The culture and sensitivity testing of a patient's wound exudate indicates that a specific
antibiotic is necessary for treatment. The United States Pharmacopeia-National Formulary
indicates that the drug in question is 96% protein bound. What are the implications of this fact? -
ANS - Dosages of the drug must be large in order to be effective.
\The nurses assessment of a community-dwelling adult suggests that the client may have drug
allergies that have not been previously documented. What statement by the client would confirm
this? - ANS - I broke out in hives and got terribly itchy when I started a new prescription last
year.
\Tylenol 325mg/tab, patient needs 650mg; how many tablets should the patient take? - ANS - 2
\A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and
he begin taking it. Efficacy of a drug means which of the following? - ANS - How well a drug
produces its desired effect
\A patient with a variety of chronic health problems is being seen by her nurse practitioner, who
is currently reviewing the patients medication regimen. Which of the patient's medications
should prompt the patient to teach to avoid drinking grapefruit juice? - ANS - Atorvastatin
(Lipitor)
\In order to promote therapeutic drug effects, the nurse should always encourage the patients
to... - ANS - take their medications at the prescribed times.
\A home health nurse notes that there have been changes to a patients oral drug regimen. The
nurse will closely monitor the new drug regimen to... - ANS - identify any changes in drug
absorption that would change the drug effect.
\on 1 am rounds the nurse finds a patient awake and frustrated that she cannot sleep. The
nurse administers an ordered hypnotic to help the patient sleep. Two hours later the nurse finds
the patient out of bed, full of energy, cleaning her room. The nurse evaluates the patients
response to a hypnotic as... - ANS - An idiosyncratic effect
\In light of her recent high blood pressure readings a patient has been started on a thiazide
diuretic and metoprolol (Lopressor), which is a beta-adrenergenic blocker. What is the most
likely rationale for using two medications to address the patients hypertension? - ANS - Using
the two drugs to treat a health problem may create a synergistic effect.
\A patient has a blood serum drug level of 50 units/ml. The drugs half life is 1 hour. If
concentrations above 25 units/ml are toxic and no more of the drug is given, how long will it take
for the blood level reach the nontoxic range? - ANS - 1 hour
\For which of the following patients would a nasogastric tube most likely be considered to aid in
the administration of medications? - ANS - A 78 year old man who is unable to swallow
following an ischemic stroke
\A 56 year old female patient has been admitted to the hospital with chronic muscle spasms and
has been prescribed a new medication to treat spasms. She has a poorly documented allergy to
eggs, synthetic clothing, and perfumes. What is the priority action of the nurse to ensure that
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