Pharmacodynamics
The median effective dose means
dose will be effective in half the population
The healthcare provider has prescribed a nitroglycerine (Nitrodur) patch for the client. The nurse understands that which of the following is the best outcome for this client as it relates to use of the medication?
client will repeat the adverse effects of medication
Client will state reason for medication
Client will demonstrate how to apply patch
Client will identify expiration date
Client will demonstrate how to apply patch
The nurse teaches a class to clients about how to help prevent medication errors when in the hospital. What is the most important question for the nurse to ask the clients?
"Do you know the names of all the medications you take?"
"Do you trust your healthcare provider to order the correct medication?"
"Do you have a friend to verify that you are receiving the correct medication?"
"Do you know what your illness is, and if you will need surgery?"
1
A four year old is resistant to taking medication. What is the best way to administer the medication to the child
Force them to take it
Give them a choice of what beverage they can take it in
Tell them if they dont take it they will get a shot.
Provide them with an explanation of why they need to take a shot.
Give them a choice of what beverage to take it in
A client is diagnosed with cancer. The healthcare provider has recommended chemotherapy, which would likely save the client's life. The client tells the nurse, "This is punishment from God for sins I have committed; some women at my church say so." With permission from the client, what would the nurse do first?
Involve a hospital minister to discuss the client's perspective about cancer.
Plan to bring the case before the hospital's board of ethics.
Contact the client's minister to discuss the client's perspective about cancer.
Meet with family members to discuss the client's perspective about cancer
Contact the clients minister
A client looks up the drug they are taking in a drug guide. the client asks a nurse why the healthcare provider prescribed a medication that has a lethal dose measure. What is the best response by the nurse?
"dont worry about it "
"it is a value used in research to determine the safe dose to give"
"It is a value used in research and not a determinate of which drug to give"
"It is the difference between the median effective dose and the mean and median lethal dose"
It is a value used in research to determine the safe dose to give.
The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this medication?
1. Monitor the client for relief of bronchospasms.
2. Monitor the client for nausea and headache.
3. Monitor the client's serum drug levels.
4. Provide the client with age-appropriate education about albuterol (Proventil).
1
Monitoring drug effects, in this case the relief of bronchospasms, is a primary intervention that nurses perform
The food and drug administration provide a framework for blank use of drugs in pregnant women.
Pregnancy Category x has been associated with Blank effects
Safe
teratogenic
A mother who is breastfeeding should do what if prescribed a medication that can be transferred through the breast milk
Pump and Dump
Patients known as slow acetylators may experience what effect related to drug therapy
Toxic effects
When a plateau of a drug has been reached. Will giving more of the drug cause additional benefit
No, When the plateau of a drug has been reached, administering more of the drug will not produce additional benefit.
The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The client's outcome is "Client will state a key point about antibiotic treatment for cellulitis." Which statement would the nurse evaluate as best indicating this outcome has been met?
even if my leg looks better I need to continue medication
I can apply an ice pack to my leg for swelling
I can elevate my leg for swelling
If pain gets bad I take pain medication
Even if my leg looks better I need to finish all of my antibiotics
A nurse is preparing to administer a new drug that was just prescribed by the healthcare provider. The nurse recognizes that the wrong concentration of the drug was sent by the pharmacy. What is the nurse's best response?
The nurse informs the client, documents the error and contacts the healthcare provider
This did not reach the patient it is considered a near miss
When administering medications to a preschool child its best to use verbal instruction or brief rationale and then administer.
Brief rational and administer
An African American is suicidal and refusing medications. He would like herbs and idols in his room. What should the nurse do
Allow the request as long as patient is safe
What does it mean when a drug has a narrow therapeutic index?
Drugs with a narrow therapeutic index have a low safety margin and the concentration of the drug should be monitored by regular serum tests.
The most important step in the nursing process
Assessment
which federal agency is responsible for reviewing all medication error reports.
Division of medication error prevention and analysis DMEPA
The Food and Drug Administration category that is not safe to use during pregnancy
Category X
A holistic assessment should include which of the following?
blood pressure, mood, belief in a higher power, education and biologic cause
mood, belief in higher power and education
Which factor is used to help predict the safety of the dose of drug for a client?
A frequency distribution curve, is a graphical representation of the number of patients responding to a drug action at different doses and can be used to help predict the safety of a dose of a drug.
Pt admitted to surgical unit has been prescribed oxycodone for pain.
Provide an example of the correct risk nursing diagnosis
2 part statement
risk for falls AEB c/o dizziness after medication.
Medication reconciliation has been started for a newly admitted client. At which points would the nurses and others caring for this client check this list?
admission, transferring, and discharge
The list of medications the client takes at home should be checked against admission orders.
Medication reconciliation sheets should be checked when transfers occur.
Medication reconciliation sheets should be reviewed when the client is discharged.
The dietary contributing factor for drug toxicity in an older adult.
Dehydration
A patient from an arab culture is in labor. Her husband is with her and refuses analgesics for her.
What is the be action by the nurse
Tell him its not his choice, allow the request, agree it is ok for now unless condition changes, inform the provider
Allow the request and be close by in case he changes his mind.
In some culture the husband make choices for wife.