Pharm Exam 1 Review

The nurse is monitoring a client with heart failure for effectiveness of the digoxin therapy. Which factor should the nurse closely monitor for potential signs of toxicity?

• Seizure activity

• Drug blood level

• Urinary output

• Blood pressure

A client arrives at the health care clinic and reports taking several pills for a headache and severe cough without relief. Which adverse effect should the nurse be aware may develop from this combination?

• Gastrointestinal bleeding

• Breathing difficulties

• Liver damage

• Anaphylaxis

The nurse is preparing to teach a client about a new drug which is in the fourth phase of development. Which activity will the nurse explain best illustrates this phase?

• Health care providers report adverse effects to FDA.

• Healthy volunteers are involved in the test.

• In vitro tests are performed using human cells.

• The drug is given to clients with the disease.

When preparing to administer a drug to a client, the nurse will determine the correct drug has been chosen by verifying which factors match? Select all that apply.

• Medication

• Container label

• Medication record

• MAR

• Nursing notes

A nurse is required to give an intramuscular (IM) injection to an 18-month-old toddler. The nurse would prepare which site for administration?

• Dorsogluteal site

• Deltoid muscle

• Vastus lateralis

• Ventrogluteal site

A health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate?

• Apply next dose to a new site.

• Check the infusion rate.

• Inject only the inner part of the forearm.

• Give small volumes of doses.

What is the rationale for using a zero when there is no number to the left of the decimal in a medication dosage?

• Increase prescriber errors

• Escalation of nursing mistake

• Reduces chance of drug errors

• Decrease dosage for medication safety

Identify which of the following is a sign of salicylism.

• vertigo

• tinnitus

• jaundice

• pruitis

Gerontologic clients have a higher incidence of both rheumatoid and osteoarthritis and may use non-opioid analgesics on a long term basis. They may be particularly vulnerable to which of the following?

• Tolerance to the medication.

• Allergy to the medication.

• Gastrointestinal bleeding.

• Constipation.

Which of the following is the dosage range for subcutaneous injection?

• 0.5-1 ml

• 0.1-0.5 ml

• 0.25-0.5 ml

• 1-2 ml