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64. A patient is receiving 2 different drugs. at current dosages and dosage forms, both drugs are
absorbed into the circulation in identical amounts. thus, because they have the same absorption rates,
they are
a. in a steady state
b. synergistic c, compatible.
d. bioequivalent. - ANS-d. bioequivalent.
65. a nurse is providing teaching for a patient who will be taking varenicline (chantix) as part of a
smoking cessation program. which teaching point is appropriate for a patient taking this medication? a.
this drug is available as a chewing gum that can be taken to reduce cravings
b. be careful when driving because drowsiness may be a problem
c. there have been very few adverse effects reported for this drug.
d. avoid caffeine while on this drug. - ANS-d. avoid caffeine while on this drug.
66. the nurse is administering parenteral drugs. which statement is true regarding parenteral drugs? a.
parenteral drugs bypass the first pass effect
b. absorption of parenteral drugs is affected by reduced blood flow to the stomach.
c. absorption of parenteral drugs is altered by the presence of food in the stomach
d. parenteral drugs exert their effects while circulating in the bloodstream. - ANS-a. parenteral drugs
bypass the first pass effect
67. the nurse is assessing a newly admitted 83 year old patient and determines that the patient is
experiencing polypharmacy. which statement most accurately illustrates polypharmacy? a. the
patient has lower risk for drug interactions.
b. the patient takes one medication for an illness several times a day.
c. the patient risks problems only if over the counter medications are also taken.
d. the patient takes multiple medications for several different illnesses. - ANS-d. the patient takes
multiple medications for several different illnesses.
,68. when given a scheduled morning medication, the patient states, "I haven't seen that pill before, are
you sure it's correct?" that nurse checks the medication administration record and verifies that is listed.
which is the nurse's best response to the patient?
a. "It's listed here on the medication sheet, so you should take it."
b. "Go ahead and take it, and then I'll check with your doctor about it."
c. "It wouldn't be listed here if it were not ordered for you!"
d. "I'll check on the order first before you take it." - ANS-d. "I'll check on the order first before you take
it."
69. a patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin. where does
the nurse instruct the patient to place the tablet? a. under the tongue
b. in the space between the cheek and the gum inside the mouth
c. at the back of the throat for easy swallowing
d. on a nonhairy area of the chest - ANS-a. under the tongue
70. the nurse is writing a nursing diagnosis for plan of care for a patient who has been newly diagnosed
with type 2 diabetes. which statement reflects the correct format for nursing diagnosis? a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to feelings about drug therapy as evidenced by statements such as "I'm upset about
having to give myself shots."
d. anxiety related to new drug therapy as evidenced by statements such as "I'm upset about having to
give myself shots." - ANS-d. anxiety related to new drug therapy as evidenced by statements such as
"I'm upset about having to give myself shots."
71. The nurse is assessing an elderly Hispanic woman who is being treated for hypertension. during the
assessment, what is important for the nurse to remember about cultural aspects? a. the patient should
be discouraged from using folk remedies and rituals.
b. the nurse should expect the patient to value protective bracelets and root workers as healers.
c. the nurse should remember that the balance among body, mind, and environment would be
important for this patient health beliefs.
d. the nurses assessment should include information regarding religious practices and beliefs regarding
medications, treatment, and healing. - ANS-d. the nurses assessment should include information
regarding religious practices and beliefs regarding medications, treatment, and healing.
72. for which cultural group must the health care team provider respect the value placed on harmony
with nature and the belief that disease is the result ill spirits? a. Hispanics
b. Asian Americans
c. native Americans
d. African Americans - ANS-c. native Americans
73. all of the following regarding over the counter (OTC) drugs are true except:
a. use of OTC drugs may delay treatment of serious ailments.
b. drug interactions with OTC medications are rare.
c. OTC drugs may relieve symptoms without addressing the cause of the problem.
,d. patients may misunderstand product labels and misuse the drugs. - ANS-b. drug interactions with OTC
medications are rare.
74. of the drugs listed below which would be affected by the first pass effect? select all that apply.
a. morphine infusion through a patient controlled analgesia pump
b. nitroglycerin sublingual tablets
c. diphenhydramine (Benadryl) elixir
d. levothyroxine (Synthroid) tablets
e. Transdermal nicotine patches
f. nifedipine (Procardia) capsules
g. penicillin given by IV piggyback infusion - ANS-c. diphenhydramine (Benadryl) elixir
d. levothyroxine (Synthroid) tablets
f. nifedipine (Procardia) capsules
75. which are appropriate considerations when the nurse is assessing the learning needs of a patient?
select all that apply a
cultural background.
b. social support
c. level of education
d. readiness to learn
e. health beliefs - ANS-a cultural background.
c. level of education
d. readiness to learn
e. health beliefs
76. which factors contribute to drug polymorphism? select all that apply
a. the number of drugs ordered by the physician b
inherited factors
c. the patient's diet and nutrition status
d. different dosage forms of the same drug
e. the patients values and beliefs
f. the patients drug history
g. the various available forms of a drug - ANS-b inherited factors
c. the patient's diet and nutrition status
e. the patients values and beliefs
f. the patients drug history
77. which statements are true regarding pediatric patients and pharmacokinetics: select all that apply
a. the levels of misrosomal enzymes are decreased
b. perfusion to the kidneys may be decreased and may result in reduced renal function
c. first pass elimination is increased because of higher portal circulation.
d. first pass elimination is reduced because of the immaturity of the liver.
e. total body water content is much less than in adults.
f. gastric emptying is slowed because of slow or irregular peristalsis.
, g. gastric emptying is more rapid because of increased peristaltic activity. - ANS-a. the levels of
misrosomal enzymes are decreased
d. first pass elimination is reduced because of the immaturity of the liver.
f. gastric emptying is slowed because of slow or irregular peristalsis.
78. which statements are true regarding the elderly and pharmacokinetics? select all that apply
a. the level of microsomal enzymes are decreased.
b. fat content is increased because of decreased lean body mass.
c. fat content is decreased because of increased lean body mass.
d. the number of intact nephrons is increased.
e. the number of intact nephrons is decreased.
f. gastric pH is less acidic
g. gastric pH is more acidic - ANS-a. the level of microsomal enzymes are decreased.
c. fat content is decreased because of increased lean body mass.
e. the number of intact nephrons is decreased.
f. gastric pH is less acidic
79. when giving medications the nurse ill follow the rights of medication administration. which include
what rights? a. right drug
b. right route
c. right dose
d. right time
e. right patient
f. right documentation - ANS-a. right drug
b. right route
c. right dose
d. right time
e. right patient
f. right documentation
80. the nurse can prevent medication error by following which principles? select all that apply
a. assess for allergies after giving medications.
b. use 2 patient identifiers before giving medications.
c. do not give a medication that another nurse has drawn up in a syringe.
d. minimize the use of verbal and telephone orders.
e. use trade names instead of generic names to avoid confusion. - ANS-b. use 2 patient identifiers before
giving medications.
c. do not give a medication that another nurse has drawn up in a syringe.
d. minimize the use of verbal and telephone orders.
81.the nurse is conducting a class for seniors citizens about the use of over the counter (OTC) drugs.
which statements are true regarding the use of OTC drugs? select all that apply a.
use of OTC drugs may delay treatment of serious ailments
b. drug interactions with OTC are rare