TEST BANK FOR CLAYTON’S BASIC PHARMACOLOGY FOR NURSES 18TH EDITION BY WILLIHNGANZ
Table of Contents
Chapter 1: Drug Definitions, Standards, and
... [Show More] Information Sources ............................... 2 Chapter 2: Basic Principles of Drug Action and Drug Interactions ............................... 9 Chapter 3: Drug Action Across the Life Span ................................ ............ 17 Chapter 4: The Nursing Process and Pharmacology ................................ .......... 25 Chapter 5: Patient Education to Promote Health ................................ ............. 34 Chapter 06: Principles of Medication Administration and Medication Safety ..................... 42 Chapter 7: Principles of Medication Administration and Medication Safety ...................... 50 Chapter 8: Percutaneous Administration ................................ ................. 60 Chapter 09: Parenteral Administration: Safe Preparation of Parenteral Medications ............... 69 Chapter 10: Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes ..... 76 Chapter 11: Parenteral Administration: Intravenous Route ................................ .... 85 Chapter 12: Drugs Affecting the Autonomic Nervous System ................................ .. 94 Chapter 13: Drugs Used for Sleep ................................ ........................ 101 Chapter 15: Drugs Used for Anxiety Disorders ................................ ............. 109 Chapter 16: Drugs Used for Depressive and Bipolar Disorders ................................ 117 Chapter 17: Drugs Used for Psychoses ................................ .................... 127 Chapter 18: Drugs Used for Seizure Disorders ................................ .............. 132 Chapter 19: Drugs Used for Pain Management ................................ ............. 139 Chapter 20: Introduction to Cardiovascular Disease and Metabolic Syndrome ................... 149 Chapter 21: Drugs Used to Treat Dyslipidemias ................................ ............ 156 Chapter 22: Drugs Used to Treat Hypertension ................................ ............. 163 Chapter 23: Drugs Used to Treat Dysrhythmias ................................ ............. 173 Chapter 24: Drugs Used to Treat Angina Pectoris ................................ ........... 180 Chapter 26: Drugs Used to Treat Thromboembolic Disorders ................................ . 188 Chapter 27: Drugs Used to Treat Heart Failure ................................ ............. 198 Chapter 28: Drugs Used for Diuresis ................................ ...................... 205 Chapter 29: Drugs Used to Treat Upper Respiratory Disease ................................ . 215 Chapter 30: Drugs Used to Treat Oral Disorders ................................ ............ 223 Chapter 32: Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Diseases ............. 230 Chapter 34: Drugs Used to Treat Constipation and Diarrhea ................................ .. 240 Chapter 35: Drugs Used to Treat Diabetes Mellitus ................................ .......... 255 Chapter 36: Drugs Used to Treat Thyroid Disease ................................ ........... 265 Chapter 37: Corticosteroids ................................ ............................. 273
1 | P a g eChapter 38: Gonadal Hormones ................................ .......................... 280
Chapter 39: Drugs Used in Obstetrics ................................ ..................... 287
Chapter 40: Drugs Used in Men’s and Women’s Health ................................ ...... 296
Chapter 41: Drugs Used to Treat Disorders of the Urinary System ............................. 304
Chapter 42: Drugs Used to Treat Glaucoma and Other Eye Disorders .......................... 310
Chapter 43: Drugs Used to Treat Cancer ................................ ................... 317
Chapter 44: Drugs Used to Treat the Musculoskeletal System ................................ . 323
Chapter 46: Nutrition ................................ ................................ .. 332
Chapter 47: Herbal and Dietary Supplement Therapy ................................ ....... 338
Chapter 48: Substance Abuse ................................ ............................ 345
Chapter 1: Drug Definitions, Standards, and Information Sources
MULTIPLE CHOICE
1. What is the name under which a drug is listed by the U.S. Food and Drug Administration
(FDA)?
a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C
The official name is the name under which a drug is listed by the FDA. The brand name, or
trademark, is the name given to a drug by its manufacturer. The nonproprietary, or generic,
name is provided by the U.S. Adopted Names Council.
