lab 3 test bank
The nurse is preparing oral medications for a patient. In preparing these medications the nurse
is aware of which of the following?
a.
Acidic medications are absorbed slowly by the gastric mucosa.
b.
Alkaline medications are absorbed rapidly by the gastric mucosa.
c.
Solutions and suspensions are more difficult to absorb than capsules.
d.
Alkaline medications are absorbed in the small intestine. - ANSd
A nurse is caring for a patient with kidney disease. The nurse needs to make more focused
assessments when administering medications to this patient because the patient may
experience problems with the process of:
a.
excretion.
b.
absorption.
c.
distribution.
d.
metabolism. - ANSa
The nurse is preparing to give an intramuscular (IM) injection of pain medication. The nurse
prepares this medication knowing which of the following?
a.
Intramuscular (IM) medications are absorbed faster than subcutaneous medications.
b.
Medication absorption is faster with subcutaneous medications.
c.
Blood supply to the subcutaneous tissue is richer than to muscle.
d.
Muscle tissue has a less developed vascular system than subcutaneous tissue. - ANSa
A nurse is working with the pharmacist to determine when a patients medications should be
given. Several medications are due to be given in the morning. What is the most important
reason to appropriately schedule the patients medications?
a.
Some medications are absorbed more quickly on an empty stomach.
b.
,All medications are hindered by the presence of gastric contents.
c.
If given at the same time, all medications will be absorbed at the same rate.
d.
The nurse must schedule medications to fit the pharmacys schedule. - ANSa
A patient is hospitalized with a central nervous system infection that needs to be treated with
water-soluble antibiotics. The medications will be instilled into the subarachnoid space via an
epidural catheter. Why is this the best route of administration for this patient?
a.
Intravenous water-soluble antibiotics cannot pass through the blood-brain barrier.
b.
Only water-soluble medications can pass into the brain and cerebrospinal fluid.
c.
Older patients better tolerate lipid soluble medications than younger patients.
d.
Lipid soluble medications are safer for patients who are pregnant. - ANSa
Which of the following patients is most at risk for digoxin toxicity resulting from impaired
excretion?
a.
A 56-year-old man with coronary artery disease
b.
A 24-year-old woman with cystic fibrosis
c.
A 53-year-old woman with renal disease
d.
A 57-year-old man with a hemorrhagic stroke - ANSc
A postoperative patient is receiving morphine sulfate from a patient-controlled analgesia device.
On assessment, the nurse notes that the patients respirations are depressed. The nurse
realizes the effect of morphine sulfate infusion can be labeled as which of the following?
a.
Toxic
b.
Allergic
c.
Therapeutic
d.
Idiosyncratic - ANSa
A patient states that aspirin upsets her stomach. This is known as a(n):
a.
allergic response.
, b.
toxic effect.
c.
idiosyncratic reaction.
d.
side effect. - ANSd
A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking
medications in the past. When the nurse hung the second dose of IV antibiotics, the patient
suddenly developed shortness of breath and had difficulty breathing. The nurse recognized this
was most likely a(n):
a.
idiosyncratic reaction.
b.
toxic effect.
c.
side effect.
d.
anaphylactic reaction. - ANSd
The nurse is medicating the patient daily with warfarin (Coumadin). The patient is having blood
levels drawn daily to determine the dose needed. The nurse realizes that the goal is to reach
which of the following?
a.
The minimum effect concentration (MEC) in the plasma
b.
Reach the peak concentration level of the medication
c.
The level that falls between the MEC and toxic level
d.
An adequate trough level in the plasma - ANSc
A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be
taken every 12 hours and some have to be taken 4 times a day. What is the nurses best
response?
a.
The time between doses changes because any medications half-life varies so much.
b.
We need to vary the times to keep the blood values fluctuating.
c.
We try to give the next dose of medication only after the last dose is gone.
d.
