Western Governors University D 115
D116 Comprehensive assessment with
explanations
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WGU D116 OA review D116 OA Summary Review Pharmaco... Final D116 practice test D116 pr
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Terms in this set (61) Hide definitions
Which factors could be attributed to limited prescriptive Inaccessibility of patient care
authority for APRNs?Select all that apply. Feedback: Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care. It may also lead to poor collaboration
among providers and higher health care costs. It would not directly impact
patient’s health literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care. It may also lead to poor collaboration
among providers and higher health care costs. It would not directly impact
patient’s health literacy.
A patient reports that a medication prescribed for Ask the patient about the number and frequency of tablets taken
recurrent migraine headaches is not working. Which Feedback: using the drug as ordered. Asking the patient to tell the nurse how
action should be taken first? many tablets are taken and how often helps the nurse determine compliance.
Assessing current pain does not yield information about how well the medication
is working unless the patient is currently taking it. The nurse should gather as much
information about compliance, symptoms, and drug effectiveness as possible
before contacting the prescriber. Biofeedback may be an effective adjunct to
treatment, but it should not be recommended without complete information
about drug effectiveness
, A patient is receiving intravenous gentamicin. A serum The patient is taking another medication that binds to serum albumin
drug test reveals toxic levels. The dosing is correct, and Feedback: Gentamicin binds to albumin, but only weakly, and in the presence of
this medication has been tolerated bythis patient inthe another drug that binds to albumin, it can rise to toxic levels in blood serum. A
past. Which could be a probable cause of the test result? loading dose increases the initial amount ofa drug and is used to bring drug levels
to the desired plateau more quickly. A drug that is not completely dissolved
carries a risk of causing embolism. A drug given at a frequency longer than the
drug half-life will likely be at subtherapeutic levels and not at toxic levels
The nurse is administering morning medications. The Binding of one or both agents will be reduced
nurse gives a patient multiple medications, two of which Plasma levels of free drug will rise
compete for plasma albumin receptor sites. As a result of The increase in free drug will intensify effects
this concurrent administration, the nurse can anticipate Feedback: When two drugs bind to the same site on plasma albumin,
that what might occur? Select all that apply coadministration of those drugs produces competition for binding. As a result,
binding of one or both agents is reduced, causing plasma levels of free drug to
rise. The increase in free drug can intensify the effect, but it usually undergoes
rapid elimination. The increase in plasma levels of free drug is rarely sustained.
Which patients are at increased risk for adverse drug A 2-month-old infant taking a medication for gastroesophageal reflux disease
events? Select all that apply A 40-year-old male who is intubated in the intensive care unit and taking
antibiotics and cardiac medications
A 7-year-old female receiving insulin for diabetes
An 80-year-old male taking medications for COPD
Feedback: Patients at increased risk for adverse drug events include the very
young, the very old, and those who have serious illnesses. Females, children, and
young adults taking single medications do not have increased risk for adverse
events.
A patient asks a nurse why a friend who is taking the same metabolism of drugs
drug responds differently to that drug. The nurse knows Feedback: The most common source of genetic variation in drug response is
that the most common variation in drug response is due related to alterations in drug metabolism and is determined by genetic codes for
to differences in each patient's: various drug-metabolizing isoenzymes. There are known genetic differences in
codes for drug target sites, but these are not as numerous asthose for metabolic
isoenzymes. Hypersensitivity potential is also genetically determined, but
variations produce differences in adverse reactions to drugs and not in drug
effectiveness. Psychosocial responses vary for many less measurable reasons,
such as individual personalities and variations in cultures
A patient with migraines is started on a beta blocker. The “I need to take it every day to reduce the frequency of migraines.”
