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Week 1 exam Study Guide 2024.
The culture and sensitivity testing of a patient's wound exudate indicates that a specific antibiotic is necessary for treatment. The Untied States Pharmacopedia-National Formulary indicates that the drug in question is 96% protein bound. What are the implications of this fact? - ANS; Dosages of the drug must be large in order to be effective.
The nurses assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? - ANS; I broke out in hives and got terribly itchy when I started a new prescription last year.
Tylenol 325mg/tab, patient needs 650mg; how many tablets should the patient take? - ANS; 2
A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? - ANS; How well a drug produces its desired effect
A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patients medication regimen. Which of the patient's medications should prompt the patient to teach to avoid drinking grapefruit juice? - ANS; Atorvastatin (Lipitor)
In order to promote therapeutic drug effects, the nurse should always encourage the patients to... - ANS; take their medications at the prescribed times.
Week 1 exam Study Guide 2024.
A home health nurse notes that there have been changes to a patients oral drug regimen. The nurse will closely monitor the new drug regimen to... - ANS; identify any changes in drug absorption that would change the drug effect.
on 1 am rounds the nurse finds a patient awake and frustrated that she cannot sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later the nurse finds the patient out of bed, full of energy, cleaning her room. The nurse evaluates the patients response to a hypnotic as... - ANS; An idiosyncratic effect
In light of her recent high blood pressure readings a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergenic blocker. What is the most likely rationale for using two medications to address the patients hypertension? - ANS; Using the two drugs to treat a health problem may create a synergistic effect.
A patient has a blood serum drug level of 50 units/ml. The drugs half life is 1 hour. If concentrations above 25 units/ml are toxic and no more of the drug is given, how long will it take for the blood level reach the nontoxic range? - ANS; 1 hour
For which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications? - ANS; A 78 year old man who is unable to swallow following an ischemic stroke
A 56 year old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat spasms. She has a poorly documented allergy to eggs, synthetic clothing, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic
Week 1 exam Study Guide 2024.
Which of the following statements best defines how a chemical becomes termed a drug? - ANS; A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug.
30ml=____tbsp - ANS; 2
A nurse has been administering a drug to a patient IM. The physician discontinues the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is considerably higher that the parenteral dose and understands that this is due to the... - ANS; first pass effect.
A patient with a recent diagnosis of acute renal failure has a long standing seizure disorder which has been successfully controlled for several years with antiseizure medications. The nurse should recognize that the patients compromised renal function will likely... - ANS; Increase the half life of medications that are metabolized by the kidney.
An older patient with a history of Alzheimer's disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patients cognition have impaired his ability to swallow pills. Which of the following medications may the nurse crush before administering them to this patient? - ANS; An immediate release opioid analgesic tablet
An 80 year old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move into an assisted living facility. Before admission to the assisted living facility, the patients physician has determined that the
Week 1 exam Study Guide 2024.
drug is no longer needed. The nurse at the facility will plan to.... - ANS; withdraw the drug gradually over a 2 to 3 week period.
A 79 year old patient in a long term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration? - ANS; Triglyceride level
Medication reconciliation for an 82 year old man who has recently moved to a long term care facility reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse should recognize what consequence of this aspect of the residents drug regimen? - ANS; Increased risk for falls
A 77 year old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the hospital with a diagnosis of failure to thrive. What should the nurse prioritize when addressing the woman's apparent lack of nutrition? - ANS; Assess the reasons behind the patients poor nutritional status.
A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced an adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential of adverse drug effects during the patients stay in the hospital? - ANS; Monitor the patient vigilantly for signs and symptoms of potentially adverse drug effects.
A patient is treated with an antibiotic for an infection in his leg. After 2 days of taking the antibiotic, the patient calls the clinic and reports that he has a rash all over his body. The nurse is aware that a rash can be an adverse effect of an antibiotic and can be either a biologic, chemical, or physiologic action of the drug which is an example of - ANS; pharmacodynamics
