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41 Cards in this Set
- Front
- Back
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Which factor is a major disadvantage of the transdermal drug delivery route? -transdermal drugs must be sterile rather than clean -drug absorption is dependent on adequate circulation -only a prescriber can administer the drugs -first pass drug loss by this route is extensive |
drug absorption is dependent on adequate circulation |
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The likelihood that a drug will squester(be trapped) in fat cells and remain in the body longer is inc. by which characteristic? -physical small size -dissolves easily in water -physical larger size -dissolves easily in lipids |
dissolves easily in lipids |
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A patient has all of the following health problems. Which problem causes the nurse to be alert for an inc. risk for drug side effects? -Chronic high BP -GI ulcers -Asthma -Kidney Disease |
Kidney Disease |
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A nurse is prescribed a drug that has an extremely short half-life for chest pain (angina). Which modification in drug dosage or scheduling does the nurse expect? -Once-daily dosing -larger first dose and smaller repeat dose -more frequent dosing -parenteral doses greater than enteral doses |
more frequent dosing |
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Why are antibiotics from the tetracycline drug group seldom prescribed during pregnancy? -the pregnant woman does not metabolize tetracycline to its active form and excessively high doses are needed for action -these drugs reduce the thickness of the enamel in developing teeth, so it can stain the teeth -the fetal liver is too immature to inactivate these drugs and eliminate them -although a mother may have an infection, the fetus does not |
These drugs reduce the thickneess of the enamel in developing teeth, so the infant would have darkly stained teeth. |
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A 25-year old patient is prescribed a pregnancy category D drug for acne for 6 months. Which precaution is most important for the nurse to teach? -Use two reliable forms of birth control for next 6 months -Your risk for STDs is increased for 3 months after -One side effect of drugs in this category is nausea -drugs in the category reduce oral contraceptive effectiveness |
Use two reliable forms of birth control during next 6 months because these drugs can cause serious birth defects |
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What is the best way for the nurse to make sure that the right pt is receiving a prescribed drug when the pt is A&O? -check the pts wrist band -look at the pts chart -ask the pt to state his or her nae -have the pt state his or her name and birth date |
have the patient state his or her name and birth date |
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When is it acceptable for the nurse to take a verbal order from the prescriber before giving a drug to a patient? -during the night shift when the prescriber is not at the hospital -in an emergency situation such as a cardiac arrest -when a pt is experiencing severe pain -at any time it is necessary |
in an emergency situation such as cardiac arrest |
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what is the most important role of the nurse in preventing drug errors? -always checking the patient's diagnosis before giving a drug -being most likely to detect error that has occured -always following the "six rights" of drug admin -being the one defense for detecting and preventing drug errors |
always following the "six rights" of drug administration |
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the prescriber orders atenolol (Tenormin) 25 mg to be given orally once a day to control high BP. The nurse takes the pts V/S and finds that BP is 128/80 mm Hg and the HR is 60 bpm. What does the nurse do first? -Give drug exactly as prescribed -Check the order for prescriber limitations on when drug should be given -Reassess the BP and HR in 30 minutes -Notify the prescriber and ask if the drug should be given |
Check the order for prescriber limitations on when the drug should be given |
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A pt is prescribed omeprazole (Prilosec) mg once a day orally. The patient is having difficulty w/swallowing and has a feeding tube in place. What is the nurse's best action? -Contact the prescriber and pharmacist about using another drug or form of the drug -Hold the tube feeding for at least 30 min. before giving the drug -Raise the head of the bed 90 degrees and mix the capsule in applesauce for easier swallow -open the capsule and mix the contents w/ water and give through a feeding tube |
contact the prescriber and pharmacist about using another drug or another form of the drug |
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For which route of parenteral drug administration does the nurse use a 3/8 inch 25-gauge needle? -subcutaneous -intracardiac -intramuscular -intravenous |
subcutaneous |
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A patient with severe postoperative pain is ordered to receive morphine 2 mg intravenously. The pt asks the nurse if the drug could be take po instead. What is the nurse's best response? -Your surgeon wants you to receive the drug IV -We can sub the IV drug with an oral drug -Giving the drug IV will give you faster pain releif -I will call your prescriber adn ask if the order can be changed |
giving the drug intravenously will give you faster pain releif |
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A pt. is to receive nitroglycerin ointment, 1 inch STAT, for elevated blood pressure. What must the nurse do before giving this drug? -Shave the hair off the pt's chest -measure the dose directly on the pts skin -put on a pair of disposable gloves -place the pt on a heart monitor |
