Nursing Process and Drug Therapy
Pharmacological Principles
Patient education & Drug therapy
Analgesic drugs
Antiepileptic drugs
100
The nurse has been monitoring a patient's progress on a new drug regeme since the first dose and documenting signs of possible adverse efefcts. This example illistrates which pahse of the nursing process? a. Planning b. Evaluation c. implementation d. Nursing diagnosis
The answer is b. Evaluation (pg14)
100
When administering drugs, the nurse remembers that the duration of action of a drug is defined as the time it takes: a. for a drug to elicit a therapeutic response b. for a drug to achieve its maximum therapeutic response c. to remove adrug from circulation d. for a drug's concentration to be sufficient to cause a therapeutic response
The answer is d. (p 27)
100
The nurse is developing a care plan for a patient who will be self-administering insulin injections. which statement reflects a measurable goal? a. The patient will know about insulin injections b. The patient will understand the principles of insulin prepartation c. The patient will demonstrate proper technique of mixing insulin d. The patient will comprehend the proper technique of preparing insulin
answer is c (pg 80-81)
100
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining of severe pain around his incision. What is the most important thing for the nurse to consider during an assessment before giving a dose of morphine to the patient? a. his temperature b. his respiratory rate c. the appearance of his incision d. the date of his last bowel movement
answer is b (pg 160)
100
Phenytoin has a narrow therapeutic index. The nurse recognizes that this characteristic means that a. the safe and toxic plasma levels of this drug are close to each other b. phenytoin has a slim chance of being effective c. there is no difference between safe and toxic plasma levels d. a very small doasge can result in the desired effect
answer is a (pg 231)
200
A patient is to receive oral digoxin (Lanoxin) daily; however he is unable to swallow, he cannot take it orally, as ordered. What type of problem does this present? a. "Right time" b. "Right dose" c. "Right route'" d. "Right medication"
answer is c. Right route (pg 13)
200
When reviewing pharmacological terms for a group of newly graduated nurses, the nurse explains that a drug's half-life is the time it takes for a. the drug to elicit half of its therapeutic response b. one half of the original amount of a drug to reach the target cells c. one half of the original amount of a drug to be removed from the body d. one half of the original amount of a drug to be absorbed into the circulation
answer is c. (pg 26)
200
During a nursing assessment, which question by the nurse allows for greater clarification and additional discussion with the patient? a. "Are you allergic to penicillin ?" b. "What medications do you take?" c. "Have you had a reaction to this drug?" d. "Are you taking this medication with meals?"
answer is c (pg 80)
200
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to administer which type of analgesic? a. synthetic opiod, such as meperidine b. opium alkaloid, such as morphine c. opiod antangonist, such as naloxone d. nonopiod analgesic, such as indomethacin
answer is d (pg 154)
200
A patient has a 9-year history of a seizure disorder that has been well managed with oral phenytoin theapry. He is NPO, what will the nurse do about his morning dose of phenytoin? a. give it IV b. give it with a small sip of water c. contact the MD for another form of this medication d. notify OR that the medication was held
answer is c (pg 240)
300
The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes. Which statement best illustrates an outcome criteria for this patient? a. The patient follows instructions b. The patient will not experience complications c. The patient will adhere to new insulin treatment regimen d. The patient will demomstrate safe insulin self-administration technique
Answer is d. (pg 10)
300
A patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin. Where does the nurse instruct the patient to place the tablet/ a. Under the tongue b. In the space between the cheek and the gum inside the mouth c. At the back of the throat for easy swollowing d. On a nonhairy part of the chest
answer is a. (pg 21)
300
The nurse is setting up a teaching session with an 85-year-old patient who is going home on anticoagulant therapy. Which education strategy would reflect consideration of the changes resulting from aging that exicst with this patient? a. Show a colorful video about anticoagulation therapy b. Present all teh information in one session just before discharge c. Give the patient pamphlets about medications to read at home d. Develop largprint handouts that reflect verbal information presented
