REVISED PHARMACOLOGY TEST BANK

REVISED PHARMACOLOGY TEST BANK The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely on knowledge of which topic? - CORRECT ANSWER -Pharmacotherapeutics What is a desired outcome when a drug is described as easy to administer? - CORRECT ANSWER -It enhances patient adherence to the drug regimen. A patient tells the nurse that an analgesic he will begin taking may cause drowsiness and will decrease pain up to 4 hours at a time. Based on this understanding of the drug's effects by the patient, the nurse will anticipate which outcome? - CORRECT ANSWER -Improved compliance with the drug regimen. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer "2 puffs every 4 hours as needed for coughing or wheezing." The patient reports feeling jittery sometimes when taking the medication, and she doesn't feel that the medication is always effective. Which action is outside the nurse's scope of practice? - CORRECT ANSWER Suggesting that the patient use one puff to reduce side effects. A postoperative patient is being discharged home with acetaminophen for pain. the patient asks the nurse about using Tylenol for fever. Which statement by the nurse is correct? - CORRECT ANSWER "Taking the two medications together poses a risk for drug toxicity" The nurse is preparing to care for a patient who will be taking an antihypertensive medication. Which action by the nurse is part of the assessment step of the nursing process? - CORRECT ANSWER Questioning the patient about OTC use A postoperative patient reports pain, which the patient rates as an 8 on a scale of 1 to 10. The prescriber has ordered acetaminophen 650mg PO every 6 hours PRN. What will the nurse do? - CORRECT ANSWER -Contact the provider to request a different analgesic medication. A patient newly diagnosed with diabetes is to be discharged from the hospital. The nurse teaching the patient about home management should begin by doing what? - CORRECT ANSWER -Asking the patient to demonstrate how to measure and administer insulin. The nurse receives an order to give morphine 5 mg IV every 2 hours PRN for pain. Which action is not part of the 6 rights of med adm? - CORRECT ANSWER -Assessing the patient's pain level 15 to 30 minutes after giving the medication. A patient tells a nurse that a medication prescribed for recurrent migraine headaches is not working. What will the nurse do? - CORRECT ANSWER -Ask the patient about the number and frequency of tablets taken. A nurse is preparing to administer medications. Which patient would the nurse consider to have the greatest predisposition to an adverse reaction? - CORRECT ANSWER -A 30 y/o man with kidney disease A nurse consults a drug manual before giving a medication to an 80 y/o patient. The manual states that older-adult patients are at increased risk for hepatic side effects. Which action by the nurse is correct? - CORRECT ANSWER -Contact the provider to discuss an order for pretreatment laboratory work. A patient has been receiving IV penicillin for pneumonia for several days and begins to complain of generalized itching. The nurse auscultates bilateral wheezing and notes a temperature of 38.5 C (101F). Which action by the nurse is correct? - CORRECT ANSWER -Hold the next dose and notify the prescriber of the symptoms A postoperative patient has orders for morphine sulfate 1 to 2 mg IV every hour PRN for severe pain and acetaminophen-hydrocodone (Lortab) 7.5 mg PO every 4-6 hours PRN for moderate pain. The patient reports pain at a level of 8. Which action by the nurse is appropriate? - CORRECT ANSWER -Administer morphine sulfate 2 mg IV and evaluate the patient's pain in 15-30 minutes