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215 Pharm week 1&2 Flashcards | StudBud
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215 Pharm week 1&2
215 Pharm week 1&2
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1
A patient has an AKI (Acute kidney injury), the nurse must assess more frequently for?
increased absorbtion by intestines
decreased drug effects
increased toxicity
increased risk of allergy
2
The nurse enters a room with medications to give a patient who is in the bathroom, what should the nurse do?
leave the on bedside table
ask visitor to remind patient
document as refused
return back in a few minutes
3
A nurse is unsure if the digoxin order is for 0.25mg, 0.125mg, or 125mcg because there is no zero. What action next?
check the dose with another nurse
clarify with ordering provider
consult the drug handbook
contact pharmacist
4
Which route does not bypass first-pass effect
sublingual
sublingual
oral
parenteral
5
What term used to describe magnitude of maximal response produced by a drug?
potency
efficacy
comparability
toxicity
6
A narrow therapeutic index indicates the toxic level and effective level are close in range.
False
True
7
What is not the nurses role in medication administration?
Ensure the patient understands the use and administration for medication
Report reactions to the pharmacist and prescriber
Give medications as quickly as possible
Ensure medications are given safely
8
A nurse discovers the medication ordered is different in the drug reference guide, what next?
give the medication as ordered
clarify with prescriber
call the pharmacy tech
refuse to give the drug
9
Which patient statement indicates further medicaiton education on a new prescription?
If I take more, I'll have a better response
The liquid form of the drug will absorb faster
Taking this drug with food will decrease how much gets into my system
I can consult my PCP if I have adverse effects
10
Kidney and liver diseases prolong half-lifes, increasing risk of toxicity
True
False
11
A patient with diabetes is NPO, the patient takes oral type 2 antidiabetic drugs, what is the best action to take?
Hold all medications
Give half the dose
Contact provider for clarification
Give medications with small sip of water
12
A medication is wrote for tylenol every 3-4 hours, when should the nurse give med?
Ask another nurse to check
Clarify with prescriber
After 3 hours but not before 4 hours
Atleast after 4 hours
13
Teratogenic risk refers to risk to mother.
True
False
14
Laxative is a therapeutic class.
False
True
15
Biosimilar drugs are not exact duplicate copies of original medications
True
False
16
A pt notifies the nurse she must pray before she accepts treatment, what is the role of spirituality in drug therapy
harmless if it makes the patient feel better
important to the patients acceptance of medication treatment
irrelevant because medications act on science
harmful, if treatment is delayed
17
What position should the patient be in prior to giving an enteral medication?
lateral decubitus
prone
supine
sitting upright
18
Which medicaitons are used in alcohol withdrawl treatment
Milk Thistle
Synthetics oxycodone, meperidine
Naltrexone ReVia, Vivitrol
benzodiazepines lorazepam, diazepam
19
During the evaluation phase of drug admin, the nurse completes what responsibility?
estabilishes goals and outcome criteria
gathers data in a drug and dietary history
prepares and admins drugs correctly
monitors the patient for therapeutic effect
20
Which of the following is not a nurse responsibility when administering medications?
learning pharmacology
proper administration of medication
ordering the medication
patient education
21
IV medications bypass first-pass effect
True
False
22
A nurse adminsters a medication to the wrong patient, what is the appropriate nursing action?
check adverse reaction report the error to provider, incident report
Reassess patient every 15 minutes
Take vitals and document in MAR
document in nursing notes
23
The best drug for us is the one with the greatest efficacy.
True
False
24
A beta-adrenergic blocker is a pharmacologic class.
False
True
25
What is a warning by the FDA that can cause serious injury or death for a drug?
FDA red flag
Black box
CBER
OTC
26
The provider has ordered atropine thiswill prevent the patients own chemical acetylcholine what type of drug is atropine
partial agonist
protagonist
antagonist
agonist
27
A patient is using more of the anxiety medication what is this an example of?
resistance
addiction
immunity
tolerance
28
What symptoms are observed during signs of nicotine withdrawal?
headache, increased appetite, insomnia
fatigue, vomiting, irritable
tremors, seizures, leg pain
constricted pupils, delayed capillary refill
29
During admission the patient reports dietary supplements, what is the nurses concern
they are natural and pose no risk
they do not always have instructions
increased allergy risk
may interact with prescribed medications and affect drug action
30
How does the CDC categorize biologic threats?
cost of treatment
loss of life
potential adverse effects
impact on public health
31
Which medication can be given in a nasogastric tube?
