Chap 4
Chap 5
Chap 6
Chap 7
Chap 8
100
A nurse is giving an enteral medication. The patient asks why this method is preferable for this drug. How will the nurse reply?
What is “This route is safer, less expensive, and more convenient.”
100
A nurse is caring for a patient who is taking multiple medications. To help ensure that adverse drug reactions are prevented or minimized, the nurse will do which of the following?
What is Ask the patient about over-the-counter medications used, Obtain a thorough diet history,Contact the prescriber to request cytochrome P450 levels.
100
A patient is being discharged after surgery. During the admission history, the nurse learned that the patient normally consumes two or three glasses of wine each day. The prescriber has ordered hydrocodone with acetaminophen [Lortab] for pain. What will the nurse do?
What is Tell the patient not to drink wine while taking Lortab.
100
The U.S. Food and Drug Administration (FDA) recommends genetic testing of patients receiving certain medications. Genetic testing helps prescribers:
What is determine whether a patient is a rapid or slow metabolizer of the drug
200
A patient claims to get better effects with a tablet of Brand X of a drug than with a tablet of Brand Y of the same drug. Both brands contain the same amount of the active ingredient. What does the nurse know to be most likely?
What is Tablets can differ in composition and can have differing rates of disintegration and dissolution, which can alter the drug’s effects in the body.
200
A patient has been receiving an antibiotic with a small therapeutic index for 10 days. Upon assessment, the nurse notes an increase in the drug’s side effects. What would be the nurse’s priority action?
What is Ask the prescriber to order a plasma drug level test.
200
The nurse is providing multiple medications to a patient whose spouse brings grapefruit juice every morning. The nurse will be concerned about which classes of drugs?
What is Calcium channel blockers,Selective serotonin reuptake inhibitors
200
A patient is given a drug for the first time and develops shortness of breath. The patient’s heart rate is 76 beats per minute, the respiratory rate is 20 breaths per minute, and the blood pressure is 120/70 mm Hg. The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report what?
What is Side effect
200
A nurse is teaching a group of women about medications. The women want to know why so many drugs have unpredictable effects in women. The nurse will tell them that:
What is most known drug effects are based on drug trials in men
300
A patient receives a drug that has a narrow therapeutic range. The nurse administering this medication will expect to do what?
What is Monitor plasma drug levels
300
A patient who is taking morphine for pain asks the nurse how a pain medication can also cause constipation. What does the nurse know about morphine?
What is It is selective to receptors that regulate more than one body process.
300
A nurse is teaching a patient about a prescription for a monoamine oxidase (MAO) inhibitor for depression. What will the nurse teach the patient to avoid while taking this drug?
What is Aged cheeses
300
A nurse is preparing to give an antibiotic to a patient who reports being allergic to antibiotics. Before giving the medication, what will the nurse do first?
What is Ask whether the patient has taken this antibiotic for other infections
300
Which groups of people are especially sensitive to medication effects?
What is infants and older adults
400
A patient is receiving intravenous gentamicin. A serum drug test reveals toxic levels. The dosing is correct, and this medication has been tolerated by this patient in the past. Which could be a probable cause of the test result?
What is : The patient is taking another medication that binds to serum albumin.
400
A patient reports becoming “immune” to a medication because it no longer works to alleviate symptoms. The nurse recognizes that this decreased effectiveness is likely caused by:
What is desensitization of receptor sites by continual exposure to the drug
400
In a discussion of drug-drug interactions, which would be the best example of a beneficial inhibitory interaction?
What is Naloxone [Narcan] to block the effects of the morphine
400
A nurse is preparing to administer a drug. Upon reading the medication guide, the nurse notes that the drug has been linked to symptoms of Parkinson’s disease in some patients. What will the nurse do?
What is Observe the patient closely for such symptoms and prepare to treat them if needed.
400
A patient has been taking narcotic analgesics for chronic pain for several months. The nurse caring for this patient notes that the prescribed dose is higher than the recommended dose. The patient has normal vital signs, is awake and alert, and reports mild pain. What does the nurse recognize about this patient?
What is This patient has developed pharmacodynamic tolerance, which has increased the minimal effective concentration (MEC) needed for analgesic effect.
500
A nurse is explaining drug metabolism to a nursing student who asks about glucuronidation. The nurse knows that this is a process that allows drugs to be:
What is recycled via the enterohepatic recirculation to remain in the body longer.
500
What occurs when a drug binds to a receptor in the body?
What is It increases or decreases the activity of that receptor
500
A nurse is teaching a patient about a drug that induces P-glycoprotein. The nurse will explain that this drug may cause which effect on other drugs?
What is Decreased elimination through the kidneys
500
A patient is taking a drug that has known toxic side effects. What will the nurse do?
What is Monitor the function of all organs potentially affected by the drug
500
A patient asks a nurse why a friend who is taking the same drug responds differently to that drug. The nurse knows that the most common variation in drug response is due to differences in each patient’s:
What is metabolism of drugs
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