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Pharmacology Safety and Pharmacokinetics

Total questions: 10

Worksheet time: 6mins

Name
Class
Date
1.

A nurse is preparing to administer digoxin to a client who states, "I don't want to take another pill, I don't want it." Which of the following responses should the nurse make?

a)

"Your doctor prescribed it for you, so you should just take it"

b)

"Alright, let's just take it and get it over with"

c)

"Tell me your concerns about taking this medicine"

d)

"Okay, just take the other one"

2.

A nurse is reviewing a client's prescribed medications. Which of the following represents a CONTRAINDICATION to medication administration?

a)

The prescribed medication may cause orthostatic hypotension

b)

The medication prescribed is approved for ages 12 and older, the client is 8.

c)

An antiemetic medication has an adverse effect of restlessness.

d)

Client drank 10oz of grapefruit juice, which may reduce therapeutic effect

3.

A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half life of 4 days, how many times perday can a nurse EXPECT to administer this medication? (HINT, this is not a calculation or a memorization. It is an inference based on half life and dangerous seizure disorder)

a)

Once per day

b)

Twice per day

c)

Three times per day

d)

Four times per day

4.

Which of the following factors would be a reason for a reduced medication dosage? Select ALL that apply!

a)

Increased renal excretion

b)

Increased medication-metabolizing enzymes

c)

Liver Failure

d)

Peripheral Vascular Disease

e)

Current use of medications that metabolize in the same pathways

5.

A nurse is prepare to administer a client's medication. Which of the following actions should the nurse take to follow legal practicing guidelines. (HINT think from the med cart to the bedside and walking out of the room)

a)

Teach the patient about the medication

b)

Determine the dose

c)

Monitor for adverse effects

d)

Lock compartments holding controlled substances

e)

Determine the client's insurance is active

6.

A nurse is assessing a client before medication administration. Which of the following data should the nurse obtain? SELECT ALL THAT APPLY

a)

Use of herbal products

b)

Daily fluid intake

c)

Ability to swallow

d)

Previous surgical history

e)

Allergies

7.

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

a)

Taking the medications out the wrappers before entering a client's room

b)

Checking a prescription when a single dose requires administration of many tablets

c)

Ensuring that the patient took all the medication, then looking up the usual dosage range

d)

Relying on another nurse to clarify the order

8.

A nurse is instructing a client about a transdermal patch. Which of the following statements indicates the client understands how to properly apply the patch?

a)

I will wipe the site with an alcohol wipe before I put it on

b)

I will rotate the application site weekly

c)

I will apply the patch to skin without hair

d)

I will replace the spot of the old patch with the new one

9.

You are preparing to administer eye drops. Which of the following actions should you take?

a)

Have the client lay on their preferred side

b)

Ask the client to look up at the ceiling

c)

Tell the client to blink when the drop touches their eye

d)

Drop the medicine into the conjunctival sac

e)

Instruct the client to gently close the eye.

10.

An order is placed to verify the trough level of a medication. Which of the following actions should the nurse take?

a)

Obtain a blood specimen immediately prior to the next dose.

b)

Verify that the client has consistently taken the medicine for 24 hours.

c)

Ask the client to provide a urine specimen after the next dose.

d)

Administer the dose, then obtain a blood specimen 30 min later.