.) A pregnant woman is being administered IV magnesium sulfate. What is a desired outcome related to the administration of magnesium sulfate?
2.) A nurse should prepare to give which medication for an opiod analgesic
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.) A pregnant woman is being administered IV magnesium sulfate. What is a desired outcome related to the administration of magnesium sulfate?
2.) A nurse should prepare to give which medication for an opiod analgesic overdose?
3.) A 2-year-old girl with a recent history of idiopathic nausea and vomiting was prescribed promethazine (Phenergan) by her primary care provider. The immaturity of this child's gastrointestinal system will primarily influence what aspect of pharmacokinetics?
4.)A patient requires a high dose of his new antihypertensive medication because the new medication has a significant first-pass effect. This means that the drug
5.) Increased hormones in pregnancy like estrogen and progesterone decrease metabolism and clearance of many drugs.
6.) A patient cannot swallow medications, and the pharmacy has delivered an extended-release tablet. What is the most appropriate action taken by the nurse?
7.)In Phase I clinical trials, the potential uses and effects of a new drug are determined by which of the following methods?
8.) A patient with a long-standing dermatological health problem has been advised to use a drug with a local effect. The nurse should recognize what characteristic of this drug?
9.) An infant's current weight indicates that the maximum safe dose of Tylenol is 30 mg by mouth. The physician orders 65 mg to be given, and the nurse administers Tylenol 65 mg. Who is legally responsible in the event that the infant has a toxic reaction to the medication?
10.) A hospital nurse is vigilant in ensuring the safe use of medications and consistently applies the rights of medication administration. Which of the following is one of the traditional rights of medication administration?
11.) An older adult's most recent blood work reveals that his serum albumin level is 21 g/L (low). This will most influence what aspect of pharmacokinetics?
12.)The physician orders potassium chloride 40 mEq to be added to the patient's IV solution. The vial reads 10 mEq/5 mL. How many milliliters will be added to the IV solution? {calc}
13.) A patient has been brought to the emergency department by ambulance, and his friend states that he has overdosed on methadone, a long-acting opioid. The care team is preparing to administer the appropriate antidote, naloxone, which has a shorter half-life than methadone. What are the implications of this aspect of pharmacokinetics?
14.) A 90-year-old patient’s most recent blood work includes the following data: alanine aminotransferase (ALT) 1.99 μkat/L (high) and aspartate aminotransferase (AST) 3.1 μkat/L (high). What implication do these data have for the patient's pharmacokinetics?
15.) A pediatric nurse confronts many challenges when providing medications to children and infants. Which of the following principles is most appropriate when administering medication to children?
16.) According to the graph below at what age does total body water plateau?
17.) Select all the drugs that are known to produce adverse effects in older adults according to Beers Criteria
Selected Answers:
18.) When administering magnesium sulfate, for what should the nurse assess the patient?
19.) When measuring medications for infants and children the nurse must use appropriate measuring deivices graduated to tenths.
20.) An 85-year-old patient has an elevated serum creatinine level, indicating impaired kidney function. When the patient is administered a medication, this patient is at risk for which of the following medication-related effects?
21.) A nurse has provided an oral dose of morphine, an opioid agonist, to a woman in early labor. The nurse should be aware of what characteristic of agonists?
22.) A primiparous woman was vigilant in avoiding medications and herbs during her pregnancy and states that she is similarly committed to protecting her baby's health now that she is breast-feeding. What principle should guide the woman's use of medications while breast-feeding?
23.) A nurse is preparing to administer a patient's scheduled beta-adrenergic blocker. The nurse is aware that the patient is receiving this drug for the treatment of hypertension. The nurse has addressed which of the following rights of safe medication administration?
24.) A pediatric nurse is well aware of the many physiological variables that influence safe pharmacotherapy in patients younger than 18. Which of the following principles should the nurse integrate into care?
25.) A gerontological nurse is aware that older adults' abilities to excrete medications diminish with age. When appraising an older adult's ability to excrete medications, what laboratory or diagnostic finding should the nurse prioritize?
26.) A patient with an autoimmune disorder has just been prescribed a synthetic drug. Which of the following characteristics is a noted advantage of synthetic drugs?
27.) A nurse has noted that an older adult patient on an acute care for elders (ACE) unit has an exceptionally lengthy medication administration record. The nurse has alerted the pharmacist because one of the patient's long-standing medications appears on the Beers list. What medication is the nurse likely addressing?
28.)Drugs that have no acceptable medical use, lack of accepted safety, and have high abuse potentials are considered Schedule II drugs under controlled substance categories.
29.) A patient is receiving oxytocin (Pitocin). Which of the following is a maternal adverse effect of Pitocin?
30.) A nurse is preparing to administer a nebulized bronchodilator to a young child with asthma. The nurse should be aware that this child's dosage is based primarily on what characteristic of the child?
