NR293/ NR 293 EXAM 1 NEWEST ACTUAL
EXAM WITH COMPLETE QUESTIONS AND
DETAILED VERIFIED ANSWERS GRADED A+
| 100% VERIFIED
A 58 y.o. patient has an old tracheostomy and has developed
pneumonia. He has a productive cough and is producing thick
mucus that he is having trouble coughing up. What drug is best
to give him? - ✔✔✔ Correct Answer > Guaifenesin (Humibid)
tablets. Expectorants such as guaifenesin aid in the
expectoration of excessing mucus that has accumulated in the
respiratory tract by breaking down and thinning out secretions.
The nurse is giving a med that has a high first-pass effect. The
physician has changed the route from IV to PO. The nurse
expects the oral dose to be..... - ✔✔✔ Correct Answer > Higher
because of the first pass effect. The first-pass effect is the
metabolism of a drug before it becomes systematically
available and it reduces the bioavailability of a drug. Therefore,
oral doses need to be higher than IV doses because of the first-
pass effect.
,A patient is complaining of severe pain and has orders for
morphine sulfate. The nurse knows that the route what would
give the slowest pain relief would be.... - ✔✔✔ Correct Answer
> PO.
A patient is prescribed ibuprofen 200 mg PO q4h prn for pain.
The pharmacy sends up enteric-coated tablets, but the patient
refuses stating she cannot swallow the pills. What should the
nurse do? - ✔✔✔ Correct Answer > Call the pharmacy and ask
for the liquid form of the medication. The liquid form is
appropriate because it is also given via oral route. Enteric-
coated tablets cannot be crushed and the patient should not be
forced to take the tablets.
When giving morning meds, the nurse is preparing to
administer a transdermal patch med and finds the patient
already has a med patch on his right upper chest. What should
the nurse do? - ✔✔✔ Correct Answer > Remove the old patch,
and apply the new one to a clean, different area. Transdermal
drugs should be placed on alternating sites, on a clean and
nonirritating area, and only after the previously applied patch
has been removed.
,Problematic Medications for Elderly - ✔✔✔ Correct Answer >
Analgesics (including NSAIDS and opioids), anticoagulants,
anticholingerics, antidepressants, antihypertensives, cardiac
glycosides (digoxin), sedatives and hypnotics, CNS depressants,
thiazide diuretics
True or False: most medications have been extensively studied
in a variety of different populations and age groups. - ✔✔✔
Correct Answer > False. The majority of drug studies have
focused on people between the ages of 13 and 65. It has been
estimated that 75% of currently approved drugs lack U.S. FDA
approval for pediatric use and therefore lack dosage guidelines
for neonates and young children
A mother calls the clinic to ask about giving acetaminophen to
her infant. She said she used the liquid form in her 5 year old
child, and wants to know how much to give her infant. The
nurse should... - ✔✔✔ Correct Answer > Consult with a
physician before instruction the mother on giving the
medication. The physician should be consulted before
acetaminophen is used in children under the age of 2.
True or False: the elderly patient will experience polypharmacy,
but not much can be done about it. - ✔✔✔ Correct Answer >
, False. Yes the risk of polypharmacy is high in older adults
because of the many factors (such as higher incidence of one or
more chronic illnesses), but steps can be taken to reduce the
risk by reducing the number and/or dosage of drugs taken.
Over-The-Counter Drugs (OTC) - ✔✔✔ Correct Answer > -
Nonprescription drugs
-Used for short-term treatment of common minor illnesses
-More than 300,000 OTC drugs available
-OTC Drug Review (1972) monitored by FDA: safety and
efficacy, appropriate labeling standards, reclassification
Criteria For OTC Medications - ✔✔✔ Correct Answer > Must be
easy to understand by the patient, must have a high
therapeutic index so there is low potential for OD, and must be
easy to monitor (no IV or Coumadin, for example)
Reclassified OTC Drugs - ✔✔✔ Correct Answer > -ibuprofen
(Advil)
-naproxen (Aleve)
-diphenhydramine (Benadryl)
-loratadine (Claritin)
EXAM WITH COMPLETE QUESTIONS AND
DETAILED VERIFIED ANSWERS GRADED A+
| 100% VERIFIED
A 58 y.o. patient has an old tracheostomy and has developed
pneumonia. He has a productive cough and is producing thick
mucus that he is having trouble coughing up. What drug is best
to give him? - ✔✔✔ Correct Answer > Guaifenesin (Humibid)
tablets. Expectorants such as guaifenesin aid in the
expectoration of excessing mucus that has accumulated in the
respiratory tract by breaking down and thinning out secretions.
