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WorksheetsPharm Week 1
Total questions: 27
Worksheet time: 14mins
A nurse is caring for a patient who has an infection. The healthcare provider has ordered an antimicrobial drug for the patient. The nurse understands that which of the following is the most important characteristic of this drug?
A.That the drug will kill the microorganism
B. That the drug will be administered orally
C.That the drug does not have any harmful effects
D.That the drug does not interact with other drugs
A patient who was prescribed an oral medication to be taken four times per day returns to the clinic for a follow-up visit. The patient tells the nurse that he forgets to take two or three doses of the medication each day. What is the most appropriate action that the nurse can take?
Arranging for the patient to have a home healthcare nurse
Telling the patient to set an alarm as a reminder to take the drug
Determining wether the patient is experiencing any adverse effects
Re-educating the patient about the medication and how it should be taken
A patient with cancer is receiving morphine for pain control. The patient calls the nurse to report that the morphine is no longer controlling his pain. What is the most appropriate response by the nurse?
"Increasing the dose of morphine will make you so sleepy that you will not be able to function.”
“This means that you have developed a psychological addiction to morphine.”
“You have developed a tolerance to morphine and will need a higher dose.”
“It is recommended that we wait to increase the morphine until the pain is more severe.”
A patient was discharged from the hospital with instructions to take an antibiotic for 7 days to treat a bladder infection. Twelve days later, a home care nurse visits the patient and finds that the symptoms have not resolved. What is the most important question for the nurse to ask?
"Do you think you have another bladder infection?"
"Have you taken all of the antibiotics as directed?"
"How much water have you been drinking each day?"
"What antibiotic do you usually take to treat an infection?"
While preparing to administer medications to a patient, the nurse finds that he does not understand the rationale for the patient receiving one of the prescribed drugs. What should he do?
Ask the patient why this medication has been ordered
Ask another nurse why the patient is getting this medication.
Research the medication, focusing on its therapeutic uses.
Verify with the prescribing healthcare provider the reason for the medication.
When the nurse reviews a medication order, it is not clear what route should be used for administration. Which action by the nurse is best?
Use a current drug reference resource to determine the administration route
Administer the drug via the oral route.
Contact the pharmacist for clarification.
Call the prescriber to verify the route
The nurse administered 2 mg of morphine intravenously to a postoperative patient. In addition to following the Rights of Drug Administration, what responsibility does the nurse have as a patient advocate?
To inform visitors that the patient has received morphine
To minimize adverse effects by reducing the next dose of morphine
To know the possible reactions to morphine
To administer the drug as often as possible
A nurse is administering a drug that is categorized as Schedule IV. The nurse understands that this means the drug:
Has acceptable medical applications with low potential for abuse.
Has the potential for serious and life-threatening adverse effects.
Is dangerous to administer to pregnant or breast-feeding patients.
Is a controlled substance with no accepted medical use.
The nurse is preparing a list of medications to give to a patient who is being discharged from the hospital. The nurse should use which drug name for each medication?
Classification name
Chemical name
Generic name
Trade name
A nurse is preparing to administer epinephrine to a patient who is having a severe allergic reaction. Which route of administration should the nurse use to provide the fastest and most complete absorption of epinephrine?
Intraveneous
Oral
Intramuscular
Subcutaneous
The nurse identifies which patient as being at highest risk for slow drug metabolism?
A 2-year-old boy who is prescribed an oral antibiotic
A 14-year-old girl who takes four prescription drugs
A 56-year-old man who has chronic hepatic disease
A 76-year-old woman who has an elevated temperature
Digoxin has a half-life of 36 to 48 hours. Because of the length of the half-life, the nurse expects dosing to occur how often?
4 times per day
3 times per day
2 times per day
Once a day
When teaching a patient who has a gastric ulcer about cimetidine (a histamine H2 antagonist) therapy, the nurse should include which information about antagonists?
An antagonist causes a chemical reaction in the stomach
An antagonist activates receptors in the stomach lining
An antagonist prevents receptor activation in the stomach
An antagonist improves receptor sensitivity in the stomach
Which statement about drug agonists does the nurse identify as being true?