31.) A nurse is preparing to simultaneously administer two drugs to a patient. The nurse knows that the drugs have been ordered to be given together because of their synergistic effect. This means that
32.) A woman who began labor several hours ago is to be administered oxytocin. What is the goal of oxytocin therapy?
33.) A patient with a diagnosis of bipolar disorder has begun lithium therapy, and the nurse has explained the need for regular monitoring of the patient's serum drug levels. What is the primary rationale for the nurse's instruction?
34.) A patient is being administered magnesium sulfate for preterm labor. The patient's serum magnesium level is elevated at 11 mg/dL. With what sign or symptom will the patient likely present?
35.) Which of the following assessments should be made before administering a new medication?
36.) An emergency department nurse is confirming that a child's ordered dose of IV analgesia is congruent with her body surface area (BSA). In order to calculate the child's BSA, the nurse must know which of the following variables? Select all that apply.
37.) A patient is administered an oral contraceptive. Which of the following is the process that occurs between the time the drug enters the body and the time that it enters the bloodstream?
38.) Atropine is the antidote for acetaminophen.
39.) A nurse is responsible for maintaining an accurate count and record of the controlled substances on the nursing unit.
40.) Significant pharmacodynamic variations exist between adult patients and pediatric patients. Which of the following factors are known to contribute to differences in the ways that drugs affect target cells in children and infants? Select all that apply.
41.) The antidote for Warfarin is
42.) A nurse is performing health education with a woman who has just learned that she is pregnant. The nurse has explained the concept of teratogenic drugs and emphasized the need to have her care provider assess any medications she should consider taking. The nurse should teach the woman that drug-induced teratogenicity is most likely to occur at what point in her pregnancy?
43.) An 80-year-old patient with risk factors for thrombophlebitis is to be administered heparin 5000 units subcutaneously. The heparin vial is labeled 10,000 units/mL. How many milliliters will the nurse administer to the patient? {calc}
44.) A nurse is aware that the dosing scheduling of a patient's new medication takes into account the serum half-life of the drug. What is the serum half-life of a medication?
45.) A nurse is reviewing a new patient's admission blood work, which indicates that the patient's glomerular filtration rate is 51 mL/min/1.73 m2 (low). What implication does this have for the patient's subsequent pharmacotherapy?
46.) A patient in cardiovascular collapse requires pharmacological interventions involving a rapid drug action and response. What route of administration is most likely appropriate?
47.) Laboratory testing of an 80-year-old patient who is well-known to the clinic nurse indicates that his liver function has been gradually decreasing over the last several years. How will this age-related physiological change influence drug metabolism?
48.) The "do not use" list of abbreviations and safe medication administration management using risk-reduction activities with medication labeling and use of anticoagulant medications was initiated by
49.) Oral acetaminophen has been ordered for a young child who has a fever. A liquid form has been obtained by the nurse to increase the chance of problem-free administration. Prior to administration, the nurse is going through the rights of medication administration. When confirming the right dose, what term is most appropriate?
50.) A patient has informed the nurse that he has begun supplementing his medication regimen with a series of herbal remedies recommended by his sister-in-law. Which of the following is the most important nursing responsibility regarding herbal supplements?
51.) A 3-month-old infant who receives fosphenytoin (Cerebyx) for a seizure disoder does not process this drug in the same ways an adult. Alterations in infant pharmacokinetics that influence the action inclue which of the following concepts?
52.) A patient's current medication administration record includes a drug that the nurse recognizes as an Institute for Safe Medication Practices (ISMP) high-alert medication. This designation signals the nurse to what characteristic of the drug?
54.) A woman who is in the first trimester of her pregnancy has told the nurse, “I've stopped taking my blood pressure pill because I know it could harm the baby. Instead, I've started taking natural and herbal remedies.” What nursing diagnosis is suggested by the woman's statement?
54.) The nurse has administered lacosamid (Vimpat) to the wrong patient. What is the first action the nurse should take?
55.) A 3-year-old Asian American boy has had culture and sensitivity testing performed, and antibiotic treatment is indicated. The prescriber knows that the recommended antibiotic has not been extensively studied in pediatric patients. Consequently, the prescriber will be obliged to do which of the following?
56.) A woman in labor is being treated with magnesium sulfate intravenously and is beginning to show signs and symptoms of hypermagnesemia. The infusion has been discontinued, and the nurse should anticipate administration of what drug?
57.) Protamine sulfate is the antidote for what medication?
58.) Select the image below that depicts the ventrogluetal site for an intramuscular (IM) injection.
59.) A nurse is conducting a medication reconciliation of a woman who is newly admitted to a long-term care facility. When appraising the woman's medication regimen in light of the Beers Criteria, the nurse will look for
60.) A nurse is teaching an 81-year-old man about the risk for potential adverse effects before he begins a course of antibiotics for an upper respiratory infection. What characteristic of older adults predisposes them to adverse drug reaction?
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