Pharmacology practice questions

Which information is of highest priority when obtaining a pharmacologic history from a patient? a. Allergies b.Use of over-the-counter medications c. Home remedy use d. Alcohol intake a. allergies During the implementation phase of the nursing process, which action will the nurse perform when administering medications? a. Switch the route of administration based on drug availability. b. Call the patient by name when entering the room to verify the drug is for the right person. c. Check the patient's armband before administering the medication. d. Prepare medications for all patients first, then administer by room to manage time appropriately. c. check the patients armband before administering the medication For which activity is the nurse responsible during the evaluation phase of drug administration? a. Preparing and administering prescribed medications safely b.Planning measurable outcomes for the patient related to drug therapy c. Monitoring the patient continuously for therapeutic as well as adverse effects d. Gathering data in a drug and dietary history c. monitoring the patient continuously for therapeutic as well as adverse effects The nurse should include which information when evaluating the outcome after a patient's medication has been administered? A. Dose of medication administered B. Time medication administered C. Patient allergies to medications D. Therapeutic effect on patient D. therapeutic effect on the patient The nurse should check a medication how many times before administration of a medication under the "right drug" part of the Six Rights? a.One time b.Three times c.Five times d.Depends on the drug being administered b. three times The nurse notes that a medication was scheduled to be administered at 0900. A medication error has occurred if the medication was administered at which time? a. 0800 b. 0830 c. 0900 d. 0930 a. 0800 While the nurse is taking an admission history, the patient reports having a previous allergic reaction to penicillins. What will the nurse document as part of the patient's allergic reaction response to penicillins? a. Hives b. Dry eyes c. Frequent urination d.Constipation a. hives The nurse has an order for administering a medication to the patient. Which providers have legal authority to prescribe medications for patients? (Select all that apply.) a.Physician b.Physical therapist c. Pharmacist d.Dentist e. Physician assistant f.Nurse practitioner a, d, e, f which phase of the nursing process requires the nurse to establish a comprehensive baseline of data concerning a particular patient? a. assessment ing nmentation ation a. assessment the nurse monitors the fulfillment of goals, and may revise them, during which phase of the nursing process? sment ing mentation ation d. evaluation the nurse prepares and administers prescribed medications during which phase of the nursing process? sment ing mentation ation c. implementation when developing a plan of care, which nursing action ensures the goal statement is patient centered? dering family input ving the patient oping the goal first, and then sharing it d. including the physician b. involving the patient during which phase of the nursing process does the nurse prioritize the nursing diagnose? a. assessment ing mentation d. evaluation b. planning What is the study of the physiochemical properties of drugs and how they influence the body called? a.Pharmacokinetics b.Pharmacotherapeutics c.Pharmacodynamics d. Pharmacology c. pharmacodynamics Pharmacokinetics involves the study of a. physiologic interactions of drugs. ibution rates among various body compartments. c. interactions between various drugs. d. adverse reactions to medications. b. distribution rate among various body compartments What is an alternate name for biotransformation of a drug? a. Absorption b. Dilution c.Excretion d. Metabolism d. metabolism A drug given by which route is altered by the first-pass effect? a. Sublingual b. Subcutaneous c. Oral d. Intravenous c. oral Drug half-life is defined as the amount of time required for 50% of a drug to a. be absorbed by the body. b. exert a response. c. be eliminated by the body. d. reach a therapeutic level. c. be eliminated by the body Which action, when performed by the nurse, will increase the absorption of a medication administered intramuscularly? a. Applying cold packs to the injection site b. Lowering the extremity below the level of the heart c. Administering the medication via the Z-track method d. Massaging the site after injection d. massage the site after injection Highly protein-bound drugs a. increase the risk of drug-drug interactions. b. typically provide a short duration of action. c. must be administered with 8 ounces of water. d. have a decreased effect in patients with a low albumin level. a. increase the risk of drug-drug interactions To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route? a. Subcutaneously b. Intravenously c. Intramuscularly d. Intrathecally b. intravenously What is the ratio between a drug's therapeutic effects and toxic effects called? a. Tolerance b. Cumulative effect c. Therapeutic index d. Affinity c. therapeutic