Safety
How does the nurse verify the right patient?
A. Room number and diagnosis
B. Name and DOB
C. Gender and hair color
D. Ask them if you have the right patient
B. Name and DOB verified against the chart and eMAR. Also MRN.
The four phases of pharmacokinetics are:
A. Absorption, biotransformation, distribution, excretion
B. Administration, distribution, excretions, biotransformation,
C. Absorption, distribution, metabolism, excretion
D. Onset, peak, metabolism, duration
C. ADME
What is the peak of a drug?
A. Blood level after 4 half lives
B. When the drug starts to kick in
C. The maximal effect
D. Blood level before the next dose is due
C. The maximal effect usually 30 min or so after taking the medication
A medication that absorbs through the skin is called:
A. Aerosol
B. Subdermal
C. Topical
D. Capsule
C. Toipical
What term describes multiple drugs being taken, and could lead to interactions?
A. Multimedication
B. Polydipsia
C. Polypharmacy
D. Multipharmacy
C. Polypharmacy is occurs when patients take more than 5 medications, increases the risk for interactions and duplications
These orders are on the right patient. Which of the following orders is complete?
A. Heparin 5,000 BID SQ for 14 days
B. Metoprolol 25 mg PO BID daily
C. Acetaminophen 500mg PO PRN headache daily
D. Famotidine 20mg IV
B. has drug, dose, route, time,
Low plasma protein can cause what issue with free drug levels in the blood?
A. Decreased free drug
B. Increased free drug
C. No change
D. Faster metabolism
B. Increased free drug
Antagonistic drugs do what together?
A. Compete for protein spaces during distribution
B. One drug displaces the other from cell receptors
C. Increase effects compared to drugs given alone
D. The drug effects add together
B. One drug displaces the other from cell receptors, reversal agents
When using nasal spray, it is best to have the client perfrom which action prior?
A. Tilt the head back
B. Avoid blowing the nose
C. Blow the nose
D. Hyperoxygenate
C. Blow the nose prior, removing mucus can help the medication get to the desired location in the nares
What organ slows down in geriatrics and causes decreased metabolism of drugs, increasing the risk of drug accumulation in the body?
A. Kidneys
B. Blood
C. Mitochondria
D. Liver
D. Liver is responsible for drug metabolism
Kidney disease will affect which part of pharmacokinetics?
A. Absorption
B. Metabolism
C. Excretion
D. Biotransformation
C. Excretion, most drugs are cleared through the kidneys
Drug trough is drawn right before the next dose, why?
A. To ensure the drug level is down as expected
B. To guide the amount of the next dose
C. To ensure there are no allergies
D. To see if the drug has reached the highest concentration in the blood
A. To ensure the drug level is down as expected
When administering nasal drops, it is essential that the nurse have the patient do what?
A. Plug the nose for 10 min after administration
B. Tilt the head toward the sinus the medication should reach
C. Avoid blowing the nose first, blow after
D. Touch the dropper to the side of the nare to ensure the drop goes in the right area
B. Tilt head toward the sinus that the medication should reach
Nurses should speak to clients in a very loud and high pitch voice if they are hard of hearing?
A. True
B. False
B. False, high pitch tone discrimination decreases with aging, and very loud could be misinterpreted