NUR 141 Final Exam Study Questions and Correct Answers
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Course
NUR 141
Institution
NUR 141
An elderly woman took a prescription medicine to help her sleep; however, she felt restless and did not sleep all night. The nurse recognizes the patient has experienced which type of reaction/effect?
Allergic reaction Idiosyncratic reaction Mutagenic effect Synergistic effect Idiosyncratic reacti...
NUR 141 Final Exam Study Questions
and Correct Answers
An elderly woman took a prescription medicine to help her sleep; however, she felt
restless and did not sleep all night. The nurse recognizes the patient has experienced
which type of reaction/effect?
The nurse is giving medications to a patient in heart failure. The IV route is chosen
instead of an IM route. What physical function does the nurse recognize as the most
influential when deciding to use the IV route?
Altered biliary function
Increased glomerular function
Reduced liver metabolism
Diminished circulation ✅Diminished circulation
A patient has just received a prescription for an enteric coated stool softener. When
educating the patient, the nurse should include which statement? (select all that apply)
"Take the tablet with 2 to 3 ounces of orange juice"
"Be sure to drink 6 to 8 ounces of water with the tablet"
"Avoid taking all other medications with any enteric coated tablet"
, "Crush the tablet before swallowing if you have problems with swallowing"
"Be sure to swallow the tablet without chewing it" ✅"Be sure to drink 6 to 8 ounces of
water with the tablet"
"Be sure to swallow the tablet without chewing it"
Which of the following are considered topical medications?
Rectal ointment for hemorrhoids
Eye drops for inflammation
Sublingual tablet for chest pain
Inhaled medication for asthma
Intradermal injection for TB testing ✅Rectal ointment for hemorrhoids
Eye drops for inflammation
Inhaled medication for asthma
Which factors put neonatal patient at risk with regard to drug therapy? (select all that
apply)
Less acidic gastric pH
Increased peristalsis in the GI tract
Immature renal function
Reduced first-pass elimination in the liver
Decreased protein-binding of medications ✅Less acidic gastric pH
Immature renal function
Reduced first-pass elimination of the liver
Decreased protein-binding of medication
The physiologic differences in the pediatric patient compared with the adult patient
affect the amount of the drug needed to produce a therapeutic effect. The nurse is
aware that one of the main differences is that infants have which of these factors?
Increased protein in circulation
Fat composition lower than 0.001%
More muscular body composition
Water composition of approximately 75% ✅Water composition of approximately 75%
While teaching a 76 yr old patient about the adverse effects of his medication, the nurse
encourages him to keep a journal of any adverse effect he experiences. This
intervention is important for the older adult patient because of which alterations in
pharmacokinetics?
Increased renal excretion of protein-bound drugs
More alkaline gastric pH, resulting in more adverse effects
Decreased blood flow to the liver, resulting in altered metabolism
Less adipose tissue to store fat-soluble drugs ✅Decreased blood flow to the liver,
resulting in altered metabolism
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