DIF: Cognitive Level: Knowledge
REF: p. 1
OBJ: 2
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
2. Which source contains information specific to nutritional supplements?
a. USP Dictionary ofUSAN & International Drug Names
b. Natural Medicines Comprehensive Database
c. United States Pharmacopoeia/National Formulary (USP NF)
d. Drug Interaction Facts
ANS: C
United States Pharmacopoeia/National Formulary contains information specific to nutritional
supplements. USP Dictionary ofUSAN & International Drug Names is a compilation of drug
names, pronunciation guide, and possible future FDA approved drugs; it does not include
nutritional supplements. Natural Medicines Comprehensive Database contains evidence based
information on herbal medicines and herbal combination products; it does not include
2 | P a g einformation specific to nutritional supplements. Drug Interaction Facts contains
comprehensive information on drug interaction facts; it does not include nutritional
supplements.
DIF: Cognitive Level: Knowledge
REF: p. 2
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
3. What is the most comprehensive reference available to research a drug interaction?
a. Drug Facts and Comparisons
b. Drug Interaction Facts
c. Handbook on Injectable Drugs
d. Martindale—The Complete Drug Reference
ANS: B
OBJ: 4
First published in 1983, Drug Interaction Facts is the most comprehensive book available on
drug interactions. In addition to monographs listing various aspects of drug interactions, this
information is reviewed and updated by an internationally renowned group of physicians and
pharmacists with clinical and scientific expertise.
DIF: Cognitive Level: Comprehension REF: p. 3
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
4. The physician has written an order for a drug with which the nurse is unfamiliar. Which
section of the Physicians’ Desk Reference (PDR) is most helpful to get information about this
drug?
a. Manufacturer’s section
b. Brand and Generic Name section
c. Product Category section
d. Product Information section
ANS: B
A physician’s order would include the brand and/or generic name of the drug. The alphabetic
index in the PDR would make this section the most user friendly. Based on a physician’s
order, manufacturer’s information and classification information would not be known. The
Manufacturer’s section is a roster of manufacturers. The Product Category section lists
products subdivided by therapeutic classes, such as analgesics, laxatives, oxytocics, and
antibiotics. The Product Information section contains reprints of the package inserts for the
major products of manufacturers.
3 | P a g e
OBJ: 3DIF: Cognitive Level: Comprehension REF: p. 3
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
5. Which online drug reference makes available to health care providers and the public a
standard, comprehensive, up to date look up and downloadable resource about medicines? a.
American Drug Index
b. American Hospital Formulary
c. DailyMed
d. Physicians’ Desk Reference (PDR)
ANS: C
DailyMed makes available to health care providers and the public a standard, comprehensive,
up to date look up and downloadable resource about medicines. The American Drug Index is
not appropriate for patient use. The American Hospital Formulary is not appropriate for
patient use. The PDR is not appropriate for patient use.
DIF: Cognitive Level: Knowledge
REF: p. 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
6. Which legislation authorizes the FDA to determine the safety of a drug before its marketing?
a. Federal Food, Drug, and Cosmetic Act (1938)
b. Durham Humphrey Amendment (1952)
c. Controlled Substances Act (1970)
OBJ: 5
OBJ: 4
d. Kefauver Harris Drug Amendment (1962)
ANS: A
The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the safety
of all drugs before marketing. Later amendments and acts helped tighten FDA control and
ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that
cannot be used safely without medical supervision and restricts their sale to prescription by a
licensed practitioner. The Controlled Substances Act addresses only controlled substances and
their categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater
drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their
products before marketing them.
DIF: Cognitive Level: Knowledge
REF: p. 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
OBJ: 8
4 | P a g e7. Meperidine (Demerol) is a narcotic with a high potential for physical and
psychological dependency. Under which classification does this drug fall?
a. I
b. II
c. III
d. IV
ANS: B
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to
severe psychological and physical dependence. Schedule I drugs have high potential for abuse
and no recognized medical use. Schedule III drugs have some potential for abuse. Use may
lead to low to moderate physical dependence or high psychological dependence. Schedule IV
drugs have low potential for abuse. Use may lead to limited physical or psychological
dependence.
