PN 1005 Midterm Questions With Complete Solutions
5 categories of drug induced damage
example: stomatitis is under one of the categories Correct
Answers Sensory,
Dermatological,
Electrolyte,
Glucose Metabolism,
Neurological effects
A client is experiencing serum sickness reactions to a recent
rubella vaccination.
What intervention might be appropriate for the nurse?
Recall: symptoms can include joint pain, hives, fever etc.
Correct Answers cool environment
positioning to provide comfort
ice on joints
give anti-inflammatory agents
a drug class that would help tachycardia and hypertension would
be? Correct Answers anticholinergics
a drugs lipid solubility, perfusion (blood flow) to tissues, and
ionization all effect what process? Correct Answers Distribution
a name that reflects the chemical structure of a drug is called the
.. Correct Answers generic name
a nurse encouraging good oral hygiene, ample fluids, and proper
positioning is trying to achieve what in regards to medication?
,Correct Answers ensuring that an orally given medication can
achieve its full benefit
A patient has had repeated bouts of bronchitis throughout the
fall and has been taking antibiotics. They call the clinic with
complaints of vaginal pain and itching, they have a yeast*
infection.
How does this relate to the bronchitis (lung infection) that they
previously had? Correct Answers They had developed a
superinfection, because the antibiotics kill bacteria that normally
provide protection
A patient is taking a drug that is known to be toxic to the liver.
The patient is being discharged home. What teaching points
related to liver toxicity and the drug should the nurse teach? (4
things) Correct Answers Fever
Changes in the color of stool / urine
Jaundice- Yellowing of the skin and eye whites
malaise
A patient receiving an antihistamine complains about dry mouth
and nose. What could one intervention be?
(hint: nothing to do with meds) Correct Answers using a
humidifier
A patient taking glyburide (antidiabetic) has his morning dose
and then does not have a chance to eat for several hours.
What could an adverse effect be? Correct Answers
hypoglycemia
,A patient with a severe infection is given gentamicin, the only
antibiotic shown to be effective in culture and sensitivity tests. A
few hours after the drug is started via IV, the patient becomes
restless and develops edema. Blood tests reveal abnormal
electrolytes and elevated blood urea
What organ is effected ? Correct Answers renal (kidney)
toxicity caused by the medication given
a phenomenon in which drugs given orally are carried directly to
the liver, where they can be inactivated by liver enzymes before
they enter general circulation Correct Answers first pass effect
a process where drugs are changed into new, less active
chemicals Correct Answers Biotransformation
A term that refers to the biologic and therapeutic effects of drugs
at the site of actions
hint: how the drug effects the body Correct Answers
pharmacodynamics
A term used to describe an originally developed listing of drugs
that carry high risks for older adults and criteria for potentially
inappropriate medication use in older adults - discovered by Dr.
Mark H. Beers Correct Answers Beers criteria
A term used to describe the use of multiple drugs Correct
Answers polypharmacy
Action of the body on the drug Correct Answers
Pharmacokinetics
, After teaching a patient about digoxin (helps heart contractions)
- what would you want to hear from your patient to know your
teach-back was effective Correct Answers "I need to take my
pulse before I take the pill"
an adrenergic antagonist may be used to lower... Correct
Answers blood pressure
An adverse effect described as the formation of antibodies to a
drug or drug protein
causes immune response when the person is next exposed to that
drug Correct Answers drug allergy
An extended half-life of a drug in an elderly person can increase
risks of? Correct Answers adverse effects
Another nurse prepares medication for you to administer, can
you give it? Correct Answers absolutely not! if there is a med
error it will then be blamed on you
anticholinergic agents would be given to block ... Correct
Answers tremors or ticks
are anticoagulants actually blood thinners? Correct Answers no
Are brand name drugs or generic drugs safer/cheaper? Correct
Answers Brand names are more expensive but safer
are drugs that are tightly bound to a protein short/long acting ?
