NURS 304 Pharmacology Exam 1 – Questions With
Definite Solutions
Save
Terms in this set (214)
The day shift charge nurse is making B. Check the medication administration record
rounds. A patient tells the nurse that
the night shift nurse never gave him
his medication, which was due at 2100.
What will the nurse do first to
determine whether the medication
was given?
A. Call the night nurse at home
B. Check the medication
administration record
C. Call the pharmacy
D. Review the nurse's documentation
What must the nurse know regarding 1. what medications are appropriate for the pt.
drugs for a patient? 2. what drugs are contraindicated for the pt.
3. the probable consequences of the interactions
between the drug and the pt.
Nurse's number one role is to be an B. Nurses are the last line of defense for the patients
advocate because ____
A. Nobody else will advocate for the
patient
B. Nurses are the last line of defense
for the patients
C. Physicians never make mistakes
D. Nursing assistants can't provide
care
,4 responsibilities of nurses regarding 1. minimizing adverse effects
drugs 2. minimizing adverse interactions
3. making PRN decisions
4. managing toxicity
How can a nurse minimize adverse E. All of the above
interactions?
A. Take a through drug history
B. Advise the patient to avoid OTC
medications with prescribed
medications
C. Monitor the known adverse
interactions
D. Be alert for the unknown
interactions
E. All of the above
Pharmacokinetics The process by which drugs are absorbed,
distributed within the body, metabolized, and
excreted.
- what the body does to the drug
Pharmacodynamics what the drug does to the body
Agonist activates receptor
Antagonist blocks neurotransmitter
Pregnancy Category A Studies indicate no risk to the human fetus
Pregnancy Category X Fetal abnormalities have been reported, and positive
evidence of fetal risk in humans is available from
animal and/or human studies. These drugs are not to
be used in pregnant women.
,When teaching a pregnant woman C. Drug transfer to a fetus is most likely to occur
about the use of drugs during during the last trimester of pregnancy.
pregnancy, which statement will the
nurse include?
A. Exposure of the fetus to drugs is
most detrimental during the second
trimester of pregnancy.
B. Pregnant women must never take
drugs to control high blood pressure.
C. Drug transfer to a fetus is most
likely to occur during the last trimester
of pregnancy.
D. A fetus is at greater risk for drug-
induced developmental defects
during the second trimester of
pregnancy.
Neonatal and Pediatric Gastric pH less acidic.
Considerations: Absorption Gastric emptying is slowed.
Intramuscular absorption faster and irregular.
Neonatal and Pediatric lower fat content
Considerations: Distribution decreased level of protein binding
immature BBB
Neonatal and Pediatric Liver immature, does not produce enough
Considerations: Metabolism microsomal enzymes
Older children may have increased metabolism,
requiring higher doses than infants
Neonatal and Pediatric Kidney immaturity affects glomerular filtration rate
Considerations: Excretion and tubular secretion
Decreased perfusion rate of the kidneys may reduce
excretion of drugs
, When administering medications to D. Have immature liver and kidney function
pediatric patients, the nurse
understands that the dosage
calculations for pediatric patients are
difference than for adults because
pediatric patients:
A. Are more likely to develop edema
B. Have more stomach acid
C. Have skin that is less permeable
D. Have immature liver and kidney
function
Considerations for Older Adults Decline in organ function
Drug therapy is most likely to result in adverse
effects and toxicity
Polypharmacy
Noncompliance, nonadherence
Chronic illness
Sensory & motor deficits
What does the nurse identify as a D. The number of intact nephrons is decreased.
pharmacokinetic change that occurs
in older adults?
A. Gastric pH is more acidic.
B. Fat content is decreased because
of increased lean body mass.
C. There is increased production of
proteins by the liver.
D. The number of intact nephrons is
decreased.