The nurse is giving a med that has a high first-pass effect. The
physician has changed the route from IV to PO. The nurse
expects the oral dose to be..... - ✔✔✔ Correct Answer > Higher
because of the first pass effect. The first-pass effect is the
metabolism of a drug before it becomes systematically
available and it reduces the bioavailability of a drug. Therefore,
oral doses need to be higher than IV doses because of the first-
pass effect.
,A patient is complaining of severe pain and has orders for
morphine sulfate. The nurse knows that the route what would
give the slowest pain relief would be.... - ✔✔✔ Correct Answer
> PO.
A patient is prescribed ibuprofen 200 mg PO q4h prn for pain.
The pharmacy sends up enteric-coated tablets, but the patient
refuses stating she cannot swallow the pills. What should the
nurse do? - ✔✔✔ Correct Answer > Call the pharmacy and ask
for the liquid form of the medication. The liquid form is
appropriate because it is also given via oral route. Enteric-
coated tablets cannot be crushed and the patient should not be
forced to take the tablets.
When giving morning meds, the nurse is preparing to
administer a transdermal patch med and finds the patient
already has a med patch on his right upper chest. What should
the nurse do? - ✔✔✔ Correct Answer > Remove the old patch,
and apply the new one to a clean, different area. Transdermal
drugs should be placed on alternating sites, on a clean and
nonirritating area, and only after the previously applied patch
has been removed.
,Problematic Medications for Elderly - ✔✔✔ Correct Answer >
Analgesics (including NSAIDS and opioids), anticoagulants,
anticholingerics, antidepressants, antihypertensives, cardiac
glycosides (digoxin), sedatives and hypnotics, CNS depressants,
thiazide diuretics
True or False: most medications have been extensively studied
in a variety of different populations and age groups. - ✔✔✔
Correct Answer > False. The majority of drug studies have
focused on people between the ages of 13 and 65. It has been
estimated that 75% of currently approved drugs lack U.S. FDA
approval for pediatric use and therefore lack dosage guidelines
for neonates and young children
A mother calls the clinic to ask about giving acetaminophen to
her infant. She said she used the liquid form in her 5 year old
child, and wants to know how much to give her infant. The
nurse should... - ✔✔✔ Correct Answer > Consult with a
physician before instruction the mother on giving the
medication. The physician should be consulted before
acetaminophen is used in children under the age of 2.
True or False: the elderly patient will experience polypharmacy,
but not much can be done about it. - ✔✔✔ Correct Answer >
, False. Yes the risk of polypharmacy is high in older adults
because of the many factors (such as higher incidence of one or
more chronic illnesses), but steps can be taken to reduce the
risk by reducing the number and/or dosage of drugs taken.
Over-The-Counter Drugs (OTC) - ✔✔✔ Correct Answer > -
Nonprescription drugs
-Used for short-term treatment of common minor illnesses
-More than 300,000 OTC drugs available
-OTC Drug Review (1972) monitored by FDA: safety and
efficacy, appropriate labeling standards, reclassification
Criteria For OTC Medications - ✔✔✔ Correct Answer > Must be
easy to understand by the patient, must have a high
therapeutic index so there is low potential for OD, and must be
easy to monitor (no IV or Coumadin, for example)
Reclassified OTC Drugs - ✔✔✔ Correct Answer > -ibuprofen
(Advil)
-naproxen (Aleve)
-diphenhydramine (Benadryl)
-loratadine (Claritin)