Regular doses are given based on the half-life to maintain a therapeutic plateau. - ANSd
The nurse is preparing oral medications for a patient. In preparing these medications the nurse
is aware of which of the following?
a.
Acidic medications are absorbed slowly by the gastric mucosa.
b.
Alkaline medications are absorbed rapidly by the gastric mucosa.
c.
Solutions and suspensions are more difficult to absorb than capsules.
d.
Alkaline medications are absorbed in the small intestine. - ANSd
A nurse is caring for a patient with kidney disease. The nurse needs to make more focused
assessments when administering medications to this patient because the patient may
experience problems with the process of:
a.
excretion.
b.
absorption.
c.
distribution.
d.
metabolism. - ANSa
The nurse is preparing to give an intramuscular (IM) injection of pain medication. The nurse
prepares this medication knowing which of the following?
a.
Intramuscular (IM) medications are absorbed faster than subcutaneous medications.
b.
Medication absorption is faster with subcutaneous medications.
c.
Blood supply to the subcutaneous tissue is richer than to muscle.
d.
Muscle tissue has a less developed vascular system than subcutaneous tissue. - ANSa
A nurse is working with the pharmacist to determine when a patients medications should be
given. Several medications are due to be given in the morning. What is the most important
reason to appropriately schedule the patients medications?
a.
Some medications are absorbed more quickly on an empty stomach.
b.
,All medications are hindered by the presence of gastric contents.
c.
If given at the same time, all medications will be absorbed at the same rate.
d.
The nurse must schedule medications to fit the pharmacys schedule. - ANSa
A patient is hospitalized with a central nervous system infection that needs to be treated with
water-soluble antibiotics. The medications will be instilled into the subarachnoid space via an
epidural catheter. Why is this the best route of administration for this patient?
a.
Intravenous water-soluble antibiotics cannot pass through the blood-brain barrier.
b.
Only water-soluble medications can pass into the brain and cerebrospinal fluid.
c.
Older patients better tolerate lipid soluble medications than younger patients.
d.
Lipid soluble medications are safer for patients who are pregnant. - ANSa
Which of the following patients is most at risk for digoxin toxicity resulting from impaired
excretion?
a.
A 56-year-old man with coronary artery disease
b.
A 24-year-old woman with cystic fibrosis
c.
A 53-year-old woman with renal disease
d.
A 57-year-old man with a hemorrhagic stroke - ANSc
A postoperative patient is receiving morphine sulfate from a patient-controlled analgesia device.
On assessment, the nurse notes that the patients respirations are depressed. The nurse
realizes the effect of morphine sulfate infusion can be labeled as which of the following?
a.
Toxic
b.
Allergic
c.
Therapeutic
d.
Idiosyncratic - ANSa
A patient states that aspirin upsets her stomach. This is known as a(n):
a.
allergic response.
, b.
toxic effect.
c.
idiosyncratic reaction.
d.
side effect. - ANSd
A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking
medications in the past. When the nurse hung the second dose of IV antibiotics, the patient
suddenly developed shortness of breath and had difficulty breathing. The nurse recognized this
was most likely a(n):
a.
idiosyncratic reaction.
b.
toxic effect.
c.
side effect.
d.
anaphylactic reaction. - ANSd
The nurse is medicating the patient daily with warfarin (Coumadin). The patient is having blood
levels drawn daily to determine the dose needed. The nurse realizes that the goal is to reach
which of the following?
a.
The minimum effect concentration (MEC) in the plasma
b.
Reach the peak concentration level of the medication
c.
The level that falls between the MEC and toxic level
d.
An adequate trough level in the plasma - ANSc
A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be
taken every 12 hours and some have to be taken 4 times a day. What is the nurses best
response?
a.
The time between doses changes because any medications half-life varies so much.
b.
We need to vary the times to keep the blood values fluctuating.
c.
We try to give the next dose of medication only after the last dose is gone.
d.
Regular doses are given based on the half-life to maintain a therapeutic plateau. - ANSd