IV medications
Enteric-coated medication
Finely crushed tablets
Sustained-release tablets
32
A 16yo is 6 weeks pregnant and prescribed isotretinoin, category x what is appropriate for the nurse to tell the patient
you should check with your provider next office visit
Since you have a prescription, it is safe to use
you should use as needed
This med is known to cause birth defects and should never be taken
33
Pt admitted with alcohol abuse, what will the nurse observe for signs of withdrawl
headache, joint pain
laughing, constricted pupils
confusion, tremors, hallucinatiosn
coughing, vomiting
34
The medication reads 2mg of IV morphine STAT, what should the nurse do?
administer the med according to the patients conidtion
assess patients ability to tolerate medication
give medication within 5 minutes
push medication in IV as fast as possible
35
A patient in pre-op declines narcotics because he is afriad of being addicted. What is the best repsonse by the nurse?
addiction is rare if the patient has a high threshold
rare when used as prescribed and according to protocol
older patients are likely to be addicted
dependence is common but can be managed
36
To reduce effect of a medication on infant breastfeeding, the nurse should teach the mother to take the med
after breast feeding
immediately before next feeding
in divided doses at regular intervals
at night
37
What pregnancy category drugs are the most harmful to the fetus?
X
B
A
C
38
Hydroxyzine has been ordered for a patient but hydralazine has been dispensed, what should the nurse do?
Not administer the medication and contact the pharmacy
Page the ordering provider
Talk to the patient and see which medication they want to take
Administer the medication
39
When administering a medication, it is a different color than previously recognized, what next?
administer medication
instruct patient it is a different brand
verify order and double check label
recommend patient asks the provider on rounds
40
What change is needed if a drug is only metabolized by first-pass effect
Higher doses
Given in lipid-soluble form
More frequent administration
Non-oral route
41
Which is NOT a type of nursing drug order?
PRN
STAT
ASAP
Sitting
42
What schedule class of drug is adderall?
3
2
1
4
43
Providing teaching to an older couple, to ensure instructions are understood what should the nurse do?
provide labels in large print
assess patients reading level and have them teach back
provide detailed written instructions
ask for other family members to be present
44
Which method may offer the best opportunity for patient teaching?
provide education about the medication during each administration
refer to external patient education groups like AHA
provide internet links
provide detailed written information upon discharge
45
Morphine at 10mg equals codeine at 200mg, morphine is more potent than codeine.
False
True
46
Why is a loading dose given?
decreases total number of doses needed
rapidly builds plasma drug levels
results in lower doses to achieve therapeutic effect
decreased risk of toxicity
47
A stimulant drug is given, a patient experiences drowsiness. What type of reaction is this?
allergic
unaltered
idiosyncratic
enzyme-specific
48
Which is NOT a change that needs made when considering a patient has hepatic impairment, cirrhosis.
More frequent monitoring
Change in length of timing between doses
Reduction in drug dosage
Increase in drug dosage
49
A nurse looks up butophanol and notes that it is a partial agonist, what does this mean?
produces a weaker response than an agonist
causes unpredictable rections
it will occupy a receptor and prevent the chemical from acting
produces same type of response as the endogenous substance
50
A diabetic patient skipped meds bc fear of needle marks and weight gain, what should the nurse assess as nonadherence
Will provider order another drug
Whether the patient received adequate teaching and understanding
Fear of needles
family does not understand
51
Which is not a nurse responsibility when a patient has a drug allergy?
document in the medical record
determine which antibiotic would be safe for the patient to take
notify pharmacy and provider
place an allergy band on the patient
52
Why might a patient use an OTC drug instead of a more effective prescription drug?
more potent
cost savings
less side effects
trust a prescription over an OTC
53
All are examples of a pharmacologic classification except:
diuretic
antineoplastic
vasodilator
adrenergic antagonist
54
Which factor is most important for the nurse to assess effectiveness of drug therapy?
therapeutic benefit
promise to adhere
satisfaction with drug
cost
55
A combination of 2 HTN drugs in lower doses have been ordered at lower doses, what interaction is this an example of?
Antagonism
Displacement
Addition
Synergism
