Which phase of pharmacokinetics refers to a drug's movement from systemic circulation into the tissues?
C. ) distribution
How many classes are in the schedule of controlled substances?
A. ) five
The assessment phase of the nursing process includes which action in relation to drug administration?
a.) determining if the client has food or drug allergies
b.) Developing a nursing diagnosis
c.) developing outcomes with input from client and his family
d.) Putting the developed care plan into action
1.) determine if the client has food or drug allergies
The I.M. injection site most commonly used in children is the:
C. ) vastus lateralis muscle
what's the best actio to take if a drug order is unreadable?
D. ) call the physician to clarify the order
A client carefully follows a diabetic diet and exercise program as prescribed. His glucose remains elevated, and glipizide (Glucotrol) is ordered. To learn more about this drug's absorption, distribution, metabolism, and excretion, which branch of pharmacology provides this information?
A. ) pharmacokinetics
A nurse is preparing to give a client his schedules 9 am drugs. The nurse realizes the pt is in the bathroom. Through the door, the pt tells the nurse to leave them by the bed and he'll take them when he comes out. Which action is most appropriate?
A. ) take the drugs away, but return in 10 min to give them
In 1938, Congress passed an amendment to the Federal Food, Drug, and Cosmetic Act. As a result of this amendment, drug labels myst consist of:
A. ) a statement of the contents of the package
A nurse is reviewing a new drug order written for a client. After reviewing the order, the nurse thinks that the dosage is unusually high. How should the nurse proceed?
A. ) question the physician about the dosage
A nurse is preparing to give cortisone to a client. Which item must always be checked before giving a drug?
A. ) identification bracelet
A nurse is teaching a client about a newly prescribed drug. What could cause an elderly client to have difficulty learning about prescribed medications?
D. ) sensory deficits
During an acute infection, a client with diabetes develops severe hyperglycemia and requires insulin therapy. Which administration route provides an immediate systemic response?
D. ) I.V.
A cardiologist prescribes digoxin (Lanoxin) 125mcg orally q am for a client dx w/ HF. the pharmacy dispenses tablets that contain 0.25mg each. How many tablets should the nurse administer?
one half tablet
A nurse is administering an IM injection to a 2-yr-old child. The best place to give the injection is:
B. ) in the middle third of the lateral muscle of the quadracepts group, from a handbreadth below the greater trochanter to a handbreadth above the knee
A client taking ibuprofen (Motrin) for joint pain is admitted for GI bleeding. The nurse would document this as what type of adverse reaction?
B. ) iatrogenic
Colinergic agonists stimulate which receptors?
a.) adrenergic
b.) alpha1 c.) beta2 d.) cholinergic
d.) cholinergic
Edrophonium is used to treat what?
D. ) myasthenia gravis
Terbutaline (Brethine) is commonly used for:
C. ) stopping preterm labor
A nurse should monitor a client taking ergotamine (Ergomar) for:
C. ) tingling in the fingers and toes
Which drug is most appropriate to give an intubated client who's fighting the use of a ventilator?
C. ) Cisartacurium (Nimbrex)
A client with Parkinson's disease asks the nurse why he's taking trihexyphenidyl. The nurse should respond by explaining that the drug:
C. ) Controls the symptoms of drooling and muscle rigidity
A client is scheduled for a cholecystectomy. The physician orders preoperative sedation with meperidine (Demerol), 75 mg I.M., and the cholinergic blocker atropine, 0.4 mg I.M. Which statement describes the purpose of atropine as a preanesthetic agent?
C. ) Atropine reduces excess salivation and gastric secretions
A client with an ET tube receiving mechanical ventilation becomes more consious and begins to fight both the ET tube and the ventilatior. Pancuronium, 0.1 mg/kg of body wt is ordered. This durg exerts its therapeutic effect by:
A. ) Competing with acetylcholine at cholinergic recptor sites
A client with a hx of asthma occasionally has bronchospasm attacks. The nurse reviews the client's drug hx, questioning the use of which drug?
D. ) Metoprolol (Lopressor)
-Metoprolol is a bets-adrenergic blocker. The most common respiratory adverse reaction is cronchospasm. Beta-adrenergic blockers must be used cautiously in clients with brnchial asthma, bronchitis, or emphasema. Ergotamine, phenoxybenzamine, and phentolamine are alpha-adrenergic blockers, which cause smooth-muscle relaxation and vasodilation, not bronchospasm
Essential hypertension, Raynaud's disease, and pheochromocytoma respond effectively to which class of drugs?
B. ) Alpha-adrenergic blockers
A client taking an anticholinergic for 1 month arrives at an outpatient clinic with complaints of constipation, dry mouth, and decreased sweating. The nurse realizes that these complaints are:
A. ) dose-related adverse reactions
A nuse is caring for a client with a T5 complete spinal cord injury. On assessment, the nurse notes flushed skin, diaphoresis above Y5, and a blood pressure of 162/96 mmHg. The client reports a severe. punding h/a. Which nursing intervention would be appropriate for this client? Select all that apply.
a.) Elevate the HOB 90 degrees
b.) Loosen constrictive clothing
c.) Use a fan to reduce diaphoresis
d.) Assess for bladder distention and bowel impaction
e.) Administer antihypertensive medication
f.) Place the client in the supine position with legs elevated
a.) Elevate the HOB 90 degrees
b.) Loosen constrictive clothing
d.) Assess for bladder distention and bowel impaction
e.) Administer antihypertensive medication
The wife of a client taking donepezil (Aricept) asks the nurse when her husband's Alzheimer's disease will be cured. The nurse's best response is:
D. ) "This medication slows the degeneration of the disease. It doesn't cure it."
A nurse is caring for a client taking ergotamine (Ergomar) for vascular h/a, Which complaint by the client requires immediate further investigation?
