Focus On Nursing Pharmacology 9th Edition
Question with Verified Answers | All
Chapters Included
The nurse is preparing to move to another state. The nurse should complete which action?
A) Become familiar with local policies and procedures for controlled substance administration.
B) Obtain local providers' Drug Enforcement Agency (DEA) number for prescribing controlled
substances.
C) Become familiar with pregnancy drug categorization system used in the new state.
D) Learn about the particular OTC drugs that are for sale in the new state.
A
The client looks at the prescription provided by the doctor and asks the nurse about the notation
"DAW." What implication of this notation should the nurse explain?
A) The prescription will be filled once the pharmacy is informed of the prescriber's DEA number.
B) The pharmacy where the client fills the prescription will not substitute a generic drug.
C) The drug falls under the purview of the DEA's Drug Action Watch program.
D) The drug is associated with a high risk of adverse effects.
B
The nurse is preparing to administer the drug papaverine (Pavabid). What does the nurse identify the
name Pavabid as?
A) the generic name
B) the chemical name
C) the brand name
D) the chemical and generic name
C
The client is prescribed a medication that was just approved by the FDA. The client tells the nurse,
"This medication is too expensive. Could the doctor order a generic form of this medication?" What is
the nurse's best response?
A) "New medications are patented by the manufacturers. A generic is not available."
B) "You can request the generic form but the binder used may make the drug less effective for this
medication."
C) "The generic form of the medication would not be any less expensive because this is a relatively
new medication."
D) "Generic medications are lower-quality drugs and that would mean you would not be getting the
best treatment available."
, A
While collecting a medication history, the client admits to doubling the recommended dosage of
acetaminophen, saying "It's harmless or they would require a prescription." What is the nurse's best
response?
A) "OTC drugs are serious medications and carry serious risks if not taken as directed."
B) "Taking medications like that is careless and you could cause yourself serious harm if you keep
doing it."
C) "Sometimes you need to take more than the package directs to treat the symptoms. It's important
not to do this frequently."
D) "Did you notify your doctor of the increased dosage you were taking?"
A
The nurse explains that what drug resource book is compiled from package inserts?
A) Nurses Drug Guide
B) Physicians' Desk Reference (PDR)
C) Drug Facts and Comparisons
D) AMA Drug Evaluations
A client has been prescribed a new medication but is skeptical to begin taking it after reading about
potential risks in an online discussion forum. What is the nurse's best response?
A) "It's excellent that you're investigating your medications. Can I recommend some useful websites
for you?"
B) "Just remember that there is a lot of highly inaccurate information on the internet. A lot of the time
it's best to just avoid it."
C) "How did you find that particular discussion forum?"
D) "Knowledge is power." "The more information you can get about something as important as your
health, the better."
A
Which journal should the nurse use to best support effective nursing practice?
A) American Journal of Nursing
B) Medical Letter
C) Journal of American Medical Association
D) New England Journal of Medicine
A
The nurse is caring for a diverse group of clients. In which client should the nurse assess for an
alteration in drug metabolism?
A) a 35-year-old woman with cervical cancer
B) a 41-year-old man with kidney stones
C) a 50-year-old man with cirrhosis of the liver
D) a 32-year-old woman with urosepsis
C
,A client has recently moved from Vermont to South Florida. The client presents to the clinic reporting
"dizzy spells" and weakness. The client tells the nurse that they have been on the same
antihypertensive drug for 6 years, with stable blood pressures and no adverse effects. The clinic nurse
knows that one possible reason for the change in the effectiveness of the drug could be what?
A) the impact of psychosocial stress associated with moving
B) the accumulative effect of the drug if it has been taken for many years
C) the impact of the warmer environment on the client's physical status
D) problems with client adherence with the drug regimen while on vacation
C
The nurse is providing medication teaching for a client. The nurse has asked the client to provide a
complete list of medications taken to health care providers. Ensuring this list is complete will have
what potential benefit for the client?
A) reducing the client's spending on medications
B) protecting the client from possible allergic reactions to medications
C) reducing the client's likelihood of drug-drug interactions
D) maintaining a therapeutic serum concentration of the new drug
C
A client has been prescribed a medication that is known to be a drug agonist. This drug will have what
effect?
A) It will react with a receptor site on a cell preventing a reaction with another chemical on a different
receptor site.
