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BSU NUR 231- Exam 4 Pharm, Dosage Calculation Conversions & Med Administration Info Questions and Answers

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A report on the risks of medication administration revealed disturbing quality issues across all heath care settings in the United States. Approximately, how many preventable adverse drug events occur in the health care system each year? 3 Million To safely and accurately administer medications to...

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  • 7 september 2024
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BSU NUR 231- Exam 4 Pharm, Dosage
Calculation Conversions & Med
Administration Info Questions and
Answers
A report on the risks of medication administration revealed disturbing quality issues
across all heath care settings in the United States. Approximately, how many
preventable adverse drug events occur in the health care system each year? ✅3
Million

To safely and accurately administer medications to a particular patient, nurses are
accountable for which of the following? (Select all that apply) ✅A particular patient's
medication regimen. The 6 rights of medication administration. Willingness to report
errors and near misses.

What is involved in administering drugs for a particular patient
What is an organization that requires all personnel to report near misses and
breakdowns in care called? ✅Just Culture Organization

What is the first step the nurse takes to address medication safety? ✅Obtain
knowledge of the medication, including evidence-based standards for administration

What is the purpose of the six competencies that are integrated into the national
curriculum standards for nursing? ✅So that all nurses are accountable for integrating
safety and quality responsibilities into their daily work

Basing care decisions on knowledge of patient values and preferences is the definition
of which of the follow? ✅Patient-centered care

What characteristic do nurses have if they tend to reflect before they act, reflect during
action, and reflect on action and ask questions that lead to best current evidence and
best practices? ✅Spirit of Inquiry

What does the "E" in QSEN stand for? ✅Education

Which of the following guidelines is inherent to safe medication administration?
✅Preventing the need for drug therapy, when possible by promoting health

Serious of life-threatening adverse effect identified by the FDA as being associated with
a drug are identified in this text as which of the following: ✅Black Box Warnings

,As part of a class discussion, a nursing instructor describes which agency as being
responsible for the approval of new drugs in the United States? ✅Food and Drug
Administration

After administering a medication to a client, the client reports an upset stomach. The
nurse interprets this as a negative effect of the drug and identifies it as a(n): ✅Adverse
effect

A nurse is teaching a patient about medications referred to as "antihypertensives." To
what is the term "antihypertensive" referring? ✅Therapeutic classification

A client with an upper respiratory tract infection has been prescribed an antibiotic that
the nurse is not familiar with. What should the nurse caring for the client do if not
familiar with the new medication? ✅Collect information about the new medication

Having drugs available OTC has potential advantages and disadvantages for
consumers. What is one of the advantages? ✅Faster and more convenient access to
effective treatment

A nurse is teaching a patient about drug therapy for a disease process. What is the
appropriate terminology for this therapy? ✅Pharmacotherapy

A nurse is administering a Schedule II drug to a patient. What most concerns the nurse
about this medication therapy? ✅Schedule II drugs have a high potential to become
addictive and be abused

How can drug therapy or pharmacotherapy be best explained to a client? ✅It is the
use of drugs to prevent, diagnose, or treat symptoms and disease processes

Drugs are classified according to what standard? ✅Their effects on particular body
systems, therapeutic uses, and chemical characteristics.

Which term is used to describe the study of drugs and their action on living organisms?
✅Pharmacology

What plays the largest role in drug excretion? ✅Kidneys

A post-surgical client rates the pain at 10/10. The nurse confirms that there are standing
orders for the administration of opioid analgesics as needed. What route of
administration should the nurse choose to achieve the fastest effect? ✅Intravenous

The nurse understands that it is important to educate the pregnant woman about the
importance of taking medication only as prescribed by a health care provider while

,breast feeding. Why is this important for the client to do? ✅Many drugs can be passed
through the breast milk, causing ill effects to the infant.

A nurse notes new drug orders for a client who is already getting several medications.
Which is the most important consideration when preparing to administer the new drugs?
✅Possible drug to drug interactions that might occur

When assessing a client who has developed an anaphylactic reaction, what would the
nurse expect to find? ✅Difficulty breathing

The nurse is caring for a client in the intensive care unit. This client took an overdose of
acetaminophen 3 days previously and now has jaundice. Laboratory results show
elevated liver enzymes. The nurse understands that the client: ✅Is experiencing
hepatotoxicity and may have permanent liver damage

The nurse is caring for a client who appears to be developing anaphylactic shock. What
drug does the nurse anticipate the health care practitioner will order to treat this
condition? ✅Epinephrine (Adrenalin)

A parent brings a child to the clinic for an earache. The child receives a prescription for
amoxicillin. The parent calls the clinic the next day and says the child has been taking
the medicine and now has a rash. The nurse should give the parent instructions about
which type of response? ✅Allergic response

What would the nurse include in the discharge teaching for a patient who is social
drinker and has been given a prescription for a narcotic analgesic? ✅Alcohol will
potentiate the effect of the narcotic analgesic and can have a dangerous effect.

A method that describes the process of absorption, distribution, and elimination of a
drug in the body is known as: ✅Pharmacokinetics

How many pounds are in 1 kilogram? ✅2.2 lb

The health care provider has asked a nurse to administer a drug intravenously to a
client who is unresponsive. How can the nurse ensure that the drug is administered to
the right client? ✅By checking the client's wristband

What statement, made by the nurse to a client prescribed a sublingual medication,
demonstrates an understanding of the appropriate method of administration for this
specific route? ✅Hold the medication under your tongue until it is dissolved

A nurse is gathering information about a client. The nurse is participating in which step
of the nursing process? ✅Assessment

, The route of medication administration can change dependent on client factors.
Therefore, the route of medication administration is: ✅Always included in the five rights
of medication administration

Medication orders are written with very specific criteria and coincide with the rights of
medication administration. What critical piece of information is missing from the
following medication order? Cephalexin 250 mg every 8 hours. ✅Route

A nurse is to administer 150 mg of a drug intramuscularly. The label on the multidose
vials reads 100 mg/mL. How much would the nurse give? ✅1.5 mL

A nurse gives a client 0.25 mg of digoxin instead of the prescribed dose of 0.125 mg.
What should the nurse do next? ✅Assess the client and notify the client's health care
provider

The nursing process consists of the following five major steps: ✅Assessment,
diagnosis, planning, implementation, evaluations

A mother asks why she cannot use adult dosages of over-the-counter (OTC) medication
for her 11-year-old child. Which explanation best demonstrates the nurse's
understanding of the importance of the mother's question? ✅Drug therapy in children
requires special considerations because of the child's size, developmental level, and
organ function.

A 70-year-old female preparing for discharge from the hospital tells the nurse that she
must take bisacodyl (Dulcolax) or she will not have her daily bowel movement. What
would the nurse include in the discharge teaching? ✅Educate the client on natural
ways to stimulate bowel evacuation, such as increasing the fiber in her diet.

A nurse who is working with an older adult who takes eight medications a day wants to
promote medication adherence. Which nursing intervention would best promote
medication adherence? ✅Place pills in a daily or weekly pillbox organized according to
hours of the day or mealtimes.

A nurse is teaching an older adult about polypharmacy. Which statement best describe
this term? ✅Taking several drugs simultaneously

An elderly client comes to the clinic and shows the nurse the medications the client is
taking. The nurse observes that there are three medications prescribed that are not with
the medications. The client says that she cannot afford all the medications. What
intervention by the nurse will assist the client with this issue? ✅Assist the client in
gaining access to reduced-price medications.

An older adult client intends to supplement a prescribed anti-inflammatory with a herbal
remedy that a neighbor strongly recommended. What action should the nurse

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