NURS 1140 - Pharm Final Exam Wiki
Questions Solved 100% Correct
What affect may Psyllium (Metamucil) have on the absorption of other medications? -
Answer Administering Psyllium at the same time as salycilates, nitrofurantoin. or digoxin
is not recommended becuase the Psyllium will inhibit the absorbtion of these drugs.
Administer these drugs 1 hour before or 2 hours after the Psyllium.
What is the black box warning for Mineral Oil (Fleet Mineral Oil Enema) ? - Answer
Frequent use can inhibit the absoprtion of vitamins
What should be avoided when taking Polyethylene Glycol (Miralax/Golytely)? - Answer
Daily use of Polythylene Glycol should be avoided, as it should only be used
intermittently (2-3 times a week). Using Miralax/Golytely intermittently instead of daily
will help to prevent loss of normal bowel function and possible dependence for bowel
evacuation.
True or False: Numbers that begin with a decimal should include a zero before the
decimal (for example is 0.8 correct or is .8 correct)? - Answer True. 0.8 is correct
True or False: Numbers that begin with a decimal should include a trailing zero (for
example, is 0.50 correct or is 0.5 correct)? - Answer False. 0.5 is correct.
True or False: Numbers that do NOT begin with a decimal should NOT include a zero
before the number (for example is 7 correct or is 07 correct)? - Answer True. A number
that does not begin with a decimal should not include a zero, because there could be
confusion with the dosages. 7 is correct
What special consideration should be taken into account when administering Enteric
coated and/or time released medications to a client? - Answer Enteric coated or time
,released tablets should not be crushed because this will increase their absorption rate
and their potential for toxicity.
When completing medication administration documentation, what 5 items must be
included in the charting? - Answer a. Date
b. Drug name
c. Time
d. Dosage
e. Route of administration
How does the nurse determine the outcome of medication administration? - Answer By
evaluating the patient and monitoring them for theraputic effects, adverse reactions,
and side effects associated with the drug that was administered.
What action does the nurse take before administering medications via a Nasogastric
(NG) tube? - Answer The nurse must ensure that the tube is in the correct place. During
initial placement of the tube this can be done through radiology. Any other time, the
nurse can verify correct placement by testing the pH level and the color of the aspirated
fluid. This is done by using a 60 mL catheter tip syringe to aspirate the GI contents, once
correct placement is verified the nurse can administer medications
When administering multiple medications via Nasogastric (NG) tube, what action should
be taken after each medication is given? - Answer The tube should be flushed with at
least 30 mL of water before and after the medicine is administered. This clears the tube
for drug delivery, facilitates drug transport to the intestine, and indicates whether the
tube has been cleared. When more than one medication is to be administered at about
the same time, flush 5 to 10 mL of water between each medication.
How long does the nurse wait to attach suction back to the NG tube after administering
medications? - Answer Disconnect the GI tube from suction and pinch tube to prevent
, any backflow of liquid. Tube should remain clamped for 30 to 60 minutes after
medication administration to allow for absorption and then reattached to suction
What is the advantage of administering drugs via the rectal route? - Answer Allows rapid
systemic absorption of medication since the absorption rate is not influenced by GI
tract. Can be a better route of administration when nausea, vomiting and inability to
swallow is present.
What is an example of a computer-controlled medication dispensing system that is
commonly used in hospitals? - Answer Pyxis
The nurse is responsible for __________ narcotic controlled substances at the end of
each shift with another nurse present. - Answer Inventorying
If no disposal instructions are given for a medication, what is the recommended process
for disposing of the drug? - Answer - Empty drugs from the container and mix it with
things like coffee beans or kitty litter to create an unpleasant substance to make it less
appealing.
- Put the mixture in a sealable bag, empty can, or another container to prevent the
medication from leaking.
- Bring medication to community drug take-back programs that allow the public to bring
unused drugs to a central location for proper drug disposal- they are destroyed by using
a biohazard controlled incinerator.
- Scratch out all identifying information on the labels of prescription bottles to make it
unreadable in order to protect patient identity and health information.
- For controlled substances, to avoid unintentional use or overdose and illegal abuse,
they are to be flushed down the toilet.
- There are environmentally friendly drug disposable bags (Deterra) that will deactivate
medications and are used to prevent drug diversion and potential overdose.