B) The drug will interfere with the enzyme systems that act as catalyst for different chemical
reactions.
C) The drug will interact directly with receptor sites to cause the same activity that a natural chemical
would cause at that site.
D) It will react with receptor sites to block normal stimulation, producing no effect.
C
A nurse is caring for a client who has been receiving a drug by the intramuscular route at a dose of
0.25 mg. After discharge, the client will be prescribed the same medication orally at a dose of 2.5 mg.
What phenomenon should the nurse describe when explaining the reason for the increased dosage
for the oral dose?
A) passive diffusion
B) active transport
C) glomerular filtration
D) first-pass effect
D
A client's unexpected response to a new medication has been attributed to characteristics of the
client's genetic makeup. What area of study best explains this client's medication response?
A) pharmacotherapeutics
B) pharmacodynamics
, C) pharmacoeconomics
D) pharmacogenomics
D
The serum lithium levels of a client diagnosed with bipolar disorder have risen to the minimum level
required to have a therapeutic effect. What term is used to describe this situation?
A) critical concentration
B) dynamic equilibrium
C) a stable half-life
D) benefits of active transport
A
A nurse is caring for a client who is scheduled to receive three medications at the same time. What
action should the nurse perform first?
A) Perform hand hygiene before handling the medications.
B) Consult a drug guide to check for interactions.
C) Assess the client's knowledge of the medications.
D) Identify the client by checking the armband and asking the client's name.
B
The nurse is preparing to administer an intramuscular dose of meperidine to a client in pain. The
nurse should identify what factor that will affect the absorption of the drug by this route?
A) perfusion of blood to the subcutaneous tissue
B) integrity of the client mucous membranes
C) environmental temperature
D) the amount of adipose tissue that the client has
C
The client is taking a drug that affects the body by increasing cellular activity. Where does this drug
work on the cell?
A) receptor sites
B) cell membrane
C) Golgi body
D) endoplasmic reticulum
A
A nurse is administering digoxin to a client. To administer medications so that the drug is as effective
as possible, the nurse should prioritize what factor?
A) the client's preferences
B) the process of pharmacokinetics
C) educating the client about potential adverse effects
D) the client's culture and ethnicity
B
Question with Verified Answers | All
Chapters Included
The nurse is preparing to move to another state. The nurse should complete which action?
A) Become familiar with local policies and procedures for controlled substance administration.
B) Obtain local providers' Drug Enforcement Agency (DEA) number for prescribing controlled
substances.
C) Become familiar with pregnancy drug categorization system used in the new state.
D) Learn about the particular OTC drugs that are for sale in the new state.
A
The client looks at the prescription provided by the doctor and asks the nurse about the notation
"DAW." What implication of this notation should the nurse explain?
A) The prescription will be filled once the pharmacy is informed of the prescriber's DEA number.
B) The pharmacy where the client fills the prescription will not substitute a generic drug.
C) The drug falls under the purview of the DEA's Drug Action Watch program.
D) The drug is associated with a high risk of adverse effects.
B
The nurse is preparing to administer the drug papaverine (Pavabid). What does the nurse identify the
name Pavabid as?
A) the generic name
B) the chemical name
C) the brand name
D) the chemical and generic name
C
The client is prescribed a medication that was just approved by the FDA. The client tells the nurse,
"This medication is too expensive. Could the doctor order a generic form of this medication?" What is
the nurse's best response?
A) "New medications are patented by the manufacturers. A generic is not available."
B) "You can request the generic form but the binder used may make the drug less effective for this
medication."
C) "The generic form of the medication would not be any less expensive because this is a relatively
new medication."
D) "Generic medications are lower-quality drugs and that would mean you would not be getting the
best treatment available."
, A
While collecting a medication history, the client admits to doubling the recommended dosage of
acetaminophen, saying "It's harmless or they would require a prescription." What is the nurse's best
response?
A) "OTC drugs are serious medications and carry serious risks if not taken as directed."
B) "Taking medications like that is careless and you could cause yourself serious harm if you keep
doing it."
C) "Sometimes you need to take more than the package directs to treat the symptoms. It's important
not to do this frequently."
D) "Did you notify your doctor of the increased dosage you were taking?"
A
The nurse explains that what drug resource book is compiled from package inserts?
