Intro to pathopharm
What is the most significant role for a nurse as defined by the state nurse practice acts and regulating body of the Joint commission?
Teacher
What regulating body is responsible for ensuring drugs go through testing before reaching the market.
Federal Drug Administration
What are the 5 rights and 3 checks of medication administration?
right time, right dose, right route, right medication right patient
Pull, prepare and put
A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
what is 5O mls
A client prescribed a loading dose to be followed by a lower maintenance dose asks the nurse why the maintenance dose is lower. Which response should the nurse provide the client?
"The initial dose shortens the half-life, so the medication would work more quickly."
"We always give medications this way; the healthcare provider did not make a mistake."
"You had a larger dose initially so that the medication would work more quickly."
"Giving a larger dose initially will reduce the chance of side effects."
giving a larger dose initially will reduce the chance of side effects.
A nurse is reviewing key events in the history of pharmacology with a student nurse. Which student comment indicates an understanding?
1. early researcher used themselves as test subjects
2. Penicillin is one of the earliest drugs from natural sources
3. a primary goal of pharmacology is prevention
4. synthesizing of drug in labs took place in the nineteenth century
What is early researchers used themselves as test subjects.
Under the HIPPA law patient information can be exposed to a family member
True or False
False
what is important to assess prior to medication administration
developmental level
disease process
learning needs
medical history
medical history
A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)
7mls
Where are drugs metabolized
Liver
why is anatomy and physiology as well as microbiology are required courses when the student only wants to learn about pharmacology.
what is understanding these are important to fully understand pharmacology
What percentage of Americans take at least one prescription drug each year.
50%
What is a primary nursing assessment prior to administering oral medication
A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has neuropathic pain. The amount available is gabapentin 300 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
3 capsules
The patient is malnourished and has a low serum albumin. A nurse is caring for a client with a low serum albumin level. The healthcare provider has ordered aspirin, which is a highly protein-bound drug. Which evaluation by the nurse best describes the effect this will have on the client?
The client will be at risk of experiencing a decreased effectiveness of the drug.
The client will be at risk of experiencing toxic effects of the drug.
The client's kidneys will excrete the drug at a faster rate.
The client's liver will metabolize the drug at a faster rate
The client will be at risk of experiencing toxic effects
A nurse is teaching a group of nurses about the differences between pharmacology and therapeutics. The nurse determines that learning has occurred when which statements are made?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
"Pharmacology is the development of medicines."
"Pharmacology is the study of medicines."
"Therapeutics is the same as pharmacology"
"Pharmacology is the study of drugs to cure disease."
"Pharmacology is the study of medicines."
A client says to a nurse, "My healthcare provider said my drug is a controlled substance; am I considered an addict?" What is the best response by the nurse?
"Are you concerned about becoming an addict? We can discuss this in more detail if you would like to."
"You are not an addict; the Drug Enforcement Administration (DEA) restricts the use of drugs with a high potential for abuse."
"Why do you ask about becoming an addict? Not many of our clients have asked this question."
"You are not an addict, but the Drug Enforcement Administration (DEA) will monitor you for this."
You are not an addict: the drug enforcement administration restricts thu use of drugs with high potential for abuse
A nurse is preparing to administer a topical medication. What is the priority nursing intervention?
Check the medication for interactions with other medications.
Take the patient's vital signs.
Educate the patient to not disturb the patch.
Assess the patient's skin where the medication will be applied
Assess the patients skin where the medication will be applied
A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
1.5 mg tablets
which route of medication is absorbed faster.
IV
Where do the manufacturers of vaccine naturally produce the vaccine.
What is animal cells or microorganisms
how many months is a preclinical investigation before a drug is released to market
18 months
Where should a nurse administer a buccal medication
In between the cheek and gum
A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose subcutaneous every 12 hr. The client weighs 185 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
what is 84.1 mg
An elderly client’s serum albumin level is 1.8 g/dL (quite low). The client has an order for ibuprofen 400 mg by mouth every 6 hours prn pain. The RN knows ibuprofen is a medication that is highly protein bound (90%). Which of the following actions should the RN take?
Hold medication
Call Provider
Give with peanut butter and milk
administer as ordered
call the provider to obtain order for med that is not highly protein bound.