PHARM MADE EASY 4.0: INTRODUCTION TO PHARMACOLOGY

PHARM MADE EASY 4.0: INTRODUCTION TO PHARMACOLOGY A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurs ...

PHARM MADE EASY 4.0: INTRODUCTION TO PHARMACOLOGY A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (select all that apply) [] periodic laboratory tests are essential to measure serum drug levels [] monitoring for indications of toxicity is important [] taking the drug with an inducing agent will increase the possibility of toxicity [] taking the smallest effective dose is crucial [] increasing fluid intake is recommended to avoid toxicity Answers: Periodic laboratory tests are essential for measuring serum drug levels is correct. *Clients who are taking drugs that have a high potential for toxicity should undergo regular monitoring of serum drug levels to be certain the drug level stays within the therapeutic range. Monitoring for indications of toxicity is important is correct. *Drugs that have a high potential for toxicity can quickly build up to toxic levels in the blood, resulting in effects that can be irreversible or life-threatening. Therefore, the nurse should monitor for manifestations of toxicity particular to the drug the client is taking. Taking the smallest effective dose is crucial is correct. *It is optimal to use the lowest effective dose of a drug to achieve therapeutic effects because doing so helps minimize the risk for toxicity. A nurse is teaching a client about the adverse effects of digoxin. which of the following statements should the nurse include in the teaching? [] "adverse effects are the intended effects of the medication." [] "adverse effects indicate a severe allergy to the medication." [] "decrease your medication dose if adverse effects occur." [] "contact your provider if adverse effects occur." Answers: "contact your provider if adverse effects occur." A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following? [] tolerance to the drug [] drug interaction [] drug toxicity [] dependence on the drug Answers: Drug toxicity Drug toxicity develops when the amount of a drug that is taken is greater than its rate of excretion, and it results in the drug accumulating in the body. A client who has renal insufficiency might have delayed or impaired excretion of the drug. The drug dosage should be reduced if toxicity occurs.A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching? [] "drug absorption occurs in the stomach." [] "you should expect immediate absorption of the drug." [] "you should allow the tablet to dissolve in your mouth." [] "do not crush or chew the tablet." Answers: "do not crush or chew the tablet." Drugs that irritate the stomach are often covered with an enteric coating that does not dissolve until the drug enters the alkaline environment of the small intestine. Clients should not crush or chew enteric-coated drugs because this will damage the enteric coating. A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning? [] after the client has a definitive diagnosis [] on the day of discharge [] when the client's family members are present [] as soon as possible Answers: As soon as possible A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client? [] pharmacologic action [] chemical stability [] route [] adverse effects Answers: Pharmacologic action is Correct The nurse should identify that the mechanism of action of a drug on the body to achieve the desired effect is referred to as pharmacologic action. Chemical stability The nurse should identify that knowledge of how a drug should be stored and handled to maintain maximum effectiveness is referred to as chemical stability. Route The nurse should identify that route refers to the method of administering the drug, such as oral, topical, or parenterally. Adverse effects The nurse should identify that adverse effects refer to the unintended and undesired effects that drugs have on the body, which can range from annoying to life-threatening. A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks?[] contraindications [] precautions [] paradoxical effects [] adverse effects Answers: Precautions A precaution includes disease states, such as kidney disease, or clinical situations in which use of a drug involves particular risks or dosage modification might be necessary.