NURS 504 Final Exam Questions and Complete Solutions
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Course
NUR 504
Institution
NUR 504
In today's health care environment, there is often more contact between the client and the nurse than between the client and the health care provider. What does this put the nurse in the best position to do? assess the therapeutic effect of drug therapy
A nurse is assigned to care for a client in ...
NURS 504 Final Exam Questions and
Complete Solutions
In today's health care environment, there is often more contact between the client and
the nurse than between the client and the health care provider. What does this put the
nurse in the best position to do? ✅assess the therapeutic effect of drug therapy
A nurse is assigned to care for a client in a health care facility. What is the nursing
responsibility before administering a drug to the client? ✅review subjective and
objective data
A nurse is caring for a 49-year-old client with acute gout and arthritis. The nurse
interviews the client and checks the medical records. Which additional assessment
should the nurse consider before medication administration teaching? ✅examine the
client physically
A client has been prescribed an oral drug that is known to have a high first-pass effect.
Which measure has the potential to increase the amount of the free drug that is
available to body cells? ✅administering the drug IV rather than orally
When providing drug therapy to a client, what is a responsibility of the nurse? ✅Teach
the client how to cope with the effects of the drug to ensure the best outcome
he nurse is administering a medication to a client who reports pain in the knees from
arthritis. The nurse observes the name of the drug as p-isobutylhydratropic and
recognizes that this refers to a: ✅chemical name
The client has a daily antihypertensive medication ordered. Taking the blood pressure
prior to administration of the medication is which step of the nursing process?
✅assessing
Which client would a nurse expect to experience alterations in drug metabolism? ✅50
yo with cirrhosis of the liver
A client is being seen in the emergency department for a sprained ankle and is given a
drug to relieve pain. When a second dose of the pain medication is given, the client
develops redness of the skin, itching, and swelling at the site of injection of the drug.
The most likely cause of this response is: ✅allergic response
The nurse has administered a client's medication. What action should the nurse perform
next? ✅assess for drug affects
,An older adult client has an elevated serum creatinine level. This client is at greatest
risk for which medication-related effect? ✅toxicity
What changes due to aging in the geriatric client may affect excretion and promote
accumulation of drugs in the body? ✅decreased GFR
A client is receiving an antineoplastic medication for treatment of breast cancer and
begins having tonic-clonic seizure activity. What type of toxicity does the nurse
recognize that this client is experiencing? ✅neurotoxicity
What client is most likely to have impaired drug metabolism? ✅A client who has a
diagnosed Hep C
An elderly postsurgical client has developed postoperative pneumonia in the days
following abdominal surgery and is being treated with a number of medications. Which
medication that the nurse will administer has the slowest absorption? ✅an oral
antidepressant that the client has been taking for several years
15s
Clients who use garlic with co-administration of antidiabetic drugs may run into which
serious problem? ✅hypoglycemia
The nurse is called to a client's room 15 minutes after the client has received a new
medication. The client reports pruritus as well as nausea. The nurse notes that the client
appears pale, is sweating, and has begun to cough and wheeze. The nurse determines
that the client is experiencing what type of reaction related to the new medication?
✅anaphylactic shock
A client has informed the nurse that he has begun supplementing his medication
regimen with a series of herbal remedies recommended by his sister-in-law. Which is
the most important nursing intervention regarding the safe use of herbal supplements?
✅research for potential interactions with meds
Plants and plant parts have been used as medicines since prehistoric times. Morphine
(roxanol) is derived from which plant? ✅poppy
A nurse who provides care in a long-term care facility is documenting a new resident's
medication regimen on the resident's intake admission. The nurse is documenting the
generic, rather than proprietary or trade, names of the resident's current drugs because:
✅there's a potential for confusion and miscommunication if proprietary names are
used
Which factor accounts for the increased risk for drug reactions among clients aged 65
years and older? ✅physiologic changes affecting all pharmacologic processes
,Which activity would the nurse expect to complete during the evaluation phase of the
nursing process in drug therapy? ✅compare the expected outcome with the actual
outcome
During assessment, a nurse asks a client about any chronic conditions that might have
an impact on the client's prescribed drug therapy. What issue, if reported by the client,
would alert the nurse to a possible problem? ✅kidney disease diagnosed two years
ago
When describing the characteristics of the client who comes into the health care system
today, which would most likely apply? ✅the use of a complex array of OTC and
alternative therapies
Herbal Remedies ✅Herbal remedies produce unexpected effects.
