Quiz 1:
A patent asks the nurse about drug interactons with OTC preparatons. What is the nurse's best response?
A. "Discuss this with the health care provider."
B. "There are not many interactons, so don't worry about
...
Quiz 1:
A patent asks the nurse about drug interactons with OTC preparatons. What is the nurse's best response?
A. "Discuss this with the health care provider."
B. "There are not many interactons, so don't worry about it."
C. "Read the labels carefully, and check with your health care provider."
D. "Avoid over-the-counter preparatons."
A provider prescribes phenobarbital for a client who has a seizure disorder. The medicaton has a long half-life of 4 days.
How many tmes per day should the nurse expect to administer this medicaton?
A. One. Medicatons with long half-lives remain at their therapeutc levels between doses for long periods of tme. The
nurse should expect to administer this medicaton once a day.
B.Two
C.Three
D.Four
A nurse educator is reviewing medicaton metabolism at an in-service presentaton. Which of the following factors
should the educator include as a reason to administer lower medicaton dosages?
A. Increased renal excreton
B. Increased medicaton-metabolizing enzymes
C. Liver failure - Liver failure decreases metabolism and thus increases the concentraton of a medicaton. This requires
decreasing the dosage.
D. Hypertension
A nurse is teaching a client about transdermal patches. Which of the following statements should the nurse identfy as an
indicaton that the client understands?
A. "It doesn't' mater if I clean the site before I apply the patch."
B. "I will rotate the applicaton sites weekly."
C. "I will apply the patch to an area of skin with no hair." - The client should apply the patch to a hairless area of skin to
promote absorpton of the medicaton.
D. "I will place the new patch on the site of the old patch."
A nurse is preparing a client's medicatons. Which of the following actons should the nurse take in following legal
practce guidelines? (Select all that apply.)
A. Teach the medicaton as part of the rights of medicaton administraton.
C. Monitor for adverse effects as part of the rights of medicaton administraton.
D. Lock controlled substances in a drawer, cart, or other compartment to prevent misuse.
A nurse is preparing to administer digoxin to a client who states, "I don't want to take that medicaton. I do not want one
more pill." Which of the following responses should the nurse make?
A. "Your physician prescribed it for you, so you really should take it."
B. "Well, let's just get it over quickly then."
C. "Okay, I'll just give you your other medicatons."
D. "Tell me your concerns about taking this medicaton." - Although clients have the right to refuse a medicaton, this
response is correct in determining the reason for refusal by asking about the client's concerns. Then informaton can be
provided about the risk of refusal and facilitate an informed decision. At that point, if the client stll exercises their right
to refuse a medicaton, notfy the provider and document the refusal and the actons taken.
This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 08:00:43 GMT -05:00
https://www.coursehero.com/file/146655969/MUST-pharm-quizzesdocx/A nurse is reviewing a client's prescribed medicatons. Which of the following situatons represents a contraindicaton to
medicaton administraton?
A. The client drank grapefruit juice, which could reduce a medicaton's effectveness.
B. The medicaton has orthostatc hypotension as an adverse effect.
C. A medicaton is approved for ages 12 and older, and the client is 8 years old. - Age is one factor that can be a
contraindicaton to medicaton administraton. Contraindicatons are fndings that indicate the client should not receive a
medicaton and are different from instances where an undesirable effect or more monitoring are needed.
D. An antanxiety medicaton that has an adverse effect of drowsiness is prescribed as a preoperatve sedatve.
A nurse is assessing a client before administering medicatons. Which of the following data should the nurse obtain?
(Select all that apply.)
A. CORRECT: Inquire about the client's use of herbal products, which ofen contain caffeine, prior to medicaton
administraton because caffeine can affect medicaton biotransformaton.
C. CORRECT: Determine the client's ability to swallow to see what route or formulaton of the medicaton the client
requires.
D. CORRECT: Inquire about food allergies during the preassessment to identfy any potental reactons or interactons.
A nurse is working with a newly licensed nurse who is administering medicatons to clients. Which of the following
actons should the nurse identfy as an indicaton that the newly hired nurse understands medicaton error preventon?
