a nurse is preparing to administer to a patient who is having a severe allergic reaction. Which
route of administration should the nurse use to provide the fastest and most complete
absorption of the drug - Answers intravenous
when preparing to administer a sustained release capsule to a patient, the nurse understands
that which of the following is true for these capsules? - Answers They are more costly than
regular pills.
They contain spheres that hold the actual drug.
Spheres have coatings that dissolve at variable rates.
Digoxin has a half-life of 36 to 48 hours. Because of the length of the half-life, the nurse expects
dosing to occur how often? - Answers once a day
when teaching a patient who has a gastric ulcer about cimetidine therapy, the nurse should
include what information about the antagonists? - Answers an antagonist prevents receptor
activation in the stomach
Which statement about drug agonists does the nurse identify as being true? - Answers an
agonist exerts effects by causing receptor activation
a patient has been receiving an antibiotic with a small therapeutic index for 10 days. Upon
assessment, the nurse notes an increase in the drug's side effects. What would the nurse's
priority action be? - Answers Ask the provider to order a plasma drug level test
what does the evaluation of the outcome of drug therapy include? (select all) - Answers adverse
drug reactions
satisfaction with treatment
therapeutic responses
adherence to regimen/prescription
in reviewing a patient's drug history, the nurse must be aware that which drug may have various
names? - Answers trade name
the nurse is preparing to administer penicillin G IM to a child. The child's parent ask why the
drug cannot be given in an oral liquid form. What is the nurses response? - Answers this drug
would be inactivated by enzymes in the stomach
a postoperative patient has orders for morphine sulfate 1 to 2 mg IV every hour PRN for severe
pain and acetaminophen-hydrocodone (Lortab) 7.5 mg PO every 4 to 6 hours PRN for moderate
pain. Patient rates pain at an 8/10. Which action by the nurse is appropriate? - Answers
, administer morphine sulfate 2 mg IV and evaluate patients pain in 15 to 30 minutes
in comparing meperidine (Demerol) with pentazocine (Talwin), the nurse recognizes the degree
of pain relief that can be achieved with pentazocine is much lower than the relief that can be
achieved with meperidine because pentazocine is an example of a/an: - Answers partial agonist
a patient who is taking morphine for pain asks the nurse how a pain medication can also cause
constipation. What does the nurse know about morphine? - Answers it is selective to receptors
that regulate more than one body process
a prescriber has written an order for a medication: drug X 100 mg PO q6h. The half life is
approximately 6 hours. The nurse is preparing to administer the first dose at 8:00 am on
Tuesday. On Wednesday when will the serum drug level reach plateau? - Answers at 8:00 am
a nurse is giving an enteral medication. the patient asks why this method is preferable for this
drug. How will the nurse reply? - Answers "This route is safer, less expensive, and more
convenient."
a patient is given a prescription for azithromycin and asks the nurse why the dose on the first
day is twice the amount of the dose on the next 4 days. How will the nurse respond? - Answers
"A large initial dose helps to get the drug to optimal levels in the body faster."
An adult male is 1 day postop from a total hip replacement. On a pain scale of 0 to 10, with 10
being greatest, the patient reports pain of 10. Which medication would be most appropriate to
administer? - Answers 6 mg morphine sulfate intravenously
a nurse is teaching nursing students about the use of nonproprietary names for drugs. the nurse
tells them which fact about nonproprietary names? - Answers they are assigned by the U.S.
adopted names council
in administering medications is it important for the nurse to understand that the major site of
drug metabolism is in the: - Answers liver
the nurse is caring for a child who has ingested a toxic amount of aspirin. The provider orders
an IV drug that will increase pH in the blood and urine. The nurse understands that this effect is
necessary to: - Answers increase the urinary excretion of aspirin
in preparing an inservice about drug safety in the US, the nurse describes which legislation that
was the first to regulate drug safety? - Answers food, drug and cosmetic act of 1938
A nurse consults a drug manual before giving a medication to an 80-year-old patient. The
manual states that older-adult patients are at increased risk for hepatic side effects. Which
action by the nurse is correct? - Answers contact the provider to discuss an order for
pretreatment lab work
choose all that apply: the nurse understands that therapeutic index is: - Answers the ratio of a