Pharm tut test 1

A nurse is preparing a client's medications. The nurse is resonsible for gaining and maintaining knowledge about which of the following medication information? (Select all all)

• Adverse effects

• Determining dose

• Mechanism of action

• Contraindications

• Insurance coverage

A nurse is preparing to adminster digoxin to a client who states, "I dont want to take that medication. I do not want one more pill." Which of the following responses should the nurse make?

• "Your physcian prescribed it for you, so you should take it"

• "Well, lets just get it over quickly then"

• "okay, ill just give you your other medications"

• "tell me your concerns about taking this medication"

A nurse is assessing a client before administering medication. Which of the following data should the nurse obtain? Select all that apply.

• Use of herbal products

• Ability to swallow

• Daily fluid intake

• Previous surgical history

• Allergies

A nurse is working with a new licensed nurse who is administering medication to a client. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention?

• Taking all medications out of the unit dose wrappers before entering the client room

• Checking the prescription when a single dose requires administration of multiple tablets

• Administering a medication then looking up the usual dose range

• Relying on another nurse to clarify a medication prescription

A nurse is preparing to complete an incident report of a medication which of the following information. Should the nurse include the report (select all that apply)

• Time of incident

• Location in the chart of where the report is filed

• Actions taken following the incident

• Opinion regarding why the incident occurred

• Client identification

Sort each of the following factors affecting the rate of medication metabolism to indicate the factor results in the need for an increased medication dosage or decreased medication dosage

Decreased

• Liver failure

• Concurrent medications using the same metabolization pathway

• Malnourishment

• Increased renal excretion

So each of the following factors, affecting the rate of medication metabolism to indicate the factor results in a need for an increased medication dosage

• Increased renal excretion

• Elevated medication metabolizing enzyme

• Concurrent medications using the same metabolization pathway

• Peripheral vascular disease

A nurse receives a prescription to obtain a trough level of the clients medication. Which of the following action should the nurse take?

• Obtain a blood specimen immediately prior to the ministering the next dose of medication

• Verify that the client has been taking the medication for 24 hours before obtaining a blood specimen

• As a client to provide a urine specimen after the next dose of medication

• Administer the medication and obtain a blood test in 30 minutes later

Provider prescribes Phenobarbital for a client who had seizure disorder. The medication has a long half-life of four days. How many times per day should the nurse expect to minister this medication?

• One

• Two

• Three

• Four

A nurse is teaching a client about a new prescription for a transdermal patch. Which of the following client statements indicates an understanding?

• I will clean the site with an alcohol swab before I apply the patch

• I will rotate the application site weekly

• I will apply the patch to an area of skin with no hair

• I will place a new patch on the side of the old patch