Lehne’s Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants (2nd Edition Rosenthal
Test Bank)
Students also studied
C
Terms in this set (887)
Ch 4 Pharmacokinetics, c. The patient is taking another medication that binds to serum
Pharmacodynamics, and Drug Interactions albumin.
30. A patient is receiving intravenous
gentamicin. A serum drug test reveals
toxic levels. The dosing is correct, and
this medication has been tolerated by
this patient in the past. Which could be a
probable cause of the test result?
Ch 4 Pharmacokinetics, c. Desensitization of receptor sites by continual exposure to
Pharmacodynamics, and Drug Interactions the drug.
31. A patient reports becoming "immune"
to a medication because it no longer
works to alleviate symptoms. The nurse
recognizes that this decreased
effectiveness is likely caused by:
Ch 4 Pharmacokinetics, d. It is selective to receptors that regulate more than one
Pharmacodynamics, and Drug Interactions body process.
32. A patient who is taking morphine for
pain asks the nurse how a pain medication
can also cause constipation. What does
the nurse know about morphine?
,Ch 4 Pharmacokinetics, a.Binding of one or both agents will be reduced.
Pharmacodynamics, and Drug Interactions b. Plasma levels of free drug will rise.
33. The nurse is administering morning d. The increase in free drug will intensify effects.
medications. The nurse gives a patient
multiple medications, two of which
compete for plasma albumin receptor
sites. As a result of this concurrent
administration, the nurse can anticipate that
what might occur?
Ch 4 Pharmacokinetics, b. Immaturity of renal function in infancy causes infants to
Pharmacodynamics, and Drug excrete drugs less efficiently. <br> c. Infants have immature
Interactions 34. When administering livers, which slows drug metabolism. <br> d. Infants are more
medications to infants, it is important to sensitive to medications that act on the central nervous system
remember which of the following? (CNS).
Ch 5 Adverse Drug Reactions and c. They alert prescribers to measures to mitigate potential
Medication Errors 35. A nursing student harm from side effects.
is preparing to give a medication that
has a boxed warning. The student asks the
nurse what this means. What will the nurse
explain about boxed warnings?
Ch 5 Adverse Drug Reactions and b. Observe the patient closely for such symptoms and prepare
Medication Errors 36. A nurse is preparing to treat them if needed.
to administer a drug. Upon reading the
medication guide, the nurse notes that the
drug has been linked to symptoms of
Parkinson disease in some patients. What
will the nurse do?
Ch 5 Adverse Drug Reactions and a. A 2-month-old infant taking a medication for
Medication Errors 37. Which patients are gastroesophageal reflux disease
at increased risk for adverse drug c. A 40-year-old male who is intubated in the intensive care
events? unit and taking antibiotics and cardiac medications
Select all that apply. e. An 80-year-old male taking medications for COPD
Ch 5 Adverse Drug Reactions and d. "Routine testing and early detection of problems will
Medication Errors 38. A nurse provides prevent liver failure."
teaching to a patient who will begin taking
a drug with a known risk of
hepatotoxicity.
Which statement by the patient indicates
a need for further teaching?
Ch 5 Adverse Drug Reactions and d. Furosemide [Lasix] 20 mg PO daily
Medication Errors 39. A nurse is reviewing a
medication administration record before
administering medications. Which order will
the nurse implement?
,Ch 5 Adverse Drug Reactions and a. Administer the drug and tell the patient to report further
Medication Errors 40. A patient is given a nausea
new medication and reports nausea within
an hour after taking the drug. The nurse
consults the drug information manual and
learns that nausea is not an expected
adverse effect of this drug. When the next
dose is due, what will the nurse do?
Ch 5 Adverse Drug Reactions and a. Ask whether the patient has taken this antibiotic for other
Medication Errors 41. A nurse is preparing to infections
give an antibiotic to a patient who reports
being allergic to antibiotics. Before giving
the medication, what will the nurse do first?
Ch 5 Adverse Drug Reactions and a. Contact the provider to discuss an alternative to
Medication Errors 42. A patient is taking azithromycin.
sertraline [Zoloft] for depression, and the
provider orders azithromycin [Zithromax] to
treat an infection. What will the nurse
do?
Ch 5 Adverse Drug Reactions and d. A side effect
Medication Errors 43. A patient is given
a drug for the first time and develops
shortness of breath. The patient's heart
rate is 76 beats/minute, the respiratory rate
is 20 breaths/minute, and the blood
pressure is 120/70 mm Hg. The nurse
checks a drug administration manual to
make sure the correct dose was given
and learns that some patients taking
the drug experience shortness of breath.
The nurse will contact the provider to
report what?
Ch 5 Adverse Drug Reactions and a. Developing non-punitive approaches to track errors
Medication Errors 44. Which are effective c. Helping patients to be active, informed members of the
ways to help prevent medication errors? healthcare team
Select all that apply. e. Using electronic medical order entry systems
Ch 5 Adverse Drug Reactions and c. Monitor the function of all organs potentially affected by
Medication Errors 45. A patient is taking a the drug.
drug that has known toxic side effects. What
will the nurse do?
