ati-rn-pharmacology-8.0-test-bank-2020-ati-rn-pharmacology-8

⦁ A provider prescribes phenobarbital for a client wo 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? ⦁ One ⦁ Two ⦁ Three ⦁ Four ⦁ 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? (Select all that apply.) ⦁ Increased renal excretion ⦁ Increased medication-metabolizing enzymes ⦁ Liver failure ⦁ Peripheral vascular disease ⦁ Concurrent use of medication the same pathway metabolizes ⦁ A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) ⦁ Have the client lie on one side. ⦁ Ask the client to look up at the ceiling. ⦁ Tell the client to blink when the drops enter the eye. ⦁ Drop the medication into the client’s conjunctival sac. ⦁ Instruct the client to close the eye gently after instillation. ⦁ 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? ⦁ “I will clean the site with an alcohol swab before I apply the patch.” ⦁ “I will rotate the application sites weekly.” ⦁ “I will apply the patch to an area of skin with no hair.” ⦁ “I will place the new patch on the site of the old patch.” ⦁ A nurse reviewing a client’s medical record notes a new prescription for verifying the trough level of the client’s medication. Which of the following actions should the nurse take? ⦁ Obtain a blood specimen immediately prior to administering the next dose of medication. ⦁ Verify that the client has been taking the medication for 24hr before obtaining a blood specimen. ⦁ Ask the client to provide a urine specimen after the next dose of medication. ⦁ Administer the medication, and obtain a blood specimen 30 min later. Chapter 2 ⦁ A nurse is preparing a client’s medications. Which of the following actions should the nurse take I following legal practice guidelines? (Select all that apply.) ⦁ Teach the client about the medication. ⦁ Determine the dosage. ⦁ Monitor for adverse effects. ⦁ Lock compartments for controlled substances. ⦁ Determine the client’s insurance status. ⦁ 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? ⦁ “Your physician prescribed it for you, so you really should take it.” ⦁ “Well, let’s just get it over quickly then.” ⦁ “Okay, I’ll just give you your other medications.” ⦁ “Tell me our concerns about taking this medication.” ⦁ A nurse is reviewing a client’s prescribed medications. Which of the following situations represents a contraindication to medication administration? ⦁ The client drank grapefruit juice, which could reduce a medication’s effectiveness. ⦁ The medication has orthostatic hypotension as an adverse effect. ⦁ A medication is approved for ages 12 and older, and the client is 8 years old. ⦁ An antianxiety medication that has an adverse effect of drowsiness is prescribed as a preoperative sedative. ⦁ A nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (Select all that apply.) ⦁ Use of herbal products ⦁ Daily fluid intake ⦁ Ability to swallow ⦁ Previous surgical history ⦁ Allergies ⦁ A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? ⦁ Taking all medications out of the unit-dose wrappers before entering the client’s room. ⦁ Checking the prescription when a single dose requires administration of multiple tablets. ⦁ Administering a medication, then looking the usual dosage range. ⦁ Relying on another nurse to clarify a medication prescription.