A. Taking all medicatons out of the unit-dose wrappers before entering the client's room
B. Checking the prescripton when a single dose requires administraton of multple tablets - If a single dose requires
multple tablets, it is possible that an error has occurred in the prescripton or transcripton of the medicaton. This
acton could prevent a medicaton error.
C. Administering a medicaton, then looking up the usual dosage range
D. Relying on another nurse to clarify a medicaton prescripton
A nurse is caring for a client experiencing IV extravasaton. The facility requires the administraton of an antdote for the
prescribed IV soluton. Afer stopping the IV infusion, which of the following actons should the nurse take frst?
A. Remove the IV catheter.
B. Withdraw the soluton from the IV access. - According to evidence-based practce, the nurse should frst withdraw the
soluton from the IV access. This reduces the amount of vesicant in the body and lowers the risk of tssue damage.
C. Administer the antdote to the vesicant.
D. Insert a new IV access in a different extremity.
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescripton. The client states when
they took penicillin 3 years ago, they developed a rash. Which of the following actons should the nurse take?
A. Administer the prescribed dose.
B. Withhold the medicaton. - and notfy the provider of the client's previous reacton to penicillin so that an alternatve
antbiotc can be prescribed. Allergic reactons to penicillin can range from mild to severe anaphylaxis, and prior
sensitzaton should be reported to the provider.
C. Ask the provider to change the prescripton to an oral form.
D. Administer an oral anthistamine at the same tme.
A nurse is reviewing a client's health record and notes that the client experienced permanent extrapyramidal effects
caused by a previous medicaton. The nurse should recognize that the medicaton affected which of the following
systems in the client?
C. Central nervous - Realize that extrapyramidal effects are movement disorders that can be caused by a number of
central nervous system medicatons (traditonal/FGA antpsychotc medicatons).
This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 08:00:43 GMT -05:00
https://www.coursehero.com/file/146655969/MUST-pharm-quizzesdocx/A nurse is teaching a client who has a new prescripton for levodopa/carbidopa for Parkinson's disease. Which of the
following instructons should the nurse include?
A. Increase intake of protein-rich foods.
B. Expect muscle twitching to occur.
C. Take this medicaton with food. - The client should take this medicaton with food to reduce GI effects.
D. Antcipate relief of manifestatons in 24 hr.
A nurse is caring for a client who is receiving moderate sedaton with diazepam IV. The client is oversedated. Which of
the following medicatons should the nurse expect to administer to this client?
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine
C. CORRECT: Flumazenil is a compettve benzodiazepine antagonist used to reverse the sedaton and other effects of
benzodiazepines.
A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescripton for fluoxetne. Which of
the following instructons should the nurse include?
A. "It can take several weeks before you feel like the medicaton is helping."
B. "Take the medicaton just before bedtme to promote sleep."
C. "You should take the medicaton when needed for obsessive urges."
D. "Monitor for weight gain while taking this medicaton."
A. CORRECT: Fluoxetne can take 1 to 4 weeks before the client reaches full therapeutc beneft.
A nurse is caring for a client who has a new prescripton for phenelzine, an MAOI, for the treatment of depression. Which
of the following indicates that the client has developed an adverse effect of this medicaton?
A. Orthostatc hypotension
B. Hearing loss
C. Gastrointestnal bleeding
D. Weight loss
A. CORRECT: Orthostatc hypotension is an adverse of effect of MAOIs, including phenelzine
A nurse is providing teaching to a client who has a new prescripton for amitriptyline for treatment of depression. Which
of the following should the nurse include in the teaching? (Select all that apply.)
A. Expect therapeutc effects in 24 to 48 hr.
B. Discontnue the medicaton afer a week of improved mood.
C. Change positons slowly to minimize dizziness.
D. Decrease dietary fber intake to control diarrhea.
E. Chew sugarless gum to prevent dry mouth.
C. CORRECT: Changing positons slowly helps prevent orthostatc hypotension, which is an adverse effect of amitriptyline.
E. CORRECT: Chewing sugarless gum can minimize dry mouth, which is an adverse effect of amitriptyline.
. A nurse is providing discharge teaching to a client who has a new prescripton for fluoxetne for postraumatc stress
disorder. Which of the following statements should the nurse include in the teaching?