Ch 5 Adverse Drug Reactions and c. Tell the patient not to drink wine while taking Lortab.
Medication Errors 46. A patient is being
discharged after surgery. During the
admission history, the nurse learned that the
patient normally consumes two or three
glasses of wine each day. The prescriber has
ordered hydrocodone with acetaminophen
[Lortab] for pain. What will the nurse do?
, Ch 5 Adverse Drug Reactions and b. Giving a drug intravenously instead of intramuscularly
Medication Errors 47. Which actions occur in c. Giving Nasarel instead of Nizoral
90% of fatal medication errors? Select all e. Writing a prescription illegibly
that apply.
Ch 6 Individual Variation in Drug Responses a. a different medication.
48. A nurse is caring for a woman with
breast cancer who is receiving tamoxifen. A
review of this patient's chart reveals a
deficiency of the CYP2D6 gene. The nurse
will contact the provider to suggest:
Ch 6 Individual Variation in Drug Responses a. Older adults
49. Which groups of people are especially c. Infants
sensitive to medication effects? Select all
that apply.
Ch 6 Individual Variation in Drug Responses b. A negative placebo effect when taking the medication
50. A post-operative patient who is worried
about pain control will be discharged
several days after surgery. The nurse
providing discharge teaching tells the
patient that the prescribed Lortab is not as
strong as the morphine the patient was
given in the immediate post-operative
period. Which response is the patient likely
to experience?
Ch 6 Individual Variation in Drug Responses c. This patient has developed pharmacodynamic tolerance,
51. A patient has been taking narcotic which has increased the minimal effective concentration
analgesics for chronic pain for several (MEC) needed for analgesic effect.
months. The nurse caring for this patient
notes that the prescribed dose is higher
than the recommended dose. The patient
has normal vital signs, is awake and alert,
and reports mild pain. What does the nurse
recognize about this patient?
Ch 6 Individual Variation in Drug Responses c. metabolism of drugs.
52. A patient asks a nurse why a friend who
is taking the same drug responds differently
to that drug. The nurse knows that the most
common variation in drug response is due
to differences in each patient's:
Ch 6 Individual Variation in Drug Responses d. Serum albumin and coagulation studies
53. The nurse is assessing a newly admitted
older patient who has recently lost 15
pounds. The nurse notes that the patient is
taking warfarin (Coumadin). Which
laboratory tests will the nurse discuss with
this patient's provider?
Nurses and Physician Assistants (2nd Edition Rosenthal
Test Bank)
Students also studied
C
Terms in this set (887)
Ch 4 Pharmacokinetics, c. The patient is taking another medication that binds to serum
Pharmacodynamics, and Drug Interactions albumin.
30. A patient is receiving intravenous
gentamicin. A serum drug test reveals
toxic levels. The dosing is correct, and
this medication has been tolerated by
this patient in the past. Which could be a
probable cause of the test result?
Ch 4 Pharmacokinetics, c. Desensitization of receptor sites by continual exposure to
Pharmacodynamics, and Drug Interactions the drug.
31. A patient reports becoming "immune"
to a medication because it no longer
works to alleviate symptoms. The nurse
recognizes that this decreased
effectiveness is likely caused by:
Ch 4 Pharmacokinetics, d. It is selective to receptors that regulate more than one
Pharmacodynamics, and Drug Interactions body process.
32. A patient who is taking morphine for
pain asks the nurse how a pain medication
can also cause constipation. What does
the nurse know about morphine?
,Ch 4 Pharmacokinetics, a.Binding of one or both agents will be reduced.
Pharmacodynamics, and Drug Interactions b. Plasma levels of free drug will rise.
33. The nurse is administering morning d. The increase in free drug will intensify effects.
medications. The nurse gives a patient
multiple medications, two of which
compete for plasma albumin receptor
sites. As a result of this concurrent
administration, the nurse can anticipate that
what might occur?
Ch 4 Pharmacokinetics, b. Immaturity of renal function in infancy causes infants to
Pharmacodynamics, and Drug excrete drugs less efficiently. <br> c. Infants have immature
Interactions 34. When administering livers, which slows drug metabolism. <br> d. Infants are more
medications to infants, it is important to sensitive to medications that act on the central nervous system
remember which of the following? (CNS).
Ch 5 Adverse Drug Reactions and c. They alert prescribers to measures to mitigate potential
Medication Errors 35. A nursing student harm from side effects.
is preparing to give a medication that
has a boxed warning. The student asks the
nurse what this means. What will the nurse
explain about boxed warnings?
Ch 5 Adverse Drug Reactions and b. Observe the patient closely for such symptoms and prepare
Medication Errors 36. A nurse is preparing to treat them if needed.
to administer a drug. Upon reading the
medication guide, the nurse notes that the
drug has been linked to symptoms of
Parkinson disease in some patients. What
will the nurse do?
