WITH ACCURATE SOLUTIONS AND
RATED A.
The nurse is preparing to administer a medication with the following
order: "methyldopa 250 mg daily." What should the nurse do?
1. Verify the order with the prescriber. (CORRECT)
2. Administer the medication by mouth.
3. Administer the medication as it was given last time.
4. Ask the patient how this medication is usually given.
Why is it important for drugs to have ease of administration?
1. Greater chemical stability
2. Fewer administration errors (CORRECT)
3. Less risk of drug side effects
4. Greater likelihood of reversibility
A patient will receive an intramuscular injection of a drug that has a high
first-pass effect. The provider plans to change the drug to an oral
formulation when the patient is discharged. Which type of prescription
would the nurse anticipate for the patient?
1. A lower drug dose
2. A higher drug dose (CORRECT)
3. An enteric-coated oral formulation
4. An oral formulation of the same dose
Pharmacokinetics involves the study of which factor?
1. Physiologic interactions of drugs
2. Interactions among various drugs
3. Adverse reactions to medications
4. Distribution rates among various body compartments (CORRECT)
,The nurse obtains a patient's history to identify factors that may affect
drug pharmacokinetics. Which patients who are on protein-bound drugs
are most likely to experience drug toxicity? Select all that apply.
1. A patient with liver cirrhosis (CORRECT)
2. A patient with kidney disease (CORRECT)
3. A patient with a nutritional deficiency (CORRECT)
4. A patient who has had gastric surgery
5. A patient with peripheral vascular disease
The nurse should be aware that which factors will affect the absorption of
orally administered medications? Select all that apply
1. Time of day
2. The pH of the stomach (CORRECT)
3. Form of drug preparation (CORRECT)
4. Presence of food in the stomach (CORRECT)
5. Patient position upon intake of medication
The nurse provides care to a group of female patients receiving a newly
approved drug. Which factor is of greatest concern with regard to drug
therapy in these patients?
1. Most drug research has been carried out in male subjects. (CORRECT)
2. Overall, women tend to be less compliant with medication therapy.
3. Women tend to be caregivers and may not take time to care for
themselves.
4. Hormonal differences make managing drug therapy more difficult in most
women.
What should the nurse identify as the goal of drug therapy?
1. Cure of the disease
2. Follow-up with the prescriber
3. Correct administration technique
4. Production of maximum benefit with minimum harm (CORRECT)
, The nurse is teaching a patient to report any side effects after taking a
prescribed drug. What should the nurse teach the patient about side
effects? Select all that apply.
1. "Side effects are not expected as part of the drug therapy."
2. "The drug should not be discontinued because of side effects." (CORRECT)
3. "Side effects may be mild or severe and may include anaphylaxis."
4. "The provider may be able to adjust the drug dose to reduce side effects."
(CORRECT)
5. "The provider may be able to decrease side effects by prescribing a
different drug from the same class." (CORRECT)
The nurse is uncertain regarding directions for preparing a medication. For
clarification, whom should the nurse contact?
1. The charge nurse
2. The shift supervisor
3. The facility pharmacist (CORRECT)
4. The healthcare provider
The nurse is completing a preadministration assessment before delivering
medication to a patient. Which action is part of collecting baseline data?
1. Verifying financial coverage of the medication administered
2. Assessing the patient's ability to independently track and dispense
medication doses
3. Identifying the impact of liver dysfunction on the experience of adverse
side effects
4. Obtaining a blood pressure before administration of an antihypertensive
medication (CORRECT)
The nurse is caring for a patient with renal failure who is prescribed a
protein-bound drug. Which parameter in the patient must the nurse assess
before administering the medication?
1. Lipid profile
2. Hemoglobin level