Older Adults: Pharmacokinetics: Gastric pH less acidic
Absorption Gastric emptying slowed
Movement through GI tract slowed
Blood flow to GI tract reduced
Absorptive surface of GI tract reduced
Definite Solutions
Save
Terms in this set (214)
The day shift charge nurse is making B. Check the medication administration record
rounds. A patient tells the nurse that
the night shift nurse never gave him
his medication, which was due at 2100.
What will the nurse do first to
determine whether the medication
was given?
A. Call the night nurse at home
B. Check the medication
administration record
C. Call the pharmacy
D. Review the nurse's documentation
What must the nurse know regarding 1. what medications are appropriate for the pt.
drugs for a patient? 2. what drugs are contraindicated for the pt.
3. the probable consequences of the interactions
between the drug and the pt.
Nurse's number one role is to be an B. Nurses are the last line of defense for the patients
advocate because ____
A. Nobody else will advocate for the
patient
B. Nurses are the last line of defense
for the patients
C. Physicians never make mistakes
D. Nursing assistants can't provide
care
,4 responsibilities of nurses regarding 1. minimizing adverse effects
drugs 2. minimizing adverse interactions
3. making PRN decisions
4. managing toxicity
How can a nurse minimize adverse E. All of the above
interactions?
A. Take a through drug history
B. Advise the patient to avoid OTC
medications with prescribed
medications
C. Monitor the known adverse
interactions
D. Be alert for the unknown
interactions
E. All of the above
Pharmacokinetics The process by which drugs are absorbed,
distributed within the body, metabolized, and
excreted.
- what the body does to the drug
Pharmacodynamics what the drug does to the body
Agonist activates receptor
Antagonist blocks neurotransmitter
Pregnancy Category A Studies indicate no risk to the human fetus
Pregnancy Category X Fetal abnormalities have been reported, and positive
evidence of fetal risk in humans is available from
animal and/or human studies. These drugs are not to
be used in pregnant women.
,When teaching a pregnant woman C. Drug transfer to a fetus is most likely to occur
about the use of drugs during during the last trimester of pregnancy.
pregnancy, which statement will the
nurse include?
A. Exposure of the fetus to drugs is
most detrimental during the second
trimester of pregnancy.
B. Pregnant women must never take
drugs to control high blood pressure.
C. Drug transfer to a fetus is most
likely to occur during the last trimester
of pregnancy.
D. A fetus is at greater risk for drug-
induced developmental defects
during the second trimester of
pregnancy.
Neonatal and Pediatric Gastric pH less acidic.
Considerations: Absorption Gastric emptying is slowed.
Intramuscular absorption faster and irregular.
Neonatal and Pediatric lower fat content
Considerations: Distribution decreased level of protein binding
immature BBB
Neonatal and Pediatric Liver immature, does not produce enough
Considerations: Metabolism microsomal enzymes
Older children may have increased metabolism,
requiring higher doses than infants
Neonatal and Pediatric Kidney immaturity affects glomerular filtration rate
Considerations: Excretion and tubular secretion
Decreased perfusion rate of the kidneys may reduce
excretion of drugs
, When administering medications to D. Have immature liver and kidney function
pediatric patients, the nurse
understands that the dosage
calculations for pediatric patients are
difference than for adults because
pediatric patients:
A. Are more likely to develop edema
B. Have more stomach acid
C. Have skin that is less permeable
D. Have immature liver and kidney
function
Considerations for Older Adults Decline in organ function
Drug therapy is most likely to result in adverse
effects and toxicity
Polypharmacy
Noncompliance, nonadherence
Chronic illness
Sensory & motor deficits
What does the nurse identify as a D. The number of intact nephrons is decreased.
pharmacokinetic change that occurs
in older adults?
A. Gastric pH is more acidic.
B. Fat content is decreased because
of increased lean body mass.
C. There is increased production of
proteins by the liver.
D. The number of intact nephrons is
decreased.
Older Adults: Pharmacokinetics: Gastric pH less acidic
Absorption Gastric emptying slowed
Movement through GI tract slowed
Blood flow to GI tract reduced
Absorptive surface of GI tract reduced