D. ) "My fingers and toes are tingling."
A nurse is caring for a client on a mechanical ventilator who complains of pain. The physician orders succinylcholine (Anectine). What should the nurse do next?
A. ) Insert a nasogastric tube to administer the medication
A common adverse effect of CNS stimulants such as dextroamphetamine (Adderall) is:
D. ) wt loss
What's an important teaching topic for a client taking phenytoin (Dilantin)?
B. ) Use good oral hygiene
Dopaminergic agonists work by:
A. ) Increasing the amount of dopamine available in the CNS
When administering I.V. phenobarbital, a nurse should have:
C. ) Emergency resuscitation equipment readily available
A client should take antimyasthenics according to schedule because:
C. ) Taking them on time helps prevent weakness
A client with Parkinson's diseae is being treated with levodopa (Dopar). The nurse would become most concerned if the client develops:
D. ) tachycardia
A physician suspects that a client has myasthenia gravis. Which anticholinesterase can be used to diagnose this disorder?
C. ) edrophonium (Tesilon)
A client being treated with diazepam (Valium), a benzodiazepine, is most likely to experience which adverse reaction?
D. ) sedation
A nurse is preparing a female client with tonic-clonic seizure disorder for discharge. Which instructions should the nurse include about phenytoin (Dilantin)? Select all that apply.
D. ) Monitor for skin rash
c.) Perform adequate amounts of fluid and fiber in the diet
d.) Follow up with necessary, periodic blood work
e.)Report to the physician any problems with walking, coordination, slurred speech, or nausea
A nurse would expect a client taking entacapone (Comtan) to alos be takine:
A. ) levodopa-carbidopa
A 12-year-old child who's taking methylphenidate (Concerta) is in with his mother for a check-up. Which statement by the mother warrants further investigation?
C. ) "He hasn't grown in over 1 year."
A nurse should question the use of sumatriptan Imitrex) in which client?
A. ) A 34-year-old who's 15 weeks pregnancy
A nurse warns a client taking mephobarbital (Mebaral) about which possible adverse effect?
B. ) Lethargy
Gabapentin (Neurontin) may be ordered for a client with which disorder?
D. ) Postherpetic neuralgia
A nurse suspects a client receiving neostigmine (Prostigmin) is having a myasthenic crisis. Which finding is the nurse likely to assess?
B. ) The client experiences extreme muscle weakness 4 hrs after the medication is given
One way that a nonopiod anagesic acts is by:
B. ) inhibiting stimulation of pain receptors
Before administering a dose of pain medication, a nurse should always:
D. ) assess the client's pain level
Which statement is appropriate for a nurse to make to a client who's about to have surgery using an inhalation anesthetic?
D. ) "It's normal for you to shiver after surgery."
When caring for a client who's about to receive an injectable anesthetic, a nurse should have:
A. ) equipment for endotracheal intubation readily available
Which measure may enhance a client's therapeutic response to an analgesic?
D. ) providing soft, quiet music
A client us hospitalized with terminal cancer. For the past 3 weeks, he has been receiving morphine, 5 mg I.V., every 4 hrs, and has experienced relief from pain. He now says pain is still present, even after receiving the drug. The nurse recognizes that this client:
B. ) has developed a tolerance to the opioid
Which symptoms should a nurse observe in an adult developing salicylism?
C. ) respiratory alkalosis and tachypnea
A client in the intensive care unit was given an accidental overdose of morphine. He's unconscious and has slow, shallow respirations at a rate of 8 breaths/minute. What drug should be given?
B. ) naloxone (Narcan)
A client who's taking the NSAID naproxen (Naprosyn) for his osteoarthritis has recently started taking a thiazide diuretic for moderate hypertension. Which instruction is the most important for the nurse to give to this client?
D. ) have regular blood pressure checks
During a thoracotomy, a client received halothane and nitrous oxide. After the surgery, the nurse monitors him closely. Which advrese reaction to inhalation anesthetics is most common?
D. ) exaggerated response to a normal dose
A physician orders a topical anesthetic to relieve a child's pain from a knee abrasion. When instructing the child's parents about the drug, the urse should tell them to be alert for:
C. ) rash, pruritus, and breathing difficulty
A physician orders an I.V. push of 0.6 mg naloxone (Narcan) for a client. The vial has a concentration of 0.4 mg/mL. How many millimeters of naloxone bydrochloride should the client receive per dose? Record your answer using one decimal place.
________________mL
1.5 mL
A nurse should question an order for celecoxib written for a client with which condition?
C. ) unstable angina
Which drug us most appropriate to give preoperatively to a client scheduled for a skin biopsy?
D. ) mepivacaine (Carbocaine)
A nurse administering oxycodone (OxyContin) to a client be concerned about wich finding?
B. ) The client is asleep and has a respiratory rate of 6 breaths/minutes
Which medication is commonly used to reat bipolar affective disorders?
A. ) lithium (Eskalith)
A common adverse effect of an antipsychotic is:
B. ) extrapyramidal symptoms
Which teaching point is important for a client taking an antimanic drug?
B. ) drink at least 2 qt (2L) of H2O daily
Barbituates work by enhancing the effects of which neurotransmitter?
A. ) gamma-aminobutyric acid
Which medication is commonly used as an anxiolytic?