PN 1005 Final Questions With Complete Solutions
A client is experiencing serum sickness reactions to a recent
rubella vaccination.
What intervention might be appropriate for the nurse?
Recall: symptoms can include joint pain, hives, fever etc.
Correct Answers cool environment
Positioning to provide comfort
Ice on joints
Give anti-inflammatory agents
a drugs lipid solubility, perfusion (blood flow) to tissues, and
ionization all effect what process? Correct Answers distribution
a name that reflects the chemical structure of a drug is called the
. Correct Answers generic name
a nurse encouraging good oral hygiene, ample fluids, and proper
positioning is trying to achieve what in regards to medication?
Correct Answers ensuring that an orally given medication can
achieve its full benefit
A patient is taking a drug that is known to be toxic to the liver.
The patient is being discharged home.
What teaching points related to liver toxicity and the drug
should the nurse teach? (4 things) Correct Answers Fever
Changes in the color of stool / urine
Jaundice- Yellowing of the skin and eye whites
malaise
,a phenomenon in which drugs given orally are carried directly to
the liver, where they can be inactivated by liver enzymes before
they enter general circulation Correct Answers first pass effect
a process where drugs are changed into new, less active
chemicals Correct Answers Biotransformation
A system in which medical doctors and other healthcare
professionals treat symptoms and diseases using drugs Correct
Answers Allopathic medicine (biomedicine)
A term used to describe an originally developed listing of drugs
that carry high risks for older adults and criteria for potentially
inappropriate medication use in older adults - discovered by Dr.
Mark H. Beers Correct Answers Beers criteria
A term used to describe the use of multiple drugs Correct
Answers polypharmacy
Action of the body on the drug Correct Answers
Pharmacokinetics
After teaching a patient about digoxin (helps heart contractions)
- what would you want to hear from your patient to know your
teach-back was effective Correct Answers "I need to take my
pulse before I take the pill"
aims to restore the body's balance and harmony between the
natural opposing forces of yin and yang, which can block qi and
cause disease. Includes acupuncture, diet, herbal therapy,
,meditation, physical exercise, and massage. Correct Answers
Traditional Chinese Medicine
An adverse effect described as the formation of antibodies to a
drug or drug protein
causes immune response when the person is next exposed to that
drug Correct Answers drug allergy
an approach finding all of the medicine they needed on the land,
using plants to treat a variety of ailments and conditions,
practice often reflects spiritual aspects of healing as well as
physical outcomes.
examples: medicine wheel, sweetgrass, tobacco, sage Correct
Answers Indigenous medicine
An extended half-life of a drug in an elderly person can increase
risks of? Correct Answers adverse effects
an internal purification process, followed by a special diet,
herbal remedies, massage therapy, yoga, and meditation. The
concepts of universal interconnectedness, the body's constitution
(prakriti), and life forces (doshas) are the primary basis
Examples: Turmeric, Cumin, Licorice root, Ashwagandha
Correct Answers Ayurveda
Another nurse prepares medication for you to administer, can
you give it? Correct Answers absolutely not! if there is a med
error it will then be blamed on you
, are drugs that are tightly bound to a protein short/long acting ?
Correct Answers very long because they are not free to be
broken down or excreted
are injected drugs often more effective at a higher/lower dosage
than oral drugs Correct Answers lower
Are trade name drugs or generic drugs
safer/cheaper? Correct Answers trade names - expensive and
safer
As a nurse, when you are trying to determine why the desired
therapeutic effect of a oral drug is not seen - what should you
consider? Correct Answers food altering the make up of gastric
juices
bone marrow depression caused by drug effects on the rapidly
multiplying cells of the bone marrow; lower than normal levels
of blood components can be seen Correct Answers blood
dyscrasia
Breathing difficulty after an injection of penicillin is an example
of? Correct Answers anaphylactic shock
can allergies, genetics, tolerances, interactions, temperature,
light, and noise effect a drugs reaction? Correct Answers YES
Can herbal or alternative therapies produce unexpected effects
and toxic reactions when reacting with prescription drugs?
