Rasmussen Pharm Exam 1 Complete Solutions Latest Grade A

1. 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. 2. 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. 3. 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? 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. 4. 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." Rasmussen Pharm Exam 1 Complete Solutions Latest Grade A 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. 5. 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. • D. Lock controlled substances in a drawer, cart, or other compartment to prevent misuse.