put on a pair of disposable gloves |
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What administration technique does the nurse use to give a 2-year-old child ear drops? -hang the pts head over the side of the bed -pull the earlobe up and out -pull the earlobe down and back -keep the earlobe straight |
pull the earlobe down and back |
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What must the nurse be sure to tell the pt after a vaginal drug is administered? -this drug should be refrigerated -be sure to empty your bladder after receiving -you may take this at home while on the toilet -remain lying down for 10-15 minutes after taking this drug |
remain lying down for 10-15 minutes after taking this drug |
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when giving a drug to a pt who is awake but confused, what is the best way to identify the pt? -ask them to state his or her name and birthday -ask the pt if he/she is mr. or mrs. [name] -check the room and bed number that the pt occupies -check the name on the pts wristband |
check the name on the pts wristband |
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the prescriber orders a new drug over the phone for a nursing home pt who as symptoms of a uti. The order is for Gantanol, 2g now and then 1g q12hr for the next 10 days. What further info is most important for the nurse to obtain from the perscriber? -how many refills are needed -is this drug given with a meal or empty stomach -which brand should be given, or generic -do you wanted it given po or IV |
do you want the drug given orally or IV |
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the physician orders all of the following drugs for a pt who had surgery 2 days ago. Which drug order does the nurse administer first? -benadryl(diphenhydramine) 25 mg orally q8hr -dalmane(flurazepam) 30 mg PRN -compazine(prochlorperazine) 10 mg STAT -Alphamine(cyanocobalam |
compazine (prochlorperazine) 10mg orally STAT |
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The nurse asks the pt to state his name and birth date, and the pt responds correctly. The nurse then gives the pt the prescribed drug tablet. The pt says "I haven't ever taken a green pill before." What is the nurse's best response? -go ahead and take the drug. the same meds from different co. may be different colors. -go ahead and take it. Your doctor has probably prescribed a new drug for you. -don't take this right now. i will recheck it -don't take this right now. it is probably not the right one. |
don't take this drug right now. let me recheck everything to be sure. |
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which question is most important for the nurse to ask before administering a new drug? -do you know what this drug is for? -what other drugs have you taken today -are you allergic to any drugs? -when was the last time you ate or drank? |
are you allergic to any drugs? |
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when the nurse brings in the next dose of a drug that a pt first received 6 hours ago, the pt reports a pounding HR ever since taking the last one. What is the nurse's best first action? -document and report as the only action -reassure the pt that it is normal -check the pts v/s for changes -hold the dose and tell the doctor immediately |
check the pts v/s for changes |
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A 1-year old child is prescribed a transdermal drug patch for pain control. To which site does the nurse apply the patch? -on the upper chest so any skin irritation can be seen quickly -on the lower arm where changing the patch is easier -on the back btw the shoulders so he can't reach it -on the leg btw the knee and teh thigh for fastest absorption |
on the back btw the shoulder blades so the child cannot reach it |
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Which condition requires that the nurse withhold a drug dose for a pt with a feeding tube? -carbon dioxide is detected from the feeding tube. -the drug is in the form of a capsule -the pt is unconscious and unable to swallow -the drug vol. is greater than 20 mL |
Carbon dioxide is detected from the feeding tube |
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Which technique is used with intramuscular drug injections but not with intradermal drugs? -cleansing the selected site before inserting the needle -ensuring the site selected is appropriate for injection -aspirating the syringe before infecting the drug -checking for allergic or sensitivity reactions to the injection |
aspirating the syringe before injecting the drug solution |
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the nurse prepares to administer an iv push drug, but the skin around the iv is swollen and red. the pt states that the area hurts, and no blood return is obtained when the nurse aspirates the iv. what is the best action? -discontinue iv administration and notify doctor -dilute the drug more before injecting it -reassure the pt that this is expected -restart iv administration of the drug |
discontinue the iv administration and notify the prescriber |
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which is the best indication of learning? -acquiring new knowledge that results in a persistent change of behavior -consistently making good grades on tests taken during school or college -always using info appropriately -identifying important health promotion info to teach pt and families |
acquiring new knowledge that results in a persistent chanage of behavior |
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why is it important for the nurse to assess a pts religion when planning pain interventions? -the use of religious practices may enhance a pts response to drug therapy -most pts believe the God causes pain -providing prompt and effective pain relief measures can increase a pts faith in God or other deities -artificial pain relief measures are discouraged by most non-christian religious |