An agonist makes the physiologic processes go faster
An agonist exerts effects by causing receptor activation
An agonist has moderate intrinsic activity
An agonist is a dynamic component
A patient is taking two prescription medications that both cause bradycardia. The nurse should monitor the patient for which type of effect?
An increased therapeutic effect
An increased adverse effect
A reduced therapeutic effect
A reduced adverse effect
Which individual is at the highest risk for a drug-drug interaction?
A toddler who is prescribed two antibiotics for a serious infection
An adolescent who takes over-the-counter medications for menstrual cramping
An adult who takes eight prescription medications for a chronic condition
An older adult who takes two prescription medications and a dietary supplement for anxiety
The nurse cares for a patient who is taking a calcium channel blocker for hypertension. The nurse should be most concerned if the patient makes which statement?
"I take my medication with a glass of water."
"I eat foods high in fiber to prevent constipation."
"I drink a glass of grapefruit juice each evening."
"I avoid foods such as broccoli and cabbage."
A patient is prescribed a medication to be taken on an empty stomach. Which statement should the nurse include when providing patient teaching?
"Take the medication 1 hour before eating."
"Take the medication with a small glass of water."
"Take the medication before going to bed at night."
"Take the medication 1 hour after a meal."
The nurse is assessing an infant delivered by a patient who is suspected of regularly using alcohol and cocaine during her pregnancy. It is most important for the nurse to observe the infant for what?
Lethargy, hypothermia, and weight gain
High-pitched cry, vomiting, and jitteriness
Depressed reflexes, jaundice, and dysphagia
Hypotonia, absent sucking reflex, and epistaxis
A patient is taking a Category A drug during pregnancy. Which statement by the nurse is accurate?
"The risk of harm to the fetus is remote."
"The drug is safe to take during pregnancy."
"This drug has caused congenital birth defects."
"No controlled studies of this drug have been done in humans."
A patient is 2 months pregnant and complains of gastric distress. It is most appropriate for the nurse to do what?
Consult with the healthcare provider about a prescription for misoprostol (Cytotec)
Instruct the patient to avoid acidic foods such as orange juice and tomatoes
Suggest an over-the-counter medication such as bismuth subsalicylate (Pepto-Bismol)
Use an alternative therapy such as valerian as a dietary supplement
A patient who is breast-feeding her newborn infant is prescribed an antibiotic to take after discharge. Which statement should the nurse include when providing discharge instructions?
"Drink plenty of fluids to dilute the drug in your breast milk."
"Take the drug at night with a full glass of water."
"Pump your breasts, and then discard all of the milk."
"Take the antibiotic immediately after breast-feeding."
A toddler has been prescribed a medication that does not have an established pediatric dose. To calculate the appropriate dose for the child, the nurse should consider what information?
The child's weight is 26 pounds
The child's height is 32 inches
The child's body surface area is 0.52 kg/m2
The child's age is 24 months.
The nurse is assessing an 82-year-old patient before the administration of medications. Which laboratory result would provide the best index of this patient’s renal function?
Serum creatinine
Blood Urea Nitrogen
Urinalysis
Creatinine clearance
An older adult patient is taking a new prescription medication. After reviewing the patient’s medical record, the nurse is most concerned about an adverse drug reaction if what is documented?
The patient is currently taking eight prescription medications.
The patient's urinary creatinine clearance is 70mL/min/1.73 m2
The patient regularly takes herbal and dietary supplements
The patient takes a medication with a high therapeutic index
The nurse instructs an 82-year-old patient about over-the-counter medications that are generally safe for older adults. The nurse should consult what resource for this information (Best answer)?
The Beers List
Davis' Drug Guide
Good Rx
Epocrates
An older adult patient frequently forgets to take an oral medication that has been prescribed to be taken three times per day. Which action by the nurse is best?
Assess the patient's ability to swallow the medication
Arrange for a neighbor to call the patient three times a day
Call the prescriber for a sustained-release form of the drug
Give the patient verbal and written instructions about the drug
