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WorksheetsPrinciples of pharmacology
Total questions: 11
Worksheet time: 7mins
A client is taking a drug that has a half-life of 24 to 30 hours. In preparing discharge teaching, what is the dosing schedule the nurse anticipates?
Daily
Every other day
Twice per day
Three times a day
A client is taking diazepam, which is 94% protein bound, for anxiety. They are then prescribed clindamycin, which is 98% protein bound, for a skin infection. What will the nurse teach the client about this combination of medications?
The possible need for an increased dose of diazepam when combined with clindamycin."
The need to eat more protein while taking both medications.
Not to take the two medications at the same time.
The need to monitor for increased effects of diazepam when combined with clindamycin.
A client with chronic kidney disease is prescribed an oral loading dose and maintenance dose of phenytoin for new onset of seizures. What is the most appropriate action of the nurse?
Assure the client's liver functions are normal
Hold the medication until the HCP makes rounds in the AM to clarify the order.
Contact the HCP to clarify the prescription and ensure the need for a loading dose.
Give the medication as prescribed.
Usually food ______________________ dissolution and absorption of drug.
incresses
decreases
has no effect on
prevents
Which statement places the four processes of pharmacokinetics in the correct sequence?
Absorption, metabolism, distribution, excretion
Distribution, absorption, metabolism, excretion
Distribution, metabolism, absorption, excretion
Absorption, distribution, metabolism, excretion
Which factor(s) most commonly affect(s) a drug's absorption? (select all that apply)
Body mass index
Hypotension
Pain
Sleep
Stress
The nurse is teaching a group of parents how to administer drugs to their children. Which element(s) of drug administration will be included in the teaching? (Select all that apply)
Allow the child to determine the time of drug administration.
Lightly restrain the child as needed.
Praise the child after successful administration.
Never threaten the child into taking the drug.
Never tell the child what to expect; just give the drug.
The older adult client has a decreased estimated glomerular filtration rate (eGFR) of less than 30. The Patient has been prescribed trimethoprim for a urinary tract infection. If the normal dose is 200mg per day, what does the nurse anticipate will occur with the dosing regimen?
The dose will double.
The dose will decrease by one half.
The dose will stay the same.
The dose will increase to three times per day.
Following hospitalization, the older adult patient receives a home visit from the nurse. The patient asks if she should continue to take the drugs she took before hospitalization. What is the most appropriate response?
"Yes, you should continue to take the drugs that you took before going to the hospital."
"You should take one-half the dosage of each drug that you took prior to hospitalization."
"You should take only the drugs that have been prescribed on discharge and not drugs that you took prior to hospitalization unless otherwise indicated."
"You should continue to take those drugs that have been helpful to you."
Before administering drugs to the older adult, what should the nurse know? (Select all that apply.)
Whether the drug is highly protein bound
Half-life of the drug
Patient's last bowel movement
Serum levels of drugs with a narrow therapeutic range
Baseline vital signs
The nurse is calculating an opioid dose for the client. The dose seems "large". What is the best initial action for the nurse to take?
Check the patient's name band and administer the drug.
Call the health care provider
Recalculate the dose.
Withhold the dose and document as not given.