Herbal remedies can interact with prescription drugs.
Clients often do not mention their use to health care providers.
The clinic nurse is assessing a client who reports taking ginseng recently. Which
condition would the nurse take special care to check for in this client? ✅hypoglycemia
The nurse is caring for a client receiving an aminoglycoside (antibiotic) that can be
nephrotoxic. Which will alert the nurse that the client may be experiencing
nephrotoxicity? ✅a decrease in urine output
The pharmacology instructor explains to the students that adverse effects can be
extensions of: ✅primary actions of a drug
A nurse is caring for a client who is receiving magnesium. The nurse would be alert for
which finding? ✅depressed reflexes
A client asks the nurse about herbal products that can help to lower serum cholesterol
and triglycerides. Which herbal product would the nurse include in the response?
✅garlic
Which nonpharmacological measure has demonstrated some effect in treating nausea
and vomiting in pregnant women? ✅ginger
A client with an extensive history of using herbal remedies asks the nurse if there is an
herbal supplement for the diagnosis of BPH. Which supplement does the nurse provide
information on for the treatment of BPH? ✅saw palmetto
A nurse is caring for a client with acute renal failure. The health care provider has
prescribed a diuretic therapy for the client to promote dieresis. What intervention should
, the nurse perform to prevent the inconvenience caused by increased urination?
✅administer the drug early in the day
A nurse is caring for a client who is diabetic and has been diagnosed with hypertension.
An angiotensin-converting enzyme inhibitor, captopril, has been prescribed. Which
should the nurse assess before beginning drug therapy? ✅serum potassium levels
When a combination of drugs needs to be incorporated into the drug regimen for a
hypertensive client, what type of diuretic is typically used to treat hypertension initially?
✅thiazide
How is the blood pressure affected by kidney function? ✅kidney function alters sodium
retention
Upon her visit to the primary care provider's office, a female client presents with 14
pounds of additional weight since her visit 3 weeks ago. Her lower extremities are quite
swollen, and her facial features are puffy. The provider prescribes a diuretic and
requests a follow-up visit in 3 days. Two days later, the client contacts the office and is
so dyspneic that she is hard to understand over the phone. An ambulance is
dispatched, and she is admitted to the hospital for rapid diuresing. Which diuretic will
most likely be the initial drug of choice? ✅loop diuretic
A client diagnosed with hyperlipidemia is prescribed a statin. The nurse is reviewing the
client's history and would notify the client's health care provider if which condition was
noted in the client's history? ✅liver disease
When educating a group of nursing students on the mechanism of action of angiotensin
converting enzyme inhibitor (ACEI) drugs, the nurse identifies what as the action
brought about by aldosterone? ✅causes sodium and water retention
A client's serum cholesterol is 286 mg/dL. Lovastatin (Mevacor) is prescribed. The
nurse plans care based on the fact that the action of lovastatin: ✅inhibits production of
cholesterol
A patient who was diagnosed with hypertension and started on losartan calls the clinic 2
weeks after beginning the therapy. She reports to the nurse that she still feels "funny in
the head" and that according to her daughter-in-law, who is a nurse and who is
monitoring her blood pressure, her blood pressure is still high. The nurse will question
the patient concerning ✅taking her meds with grapefruit juice
A 58-year-old man has recently been prescribed atorvastatin (Lipitor) in an effort to
reduce his cholesterol levels. The man has acknowledged the potentially harmful effects
of hyperlipidemia and is motivated to make changes to resolve this health problem.
What advice should the nurse give to this client? ✅its a good idea to keep your intake
of saturated fats to a minimum
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