Correct Answers very long because they are not free to be
broken down or excreted
5 categories of drug induced damage
example: stomatitis is under one of the categories Correct
Answers Sensory,
Dermatological,
Electrolyte,
Glucose Metabolism,
Neurological effects
A client is experiencing serum sickness reactions to a recent
rubella vaccination.
What intervention might be appropriate for the nurse?
Recall: symptoms can include joint pain, hives, fever etc.
Correct Answers cool environment
positioning to provide comfort
ice on joints
give anti-inflammatory agents
a drug class that would help tachycardia and hypertension would
be? Correct Answers anticholinergics
a drugs lipid solubility, perfusion (blood flow) to tissues, and
ionization all effect what process? Correct Answers Distribution
a name that reflects the chemical structure of a drug is called the
.. Correct Answers generic name
a nurse encouraging good oral hygiene, ample fluids, and proper
positioning is trying to achieve what in regards to medication?
,Correct Answers ensuring that an orally given medication can
achieve its full benefit
A patient has had repeated bouts of bronchitis throughout the
fall and has been taking antibiotics. They call the clinic with
complaints of vaginal pain and itching, they have a yeast*
infection.
How does this relate to the bronchitis (lung infection) that they
previously had? Correct Answers They had developed a
superinfection, because the antibiotics kill bacteria that normally
provide protection
A patient is taking a drug that is known to be toxic to the liver.
The patient is being discharged home. What teaching points
related to liver toxicity and the drug should the nurse teach? (4
things) Correct Answers Fever
Changes in the color of stool / urine
Jaundice- Yellowing of the skin and eye whites
malaise
A patient receiving an antihistamine complains about dry mouth
and nose. What could one intervention be?
(hint: nothing to do with meds) Correct Answers using a
humidifier
A patient taking glyburide (antidiabetic) has his morning dose
and then does not have a chance to eat for several hours.
What could an adverse effect be? Correct Answers
hypoglycemia
,A patient with a severe infection is given gentamicin, the only
antibiotic shown to be effective in culture and sensitivity tests. A
few hours after the drug is started via IV, the patient becomes
restless and develops edema. Blood tests reveal abnormal
electrolytes and elevated blood urea
What organ is effected ? Correct Answers renal (kidney)
toxicity caused by the medication given
a phenomenon in which drugs given orally are carried directly to
the liver, where they can be inactivated by liver enzymes before
they enter general circulation Correct Answers first pass effect
a process where drugs are changed into new, less active
chemicals Correct Answers Biotransformation
A term that refers to the biologic and therapeutic effects of drugs
at the site of actions
hint: how the drug effects the body Correct Answers
pharmacodynamics
A term used to describe an originally developed listing of drugs
that carry high risks for older adults and criteria for potentially
inappropriate medication use in older adults - discovered by Dr.
Mark H. Beers Correct Answers Beers criteria
A term used to describe the use of multiple drugs Correct
Answers polypharmacy
Action of the body on the drug Correct Answers
Pharmacokinetics
, After teaching a patient about digoxin (helps heart contractions)
- what would you want to hear from your patient to know your
teach-back was effective Correct Answers "I need to take my
pulse before I take the pill"
an adrenergic antagonist may be used to lower... Correct
Answers blood pressure
An adverse effect described as the formation of antibodies to a
drug or drug protein
causes immune response when the person is next exposed to that
drug Correct Answers drug allergy
An extended half-life of a drug in an elderly person can increase
risks of? Correct Answers adverse effects
Another nurse prepares medication for you to administer, can
you give it? Correct Answers absolutely not! if there is a med
error it will then be blamed on you
anticholinergic agents would be given to block ... Correct
Answers tremors or ticks
are anticoagulants actually blood thinners? Correct Answers no
Are brand name drugs or generic drugs safer/cheaper? Correct
Answers Brand names are more expensive but safer
are drugs that are tightly bound to a protein short/long acting ?
Correct Answers very long because they are not free to be
broken down or excreted
