveness of two blood pressure medications for a health insurance company
a.pharmaceutics
b.pharmacokinetics
c.pharmacogenomics
d.pharmacotherapeutics
e.pharmacognosy
f.toxicology
g.pharmacoeconomics
g. pharmacoeconomics
devon researches various poisons and is particularly concerned with the detection and treatment of the effects of drugs and other chemicals in certain mammals
f. toxicology
diane and phil have spent the last 3 years gathering family histories, legal case reports, and current clinical data to identify possible genetic factors that influence individuals responses to meperdine and related drugs
a.pharmaceutics
b.pharmacokinetics
c.pharmacogenomics
d.pharmacotherapeutics
e.pharmacognosy
f.toxicology
g.pharmacoeconomics
c. pharmacogenomics [Show Less]