Correct Answers yes
A client is experiencing serum sickness reactions to a recent
rubella vaccination.
What intervention might be appropriate for the nurse?
Recall: symptoms can include joint pain, hives, fever etc.
Correct Answers cool environment
Positioning to provide comfort
Ice on joints
Give anti-inflammatory agents
a drugs lipid solubility, perfusion (blood flow) to tissues, and
ionization all effect what process? Correct Answers distribution
a name that reflects the chemical structure of a drug is called the
. Correct Answers generic name
a nurse encouraging good oral hygiene, ample fluids, and proper
positioning is trying to achieve what in regards to medication?
Correct Answers ensuring that an orally given medication can
achieve its full benefit
A patient is taking a drug that is known to be toxic to the liver.
The patient is being discharged home.
What teaching points related to liver toxicity and the drug
should the nurse teach? (4 things) Correct Answers Fever
Changes in the color of stool / urine
Jaundice- Yellowing of the skin and eye whites
malaise
,a phenomenon in which drugs given orally are carried directly to
the liver, where they can be inactivated by liver enzymes before
they enter general circulation Correct Answers first pass effect
a process where drugs are changed into new, less active
chemicals Correct Answers Biotransformation
A system in which medical doctors and other healthcare
professionals treat symptoms and diseases using drugs Correct
Answers Allopathic medicine (biomedicine)
A term used to describe an originally developed listing of drugs
that carry high risks for older adults and criteria for potentially
inappropriate medication use in older adults - discovered by Dr.
Mark H. Beers Correct Answers Beers criteria
A term used to describe the use of multiple drugs Correct
Answers polypharmacy
Action of the body on the drug Correct Answers
Pharmacokinetics
After teaching a patient about digoxin (helps heart contractions)
- what would you want to hear from your patient to know your
teach-back was effective Correct Answers "I need to take my
pulse before I take the pill"
aims to restore the body's balance and harmony between the
natural opposing forces of yin and yang, which can block qi and
cause disease. Includes acupuncture, diet, herbal therapy,
,meditation, physical exercise, and massage. Correct Answers
Traditional Chinese Medicine
An adverse effect described as the formation of antibodies to a
drug or drug protein
causes immune response when the person is next exposed to that
drug Correct Answers drug allergy
an approach finding all of the medicine they needed on the land,
using plants to treat a variety of ailments and conditions,
practice often reflects spiritual aspects of healing as well as
physical outcomes.
examples: medicine wheel, sweetgrass, tobacco, sage Correct
Answers Indigenous medicine
An extended half-life of a drug in an elderly person can increase
risks of? Correct Answers adverse effects
an internal purification process, followed by a special diet,
herbal remedies, massage therapy, yoga, and meditation. The
concepts of universal interconnectedness, the body's constitution
(prakriti), and life forces (doshas) are the primary basis
Examples: Turmeric, Cumin, Licorice root, Ashwagandha
Correct Answers Ayurveda
Another nurse prepares medication for you to administer, can
you give it? Correct Answers absolutely not! if there is a med
error it will then be blamed on you
, are drugs that are tightly bound to a protein short/long acting ?
Correct Answers very long because they are not free to be
broken down or excreted
are injected drugs often more effective at a higher/lower dosage
than oral drugs Correct Answers lower
Are trade name drugs or generic drugs
safer/cheaper? Correct Answers trade names - expensive and
safer
As a nurse, when you are trying to determine why the desired
therapeutic effect of a oral drug is not seen - what should you
consider? Correct Answers food altering the make up of gastric
juices
bone marrow depression caused by drug effects on the rapidly
multiplying cells of the bone marrow; lower than normal levels
of blood components can be seen Correct Answers blood
dyscrasia
Breathing difficulty after an injection of penicillin is an example
of? Correct Answers anaphylactic shock
can allergies, genetics, tolerances, interactions, temperature,
light, and noise effect a drugs reaction? Correct Answers YES
Can herbal or alternative therapies produce unexpected effects
and toxic reactions when reacting with prescription drugs?
Correct Answers yes