Ch 5 Adverse Drug Reactions and a. A 2-month-old infant taking a medication for
Medication Errors 37. Which patients are gastroesophageal reflux disease
at increased risk for adverse drug c. A 40-year-old male who is intubated in the intensive care
events? unit and taking antibiotics and cardiac medications
Select all that apply. e. An 80-year-old male taking medications for COPD
Ch 5 Adverse Drug Reactions and d. "Routine testing and early detection of problems will
Medication Errors 38. A nurse provides prevent liver failure."
teaching to a patient who will begin taking
a drug with a known risk of
hepatotoxicity.
Which statement by the patient indicates
a need for further teaching?
Ch 5 Adverse Drug Reactions and d. Furosemide [Lasix] 20 mg PO daily
Medication Errors 39. A nurse is reviewing a
medication administration record before
administering medications. Which order will
the nurse implement?
,Ch 5 Adverse Drug Reactions and a. Administer the drug and tell the patient to report further
Medication Errors 40. A patient is given a nausea
new medication and reports nausea within
an hour after taking the drug. The nurse
consults the drug information manual and
learns that nausea is not an expected
adverse effect of this drug. When the next
dose is due, what will the nurse do?
Ch 5 Adverse Drug Reactions and a. Ask whether the patient has taken this antibiotic for other
Medication Errors 41. A nurse is preparing to infections
give an antibiotic to a patient who reports
being allergic to antibiotics. Before giving
the medication, what will the nurse do first?
Ch 5 Adverse Drug Reactions and a. Contact the provider to discuss an alternative to
Medication Errors 42. A patient is taking azithromycin.
sertraline [Zoloft] for depression, and the
provider orders azithromycin [Zithromax] to
treat an infection. What will the nurse
do?
Ch 5 Adverse Drug Reactions and d. A side effect
Medication Errors 43. A patient is given
a drug for the first time and develops
shortness of breath. The patient's heart
rate is 76 beats/minute, the respiratory rate
is 20 breaths/minute, and the blood
pressure is 120/70 mm Hg. The nurse
checks a drug administration manual to
make sure the correct dose was given
and learns that some patients taking
the drug experience shortness of breath.
The nurse will contact the provider to
report what?
Ch 5 Adverse Drug Reactions and a. Developing non-punitive approaches to track errors
Medication Errors 44. Which are effective c. Helping patients to be active, informed members of the
ways to help prevent medication errors? healthcare team
Select all that apply. e. Using electronic medical order entry systems
Ch 5 Adverse Drug Reactions and c. Monitor the function of all organs potentially affected by
Medication Errors 45. A patient is taking a the drug.
drug that has known toxic side effects. What
will the nurse do?
Ch 5 Adverse Drug Reactions and c. Tell the patient not to drink wine while taking Lortab.
Medication Errors 46. A patient is being
discharged after surgery. During the
admission history, the nurse learned that the
patient normally consumes two or three
glasses of wine each day. The prescriber has
ordered hydrocodone with acetaminophen
[Lortab] for pain. What will the nurse do?
, Ch 5 Adverse Drug Reactions and b. Giving a drug intravenously instead of intramuscularly
Medication Errors 47. Which actions occur in c. Giving Nasarel instead of Nizoral
90% of fatal medication errors? Select all e. Writing a prescription illegibly
that apply.
Ch 6 Individual Variation in Drug Responses a. a different medication.
48. A nurse is caring for a woman with
breast cancer who is receiving tamoxifen. A
review of this patient's chart reveals a
deficiency of the CYP2D6 gene. The nurse
will contact the provider to suggest:
Ch 6 Individual Variation in Drug Responses a. Older adults
49. Which groups of people are especially c. Infants
sensitive to medication effects? Select all
that apply.
Ch 6 Individual Variation in Drug Responses b. A negative placebo effect when taking the medication
50. A post-operative patient who is worried
about pain control will be discharged
several days after surgery. The nurse
providing discharge teaching tells the
patient that the prescribed Lortab is not as
strong as the morphine the patient was
given in the immediate post-operative
period. Which response is the patient likely
to experience?
Ch 6 Individual Variation in Drug Responses c. This patient has developed pharmacodynamic tolerance,
51. A patient has been taking narcotic which has increased the minimal effective concentration
analgesics for chronic pain for several (MEC) needed for analgesic effect.
months. The nurse caring for this patient
notes that the prescribed dose is higher
than the recommended dose. The patient
has normal vital signs, is awake and alert,
and reports mild pain. What does the nurse
recognize about this patient?
Ch 6 Individual Variation in Drug Responses c. metabolism of drugs.
52. A patient asks a nurse why a friend who
is taking the same drug responds differently
to that drug. The nurse knows that the most
common variation in drug response is due
to differences in each patient's:
Ch 6 Individual Variation in Drug Responses d. Serum albumin and coagulation studies
53. The nurse is assessing a newly admitted
older patient who has recently lost 15
pounds. The nurse notes that the patient is
taking warfarin (Coumadin). Which
laboratory tests will the nurse discuss with
this patient's provider?