answer is d (pg 82)
300
A patient will be discharged with a 1 week supply of an opiod analgesic for pain management after abdominal surgery. The nurse should include which information in the teaching plan? a. management of diarrhea b. drug addiction treatment programs c. prevention of constipation d. dehydration due to polyuria
answer is c (pg 160-161)
300
When teaching a patient about taking a newly prescribed antiepileptic at home, the nurse should include which instruction? a. driving wil be allowed after 2 weeks of therapy b. if seizures occur take a double dose of the medication c. antiacids can be taken with this medication to reduce upset d. regular, consistent dosing is important for successful treatment
answer is d (pg 240)
400
Which activity best reflects the implementation phase of the nursing process for a patient who is newly diagnoses with type 1 diabetes mellitus? a. Providing education regarding self-injection technique b. Setting goals and outcome criteria with the patients input c. Recording a drug history regarding OTC medication used at home d. Formulating nursing diagnosises regarding knowledge deficit related to new treatment regimen
answer is a (pg 10-11)
400
A patient who has advanced cancer is receiving opiod medications around the clock to keep him comfortable as he nears the end of his life. Which term best describes this type of therapy? a. Pallitiative b. Maintenance c. Acute d. Supplemental
answer is a. (pg 29)
400
When a nurse teachs a manual skill such as self-injection of insulin to a patient. what is the best way to set up the teaching session? a. Provide written pamphlets for instruction b. Show a video and allow the patient to practice as needed on his own c. Verbally explain the procedure and provide written handouts for reinforcement d. After demonstrating the procedure, allow the patient to do several return demonstrations
answer is d (pg 79)
400
A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opiod analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The nurse would expect this type of pain to be managed by a. NSAID's b. immediate release opiods c. changing the opiod route to the rectal route d. no changes
answer is c (p 157)
400
The nurse is reviewing the dosage schedule for several different antiepileptic drugs. Which of these drugs allows for once-a-day dosing? a. tiagabine (Gabitril) b. phenobarbital (Solfoton) c. valproic acid (Depakote) d. rabapentin (Neurontin)
answer is b (pg 235)
500
The medication order reads, "give ondansetron 24 mg, 30 minutes before chemotherapy to prevent nausea." The nurse notes that the route is missing from the order. What is the nurses best action? a. Giving the medication IV because it is for nausea b. Giving the medication orally because the tablets are available in 24 mg doses c. Contacting the prescriber to clarify the route of the medication ordered d. Holding the medication until the prescriber returnes to clarify the order
answer is c. (pg 13)
500
When administrating a new medication to a patient, the nurse reads that it is highly protein-bound. The nurse should expect which result? a. Renal excretion will take longer b. The length of time for drug metabolism will be shorter c. The duration of action of the medication will be longer d. The duration of action of the medication will be shorter.
answer is c. (pg 29)
500
A 60-year-old patient is on several medications and expresses worry that she will forget to take her pills. Which action by the nurse would be most helpful in this situation? a. Teaching effective coping strategies b. Reducing the number of drugs prescribed c. assuring her that she will not forget once she is accustomed to the routine d. Assisting her in obtaining and learning to use a calendar or pill container
answer is d (pg 81)
500
A patient is to receive actylcysteine (Mucomyst) as part of the treatment for acetaminophen overdose. Which action by the nurse is appropriate when giving this medication? a. giving it undiluted b. avoid using a straw when giving this medication c. disguising the flavor with soda or flavored water d. give this medication by nebulizer
answer is c (pg 171)
500
A patient os taking gabapentin and the nurse notes that the patient has no history of seizures on his medical record. What is the best possible rationale for this medication order? a. this medication may also be used to treat neuropathic pain b. it is helful for treatment of osteoarthritis c. this medication may reduce symptoms of parkinson's disease d. the record is missing the correct infromation
answer is a (pg 237)
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