20 Multiple choice questions
Term 1 of 20
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses.
Which of the following statements by a newly licensed nurse indicates an understanding of the
1st-pass effecct?
A. "Some meds block normal receptor activity regulated by endogenous compounds or receptor
activity caused by other meds."
B. "Some meds may have to be administered by a nonenteral route to avoid inactivation as they
travel through the liver."
C. "Some meds leave the body more slowly & therefore have a greater risk of accumulation &
toxicity."
D. "Some meds have a wide safety margin, so there is no need for routine serum medication level
monitoring."
A, D
not E because it should be at least every 2 hours
B, C, E
A and D are adverse effects, but not EPS
B.
first pass deals with the liver
A, B, E
,Term 2 of 20
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of
the following instructions should the nurse include in the teaching?
A. "Flush the tube before & after each med."
B. "Administer your meds w/your enteral feeding."
C. "Administer tablets through the tube slowly."
D. "Mix all the crushed meds prior to dissolving in water."
A
The client should flush the tube w/15-30 mL of water to prevent clogging of the tube
A
this action clears the excess formula preventing any clumps/clogging
D
the client is the best source of information in their pain, it is a subjective experience
D.
The stool specimens cannot be contaminated with water or urine
, Term 3 of 20
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent
feedings. When the nurse pours water into the syringe after the formula drains from the syringe,
the client asks the nurse why the water is necessary. Which of the following is an appropriate
response by the nurse?
A. "Water helps clear the tube so it doesn't get clogged."
B. "Flushing helps make sure the tube stays in place."
C. "This will help you get enough fluids."
D. "Adding water makes the formula less concentrated."
A
this action clears the excess formula preventing any clumps/clogging
C.
The client should let the nurse know if not receiving adequate pain control, so they can
reevaluate the pain control plan
C.
The greatest risk to the client is an allergic reaction to the med
B.
routine health screenings are important at any age