A. CORRECT: Decreased libido is a potental adverse effect of fluoxetne and other SSRIs
This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 08:00:43 GMT -05:00
https://www.coursehero.com/file/146655969/MUST-pharm-quizzesdocx/A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment
fndings should alert the nurse to the possibility that the client is developing serotonin syndrome?
B. Fever CORRECT: Fever is a manifestaton of serotonin syndrome, which can result from taking an SSRI such as
sertraline.
A nurse is reviewing laboratory fndings and notes that a client's lithium level is 2.1 mEq/L. Which of the following is an
appropriate acton by the nurse?
A. Hold the medicaton and notfy the provider.
B. Prepare the client for hemodialysis.
C. Administer an additonal oral dose of lithium.
D. Request a stat repeat of the laboratory test.
A. CORRECT: Hold the medicaton and notfy the provider is the appropriate acton for a client who has severe toxicity, as
evidenced by a plasma lithium level of 2.1 mEq/L.
A nurse is caring for a client who has a new prescripton for lithium. When teaching the client about ways to prevent
lithium toxicity, the nurse should advise the client to do which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
C. Decrease fluid intake to less than 1,500 mL daily.
D. Limit aerobic actvity in hot weather.
D. CORRECT: The client should avoid actvites that have the potental to cause sodium/water depleton, which can
increase the risk for toxicity.
A nurse is assessing a client who takes lithium for the treatment of bipolar disorder. The nurse should identfy which of
the following fndings is a possible indicaton of toxicity to this medicaton?
A. Severe hypertension
B. Coarse tremors
C. Constpaton
D. Muscle spasms
B. CORRECT: Coarse tremors are an indicaton of toxicity
A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescripton for carbamazepine.
Which of the following instructons should the nurse include in the teaching? (Select all that apply.)
A. "This medicaton can safely be taken during pregnancy."
B. "Eliminate grapefruit juice from your diet."
C. "You will need to have a complete blood count and carbamazepine levels drawn periodically."
D. "Notfy your provider if you develop a rash."
E. "Avoid driving for the frst few days afer startng this medicaton."
B. CORRECT: Grapefruit juice affects carbamazepine metabolism and should be avoided.
C. CORRECT: Carbamazepine blood levels and the CBC should be monitored during therapy. The client is at risk for bone
marrow depression while taking carbamazepine and should notfy the provider for a sore throat or other manifestatons
of an infecton.
D. CORRECT: Carbamazepine can cause Stevens-Johnson syndrome, which can be fatal. The client should notfy the
provider promptly if a rash occurs.
E. CORRECT: CNS effects (drowsiness or dizziness) can occur early in treatment with carbamazepine, and the client should
avoid actvites requiring alertness untl these effects subside.
This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 08:00:43 GMT -05:00
https://www.coursehero.com/file/146655969/MUST-pharm-quizzesdocx/A nurse is assessing a client who recently began taking haloperidol. Which of the following fndings is the priority to
report to the provider?
A. Constpaton
B. Neck spasms
C. Drowsiness
D. Sexual dysfuncton
B. CORRECT: Neck spasms are an indicaton of acute dystonia (EPS). The greatest risk to this client is respiratory
insufciency if the laryngeal muscles are also effected. Therefore, this is the priority fnding to report.
A charge nurse is planning a staff educaton session to discuss medicatons used during the care of a client experiencing
alcohol withdrawal. Which of the following medicatons should the charge nurse include in the discussion? (Select all
that apply.)
A. Lorazepam
B. Diazepam
C. Naltrexone
D. Acamprosate
A. CORRECT: Lorazepam is a benzodiazepine used during alcohol withdrawal to decrease anxiety and reduce the risk for
seizures.
B. CORRECT: Diazepam is a benzodiazepine used during alcohol withdrawal to decrease anxiety and reduce the risk for
seizures.
