NR 293 Edapt: Nursing Application: Introduction to Pharmacology
Exam-Questions with Correct Answers/ Verified
A nurse reviewing a medication list sees that a patient is on albuterol (beta-agonist) for their
asthma, and on propranolol (beta-antagonist) for migraines. The nurse understands which
of the following? - ✔✔These medications oppose each other.
The nurse is administering a medication to an elderly patient. The nurse understands that
age-related changes can affect pharmacokinetics. Which of the following is accurate about
medication and the elderly? (SATA) - ✔✔Excretion is decreased due to fewer intact
nephrons
Absorption is affected by decreased gastric pH
The nurse medicated Mr. Jones with Morphine 4mg IV about four hours ago. Understanding
the pharmacokinetics of this medication including a half life of 3 hours, which of the
following is accurate? - ✔✔It may be about time for another dose of the medication, but he
should still be experiencing some relief.
Feedback Response for clarification: The half life of morphine is about 3 hours. Which
means that half of it has metabolized, but there still should be some pain relief noted. It is,
however, about time for another dose depending on their level of pain.
Charlie is a 56-year-old father of two children who is married to his high school sweetheart,
Betty. He drives a truck for a large company doing cross-country trips and often eats at fast
food restaurants. Charlie recently went to see his primary health care provider for bilateral
foot itching. He was diagnosed with onychomycosis and prescribed itraconazole 200mg
daily. - ✔✔Itraconazole (Sporanox) 200mg one daily
Hydrochlorothiazide 25mg one daily
Aspirin 325mg one daily
Calcium Carbonate 400mg 4 tablets every 8 hours as needed
Charlie asks when the itraconazole will start working. In reviewing the medication's
pharmacodynamics and noting that the half-life is about 40 hours, which of the following is
accurate? - ✔✔The drug will reach steady state in 8 days, it is after this point that the blood
levels will be high enough that the drug will be effective.
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