nurse explains the benefits of taking the medication for Feedback: When taken prophylactically, medications such as beta blockers can
migraines. Which statement by the patient indicates an reduce the frequency of migraine attacks. They do not provide complete relief
understanding of the medication's effects? from migraines. They do not reduce the duration of migraines. They are not
effective for treating a migraine once the migraine has begun
D116 Comprehensive assessment with
explanations
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
WGU D116 OA review D116 OA Summary Review Pharmaco... Final D116 practice test D116 pr
133 terms 81 terms 58 terms 60 terms
lindsmitten4 Preview cphi435 Preview Mckincm4477 Preview Mck
Terms in this set (61) Hide definitions
Which factors could be attributed to limited prescriptive Inaccessibility of patient care
authority for APRNs?Select all that apply. Feedback: Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care. It may also lead to poor collaboration
among providers and higher health care costs. It would not directly impact
patient’s health literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care. It may also lead to poor collaboration
among providers and higher health care costs. It would not directly impact
patient’s health literacy.
A patient reports that a medication prescribed for Ask the patient about the number and frequency of tablets taken
recurrent migraine headaches is not working. Which Feedback: using the drug as ordered. Asking the patient to tell the nurse how
action should be taken first? many tablets are taken and how often helps the nurse determine compliance.
Assessing current pain does not yield information about how well the medication
is working unless the patient is currently taking it. The nurse should gather as much
information about compliance, symptoms, and drug effectiveness as possible
before contacting the prescriber. Biofeedback may be an effective adjunct to
treatment, but it should not be recommended without complete information
about drug effectiveness
, A patient is receiving intravenous gentamicin. A serum The patient is taking another medication that binds to serum albumin
drug test reveals toxic levels. The dosing is correct, and Feedback: Gentamicin binds to albumin, but only weakly, and in the presence of
this medication has been tolerated bythis patient inthe another drug that binds to albumin, it can rise to toxic levels in blood serum. A
past. Which could be a probable cause of the test result? loading dose increases the initial amount ofa drug and is used to bring drug levels
to the desired plateau more quickly. A drug that is not completely dissolved
carries a risk of causing embolism. A drug given at a frequency longer than the
drug half-life will likely be at subtherapeutic levels and not at toxic levels
The nurse is administering morning medications. The Binding of one or both agents will be reduced
nurse gives a patient multiple medications, two of which Plasma levels of free drug will rise
compete for plasma albumin receptor sites. As a result of The increase in free drug will intensify effects
this concurrent administration, the nurse can anticipate Feedback: When two drugs bind to the same site on plasma albumin,
that what might occur? Select all that apply coadministration of those drugs produces competition for binding. As a result,
binding of one or both agents is reduced, causing plasma levels of free drug to
rise. The increase in free drug can intensify the effect, but it usually undergoes
rapid elimination. The increase in plasma levels of free drug is rarely sustained.
Which patients are at increased risk for adverse drug A 2-month-old infant taking a medication for gastroesophageal reflux disease
events? Select all that apply A 40-year-old male who is intubated in the intensive care unit and taking
antibiotics and cardiac medications
A 7-year-old female receiving insulin for diabetes
An 80-year-old male taking medications for COPD
Feedback: Patients at increased risk for adverse drug events include the very
young, the very old, and those who have serious illnesses. Females, children, and
young adults taking single medications do not have increased risk for adverse
events.
A patient asks a nurse why a friend who is taking the same metabolism of drugs
drug responds differently to that drug. The nurse knows Feedback: The most common source of genetic variation in drug response is
that the most common variation in drug response is due related to alterations in drug metabolism and is determined by genetic codes for
to differences in each patient's: various drug-metabolizing isoenzymes. There are known genetic differences in
codes for drug target sites, but these are not as numerous asthose for metabolic
isoenzymes. Hypersensitivity potential is also genetically determined, but
variations produce differences in adverse reactions to drugs and not in drug
effectiveness. Psychosocial responses vary for many less measurable reasons,
such as individual personalities and variations in cultures
A patient with migraines is started on a beta blocker. The “I need to take it every day to reduce the frequency of migraines.”
nurse explains the benefits of taking the medication for Feedback: When taken prophylactically, medications such as beta blockers can
migraines. Which statement by the patient indicates an reduce the frequency of migraine attacks. They do not provide complete relief
understanding of the medication's effects? from migraines. They do not reduce the duration of migraines. They are not
effective for treating a migraine once the migraine has begun