DIF: Cognitive Level: Comprehension REF: p. 4 | p. 5
OBJ: 7
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
8. What would the FDA do to expedite drug development and approval for an
outbreak of smallpox, for which there is no known treatment? a.
List
smallpox as a health orphan disease.
b. Omit the preclinical research phase.
c. Extend the clinical research phase.
d. Fast track the investigational drug.
ANS: D
Once the Investigational New Drug Application has been approved, the drug can receive
highest priority within the agency, which is called fast tracking. A smallpox outbreak would
become a priority concern in the world. Orphan diseases are not researched in a priority
manner. Preclinical research is not omitted. Extending any phase of the research would mean
a longer time to develop a vaccine. The FDA must ensure that all phases of the preclinical and
clinical research phase have been completed in a safe manner.
DIF: Cognitive Level: Knowledge
REF: p. 7
OBJ: 8
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
9. Which statement is true about over the counter (OTC) drugs?
a. They are not listed in the USP NF.
b. A prescription from a health care provider is needed.
c. They are sold without a prescription.
d. They are known only by their brand names.
ANS: C
OTC medications do not require a prescription. A variety of names, both generic
and trade, can be used for individual drugs sold OTC. OTC drugs are listed in the
USP NF. Prescription drugs require an order by a health professional who is
5 | P a g elicensed to prescribe, such as a physician, nurse practitioner, physician assistant,
or dentist.
DIF: Cognitive Level: Comprehension REF: p. 2
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
10. Which is the most authoritative reference for medications that are injected?
a. Physician’s Desk Reference
b. Handbook on Injectable Drugs
c. DailyMed
d. Handbook ofNonprescription Drugs
ANS: B
The Handbook on Injectable Drugs is the most comprehensive reference available
on the topic of compatibility of injectable drugs. It is a collection of monographs
for more than 300 injectable drugs that are listed alphabetically by generic
name.
DIF: Cognitive Level: Comprehension REF: p. 3
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
11. The nurse is administering Lomotil, a Schedule V drug. Which statement is true
about this drug’s classification?
a. Abuse potential for this drug is low.
b. Psychological dependency is likely.
c. There is a high potential for abuse.
d. This drug is not a controlled substance.
ANS: A
Lomotil, a Schedule V drug, has an abuse potential of limited physical or
psychological dependence liability compared with drugs in Schedule IV. Because
abuse potential is low with a Schedule V drug, a prescription may not be
required. Psychological dependency is not likely with a Schedule V drug.
Schedule V drugs are classified as controlled substances.
DIF: Cognitive Level: Knowledge
REF: p. 5
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
12. The nurse is transcribing new orders written for a patient with a substance
abuse history.
Choose the medication ordered that has the greatest risk for abuse.
a. Lomotil
b. Diazepam
c. Phenobarbital
d. Lortab
OBJ: 7
OBJ: 4
OBJ: 2
6 | P a g eANS: D
Lortab is a Schedule III drug with a high potential for abuse but less so than
drugs in Schedules I and II. Lomotil is a Schedule V drug with a low potential for
abuse compared with those in Schedule V. Diazepam is a Schedule IV drug with
a low potential for abuse compared with those in schedule III. Phenobarbital is a
Schedule IV drug with a low potential for abuse compared with those in
Schedule III.
DIF: Cognitive Level: Application
REF: pp. 4-5
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
MULTIPLE RESPONSE
13. The nurse is caring for a patient newly diagnosed with type 1 diabetes mellitus.
Which approach(es) to therapeutic methods would be considered in this
patient’s treatment? (Select all that apply.)
a. Therapeutic drugs
b. Concentrated carbohydrate diet
c. Family centered care
d. Regular daily exercise and activity
e. Daily baths
ANS: A, B, D
Therapeutic methods include drug therapy, diet therapy, physiotherapy, and
psychological therapy. Therapeutic methods do not include family centered care
or daily baths.
