Liley's Pharmacology for Canadian Health Care Practice 4th edition
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Course
Liley\'s Pharmacology
Institution
Liley\'s Pharmacology
In which step of the nursing process does the nurse determine the outcome of
medication administration?
a. Planning
b. Assessment
c. Evaluation
d. Implementation - CORRECT ANSWER- c. Evaluation
The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis
is nonadhere...
Liley's Pharmacology for Canadian
Health Care Practice 4th edition
In which step of the nursing process does the nurse determine the outcome of
medication administration?
a. Planning
b. Assessment
c. Evaluation
d. Implementation - CORRECT ANSWER- c. Evaluation
The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis
is nonadherence with the medication regimen related to living alone, as evidenced by
uncontrolled blood pressure. What should the nurse do next?
a. Assess the impact of home self-management of medications.
b. Collaborate with the health care provider on a new medication regimen.
c. Enlist the help of a home care nurse for pharmacotherapy.
d. Examine the results of nursing help with the medications. - CORRECT ANSWER- c.
Enlist the help of a home care nurse for pharmacotherapy.
Which statement is an example of objective data? (Select all that apply.)
a. The patient says that she has felt tired for almost a week.
b. The patient says that she feels like someone is touching her arm.
c. The patient has had a fever for 5 days.
d. The patient has clear urine.
e. The patient states that she has a headache. - CORRECT ANSWER- c. The patient
has had a fever for 5 days.
d. The patient has clear urine.
What should the nurse check when reviewing a prescription with a patient? (Select all
that apply.)
a. The patient's emergency contact
b. The patient's home address
c. The route of administration
d. The age of the patient
e. The signature of the prescriber - CORRECT ANSWER- c. The route of administration
e. The signature of the prescriber
What information should the nurse chart when documenting medication administration?
(Select all that apply.)
a. The dosage of medication administered
b. The time of administration
,c. Information about an "incident report" in the patient's chart
d. The patient's age
e. The route of administration - CORRECT ANSWER- a. The dosage of medication
administered
b. The time of administration
e. The route of administration
What is the study of physiochemical properties of drugs and how drugs influence the
body called?
a. Pharmacology
b. Pharmacodynamics
c. Pharmacokinetics
d. Pharmacotherapeutics - CORRECT ANSWER- b. Pharmacodynamics
Which statement best describes pharmacokinetics?
a. Adverse effects and toxic reactions to medications
b. Conversion of medication into its active chemical substance
c. What the body does to the drug after it is administered
d. Physiologic interaction between a drug and body cells - CORRECT ANSWER- c.
What the body does to the drug after it is administered
What is another term for biotransformation of a drug?
a. Metabolism
b. Absorption
c. Excretion
d. Dilution - CORRECT ANSWER- a. Metabolism
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous - CORRECT ANSWER- a. Oral
Which nursing action will increase the absorption of a medication administered
intramuscularly?
a. Massaging the site after injection.
b. Lowering the extremity below the level of the heart.
c. Applying ice packs to the injection site.
d. Administering the medication via the Z-track method. - CORRECT ANSWER- a.
Massaging the site after injection.
When administering two medications that are highly protein bound, the nurse
understands to monitor the patient carefully for which effect?
a. A short duration of medication action
b. Immediate improvement in the patient's condition
c. Increase in the risk of drug-drug interactions
,d. Hypovolemic shock caused by a low albumin level - CORRECT ANSWER- c.
Increase in the risk of drug-drug interactions
To achieve the most rapid onset of action, the health care provider will prescribe the
medication to be administered by which route?
a. Intravenous (IV)
b. Subcutaneous (SC)
c. Intramuscular (IM)
d. Intrathecally - CORRECT ANSWER- a. Intravenous (IV)
Patients with renal failure would most likely have problems with which pharmacokinetic
process?
a. Excretion
b. Absorption
c. Distribution
d. Metabolism - CORRECT ANSWER- a. Excretion
What is the ratio between a drug's therapeutic effects and toxic effects called?
a. Therapeutic index
b. Cumulative effect
c. Tolerance
d. Affinity - CORRECT ANSWER- a. Therapeutic index
A patient asks the nurse why the dose of IV pain medication being given is lower than
that of the patient's previous oral medication. What is the nurse's best response to the
patient?
a. "Medications given intravenously are not affected by the first-pass effect."
b. "Medications given orally bypass the portal circulatory system."
c. "Drugs administered intravenously enter the portal system before systemic
distribution."
d. "Drugs administered intravenously enter the portal system before systemic
distribution."
e. "Drugs administered intravenously enter the portal system before systemic
distribution." - CORRECT ANSWER- a. "Medications given intravenously are not
affected by the first-pass effect."
The nurse understands that drugs exert their actions on the body by what process?
(Select all that apply.)
a. Making the cell perform a new function
b. Interacting with receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes - CORRECT ANSWER- b. Interacting with
receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes
, The nurse knows that which factors will affect the absorption of orally administered
medications? (Select all that apply.)
a. pH of the stomach
b. Form of drug preparation
c. Patient in high Fowler's position
d. Time of day
e. Presence of food in the stomach - CORRECT ANSWER- a. pH of the stomach
b. Form of drug preparation
d. Time of day
e. Presence of food in the stomach
Drug's half-life is defined as the amount of time required for 50% of a drug to
a. be absorbed by the body.
b. reach a therapeutic level.
c. exert a response.
d. be eliminated by the body. - CORRECT ANSWER- d. be eliminated by the body.
What is the nurse's role in the development of new and investigational drugs?
a. To identify patients who receive a placebo drug during Phase III studies
b. To inform patients of the specific drug they will receive during phase II studies
c. To monitor and report any adverse effects observed during Phase IV studies
d. To select healthy older adult patients to participate in Phase I studies - CORRECT
ANSWER- c. To monitor and report any adverse effects observed during Phase IV
studies
It is the professional responsibility of the nurse to do which of the following?
a. Use beneficence (the duty to do no harm to the patient).
b. Transfer the care of a patient to another professional nurse if caring for the patient
would violate personal ethical principles.
c. Impose personal values on the patient when doing so would help the patient.
d. Withhold information from the patient as requested by the family. - CORRECT
ANSWER- b. Transfer the care of a patient to another professional nurse if caring for
the patient would violate personal ethical principles.
Which of the following, in respect to the patient's cultural practices, must the nurse keep
in mind when providing drug therapy and other health practices?
a. Dietary habits and practices can be of little value to the care of a sick adult.
b. Most cultures are fairly standard in regard to the use of medication during illness.
c. The use of some drugs elicits varied responses depending on the patient's cultural
practice.
d. Regardless of the patient's cultural background, it is crucial to adhere to
recommended medical practices. - CORRECT ANSWER- c. The use of some drugs
elicits varied responses depending on the patient's cultural practice.
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