the use of religious practices may enhance a pts response to drug therapy for pain |
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a pt from another culture does not look at the nurse's face while answering questions about health and med history. What is the best action? -speak in a louder tone to get pts attention -ask the pt whether a family member could serve as an interpreter -have the pt sit in a chair rather than in the bed -proceed with the interview |
proceed with the interview |
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while assisting a pregnant mexican american woman dress, the nurse asks about the brass key pinned on her underwear. The pt says that wearing it protects her baby if a solar eclipse occurs. what is the nurse's best response? -your baby would be better protected by keeping all your prenatal appointments -an additional way to protect your baby is by taking your vitamins -does your religion require you to wear this -just how does wearing a brass key protect your baby |
an additional way to protect your baby is by taking your vitamins |
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which info noted by the nurse during a pt interview is considered part of the cultural assessment? -the pt personal appearance is neat and clean -the pat is overweight -the wife looks to her husband to answer questions -the skin tone and eye color of all family |
the wife looks to her husband to answer questions about her health |
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A pt who is a jehovah's witness is scheduled for routine surgery and expressed concern about blood products. What is the best response? -transfusions are not routine and there are good alternatives to transfusions -if you are worried about contamination, the blood is tested and safe -i will have the hospital chaplain explain that there is really nothing wrong with blood transfusions -you should allow the health care professionals to do whatever is needed to save your life |
transfusions are not routine and now there are good alternatives if you should lose an excessive amount of blood |
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which pt action indicates learning in the psychomotor domain? -ensuring that the prescription is refilled on time -looking up drug side effects on a pc -assembling a drug inhaler -asking whether a drug dose should be skipped when vomiting occurs |
assembling a drug inhaler |
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which statement by the nurse is more likely to motivate a pt to adhere to drug therapy regimen for hypertension -if u do not take this drug u are at greater risk to die of a stroke or heart attack -if u are not taking this drug because u are too poor, i can call a social worker -ur doctor prescribes this drug and knows what is best for ur health -as an artist, ur eyes are important. this will help prevent eye damage |
as an artist, ur eyes are important and taking this drug daily helps prevent eye damage from high BP |
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what is most important question for nurse 2 ask pt when teaching about new drugs? -what do you want to learn about this -have you ever been sick before and had to take prescriptions -how many people do you know who have this health problem -do you understand that if you don't take care of this problem now, it will only become worse |
what do you want to learn about this health problem and its treatment |
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which principle of adult learning is used when nurse provides a pt with a tape made during the session? -reinforcing the info taught -providing appropriate feedback -allowing practice time to learn a skill -moving from the simple to the complex |
reinforcing the information taught |
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what are the six rights of drug administration? |
right pr, right drug, right does, right route, right time, right documentation |
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a pt is to receive an acetaminophen (tylenol) suppository for an elevated temp of 102.8. what actions must the nurse take? -ask if the pt is having diarrhea -lubricate the blunt end of the suppository -put on a pair of sterile gloves -place the pt in the sims position -push the suppository into the rectum about 1 in -ask the pt to take a deep breath and bear down |
ask if the pt has diarrhea place the pt in the sims position push the suppository into the rectum about 1 inch ask the pt to take a deep breath and bear down |
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Which statement by a pt indicates the need for more teaching about pain and pain ctrl? -if my pain interferes with life, i will take meds for it -i don't mind taking pain for my sprained ankle because i know it won't hurt forever -there is no reason for me to take drugs for pain; after all you can't cure old age -i will take enough pain meds to make me comfortable with sleepy |
there is no reason for me to take drugs for pain; you can't cure old age |
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which statement about pain is true? -each pt receives a painful event differently -it is not necessary to asses for pain in pts who are sleeping -pts who cannot describe their pain do not really have pain -infants and young children feel pain less than adults do |
each pt perceives a painful event differently |
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a pt who is paralyzed for the waist down from an injury that completely severed the spinal cord has open would on right heel. Why is this pt unaware of any pain caused from this wound? -the spinal injury results in chronic pain that can mask any acute pain sensation |
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