DIF: Cognitive Level: Application
REF: p. 1
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
14. An older adult experiencing shortness of breath is brought to the hospital by her
daughter. While obtaining the medication history from the patient and her
daughter, the nurse discovers that neither has a list of the patient’s current
medications or prescriptions. All the patient has is a weekly pill dispenser that
contains four different pills. The prescriptions are filled through the local
pharmacy. Which resource(s) would be appropriate to use in determining the
medication names and doses? (Select all that apply.) a. Martindale—The
Complete Drug Reference
b. Physicians’ Desk Reference, Section 4
c. Senior citizens’ center
d. Patient’s home pharmacy
ANS: B, D
The Physicians’ Desk Reference, Section 4, has full color images of commonly
dispensed tablets and capsules. The patient’s pharmacy would have an accurate
account of all the medications the client is currently taking. Martindale—The
7 | P a g e
OBJ: 1
OBJ: 7Complete Drug Reference has written information on medications and would not
be an appropriate resource. The senior citizens’ center is not likely to have
specific patient medication information.
DIF: Cognitive Level: Application
REF: p. 3
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
15. The nurse planning patient teaching regarding drug names would include which
statement(s)?
(Select all that apply.)
a. Most drug companies place their products on the market under generic
names.
b. The official name is the name under which the drug is listed by the U.S. Food
and Drug Administration (FDA).
c. Brand names are easier to pronounce, spell, and remember.
d. The first letter of the generic name is not capitalized.
e. The chemical name is most meaningful to the patient.
ANS: B, C, D
The official name is the name under which the drug is listed by the FDA. Brand
names are easier to pronounce, spell, and remember. The first letter of the
generic name is not capitalized. Most drug companies place their products on
the market under brand names instead of generic names. The chemical name is
most meaningful to the chemist.
DIF: Cognitive Level: Application
REF: p. 1
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
16. When categorizing, the nurse is aware that which drug(s) would be considered
Schedule II? (Select all that apply.)
a. Marijuana
b. Percodan
c. Amphetamines
d. Fiorinal
e. Flurazepam
ANS: B, C
Schedule II drugs have a high potential for abuse, they are currently accepted in
the United States, and use may lead to severe psychological or physical
dependence. Percodan and amphetamines are considered Schedule II drugs.
Marijuana is a Schedule I drug. Fiorinal is a Schedule III drug. Flurazepam is a
Schedule IV drug.
DIF: Cognitive Level: Analysis
REF: pp. 4-5
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
OBJ: 7
OBJ: 2
OBJ: 3 | 4
8 | P a g eChapter 2: Basic Principles of Drug Action and Drug Interactions
MULTIPLE CHOICE
1. The nurse assesses hives in a patient started on a new medication. What is the nurse’s
priority action?
a. Notify physician of allergic reaction.
b. Notify physician of idiosyncratic reaction.
c. Notify physician of potential teratogenicity.
d. Notify physician of potential tolerance.
ANS: A
An allergic reaction is indicative of hypersensitivity and manifests with hives and/or urticaria,
which are easily identified. An idiosyncratic reaction occurs when something unusual or
abnormal happens when a drug is first administered. A teratogenic reaction refers to the
occurrence of birth defects related to administration of the drug. Tolerance refers to the
body’s requirement for increasing dosages to achieve the same effects that a lower dose once
did.
DIF: Cognitive Level: Application
REF: p. 17
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
2. The nurse administers an initial dose of a steroid to a patient with asthma. Thirty minutes
after administration, the nurse finds the patient agitated and stating that “everyone is out to
get me.” What is the term for this unusual reaction? a. Desired action
b. Adverse effect
c. Idiosyncratic reaction
d. Allergic reaction
ANS: C
Idiosyncratic reactions are unusual, abnormal reactions that occur when a drug is first
administered. Patients typically exhibit an overresponsiveness to a medication related to
diminished metabolism. These reactions are believed to be related to genetic enzyme
deficiencies. Desired actions are expected responses to a medication. Adverse effects are
reactions that occur in another system of the body; they are usually predictable. Allergic
reactions appear after repeated medication dosages.
