The nurse's 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?
Response True allergic reactions include formation of rash or hives, itching, redness,
Feedback: swelling, difficulty breathing, and anaphylactic shock. Nausea and vomiting,
however, are adverse effects of drug therapy. Similarly, an unsafe drop in
blood pressure and gastric bleeding from aspirin use are adverse drug effects,
not allergic reactions.
Question 2
1 out of 1 points
A patient has been prescribed 1 mg lorazepam (Ativan) sublingual prior to the scheduled
insertion of a peripherally inserted central (PIC) line. How should the nurse direct the patient
when administering this medication?
,Response Sublingual tablets are placed under the tongue where they dissolve and are
Feedback: absorbed into the bloodstream. Swallowing the pill may render it less
effective, but is not unsafe. It is not recommended to chew and hold
sublingual medications nor to hold them in the mouth for length of time.
Question 3
1 out of 1 points
A nurse is discussing with a patient the efficacy of a drug that his physician has suggested,
and he begin taking. Efficacy of a drug means which of the following?
Response Efficacy indicates how well a drug produces its desired effect. Different drugs
Feedback: have different strengths of attraction or affinity for receptor sites. A drug's
ability to stimulate its receptor is called its intrinsic activity, and the amount
of a drug that must be given to produce a particular response is called the
potency of a drug.
Question 4
1 out of 1 points
In order to promote therapeutic drug effects, the nurse should always encourage patients to
Response Taking a drug at the appropriate time will help the patient maintain
Feedback: therapeutic drug levels. Not all medications should be taken with food, which
can alter the absorption of some drugs. A patient should never increase or
, decrease a medication dosage without checking with the prescriber.
Alternative therapy should only be used if the patient has discussed the
therapy with the prescriber and they are in agreement.
Question 5
1 out of 1 points
A nurse who is responsible for administering medications should understand that the goals of
the MedWatch program are to (Select all that apply.)
Response The goals of the MedWatch program are to increase awareness of serious
Feedback: reactions caused by drugs or medical devices, facilitate the reporting of
adverse reactions, and provide the health care community with regular
feedback about product safety issues. The MedWatch program does not
accredit new medical facilities and hospitals. This is the responsibility of
JCAHO. MedWatch is not responsible for reporting medication errors.
Question 6
1 out of 1 points
Which of the following statements best defines how a chemical becomes termed a drug?
Response Even though all the responses are correct, a chemical must undergo a series of
, Feedback: tests to determine its therapeutic value and efficacy without severe toxicity or
damaging properties before it is termed a drug. Test results are reported to the
FDA, which may or may not give approval.
Question 7
1 out of 1 points
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following
should the nurse anticipate?
Response Receptors are not static; they can change or modify their response to a
Feedback: stimulus. Such change occurs when a receptor is continuously stimulated to
act or continually inhibited from action. Continual stimulation from an agonist
usually makes the receptor desensitized to the drug and thus less active.
Therefore, the nurse should anticipate a decrease in effectiveness of the drug.
Question 8
1 out of 1 points
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