The nurse is using a drug handbook to determine the indications for the drug
furosemide (Lasix). The term indications is defined as the
a. Way a drug works on the target organs
b. Amount of the drug to be administered
c. Conditions for which a drug is approved
d. Reason that the drug should not be given Right Ans - C
Indications are the conditions for which a particular drug is approved
As a member of an interprofessional team, what key responsibilities does the
nurse have to ensure effective pharmacotherapy? (Select all that apply.)
a. Monitoring the client's condition before and during pharmacotherapy
b. Teaching the client about self-administration and any required monitoring
of drug effects
c. Ensuring that all drug and treatment options have been considered before
beginning pharmacotherapy
d. Frequently conducting a medication reconciliation to verify current
medications in use
e. Determining the ideal drug Right Ans - A,B,D
Monitoring client response to drug therapy, teaching the client about self-
administration and how to monitor drug effects, and verifying drugs currently
being used by the client are all key nursing responsibilities.
When providing nursing care for the client, the nurse understands that drugs
are
a. One of many tools available to prevent or treat human suffering
b. The most important part of the therapeutic treatment plan
c. Primarily the concern of the healthcare provider and not included in
nursing care
d. Substances that should be relied on for health and wellness Right Ans - A
,Drugs are only tools that are part of the overall therapeutic treatment plan.
Other treatment options and the nurse-client relationship are also important
to the care of the client as an individual.
A nurse is looking up a drug that has been prescribed and wants to know its
therapeutic classification. Which of the following indicates a therapeutic
classification?
a. Beta-adrenergic antagonist
b. Antihypertensive
c. Diuretic
d. Calcium channel blocker Right Ans - B
Antihypertensive indicates the therapeutic classification of the drug by
describing its usefulness in lowering blood pressure
A nurse is asked by a family member, "They're giving Mom Motrin, but she
takes Advil. Hasn't the wrong drug been ordered?" The nurse will respond,
knowing that
a. There has been an error in the order, so the nurse will contact the
healthcare provider
b. There may be a reason the healthcare provider is ordering a different drug
c. Not all healthcare agencies buy the same generic drugs, and that may
account for the difference
d. Motrin and A Right Ans - D
Motrin and Advil are trade names for the generic drug ibuprofen.
A nurse is teaching a client about a newly prescribed medication. Which
statement by the client would indicate the need for further medication
education?
a. "The liquid form of the drug will be absorbed faster than the tablets."
b. "If I take more, I'll have a better response." c. "Taking this drug with food
will decrease how much of it gets in my system."
d. "I can consult my healthcare provider if I experience unexpected adverse
effects." Right Ans - B
, Although taking a larger dose of a medication usually results in a greater
therapeutic response, the response also depends on the drug's plasma
concentration. If a toxic level is reached from too large a dose, the drug will
have adverse effects instead of a better therapeutic response
A nurse is caring for several clients. Which client will the nurse anticipate to
be most likely to experience an alteration in drug metabolism?
a. A 3-day-old premature infant
b. A 22-year-old pregnant female
c. A 32-year-old man with kidney stones
d. A 50-year-old executive with hypertension Right Ans - A
Infants do not develop a mature microsomal enzyme system until they are a
year old and therefore do not metabolize drugs very efficiently
A client is receiving multiple medications, including one drug specifically used
to stimulate gastric peristalsis. What influence could this drug have on
additional oral medications?
a. Increased absorption
b. Reduced excretion
c. Decreased absorption
d. Enhanced distribution Right Ans - C
Peristalsis is the wavelike muscular contraction of the gastrointestinal tract
that propels stomach and intestinal content through the system. An increase
in this activity would decrease the time that drugs would remain in the GI
system and therefore decrease absorption
The nurse is monitoring the therapeutic drug level for a client on vancomycin
(Vancocin) and notes that the level is within the accepted range. What does
this indicate to the nurse? (Select all that apply.)
a. The drug should cause no toxicities or adverse effects.
b. The drug level is appropriate to exert therapeutic effects.
c. The dose will not need to be changed for the duration of treatment.
d. The nurse will need to continue monitoring because each client response to
a drug is unique.
e. This drug will effectively treat the client's condition Right Ans - B,D
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