lOMoARcPSD|44532475
NUR2474 Exam 1 Pharmacology for Professional
Nursing Exam 1 Review-with 100% verified
solutions 2024-2025
A patient asks the nurse about drug interactions with OTC preparations.
What is the nurse's best response?
A. "Discuss this with the health care provider."
B. "There are not many interactions, so don't worry about it."
C. "Read the labels carefully, and check with your health care provider."
D. "Avoid over-the-counter preparations."
C. "Read the labels carefully, and check with your health care provider."
The patient should always check with the healthcare provider prior to
starting new medications, and since this is referring to OTCs, the patient
should also read labels for interactions and contraindications.
A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day
should the nurse expect to administer this medication?
A.One
B.Two
C.Three
D.Four
•A. One. Medications with long half-lives remain at their therapeutic levels
between doses for long periods of time. The nurse should expect to
administer this medication once a day.
A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator include
as a reason to administer lower medication dosages?
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A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Hypertension
C. Liver failure. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
A nurse is teaching a client about transdermal patches. Which of the
following statements should the nurse identify as an indication that the
client understands?
A. "It doesn't' matter if I clean the site before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch."
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 absorption of the
medication.
A nurse is preparing a client's medications. Which of the following actions
should the nurse take in following legal practice guidelines? (Select all
that apply.)
•
A. Teach the client about the medication.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Lock compartments for controlled substances.
E. Determine the client's insurance status.
A. Teach the medication as part of the rights of medication administration.
•
C. Monitor for adverse effects as part of the rights of medication
administration.
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•
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 medication. 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 medications."
D. "Tell me your concerns about taking this medication."
"Tell me your concerns about taking this medication." D. Although clients
have the right to refuse a medication, this response is correct in
determining the reason for refusal by asking about the client's concerns.
Then information can be provided about the risk of refusal and facilitate
an informed decision. At that point, if the client still exercises their right to
refuse a medication, notify the provider and document the refusal and the
actions taken.
A nurse is reviewing a client's prescribed medications. Which of the
following situations represents a contraindication to medication
administration?
•
A. The client drank grapefruit juice, which could reduce a medication's
effectiveness.
B. The medication has orthostatic hypotension as an adverse effect.
C. A medication is approved for ages 12 and older, and the client is 8
years old.
D. An antianxiety medication that has an adverse effect of drowsiness is
prescribed as a preoperative sedative.
C. Age is one factor that can be a contraindication to medication
administration. Contraindications are findings that indicate the client
Downloaded by madiba South Africa stuvia ()
NUR2474 Exam 1 Pharmacology for Professional
Nursing Exam 1 Review-with 100% verified
solutions 2024-2025
A patient asks the nurse about drug interactions with OTC preparations.
What is the nurse's best response?
A. "Discuss this with the health care provider."
B. "There are not many interactions, so don't worry about it."
C. "Read the labels carefully, and check with your health care provider."
D. "Avoid over-the-counter preparations."
C. "Read the labels carefully, and check with your health care provider."
The patient should always check with the healthcare provider prior to
starting new medications, and since this is referring to OTCs, the patient
should also read labels for interactions and contraindications.
A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day
should the nurse expect to administer this medication?
A.One
B.Two
C.Three
D.Four
•A. One. Medications with long half-lives remain at their therapeutic levels
between doses for long periods of time. The nurse should expect to
administer this medication once a day.
A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator include
as a reason to administer lower medication dosages?
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Hypertension
C. Liver failure. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
A nurse is teaching a client about transdermal patches. Which of the
following statements should the nurse identify as an indication that the
client understands?
A. "It doesn't' matter if I clean the site before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch."
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 absorption of the
medication.
A nurse is preparing a client's medications. Which of the following actions
should the nurse take in following legal practice guidelines? (Select all
that apply.)
•
A. Teach the client about the medication.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Lock compartments for controlled substances.
E. Determine the client's insurance status.
A. Teach the medication as part of the rights of medication administration.
•
C. Monitor for adverse effects as part of the rights of medication
administration.
Downloaded by madiba South Africa stuvia ()
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•
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 medication. 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 medications."
D. "Tell me your concerns about taking this medication."
"Tell me your concerns about taking this medication." D. Although clients
have the right to refuse a medication, this response is correct in
determining the reason for refusal by asking about the client's concerns.
Then information can be provided about the risk of refusal and facilitate
an informed decision. At that point, if the client still exercises their right to
refuse a medication, notify the provider and document the refusal and the
actions taken.
A nurse is reviewing a client's prescribed medications. Which of the
following situations represents a contraindication to medication
administration?
•
A. The client drank grapefruit juice, which could reduce a medication's
effectiveness.
B. The medication has orthostatic hypotension as an adverse effect.
C. A medication is approved for ages 12 and older, and the client is 8
years old.
D. An antianxiety medication that has an adverse effect of drowsiness is
prescribed as a preoperative sedative.
C. Age is one factor that can be a contraindication to medication
administration. Contraindications are findings that indicate the client
Downloaded by madiba South Africa stuvia ()