Q3: You have been assigned to care for Jim. He is 29 and has been diagnosed with schizophrenia. Jim has been
prescribed chlorpromazine. He lives with his parents. You have been asked to talk with Jim's family. His parents have
questons about the side effects of chlorpromazine. While Jim is in a group session, you meet with his parents. The
mother asks what Jim's provider means by saying that chlorpromazine causes EPS. Which teaching statement by the
nurse regarding EPS is INCORRECT?
"There are many drugs to manage late EPS"
Q3: Jim's mom says that if these symptoms create problems, she wants to know what can be done to help the situaton.
Which response by the nurse would be appropriate?
"Early EPS can be treated with antcholinergic drugs, beta blockers, or benzos"
Q3: Jim's mother states that she is concerned. "Understand that Jim will need to take the medicaton for the rest of his
life. How am I ever going to get him to take these pills if the side effects are so bad?" Which teaching statement by the
nurse is INCORRECT?
"Adherence can be improved by hiding Jim's pills in his morning eggs."
Q3: You are a nursing student on your medical surgical rotaton. Mrs. S. has been diagnosed with depression. As part of
her treatment, she has been prescribed fluoxetne. Your clinical instructor has informed you that Mrs. S has many
questons about the use of fluoxetne for the treatment of depression. Mrs. S asks: "How does fluoxetne work?" Which
response by the nurse would be most appropriate?
"Fluoxetne increases the concentraton of serotonin in the synapse, minimizing the symptoms of depression."
Q3: Mrs. S asks "What else do I need to know about this medicaton?" Which statements are appropriate for the nurse to
include in the teaching plan? SATA
"This medicaton may cause some sexual side effects. Let your HCP know about this if it occurs"
"When you stop taking this medicaton, you should not withdraw from it abruptly."
"Let your family or HCP know if you are experiencing a worsening mood, agitaton, or increased anxiety."
This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 08:00:43 GMT -05:00
https://www.coursehero.com/file/146655969/MUST-pharm-quizzesdocx/Mrs. S asks: "I've read about serotonin syndrome, is this something I should be concerned about?" Which teaching
statement by the nurse regarding serotonin syndrome is INCORRECT?"
"Serotonin syndrome usually begins afer several weeks of treatment."
When developing a teaching plan, which statements about the treatment of bipolar disorder does the nurse identfy as
true? SATA
Mood stabilizers are used to prevent recurrent manic-depressive episodes. Antdepressants should be used with mood
stabilizers in the treatment of clients with bipolar depression. Lithium is a preferred mood stabilizer for BPD.
When developing a teaching plan, which teaching statement by the nurse regarding lithium is INCORRECT?
"Lithium does not provide long-term prophylaxis against recurrence of mania or depression."
When developing a teaching plan, which of the following statements is true regarding required follow-up when a client is
prescribed lithium?
Therapeutc range needs to be routnely evaluated with a blood test.
You are working at a community wellness center for one of your clinical rotatons. a 57 yr old woman, Ms. L, comes into
the wellness center and asks to speak with you. She states that she cannot sleep and you begin to ask her questons
about the nature of her sleep disturbance. Which response by the nurse would be most appropriate?
It is important to collect baseline data about the nature of your sleep disturbances to determine the best possible
treatment.
Ms. L sees the primary care provider at the wellness center and is prescribed triazolam to help with her sleep
disturbance. As Ms. L is leaving the wellness center, she says to you, "Well, now that I have the pill, I'll be on my way. This
is all I need." Which response by the nurse would be most appropriate?
"It would be best for you to not rely on the drug alone to assist with sleep. If you have a minute, I'd like to review some
healthy tps for getng a beter night sleep."
Ms. L asks you another queston, "Why wouldn't the prescriber give me a refll on this prescripton?". Which response by
the nurse would be most appropriate?
Insomnia is usually self-limitng. Drug therapy should be short-term.
What can you tell me about paroxetine?....Which response by the nurse would be most appropriate?
Paroxetne allows the brain to have increased levels of serotonin, which should lessen feelings of anxiety.
