Lehne's Pharmacology Ch. 1-8 Reviewd Questions and Correct Answers

Lehne's Pharmacology Ch. 1-8 Reviewd Questions and Correct Answers The nurse is preparing to review a patient's medication history. Which information is most important when the nurse obtains a medication history from a patient? Allergies p.6 A patient develops depression as a side effect of taking multiple herbal and over-the-counter (OTC) medications. While providing patient education, the nurse instructs the patient in the correct use of herbal medications and OTC drugs to prevent side effects. Which action by the patient indicates effective teaching? The patient decreases use of OTC drugs for pain and uses ice packs for acute pain relief. p.59 Which statement is appropriate regarding the reporting of medical errors? It can prevent future errors p.67 Which drugs are absorbed quickly across the gastric membranes? Weak acids, lipid soluble, large nonionizing drugs p.25-27 What term is commonly used for nonprescription drugs? Over the counter p.19 Why is it important for drugs to have ease of administration? Fewer medication Errors p.2 The nurse teaches a patient with diabetes to eat fast-acting carbohydrates if signs and symptoms of hypoglycemia develop. This is an example of what goal? Minimizing adverse effects The nurse is monitoring for adverse drug reactions (ADRs) of assigned patients. Which patient is most at risk for the development of drug toxicity? A 70-year-old woman with an elevated creatinine level The liver, kidneys, and bone marrow are important sites of drug toxicity. Creatinine is a measure of kidney function and would be the most helpful for monitoring for ADRs. In addition, patients over age 65 are at greater risk for ADRs. Mental status is a measure of the function of the central nervous system, which may be affected by drugs but is not one of the most important and common sites of drug toxicity. Arterial blood gas measurements reflect respiratory and acid-base function. p.66 When receiving a patient transferred from another unit, which action is most useful in preventing medication errors? Completing a medication reconciliation between units The student nurse asks the registered nurse, "What reference should I use to find information on the side effects, dosage, adverse effects, and clinical studies of newly approved drugs?" Which drug resource does the registered nurse suggest? Medical Letter on drugs and Therapeutics p.21 What does the nurse review when studying the impact a drug has on the body? Pharmacodynamics The patient asks what it means when a medication order says to administer a drug "with food." How will the nurse reply? During or shortly after a meal The nurse is preparing to give a medication for pain. The label states that the drug is "lipid soluble." If lipid solubility is the only factor affecting drug action, how soon should the nurse expect to observe the effects of the drug compared to a water-soluble drug? Cell membranes are composed of lipids; therefore, a lipid-soluble drug passes through rapidly. A water-soluble drug passes through more slowly. The nurse would expect to observe the effects of a lipid-soluble drug more quickly, because the drug is absorbed more rapidly. p.26