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Pharm final LILLEY 2024/2025 already graded A+
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Pharm final LILLEYIn which step of the nursing process does the nurse determine the outcome of medication
administration?
A) Implementation
B) Evaluation
C) Assessment
D) Planning - ANSB) Evaluation
The nurse plans care for a male patient who is 80 years old. The nursing diagnosis is
noncompliance with the medication regimen related to living alone, as evidenced by
uncontrolled blood pressure. What should the nurse do next?
A) Collaborate with the provider on a new medication regimen.
B) Enlist the help of a home care nurse for pharmacotherapy.
C) Assess the impact of home self-management of medications.
D) Examine the results of nursing help with the medications. - ANSB) Enlist the help of a home
care nurse for pharmacotherapy.
What things should the nurse check when reviewing a prescription with a patient? (Select all
that apply.)
A) The signature of the prescriber
B) The age of the patient
C) The patient's home address
D) The patient's emergency contact - ANSA) The signature of the prescriber
E) The route of administration
What information should the nurse chart when documenting medication administration? (Select
all that apply.)
A) The dosage of medication administered
B) The time of administration
C) The patient's age
D) Information about an "incident report" in the patient's chart
E) The route of administration - ANSA) The dosage of medication administered
B) The time of administration
E) The route of administration
The nurse would recognize which of these as the five rights of medication administration?
a. Right patient, right teaching, right form of drug, right transcription, right response
b. Right room, right time, right storage, right chart, right signature
c. Right drug, right time, right patient, right dose, right route
d. Right drawer, right documentation, right dosage calculation, right drug preparation, right
pharmacy - ANSc. right drug, right time, right patient, right dose, right route
,Which feature of a pediatric patient would the nurse recognize as most affecting the distribution
of a fat soluble drug?Select one:
A. The slower gastric emptying
.B. The lower serum protein levels
.C. The gastric acid level
.D. The total body water (TBW). - ANSD. The total body water (TBW).
Which factor is most involved in the elderly as a reason for polypharmacy?Select one:
A. Decreased gastric acid levels.
B. Reduced cardiovascular functioning.
C. Greater incidence of chronic illness.
D. Reduced OTC availability. - ANSC. Greater incidence of chronic illness.
What is the study of physiochemical properties of drugs and how they influence the body
called?
Pharmacokinetics
Pharmacodynamics
Pharmacology
Pharmacotherapeutics - ANSPharmacodynamics
In simple terms, pharmacodynamics is the study of what drugs do to the body.
Which statement best describes pharmacokinetics?
-Converts medication into its active chemical substance
-What the body does to the drug after it is administered
-Physiologic interaction between a drug and body cells
-Adverse effects and toxic reactions to medications - ANSPharmacodynamics
In simple terms, pharmacodynamics is the study of what drugs do to the body.
A drug given by which route is altered by the first-pass effect?
SubQ
Oral
IV
Sublingual - ANSOral
A patient asks the nurse why a lower dose of IV pain medication is being given than the
previous oral dose. What is the nurse's best response to the patient?
-Drugs administered intravenously enter the portal system before systemic distribution."
-"Medications given orally bypass the portal circulatory system."
-"Medications given intravenously are not affected by the first-pass effect."
-"A large percentage of an intravenously administered drug is metabolized into inactive
metabolites in the liver." - ANS"Medications given intravenously are not affected by the first-pass
effect."
, When drugs with a high first-pass effect are administered orally, a large amount of drug may be
metabolized before it reaches the systemic circulation. The same drug given IV will bypass the
liver. This prevents the first-pass effect from taking place, and therefore more of the drug
reaches the circulation. Parenteral doses of drugs with a high first-pass effect are much smaller
than oral doses, yet they produce the same pharmacologic response.
When calculating pediatric dosages, the nurse understands which method is most accurate for
dosing calculations?
Dosage calculation by body surface area because it takes into account the difference in size for
children and neonates
Medication dosing calculated according to body weight because it is based on maturational
growth and development
Calculated doses based on body weight need to be increased by 10% because of immature
renal and hepatic function
Use of drug reference recommendations based on mg/kg of body weight. - ANSDosage
calculation by body surface area because it takes into account the difference in size for children
and neonates
The body surface area takes into account not only the child's weight but also the relationship
with height and is therefore both the most accurate and most preferred method. Immature renal
and hepatic function would necessitate a decrease in dose, not an increase.
A mother of a 1-month-old infant calls the clinic and asks the nurse if the medication she is
taking can be passed to her infant during breastfeeding. What is the nurse's best response to
the mother's question?
-"Drugs can cross from mother to infant in breast milk, it will depend on the specific drug you are
taking."
-"All medications pass to infants while breastfeeding."
-"You should not take any medication while breastfeeding."
-"I will leave the health care provider a message to return your call." - ANS"Drugs can cross
from mother to infant in breast milk, it will depend on the specific drug you are taking."
The nurse is aware that medications can pass in breast milk, but each medication is different.
Women who take medication while breastfeeding must be assessed on a case-by-case basis,
including assessment of the medication the patient is taking.
A nurse working with older adult patients is concerned about the number of medications
prescribed for each patient. Which older adult assessment should be of highest priority related
to polypharmacy?
Schedule of medications
Drug interactions
Cost of medications
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