Nursing 231 Exam 5 Pharma
Questions With Verified Solutions
An elderly client is being admitted to the hospital for surgery. The nurse is reconciling
the client's medications. The client is prescribed digoxin 0.125 mg daily, furosemide 40
mg two times a day, Lanoxin 0.125 mg daily, metoprolol XL 25 mg once a day, and
pravastatin (Pravachol) 40 mg at hours of sleep daily. The nurse recognizes a problem
when the nurse notes: - CORRECT ANSWER- Digoxin and lanoxin are the same
medications
A 76-year-old client with congestive heart failure is being admitted to the hospital. The
client states only taking medications that the health care provider prescribes, but when
the nurse assesses the medications, three over-the-counter laxatives are in the client's
bag of medications. What concerns does the nurse have about this omission? -
CORRECT ANSWER- The laxatives can interact with and complicate prescribed drug
therapy
A nurse who works in an acute care for elders (ACE) unit recognizes the unique
pharmacokinetics and pharmacodynamics that often occur in older adults. Which factor
should the nurse take into account when administering medications to older adults on
the unit? - CORRECT ANSWER- As a result of age-related changes, older adults
face an increased risk of adverse medication effects.
A nurse is aware that older adults tend to have a significantly decreased rate of hepatic
blood flow compared with younger adults. What effect is this likely to have on
pharmacokinetics and pharmacodynamics in an older adult? - CORRECT ANSWER-
Drug clearance is likely to be slower
A report on the risks of med administration revealed disturbing quality issues across all
health care settings in the U.S. Approximately how many preventable adverse drug
events occur in the health care system each year? - CORRECT ANSWER- 7 million
To safely and accurately administer meds to a particular patient, nurses are
accountable for which of the following? - CORRECT ANSWER- a particular patient's
med regimen, the 6 rights, willingness to report errors and near misses, and what is
involved in administering drugs for a particular patient
What is an organization that requires all personnel to report near misses and
breakdowns in care called? - CORRECT ANSWER- Just Culture Organization
What is the first step the nurse takes to address meds safety? - CORRECT
ANSWER- obtain knowledge of the medication, including evidence-based standards
for administration
What is the purpose of the six competencies that are integrated into the national
curriculum standards for nursing? - CORRECT ANSWER- so that all nurses are
accountable for integrating safety and quality responsibilities into their daily work
Basing care decisions on knowledge of patient values and preferences is the definition
of which of the followings? - CORRECT ANSWER- patient-centered care
Questions With Verified Solutions
An elderly client is being admitted to the hospital for surgery. The nurse is reconciling
the client's medications. The client is prescribed digoxin 0.125 mg daily, furosemide 40
mg two times a day, Lanoxin 0.125 mg daily, metoprolol XL 25 mg once a day, and
pravastatin (Pravachol) 40 mg at hours of sleep daily. The nurse recognizes a problem
when the nurse notes: - CORRECT ANSWER- Digoxin and lanoxin are the same
medications
A 76-year-old client with congestive heart failure is being admitted to the hospital. The
client states only taking medications that the health care provider prescribes, but when
the nurse assesses the medications, three over-the-counter laxatives are in the client's
bag of medications. What concerns does the nurse have about this omission? -
CORRECT ANSWER- The laxatives can interact with and complicate prescribed drug
therapy
A nurse who works in an acute care for elders (ACE) unit recognizes the unique
pharmacokinetics and pharmacodynamics that often occur in older adults. Which factor
should the nurse take into account when administering medications to older adults on
the unit? - CORRECT ANSWER- As a result of age-related changes, older adults
face an increased risk of adverse medication effects.
A nurse is aware that older adults tend to have a significantly decreased rate of hepatic
blood flow compared with younger adults. What effect is this likely to have on
pharmacokinetics and pharmacodynamics in an older adult? - CORRECT ANSWER-
Drug clearance is likely to be slower
A report on the risks of med administration revealed disturbing quality issues across all
health care settings in the U.S. Approximately how many preventable adverse drug
events occur in the health care system each year? - CORRECT ANSWER- 7 million
To safely and accurately administer meds to a particular patient, nurses are
accountable for which of the following? - CORRECT ANSWER- a particular patient's
med regimen, the 6 rights, willingness to report errors and near misses, and what is
involved in administering drugs for a particular patient
What is an organization that requires all personnel to report near misses and
breakdowns in care called? - CORRECT ANSWER- Just Culture Organization
What is the first step the nurse takes to address meds safety? - CORRECT
ANSWER- obtain knowledge of the medication, including evidence-based standards
for administration
What is the purpose of the six competencies that are integrated into the national
curriculum standards for nursing? - CORRECT ANSWER- so that all nurses are
accountable for integrating safety and quality responsibilities into their daily work
Basing care decisions on knowledge of patient values and preferences is the definition
of which of the followings? - CORRECT ANSWER- patient-centered care