index When a patient asks the nurse why a lower dose of intravenous pain medication is being given than the previous oral dose, what knowledge will the nurse draw on to respond to the patient? a. Medications given intravenously are not affected by the first-pass effect. b. Medications given orally bypass the portal circulatory system. c. A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the liver. d. Drugs administered intravenously enter the portal system prior to systemic distribution. a. medications given intravenously are not affected by the first-pass effect when considering the various routes of drug elimination, the nurse is aware that elimination occurs mainly by which route? tubules and skin and lungs and renal tubules and GI tract and renal tubules the nurse is aware that excessive drug dosages, impaired metabolism, or inadequate excretion may result in which drug effect? ance ative effect patibility onist effect b. cumulative effect the nurse recognizes that drugs given by which route will be altered by the first pass effect? (select all that apply) ngual taneous d.IV l a, e if a drug binds with an enzyme and thereby prevents the enzyme from binding to its normal target cell, it will produce which effect? tor interaction e interaction e interaction ecific interaction c. enzyme interaction the nurse is reviewing a list of a petitions medications, and notes that on of the drugs is known to have a low therapeutic index. which statement accurately explains this concept? difference between a therapeutic dose and toxic dose is large difference between a therapeutic dose and toxic dose is small does needed to reach a therapeutic level is small drug has only a slight chance of being effective difference between a therapeutic dose and toxic dose is small the nurse prepares to obtain a patient blood sample from a central line for a drug level that is to be drawn just before that medications next dose. what is the timing of this blood draw known as? -life peutic level level h level h level lisa is researching botanical and zoologic sources of drugs to treat MS. she is part of a university research team that is currently experimenting with varying the biochemical composition and therapeutic effects of several possible new drug aceutics acokinetics acogenomics acotherapeutics acognosy ology acoeconomics e. pharmacognosy jeffery works for a pharmaceutical corporation. one of its new drugs looks very promising, and jefferys company is experimenting with dosage forms for this investigational new is responsible for measuring the relationship between the physiochemical properties of the dosage form and the clinical therapeutic response aceutics acokinetics acogenomics acotherapeutics acognosy ology acoeconomics a. pharmaceutics micah is performing a cost benefit analysis to compare the effectiveness of two blood pressure medications for a health insurance company aceutics acokinetics acogenomics acotherapeutics acognosy ology acoeconomics g. pharmacoeconomics devon researches various poisons and is particularly concerned with the detection and treatment of the effects of drugs and other chemicals in certain mammals f. toxicology diane and phil have spent the last 3 years gathering family histories, legal case reports, and current clinical data to identify possible genetic factors that influence individuals responses to meperdine and related drugs aceutics acokinetics acogenomics acotherapeutics acognosy ology acoeconomics c. pharmacogenomics david works on a study that is gathering data on the use of two different drugs for the treatment of RA aceutics acokinetics acogenomics acotherapeutics acognosy ology acoeconomics odynamics d. pharmacotherapeutics leslies lab monitors drug distribution rates between various body compartments, from absorption to excretion. recently, her lab was able to suggest a positive change in the dosage regimen for an injectable drug, brining her firm a prestigious award aceutics acokinetics acogenomics acotherapeutics acognosy ology acoeconomics odynamics b. pharmacokinetics gregorys research unit recently recommended two new contraindications for the use of a newly marketed drug after discovering previously unknown biochemical and phsysiologic interactions of this drug with another unrelated drug aceutics acokinetics acogenomics acotherapeutics acognosy ology acoeconomics h. pharmodynamics h. pharmodynamics a client is prescribed phenobarbital sodium (luminal) for seizure disorder. the medications has a long half life of 4 days. based on this half life, the medication will most likely be prescribed a day a day few hours e. once ever 2 days a. once a day a nurse educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses. medication dosages may need to be decreased for the following reasons: liver failure and concurrent use of medication metabolized by the same pathway a nurse is preparing to administer eye drops to a client. which of the following are appropriate nurse interventions related to this procedure: asking the client to loop up to the celling, dropping medication into the center of the clients conjunctival sac, and instructing the client to close the eye gently