NURS 3302 ch 4&5 nclex 2020,100% CORRECT

Billy’s medications should be individualized to ensure the best outcome. Individualizing drug therapy for a child involves which one of the following? 1. assessing the child’s age and development level 2. administering ...

Billy’s medications should be individualized to ensure the best outcome. Individualizing drug therapy for a child involves which one of the following? 1. assessing the child’s age and development level 2. administering an adult drug selection and dosage and observing for adverse reactions 3. deferring treatment until a better pediatric drug is developed 4. determining the child’s diet and exercise needs • Billy is unable to tolerate montelukast for his asthma, although this drug works well for his father. Billy’s physician is aware that the boy’s reaction is most likely a reflection of his 1. inability to understand the purpose of the drug 2. hope that he will not have to take the drug 3. inability to swallow pills 4. genetic variability • Billy’s asthma, a prescriber has ordered albuterol. Which one of the following important factors related to growth and development is most likely to affect absorption of this beta2-adrenergic agonist? 1. the ability of Billy to cough up his secretions 2. the need to decrease the dose as Billy’s age increases 3. the need to monitor Billy for hypotension 4. the ability of Billy and his caregivers to understand the inhaler and how to use it to administer the albuterol • A 3-month-old infant who receives fosphenytoin (Cerebyx) for a seizure disorder does not process this drug in the same way as an adult. Alterations in infant pharmacokinetics that influence drug action include which of the following concepts? 1. Drug response in infants is slower and less rapid than in adults. 2. Neonates have a decreased response to drugs that affect the central nervous system. 3. Infants have a decreased response to water-soluble drugs and an increased response to protein-bound drugs. 4. By 3 months of age, drug response in infants is similar to that of adults. Chapter 5 NCLEX SUCCESS QUESTIONS 1. When administering a beta-adrenergic agonist to a patient older than 65 years of age, what response do you anticipate? A. The drug will work very rapidly to decrease blood pressure. B. The dosage will need to be increased to provide an effective response. C. The drug should be combined with atropine to enhance effectiveness. D. The dosage will need to be titrated over 20 minutes to increase blood pressure 2. A 75-year-old woman is having difficulty remembering to take all of her medications. Which of the following nursing interventions will assist her to improve adherence to the medication schedule? A. Have her daughter administer the medications. B. Decrease the number of medications administered. C. Evaluate her ability to care for herself. D. Provide a medication administration aid 3. A 68-year-old woman has been prescribed digoxin 0.125 mg. Based on her age, what condition is she at risk for developing? A. diarrhea B. digoxin toxicity C. edema D. pulmonary embolis 4. An 85-year-old woman is administered a general anesthetic for repair of a hip fracture. Which of the following properties of the anesthetic place her at risk for respiratory depression? A. solubility in lipids B. solubility in water C. binding to cytochrome P450 D. binding to muscle tissue 5. A 68-year-old woman is receiving chemotherapy. What is the rationale for teaching her to drink eight glasses of water throughout the day following the administration of chemotherapy? A. Chemotherapy is toxic to the liver, and the water will reduce the adverse effects. B. The water will prevent the body from rejecting the medication. C. Chemotherapy is excreted in the kidneys and urine. The water will help eliminate it from the body. D. The water will prevent dehydration, an adverse effect of the medication 6. A 78-year-old man is receiving treatment for hypertension. He has been having persistent headaches and difficulty with the medications he has been prescribed. This is the third prescription he has received. He states, “I can’t afford to get this filled and then stop it in a few days.” Which statement is most appropriate for the nurse to communicate to the patient? A. Have the pharmacist give you a few pills to start. B. Take your other medication and then switch. C. Take the other medications back to the pharmacy for a refund. D. Save all your pills; you may need them again