Term
| The nurse is conducting medication education for clients with hypertension. The focus of the education is on enhancing the absorption of their medications. The nurse determines that learning has occured when the clients make which statement? |
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Definition
| We need to be careful about taking the medication with certain foods. |
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Term
| The physician ordred a loading dose of medication for the client; it is to be followed by a lower dose. When the client receives the lower dose, she says to the nurse 'I think my doctor made a mistake; my medication dose is too low'. What is the best response by the nurse? |
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Definition
| You had a larger dose initially so that the medication would work more quickly. |
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Term
| The client has meningitis. The physician initially prescribed a water-soluble drug. Another physician changed the order to a lipid-soluble drug. The clinet is confused about this. Which plan best resolves the client's concern? |
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Definition
| Teach the client that lipid soluble drugs are more effective in treating his illness. |
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Term
| The client is malnourished and has a low serum albumin. The physician has ordered aspirin, a highly protein-bound drug, for the client. Which evaluation by the nurse best describes the effect this will have on the client? |
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Definition
| The client will be at risk to experience toxic effects of the drug. |
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Term
| The clinet is admitted to the hospital in chronic renal failure, and is on several medications. What best describes the nurse's assessment of this client? |
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Definition
| The client may have drug toxicity from all the drugs. |
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Term
| The client has been receiving quetiapine - Seroquel. The physician changes the order to aripiprazole - Abilify, a more potent drug. How will the nruse expect the physician's new order to read |
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Definition
| The order will state alower does of aripiprazole than quetiapine. |
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Term
| The client comes to the emergency department following an overdose of aspirin, an acidic drug. What will the best plan of the nurse include? |
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Definition
| Administration of sodium bicarbonate to the client. |
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Term
| The client is complaining of a severe headache. The physician orders aspirin. Which action by the nurse will result in the fastest relief of the clients headache. |
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Definition
| Administer aspirin on an empty stomach. |
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Term
| The client is receiving lithium - Eskalith - and asks the nurse why he has to have blood drawn so often. What is the best response by the nurse? |
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Definition
| To be sure you have the correct amount of medication in your system. |
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Term
| The nursing mother asks the nurse if it is alright to take St. Johns Wort for mild depression. What is the best response by the nurse? |
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Definition
| No, it could be excreted in your milk and your baby might reject nursing. |
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Term
| The nursing instructor is teaching pharmacology to student nurses. What will the nursing instructor include as the four major components of pharmacokinetics? |
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Definition
1. How drugs are transported throughout the body.
2. How drugs are converted to a form that is easily removed from the body.
3. How drugs are removed from the body.
4. How drugs move from the site of administration to circulating fluids. |
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Term
| The client is scheduled to receive a medication that is an enzyme inducer of the P450 system. What best describes the effect of this medication on the client. |
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Definition
| In time, the client will experience a reduced effect from this medication. |
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Term
| The client tells the nurse that he is on many medications, and questions how they all get to the right places. What is the best response by the nurse? |
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Definition
1. It depends on how much protein you have in your body.
2. It depends on the amount of blood flow to your body tissues.
3. It depends on whether they are fat based or water based. |
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Term
| The client received a drug that is excreted in the bile. What will be the best nursing assessment of the effect of this drug on the client include. |
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Definition
| The effect of the drug will be a prolonged action. |
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Term
| The nurse administers medications by various routes of deliver. The nurse recognizes which route of administration as requiring higher dosages of drugs to achieve a therapuetic effect. |
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Definition
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Term
| Enzymatic activity that changes a medication into a less active form is an example of; |
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Definition
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Term
| Which of the following are the four categories of pharmacokinetcs. |
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Definition
| Absorption, distribution, metabolism and excretion |
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Term
| Following ingestion, a drug crosses a membrane from an area of higher concentration to an area of lower concentration. This is an example of; |
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Definition
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Term
| Aspirin is ionized as it enters the small intestine. Which statement is accurate regarding the absorption of aspirin in the small intestine; |
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Definition
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Term
| Which statement regarding medication distribution within the body is accurate; |
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Definition
| Medications that are lipd-soluble are more completely distributed. |
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Term
| Which organ is the mose responsible for the first-pass effect |
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Definition
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Term
| Which of the following substances would have the lowest rate of crossing renal tubular membranes, and would therefore be excreted in the urine; |
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Definition
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Term
| Which statement is accurate regarding medications that end up being secreted in bile? |
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Definition
| Some medications are excreted in the deces while others can be recirculated by the liver many times. |
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Term
| Which of the following would most accurately indicate that a therapeutic range for a medication had been reached; |
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Definition
| The indication for administration was achieved without serious side effects |
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