DIF: Cognitive Level: Comprehension REF: p. 17
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
3. Which is the best description of when drug interactions occur?
a. On administration of toxic dosages of a drug
b. On an increase in the pharmacodynamics of bound drugs
c. On the alteration of the effect of one drug by another drug
d. On increase of drug excretion
ANS: C
OBJ: 7
OBJ: 7
9 | P a g eDrug interactions may be characterized by an increase or decrease in the effectiveness of one
or both of the drugs. Toxicity of one drug may or may not affect the metabolism of another
one. Drug interactions may result from either increased or decreased pharmacodynamics.
Drug interactions may result from either increased or decreased excretion.
DIF: Cognitive Level: Comprehension REF: p. 17
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
4. What occurs when two drugs compete for the same receptor site, resulting in increased
activity of the first drug? a. Desired action
b. Synergistic effect
c. Carcinogenicity
d. Displacement
ANS: D
The displacement of the first drug from receptor sites by a second drug increases the amount
of the first drug because more unbound drug is available. An expected response of a drug is
the desired action. A synergistic effect is the effect of two drugs being greater than the effect
of each chemical individually, or the sum of the individual effects. Carcinogenicity is the
ability of a drug to cause cells to mutate and become cancerous.
DIF: Cognitive Level: Comprehension REF: p. 17
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
5. What do drug blood levels indicate?
a. They confirm if the patient is taking a generic form of a drug.
b. They determine if the patient has sufficient body fat to metabolize the drug.
c. They verify if the patient is taking someone else’s medications.
d. They determine if the amount of drug in the body is in a therapeutic range.
ANS: D
The amount of drug present may vary over time and the blood level must remain in a
therapeutic range in order to obtain the desired result. Generic drugs do not necessarily
produce a different drug blood level than proprietary medications. Body fat is not measured
by drug blood levels. Drug blood levels only measure the amount of drug in the body; they do
not determine the source of the medication.
DIF: Cognitive Level: Comprehension REF: p. 16
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
6. What is the process by which a drug is transported by circulating body fluids to receptor
sites? a. Osmosis
b. Distribution
c. Absorption
d. Biotransformation
OBJ: 7
OBJ: 9
OBJ: 8
10 | P a g eANS: B
Distribution refers to the ways in which drugs are transported by the circulating body fluids
to the sites of action (receptors), metabolism, and excretion. Osmosis is the process of moving
solution across a semipermeable membrane to equalize the dilution on each side. Absorption
is the process by which a drug is transferred from its site of entry into the body to the
circulating fluids for distribution. Biotransformation, also called metabolism, is the process by
which the body inactivates drugs.
DIF: Cognitive Level: Comprehension REF: p. 13
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
7. The nurse assesses which blood level to determine the amount of circulating medication in a
patient?
a. Peak
b. Trough
c. Drug
d. Therapeutic
ANS: C
When a drug is circulating in the blood, a blood sample may be drawn and assayed to
determine the amount of drug present; this is known as the drug blood level. Peak levels are
only those drug blood levels that are at their maximum before metabolism starts to decrease
the amount of circulating drug. Trough levels are only those drug blood levels that are at their
minimum when metabolism has decreased the amount of circulating drug and before an
increase caused by a subsequent dose of the medication. Therapeutic levels are only those
within a prescribed range of blood levels determined to bring about effective action of the
medication.
DIF: Cognitive Level: Comprehension REF: p. 16
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
8. The nurse administers 50 mg of a drug at 6:00 AM that has a half life of 8 hours. What time
will it be when 25 mg of the drug has been eliminated from the body?
a. 8:00 AM
b. 11:00 AM
c. 2:00 PM
d. 6:00 PM
ANS: C
Fifty percent of the medication, or 25 mg, will be eliminated in 8 hours, or at 2:00 PM. 8:00
AM is 2 hours after administration; the half life is 8 hours. 11:00 AM is 4 hours after
administration; the half life is 8 hours. 6:00 PM is 12 hours after administration; the half life
is 8 hours.
