Pharmacology ATI Study Question

Pharmacology ATI Study Question A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four A. One Reason: Meds w/ long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this med once a day. A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.) A. Increased renal excretion B. Increased medication-metabolizing enzymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes C, E Reason: liver failure decreases metabolism and thus increases the concentration of medication (C). When the same pathway metabolizes two meds, they compete for metabolism, thereby increasing the concentration of one or both medications. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A. Have the client lie on her side. B. Ask the client to look up at the ceiling C. Tell the client to blink when the drops enter her eye. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after installation. B, D, E Reason: The client should look upward to keep the eye drops from falling onto her cornea (B). The nurse should drop the med into the center of the conjunctival sac to promote distribution (D). The client should close her eye gently to promote distribution of the med (E). A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch." C. "I will apply the patch to an area of skin with no hair." Reason: To promote absorption of the med A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take?