NURS 6521 Midterm Exam 2– 100 Question and Answers

NURS 6521 Midterm Exam 2– 100 Question and Answers • Question 1 1 out of 1 points A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following s ...

NURS 6521 Midterm Exam 2– 100 Question and Answers • Question 1 1 out of 1 points A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Selected Answer: Narcotics to be used in the hospital are dispensed only with a written prescription. • Question 2 1 out of 1 points A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? Selected Answer: The drug will decrease in effectiveness • Question 3 1 out of 1 points A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Selected Answer: Acute Pain, Headache, related to adverse effects of drug therapy • Question 4 1 out of 1 points A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of Selected Answer: nonpharmacologic interventions combined with an exercise program. • Question 5 1 out of 1 points A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? Selected Answer: Pain intensity, respiratory rate, and level of consciousness • Question 6 1 out of 1 points A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells? Selected Answer: Administering the drug intravenously rather than orally • Question 7 1 out of 1 points A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? Selected Answer: The drugs' generic names • Question 8 1 out of 1 points Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Selected Answer: To ensure the safety of the public • Question 9 1 out of 1 points During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selected Answer: may cause nutrient deficiencies. • Question 10 1 out of 1 points A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to Selected Answer: identify any changes in drug absorption that would change the drug effect. • Question 11 1 out of 1 points What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? Selected Answer: Route • Question 12 1 out of 1 points A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of Selected Answer: an adrenergic antagonist. • Question 13 1 out of 1 points Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Selected Answer: Gastrointestinal distress • Question 14 A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication? Selected Answer: Into the Hip or Thigh • Question 15 A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered Selected Answer: Twice daily? • Question 16 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Selected Answer: swallow the tablet with milk or food. • Question 17 1 out of 1 points A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? Selected Answer: Possible drug–drug interactions that might occur • Question 18 1 out of 1 points A nurse is discussing with a patient the efficacy of a drug that his physician has suggested he begin taking. Efficacy of a drug means which of the following? Selected Answer: How well a drug produces its desired effect • Question 19 1 out of 1 points The nurse's 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? Selected Answer: "I broke out in hives and got terribly itchy when I started a new prescription last year." • Question 20 1 out of 1 points 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 to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined that the drug is no longer needed. The nurse at the facility will plan to Selected Answer: withdraw the drug gradually over a 2 to 3 week period. ...........CONTINUED