Questions Solved 100% Correct
What affect may Psyllium (Metamucil) have on the absorption of other medications? -
Answer Administering Psyllium at the same time as salycilates, nitrofurantoin. or digoxin
is not recommended becuase the Psyllium will inhibit the absorbtion of these drugs.
Administer these drugs 1 hour before or 2 hours after the Psyllium.
What is the black box warning for Mineral Oil (Fleet Mineral Oil Enema) ? - Answer
Frequent use can inhibit the absoprtion of vitamins
What should be avoided when taking Polyethylene Glycol (Miralax/Golytely)? - Answer
Daily use of Polythylene Glycol should be avoided, as it should only be used
intermittently (2-3 times a week). Using Miralax/Golytely intermittently instead of daily
will help to prevent loss of normal bowel function and possible dependence for bowel
evacuation.
True or False: Numbers that begin with a decimal should include a zero before the
decimal (for example is 0.8 correct or is .8 correct)? - Answer True. 0.8 is correct
True or False: Numbers that begin with a decimal should include a trailing zero (for
example, is 0.50 correct or is 0.5 correct)? - Answer False. 0.5 is correct.
True or False: Numbers that do NOT begin with a decimal should NOT include a zero
before the number (for example is 7 correct or is 07 correct)? - Answer True. A number
that does not begin with a decimal should not include a zero, because there could be
confusion with the dosages. 7 is correct
What special consideration should be taken into account when administering Enteric
coated and/or time released medications to a client? - Answer Enteric coated or time
,released tablets should not be crushed because this will increase their absorption rate
and their potential for toxicity.
When completing medication administration documentation, what 5 items must be
included in the charting? - Answer a. Date
b. Drug name
c. Time
d. Dosage
e. Route of administration
How does the nurse determine the outcome of medication administration? - Answer By
evaluating the patient and monitoring them for theraputic effects, adverse reactions,
and side effects associated with the drug that was administered.
What action does the nurse take before administering medications via a Nasogastric
(NG) tube? - Answer The nurse must ensure that the tube is in the correct place. During
initial placement of the tube this can be done through radiology. Any other time, the
nurse can verify correct placement by testing the pH level and the color of the aspirated
fluid. This is done by using a 60 mL catheter tip syringe to aspirate the GI contents, once
correct placement is verified the nurse can administer medications
When administering multiple medications via Nasogastric (NG) tube, what action should
be taken after each medication is given? - Answer The tube should be flushed with at
least 30 mL of water before and after the medicine is administered. This clears the tube
for drug delivery, facilitates drug transport to the intestine, and indicates whether the
tube has been cleared. When more than one medication is to be administered at about
the same time, flush 5 to 10 mL of water between each medication.
How long does the nurse wait to attach suction back to the NG tube after administering
medications? - Answer Disconnect the GI tube from suction and pinch tube to prevent
, any backflow of liquid. Tube should remain clamped for 30 to 60 minutes after
medication administration to allow for absorption and then reattached to suction
What is the advantage of administering drugs via the rectal route? - Answer Allows rapid
systemic absorption of medication since the absorption rate is not influenced by GI
tract. Can be a better route of administration when nausea, vomiting and inability to
swallow is present.
What is an example of a computer-controlled medication dispensing system that is
commonly used in hospitals? - Answer Pyxis
The nurse is responsible for __________ narcotic controlled substances at the end of
each shift with another nurse present. - Answer Inventorying
If no disposal instructions are given for a medication, what is the recommended process
for disposing of the drug? - Answer - Empty drugs from the container and mix it with
things like coffee beans or kitty litter to create an unpleasant substance to make it less
appealing.
- Put the mixture in a sealable bag, empty can, or another container to prevent the
medication from leaking.
- Bring medication to community drug take-back programs that allow the public to bring
unused drugs to a central location for proper drug disposal- they are destroyed by using
a biohazard controlled incinerator.
- Scratch out all identifying information on the labels of prescription bottles to make it
unreadable in order to protect patient identity and health information.
- For controlled substances, to avoid unintentional use or overdose and illegal abuse,
they are to be flushed down the toilet.
- There are environmentally friendly drug disposable bags (Deterra) that will deactivate
medications and are used to prevent drug diversion and potential overdose.