You are the nurse doing home visits in a retirement community. Your client is an 85 yr old man who has been
diagnosed with Alzheimers disease. His adult children are with him for the visit. They want to know about the
disease and what treatment options exist. After you explain the progression of the disease, they ask if it is
curable. How should you answer?
There are medicatons that may help delay cognitve decline, but the disease is not curable.
Next, they ask how the drug done-evil can work to help his disease. How should you answer?
It prevents the breakdown of ACh, so more is available for transmitng nerve impulses.
They also asks what side effects they can expect Dad to have with donepezil. How should you answer?
The most common effects are nausea and diarrhea, but vomitng, dyspepsia, dizziness, and headaches are also common.
Teaching statements about interferon that are CORRECT.
Interferon beta is a naturally occurring glycoprotein within the body, interferon beta can decrease the frequency and
severity of atacks, and interferon beta suppresses T-helper cell actvity in the immune system.
This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 08:00:43 GMT -05:00
https://www.coursehero.com/file/146655969/MUST-pharm-quizzesdocx/Teaching statement about interferon beta that is INCORRECT
Interferon beta prevents infectons by strengthening the immune system
Q1: Your client asks what kind of side effects can I expect from the interferon beta? Which teaching statement
by the nurse is INCORRECT?
Interferon beta can cause influenza.
Which statement made by your client indicates a need for further teaching about reducing injection site
reactions from interferon beta?
"Applying a warm compress before giving he injecton will reduce the risk of pain at the site."
You are the pediatric nurse caring for Missy, an 8 yr old girl who has been diagnosed with epilepsy. Missy will
be hospitalized for at least 3 more days. Missy has been prescribed oxcarbazepine. You have been assigned to
develop the initial teaching plan for Missy and her parents. Which statement made by the nurse best describes
the goals of therapy with oxcarbazepine?
"Our goal is to reduce your seizures to an extent that helps you live a normal life."
Which teaching statement by the nurse is incorrect regarding the need to follow the established time frames for
drug administration?
In the event that she develops unpleasant side effects, the drugs can be withheld for up to three days as long as there
have not been any recent seizures.
Which teaching statement by the nurse promotes client and family involvement in ensuring the treatment plan
best meets Missy's needs?
Suggest they keep a seizure chart to note the date, tme, and nature of all seizure events.
Which statement made by the nurse would be inappropriate to include in the teaching plan for this client?
"Take the medicaton with a glass of grapefruit juice each morning."
My son is John Smith. He is 8 yrs old and the dr put him on methylphenidate. He has been on it for 10 days
now. John weighs 62lbs and when my friends son went on methylphenidate he lost weight. Will this happen to
John? Which response by the nurse is most appropriate?
"Giving John his frst dose of methylphenidate afer breakfast and his second dose in the early afernoon is the most
effectve strategy for preventng weight loss."
Why aren't the pills making it easier for him to sleep? Which teaching statement by the nurse is INCORRECT?
"Your child probably is not sleeping because he plays too many video games. If you take away his video games, he should
begin to sleep beter."
The parent states, "I'm just going to stop the pills. I don't care what the doctor says. I think the pills aren't good
for him." Which response by the nurse would be appropriate?
"You should discuss your concerns with John's provider. Discontnuing medicatons suddenly can lead to extreme fatgue
and depression."
Characteristics to consider in pharmacology
Effectveness, safety, selectveness
*Maximum benefit with minimal harm*
Propertes to Consider in pharmacology
Can the patent afford the medicaton? Can the patent physically take the medicaton? Will this medicaton interact with
other medicatons the patent is taking?
This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 08:00:43 GMT -05:00
https://www.coursehero.com/file/146655969/MUST-pharm-quizzesdocx/5 rights of medicaton administraton
right patent, right drug, right dose, right route, right tme
Medicaton Errors Stats
According to an FDA 2016 update, medicaton errors injure approximately 1.3 mil people each year.
John Hopkins researchers estmate 400,000 deaths annually from errors
What medicatons can't be crushed?
tme released: XR, XL, SR, ER
Pharmacokinetc
Process whereby drugs move throughout the body (absorpton, distributon, metabolism, and excreton) to achieve drug
acton.
Absorpton
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