Nursing Process and Drug Therapy
The nurse has been monitoring a patient's progress on a new drug regimen since the first dose and documenting signs of possible adverse effects. This example illustrates which phase of the nursing process? a. Planning b. Evaluation c. implementation d. Nursing diagnosis
The answer is b. Evaluation (pg14)
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 a drug from circulation d. for a drug's concentration to be sufficient to cause a therapeutic response
The answer is d. (p 27)
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 preparation 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)
An infection which is opportunistic after antibiotic use
Superinfection
An antibiotic which requires a peak and trough and can cause ototoxicity
Gentamycin
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)
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)
Drugs which prevent the growth of bacteria
Bacteriostatic antibiotics
Neomycin, Streptomycin & Gentamycin
Aminoglycosides
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 demonstrate safe insulin self-administration technique
Answer is d. (pg 10)
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 swallowing d. On a non hairy part of the chest
answer is a. (pg 21)
Penicillin derivatives, Cephalsporins, and Carbapenems
B-Lactam Ring antibiotics
Not to be given at same time as antacids or with dairy foods
Tetracyclines
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 diagnoses regarding knowledge deficit related to new treatment regimen
answer is a (pg 10-11)
A patient who has advanced cancer is receiving opioid 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. Palliative b. Maintenance c. Acute d. Supplemental
answer is a. (pg 29)
When a drug interacts with ETOH to cause flushing, decreased blood pressure and nausea/vomiting
Disulfiram-reaction
Class of drugs which interferes with DNA replication and can cause tendon rupture
Fluoroquinolones
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 returns to clarify the order
answer is c. (pg 13)
A patient is 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 helpful for treatment of osteoarthritis c. this medication may reduce symptoms of Parkinson's disease d. the record is missing the correct information
a. may be used to treat neuropathic pain
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)
Antibiotic which crosses the blood brain barrier and should not be given to children younger than 18
Ertapenem
A drug class which is similar in chemical structure to penicillin and may have cross-sensitivity
Cephalosporins