Epic NUR 138 Pharmacology Exam 1 Rated A+
1 of 50
Term
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today,
the nurse was busy and gave the medication 2 hours after the
scheduled dose was due. What type of problem does this represent?
A. "Right route"
B. "Right medication"
C. "Right dose"
D. "Right time"
Give this one a try later!
C. A powder
Rationale: Of the types of oral medications listed, the powder form would be
absorbed the fastest, thus having a faster onset. The tablet, the capsule, and, finally,
the enteric-coated tablet would be absorbed next, in that order.
, D. "Right time"
Rationale: "Right time" is correct because the medication was given more than
30 minutes after the scheduled dose was due. "Dose" is incorrect because the
dose is not related to the time the medication administration is scheduled.
"Route" is incorrect because the route is not affected. "Medication" is incorrect
because the medication ordered will not change.
A. Corticosteroid
Rationale: Corticosteroids have an anti-inflammatory effect, which may help to
reduce pain. The other medications do not have anti-inflammatory properties.
B. Increased cardiac output
Rationale: For a patient in shock, a primary benefit of an adrenergic agonist drug is
to increase cardiac output. A drug in this category should not be used in place of
volume restoration, nor does it provide volume restoration (IV fluids do this).
Adrenergic agonists may enhance urine output if cardiac output and perfusion to
the kidneys increase. These drugs do not reduce anxiety.
Don't know?
2 of 50
Term
During discharge patient teaching, the nurse reviews prescriptions with
a patient. Which statement is correct about refills for an analgesic that
is classified as Schedule C-III?
A. The patient may have no more than five refills in a 6-month period.
,B. Refills are allowed only by written prescription.
C. Written prescriptions expire in 12 months.
D. No prescription refills are permitted.
Give this one a try later!
A. Excretion
Rationale: The kidneys are the organs that are most responsible for drug excretion.
Renal function does not affect the absorption and distribution of a drug. Renal
function may affect metabolism of drugs to a small extent.
B. Asthma
Rationale: Nonspecific/nonselective beta-blocking drugs may precipitate
bradycardia, hypotension, heart block, heart failure, bronchoconstriction, and/or
increased airway resistance. Therefore, any pre-existing respiratory conditions such
as asthma might be worsened by the concurrent use of any of these medications.
A. The patient may have no more than five refills in a 6-month period.
Rationale: Schedule C-III medications may be refilled no more than five times
in a 6-month period. The patient should be informed of this regulation. No
prescription refills are permitted for Schedule C-II drugs. Requiring refills by
written prescription only applies to Schedule C-II drugs. Schedule C-III
prescriptions (written or oral) expire in 6 months.
D. Digoxin 0.125 mg
Rationale: Digoxin 0.125 mg illustrates the correct notation with a leading zero
before the decimal point. Omitting the leading zero may cause the order to be
misread, resulting in a large drug overdose. Digoxin .125 mg and digoxin .1250 mg
, do not have the leading zero before the decimal point. Digoxin 0.1250 mg has a
trailing zero, which also is incorrect.
Don't know?
3 of 50
Term
The patient is complaining of a headache and asks the nurse which
over-the-counter medication form would work the fastest to help
reduce the pain. Which medication form will the nurse suggest?
A. A tablet
B. A capsule
C. A powder
D. An enteric-coated tablet
Give this one a try later!
A. Uncontrolled angle-closure glaucoma
Rationale: Contraindications include drug allergy, urinary or gastric retention, and
uncontrolled angle-closure glaucoma. Neurogenic bladder is an indication for
oxybutynin. The other options are incorrect.
C. Pain associated with peripheral neuropathy
Rationale: Anticonvulsants are often used as adjuvants for treatment of neuropathic
pain to enhance analgesic efficacy. The other indications listed are not correct.
1 of 50
Term
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today,
the nurse was busy and gave the medication 2 hours after the
scheduled dose was due. What type of problem does this represent?
A. "Right route"
B. "Right medication"
C. "Right dose"
D. "Right time"
Give this one a try later!
C. A powder
Rationale: Of the types of oral medications listed, the powder form would be
absorbed the fastest, thus having a faster onset. The tablet, the capsule, and, finally,
the enteric-coated tablet would be absorbed next, in that order.
, D. "Right time"
Rationale: "Right time" is correct because the medication was given more than
30 minutes after the scheduled dose was due. "Dose" is incorrect because the
dose is not related to the time the medication administration is scheduled.
"Route" is incorrect because the route is not affected. "Medication" is incorrect
because the medication ordered will not change.
A. Corticosteroid
Rationale: Corticosteroids have an anti-inflammatory effect, which may help to
reduce pain. The other medications do not have anti-inflammatory properties.
B. Increased cardiac output
Rationale: For a patient in shock, a primary benefit of an adrenergic agonist drug is
to increase cardiac output. A drug in this category should not be used in place of
volume restoration, nor does it provide volume restoration (IV fluids do this).
Adrenergic agonists may enhance urine output if cardiac output and perfusion to
the kidneys increase. These drugs do not reduce anxiety.
Don't know?
2 of 50
Term
During discharge patient teaching, the nurse reviews prescriptions with
a patient. Which statement is correct about refills for an analgesic that
is classified as Schedule C-III?
A. The patient may have no more than five refills in a 6-month period.
,B. Refills are allowed only by written prescription.
C. Written prescriptions expire in 12 months.
D. No prescription refills are permitted.
Give this one a try later!
A. Excretion
Rationale: The kidneys are the organs that are most responsible for drug excretion.
Renal function does not affect the absorption and distribution of a drug. Renal
function may affect metabolism of drugs to a small extent.
B. Asthma
Rationale: Nonspecific/nonselective beta-blocking drugs may precipitate
bradycardia, hypotension, heart block, heart failure, bronchoconstriction, and/or
increased airway resistance. Therefore, any pre-existing respiratory conditions such
as asthma might be worsened by the concurrent use of any of these medications.
A. The patient may have no more than five refills in a 6-month period.
Rationale: Schedule C-III medications may be refilled no more than five times
in a 6-month period. The patient should be informed of this regulation. No
prescription refills are permitted for Schedule C-II drugs. Requiring refills by
written prescription only applies to Schedule C-II drugs. Schedule C-III
prescriptions (written or oral) expire in 6 months.
D. Digoxin 0.125 mg
Rationale: Digoxin 0.125 mg illustrates the correct notation with a leading zero
before the decimal point. Omitting the leading zero may cause the order to be
misread, resulting in a large drug overdose. Digoxin .125 mg and digoxin .1250 mg
, do not have the leading zero before the decimal point. Digoxin 0.1250 mg has a
trailing zero, which also is incorrect.
Don't know?
3 of 50
Term
The patient is complaining of a headache and asks the nurse which
over-the-counter medication form would work the fastest to help
reduce the pain. Which medication form will the nurse suggest?
A. A tablet
B. A capsule
C. A powder
D. An enteric-coated tablet
Give this one a try later!
A. Uncontrolled angle-closure glaucoma
Rationale: Contraindications include drug allergy, urinary or gastric retention, and
uncontrolled angle-closure glaucoma. Neurogenic bladder is an indication for
oxybutynin. The other options are incorrect.
C. Pain associated with peripheral neuropathy
Rationale: Anticonvulsants are often used as adjuvants for treatment of neuropathic
pain to enhance analgesic efficacy. The other indications listed are not correct.
