With All Solved Solutions.
A nurse is preparing to give an oral dose of drug X to treat a patient's high blood pressure. After giving
the drug, the nurse finds that it reduces the blood pressure without serious harmful effects, but it also
causes the patient to have nausea and a headache. Based on this information, which property of an ideal
drug is this drug lacking?
a Effectiveness
b Safety
c Selectivity
d Ease of administration - Answer C
The drug is effective in lowering the blood pressure and safe in that it does not cause harmful effects.
However, as do most drugs, it causes other effects besides the one response desired; therefore, it lacks
selectivity. The oral form provides ease of administration.
The nurse is preparing to give a drug with certain properties. Which property of the drug is the most
compelling indication that it should not be given?
a) The drug produces an unwanted side effect.
b) The drug is difficult to administer.
c) The drug's effects are reversible.
d) The drug is not effective for its intended purpose. - Answer D
If a drug is not effective, there is no justification for giving it. Some drugs may be given even though they
produce unwanted side effects or are difficult to administer. Reversible action is a desired property for
most drugs
Why is it important for drugs to have ease of administration?
a) Fewer medication errors
b) less risk of side effects
c) Greater chemical stability
d) Greater likelihood of reversibility - Answer A
,Ease of administration increases convenience and adherence and can reduce administration errors. Ease
of administration is not related to side effects, chemical stability, or reversibility.
The nurse teaches a patient not to consume alcohol with nitroglycerine, because the blood pressure
often drops significantly when nitroglycerine is taken with alcohol. Which drug property does this
illustrate?
a) Chemical instability
b) Drug interaction
c) Reversible action
d) Drug selectivity - Answer B
When two or more drugs are taken together, they can interact, causing either increased or decreased
drug responses. In this case, alcohol would increase the nitroglycerine response. Chemical instability,
reversible action, and drug selectivity are not related to this situation.
When studying the impact a drug has on the body, the nurse is reviewing what?
a) The drug's pharmacokinetics
b) The drug's selectivity
c) The drug's pharmacodynamics
d) The drug's predictability - Answer C
Pharmacodynamics can be thought of as the impact of drugs on the body. Pharmacokinetics describes
the movement of drugs through the body. Selectivity is the ability of a drug to elicit only the response for
which it is given. Predictability is the degree of certainty about how a patient will respond to a certain
drug.
When studying the effects of drugs in humans, the nurse is learning about what?
a) Pharmacology
b) Clinical pharmacology
c) Therapeutics
d) Effectiveness - Answer B
,Clinical pharmacology is the study of the effects of drugs in humans. Pharmacology can be defined as the
study of drugs and their interactions with living systems, Therapeutics, also known as
pharmacotherapeutics, is the use of drugs to diagnose, prevent, or treat disease or to prevent
pregnancy. The term effectiveness indicates that the drug elicits the intended response or responses.
Which statement by a new nurse indicates that further study is indicated?
A) Effectiveness is the most important property a drug can have.
B) There is no such thing as a safe drug.
C) Drugs are defined as illegal substances.
D) There is no such thing as a selective drug; all medications cause side effects. - Answer C
A drug is any chemical that can affect living processes. All the other statements are correct.
What is the ultimate concern for the nurse when administering a drug?
A) Intensity of the response
B) Dosage
C) Route of administration
D) Timing of administration - Answer A
The ultimate concern for the nurse when administering a drug is the intensity of the response, which is
determined by the dosage size, route of administration, and timing of administration.
The nurse is preparing to administer a dose of penicillin. Before administering the medication, the nurse
assesses the patient's allergy history. Which aspect of drug therapy does this represent?
A)Making PRN (as needed) decisions
B)Evaluating therapeutic effects
C)Ensuring proper dosage
D)Identifying high-risk patients - Answer D
Patients receiving penicillin are at high risk for dangerous allergic reactions. This intervention represents
the nurse's role in identifying situations with high risk. This situation does not represent the remaining
responses.
, The nurse is preparing to administer a medication with the following order: "Aldomet 250 mg daily."
What should the nurse do?
A)Administer the medication as it was given last time.
B) Administer the medication by mouth.
C) Verify the order with the prescriber. Correct
D) Ask the patient how this medication is usually given. - Answer C
This order does not include a drug route. The nurse should clarify any questionable orders with the
prescriber. The other responses are incorrect.
Which aspect of drug therapy indicates to the nurse whether a drug is having a beneficial effect?
A)Performing a preadministration assessment
B)Evaluating therapeutic responses Correct
C) Minimizing adverse effects
D) Managing toxicity - Answer B
Evaluation is one of the most important aspects of drug therapy, because it tells the nurse whether a
drug is having its intended effect. The other aspects of drug administration are important but do not give
information about a drug's effectiveness.
The nurse is managing the care of a group of patients with cancer who will be receiving chemotherapy.
The nurse defines goals, sets priorities, identifies interventions, and establishes criteria for evaluating
success. Which phase of the nursing process does this represent?
A) Assessment
B) Planning Correct
C) Implementation
D) Evaluation - Answer B
These activities are all carried out in the planning phase of the nursing process. Assessment is a time of
data gathering, implementation begins with carrying out the interventions, and evaluation is performed
to determine the degree to which treatment has succeeded