A) Nurses Drug Guide
B) Physicians' Desk Reference (PDR)
C) Drug Facts and Comparisons
D) AMA Drug Evaluations
A client has been prescribed a new medication but is skeptical to begin taking it after reading about
potential risks in an online discussion forum. What is the nurse's best response?
A) "It's excellent that you're investigating your medications. Can I recommend some useful websites
for you?"
B) "Just remember that there is a lot of highly inaccurate information on the internet. A lot of the time
it's best to just avoid it."
C) "How did you find that particular discussion forum?"
D) "Knowledge is power." "The more information you can get about something as important as your
health, the better."
A
Which journal should the nurse use to best support effective nursing practice?
A) American Journal of Nursing
B) Medical Letter
C) Journal of American Medical Association
D) New England Journal of Medicine
A
The nurse is caring for a diverse group of clients. In which client should the nurse assess for an
alteration in drug metabolism?
A) a 35-year-old woman with cervical cancer
B) a 41-year-old man with kidney stones
C) a 50-year-old man with cirrhosis of the liver
D) a 32-year-old woman with urosepsis
C
,A client has recently moved from Vermont to South Florida. The client presents to the clinic reporting
"dizzy spells" and weakness. The client tells the nurse that they have been on the same
antihypertensive drug for 6 years, with stable blood pressures and no adverse effects. The clinic nurse
knows that one possible reason for the change in the effectiveness of the drug could be what?
A) the impact of psychosocial stress associated with moving
B) the accumulative effect of the drug if it has been taken for many years
C) the impact of the warmer environment on the client's physical status
D) problems with client adherence with the drug regimen while on vacation
C
The nurse is providing medication teaching for a client. The nurse has asked the client to provide a
complete list of medications taken to health care providers. Ensuring this list is complete will have
what potential benefit for the client?
A) reducing the client's spending on medications
B) protecting the client from possible allergic reactions to medications
C) reducing the client's likelihood of drug-drug interactions
D) maintaining a therapeutic serum concentration of the new drug
C
A client has been prescribed a medication that is known to be a drug agonist. This drug will have what
effect?
A) It will react with a receptor site on a cell preventing a reaction with another chemical on a different
receptor site.
B) The drug will interfere with the enzyme systems that act as catalyst for different chemical
reactions.
C) The drug will interact directly with receptor sites to cause the same activity that a natural chemical
would cause at that site.
D) It will react with receptor sites to block normal stimulation, producing no effect.
C
A nurse is caring for a client who has been receiving a drug by the intramuscular route at a dose of
0.25 mg. After discharge, the client will be prescribed the same medication orally at a dose of 2.5 mg.
What phenomenon should the nurse describe when explaining the reason for the increased dosage
for the oral dose?
A) passive diffusion
B) active transport
C) glomerular filtration
D) first-pass effect
D
A client's unexpected response to a new medication has been attributed to characteristics of the
client's genetic makeup. What area of study best explains this client's medication response?
A) pharmacotherapeutics
B) pharmacodynamics
, C) pharmacoeconomics
D) pharmacogenomics
D
The serum lithium levels of a client diagnosed with bipolar disorder have risen to the minimum level
required to have a therapeutic effect. What term is used to describe this situation?
A) critical concentration
B) dynamic equilibrium
C) a stable half-life
D) benefits of active transport
A
A nurse is caring for a client who is scheduled to receive three medications at the same time. What
action should the nurse perform first?
A) Perform hand hygiene before handling the medications.
B) Consult a drug guide to check for interactions.
C) Assess the client's knowledge of the medications.
D) Identify the client by checking the armband and asking the client's name.
B
The nurse is preparing to administer an intramuscular dose of meperidine to a client in pain. The
nurse should identify what factor that will affect the absorption of the drug by this route?
A) perfusion of blood to the subcutaneous tissue
B) integrity of the client mucous membranes
C) environmental temperature
D) the amount of adipose tissue that the client has
C
The client is taking a drug that affects the body by increasing cellular activity. Where does this drug
work on the cell?
A) receptor sites
B) cell membrane
C) Golgi body
D) endoplasmic reticulum
A
A nurse is administering digoxin to a client. To administer medications so that the drug is as effective
as possible, the nurse should prioritize what factor?
A) the client's preferences
B) the process of pharmacokinetics
C) educating the client about potential adverse effects
D) the client's culture and ethnicity
B