DIF: Cognitive Level: Analysis
TOP: Nursing Process Step: Evaluation
REF: p. 14
OBJ: 6
OBJ: 7
OBJ: 4
11 | P a g eMSC: NCLEX Client Needs Category: Physiological Integrity
9. What will the nurse need to determine first in order to mix two drugs in the same syringe?
a.
Absorption rate of the drugs
b. Compatibility of the drugs
c. Drug blood level of each drug
d. Medication adverse effects
ANS: B
Knowledge of absorption is important but not in order to mix drugs. In order to mix two
drugs, compatibility is determined so there is no deterioration when the drugs are mixed in
the same syringe. Drug level does not indicate if it is acceptable to mix medications in the
same syringe. Adverse effects are important for the nurse to know, but not in order to mix
drugs.
DIF: Cognitive Level: Application
REF: p. 18
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
10. A patient developed hives and itching after receiving a drug for the first time. Which
instruction by the nurse is accurate?
a. Stop the medication and encourage the patient to wear a medical alert bracelet that
explains the allergy.
b. Explain to the patient that these are signs and symptoms of an anaphylactic reaction.
c. Emphasize to the patient the importance to inform medical personnel that in the future a
lower dosage of this drug is necessary.
d. Instruct the patient that it would be safe to take the drug again because this instance was
a mild reaction.
ANS: A
This initial allergic reaction is mild, and the patient is more likely to have an anaphylactic
reaction at the next exposure; a medical alert bracelet is necessary to explain the reaction.
Signs and symptoms of an anaphylactic reaction are respiratory distress and cardiovascular
collapse. A more severe reaction will occur at the next exposure, and the patient should not
receive the drug again.
DIF: Cognitive Level: Application
REF: p. 17
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
11. When obtaining a patient’s health history, which assessment data would the nurse identify
as having the most effect on drug metabolism? a. History of liver disease
b. Intake of a vegetarian diet
c. Sedentary lifestyle
d. Teacher as an occupation
ANS: A
Liver enzyme systems are the primary site for metabolism of drugs. Intake of a vegetarian
diet may affect absorption but not metabolism. Sedentary lifestyle and occupations could
12 | P a g e
OBJ: 7
OBJ: 9affect metabolism (exposure to environmental pollutants), but these do not have the most significant effect on metabolism. DIF: Cognitive Level: Application
REF: p. 14
TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity
12. A physician’s order indicates to administer a medication to the patient via the percutaneous route. The nurse can anticipate that the patient will receive this medication: a. intramuscularly.
b. subcutaneously. c. topically. d. rectally. ANS: C The percutaneous route refers to drugs that are absorbed through the skin and mucous membranes. Methods of the percutaneous route include inhalation, sublingual (under the tongue), or topical (on the skin) administration. The parenteral route bypasses the gastrointestinal (GI) tract by using subcutaneous (subcut), intramuscular (IM), or intravenous (IV) injection. The parenteral route bypasses the GI tract by using subcut, IM, or IV injection. In the enteral route, the drug is administered directly into the GI tract by the oral, rectal, or nasogastric route.
DIF: Cognitive Level: Application REF: p. 12
TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity
13. A nurse is preparing to administer tetracycline to a patient diagnosed with an infection. Which medication should not be administered with tetracycline? a. Ativan b. Tylenol c. Colace d. Mylanta ANS: D Administering tetracycline with Mylanta can provide an antagonistic effect that will result in decreased absorption of the tetracycline. Ativan, Tylenol, and Colace are not contraindicated to administer with tetracycline.
DIF: Cognitive Level: Application REF: p. 18
TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity
MULTIPLE RESPONSE
14. Which statement(s) about liberation of drugs is/are true? (Select all that apply.) a. A drug must be dissolved in body fluids before it can be absorbed into body tissues. b. A solid drug taken orally must disintegrate and dissolve in GI fluids to allow for absorption into the bloodstream for transport to the site of action.
OBJ: 9 OBJ: 1 OBJ: 5 [Show Less]