28 Dec Planning Implementation

NUR2407 Pharmacology

Pharmacology Quiz 1

• Question 1 A client is using a prn scopolamine patch for motion sickness. Knowing that the medication has anticholinergic side effects, the client should be taught to anticipate which side effects? (Select all that apply!)

Answers:

Urine retention

Blurred vision

Dry mouth

Diarrhea

Wheezes

• Question 2 The nurse is reviewing medication information with a nursing student prior to administering an oral drug and notes that the drug has extensive first-pass effects. Which statement by the student indicates a need for further teaching about this medication?

Answers: “The first-pass effect means the drug may be unchanged as it passes through the liver.”

“The first-pass effect means the drug may be changed to a metabolite, which may be more active than the original.”

“The first-pass effect means the drug may be changed to an inactive form and excreted.”

“The first-pass effect means the drug may be absorbed into systemic circulation from the intestinal lumen.”

• Question 3 The nurse is preparing to administer a medication and reviews the patient’s chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective of which phase of the nursing process?

Answers: Evaluation

Assessment

Planning

Implementation

• Question 4 The provider is considering starting a diabetic client on valproic acid (Depakote) for nerve pain this week. During the health history, the patient tells the nurse, “I drink a six pack of beer daily and two to three six packs on weekends.” What would be the priority nursing action?

Answers: Obtain a lab order to assess his current level of valproic acid.

Tell the client his alcoholism is causing his nerve pain, so medicine won’t help.

Seek an order for liver function labs to see if Depakote would be safe for him

Reassure the client that beer and Depakote are compatible

• Question 5 The nurse is teaching a patient who will be discharged home with a prescription for an enteric-coated tablet. Which statement by the patient indicates an understanding of the teaching?

Answers:

“I should expect a delay in the onset of the drug’s effects after taking the tablet.”

“I should consume acidic foods to enhance absorption of this medication.”

“I should take this medication with high-fat foods to improve its action.”

“I may crush the tablet and put it in applesauce to improve absorption.”

• Question 6 How would a nurse explain the way pilocarpine (Salagen), a cholinergic, would resolve dry mouth symptoms?

Answers: It stimulates salivation by blocking nicotinic receptors

It stimulates salivation by stimulating muscarinic receptors

It stimulates salivation by stimulating alpha receptors in the brain

It stimulates salivation by redirecting fluid from the optic nerve

• Question 7 The nurse is preparing to administer a drug that is ordered to be given twice daily. The nurse reviews the medication information and learns that the drug has a half-life of 24 hours. What will the nurse do nex

Answers: Discuss every-other-day dosing with the provider

Contact the provider to discuss daily dosing

Administer the medication as ordered

Hold the medication

• Question 8 A patient presents to the clinical with complaints of daytime sleepiness, fatigue, and hallucinations. With a diagnosis of narcolepsy, which medications would the nurse expect to be prescribed?

Answers:

methylphenidate or modafinil

Remelteon or zolpidem tratrate

alprazolam or valproic acid

flumazenil or naloxone

• Question 9 Which law govern all drug administration by nurses?

Answers: Drug Regulation and Reform Act

Nurse Practice Act

The Controlled Substances Act

FDA Amendments Act

• Question 10 Which condition would the nurse expect to see the therapeutic use of caffeine citrate (CNS stimulant)?

Answers: Adult attention-deficit disorder (ADD)

Reversal agent for respiratory depression in the elderly

Disruption of the wake-sleep cycle in an adolescent.

Neonatal apnea

• Question 11 During a clinical drug trial for a new medication, researchers note a previously unknown serious adverse effect occurring in more than 50% of subjects. The study is discontinued. Which ethical principle is being exercised?

Answers: Respect for persons

Justice

Veracity