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NU 306 Exam 1 Practice Questions with complete solution
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NU 306 Exam 1 Practice Questions with complete solution 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 per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four ...

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  • November 18, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NURS 306
  • NURS 306

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NU 306 Exam 1 Practice Questions with
complete solution
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 per day should
the nurse expect to administer this medication?


A. One
B. Two
C. Three
D. Four - correct answer ✔A. One


Medications with long half-lives remain at their therapeutic levels between
doses for long periods of time. The nurse should expect to administer this
medication once a day.


A staff education is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation.
Which of the following factors should the educator include as a reason to
administer lower medication dosages? Select all that apply.


A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - correct
answer ✔C.
E.

,Liver failure decreases metabolism and thus increases the concentration of a
medication, requiring a decreased dosage.


A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? Select all that apply.


A. Have the client lie on her side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter her eye
D. Drop the medication into the center of the client's conjunctival sac
E. Instruct the client to close her eye gently after instillation - correct answer
✔B.
D.
E.


Lying on her side is not the best option, and blinking will eject the eye drops.


A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following statements should
the nurse identify as an indication that the client understands the instructions?


A. "I will clean the site with an alcohol swab before I apply the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch" - correct answer
✔C.

, The client should apply the patch to a hairless area of skin to promote
absorption of the medication.


A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the client's medication. Which of the following
actions should the nurse take?


A. Obtain a blood specimen immediately prior to administering the next dose
of medication
B. Verify that the client has been taking the medication for 24 hours before
obtaining the blood specimen
C. Ask the client to provide a urine specimen after the next dose of medication
D. Administer the medication, and obtain a blood specimen 30 minutes later -
correct answer ✔A.


To verify trough levels of a medication, the nurse should obtain a blood
specimen immediately before administering the next dose of medication


A nurse is preparing a client's medications. Which of the following actions
should the nurse take in following legal practice guidelines? Select all that
apply.


A. Maintain skill competency
B. Determine the dosage
C. Monitor for adverse effects
D. Safeguard medications
E. Identify the client's diagnosis - correct answer ✔A.
C.
D.

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