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Nursing Pharm Final

Total questions: 15

Worksheet time: 10mins

Name
Class
Date
1.

The nurse explains that with the oral dose, only 20% to 40% of the drug may actually enter systemic circulation. This reduces the amount of active drug. What is the term for this effect?

a)

hepatic first pass effect

b)

renal first pass effect

c)

half life

d)

protein malabsorption

2.

A client is suffering from end-stage renal disease. Because of this condition, the nurse monitors drug levels to assess for which phenomenon?

a)

toxicity

b)

sub-therapeutic levels

c)

compliance issues

d)

impaired first pass effect

3.

What effect should the nurse expect to result from the client receiving a loading dose?

a)

Patient achieves a rapid therapeutic concentration

b)

Patient achieves a rapid toxic concentration

c)

Patient achieves the highest plasma concentration of the drug within an hour

4.

The nurse anticipates what therapeutic response from the client taking alpha1-adrenergic blockers?

a)

Decreased blood pressure

b)

increased blood pressure

c)

decreased heart rate

5.

A medication characterized as a positive inotrope works by

a)

Increasing force of contraction

b)

Increasing heart rate

c)

Decreasing the serum potassium level

6.

A nurse is planning the care of a client receiving opioid analgesia. What are appropriate interventions for this plan of care? (select all that apply)

a)

assess respiratory status

b)

assess pain level

c)

assess bowel sounds

d)

assess for cough

7.

What is the antidote for warfarin?

a)

vitamin k

b)

protamine sulfate

c)

vitamin e

8.

What is the onset time of a rapid acting insulin?

a)

5-15 min

b)

15-30 min

c)

30-60 min

9.

What are the signs and symptoms of hyperglycemia? (select all that apply)

a)

polyuria

b)

polyphagia

c)

polydipsia

d)

tremors

10.

Use of long-term benzodiazepines can result in

a)

tolerance

b)

toxicity

c)

drug hangover

11.

Solution that has a greater concentration of solutes on the outside of a cell when compared with the inside of a cell is

a)

hypertonic

b)

hypotonic

c)

isotonic

12.

A cell in this environment causes water to enter the cell, causing it to swell.

a)

hypotonic

b)

hypertonic

c)

isotonic

13.

The short-term immunity which results from the introduction of antibodies from another person or through administration of immune globulins.

a)

passive immunity

b)

active immunity

14.

This is a type of congenital hypothyroidism seen in children

a)

cretinism

b)

myxedema

c)

graves disease

15.

Patient teaching for NSAIDs includes (select all that apply)

a)

risk for bleeding

b)

GI side effects

c)

hypertension

d)

bradycardia