Pharmacology RN Nursing School Midterm Study Guide (Questions and Answers)

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Pharmacology RN Nursing School Midterm Study Guide (Questions and Answers) A nurse has been assigned to care for a 52-year-old attorney who has hypertension and peptic ulcer disease. Before administe... ring his medications, the nurse must complete an initial assessment. Core patient variables will be obtained from which of the following? (Select all that apply.) A) The patient's interview B) The patient's medical history C) The patient's medical record D) The patient's physical examination E) The patient's current laboratory and other diagnostic findings A, B, C, D, E A 68-year-old female patient who was diagnosed with hypertension 2 weeks ago and was prescribed a new hypertension medication has returned to the clinic for a follow-up visit. The nurse notes that the patient's blood pressure is unchanged from her last clinic visit. When the patient was asked if she was taking the new medication on a regular basis, she stated, "I thought that I was supposed to take the new drug when I had a pounding headache or was in a stressful situation, not all the time." An appropriate nursing diagnosis for this patient would be: A) Knowledge, Deficient due to the lack of understanding concerning diagnosis of hypertension B) Coping, Ineffective due to forgetfulness C) Confusion, Acute concerning drug administration D) Anxiety due to diagnosis of hypertension C In order to promote therapeutic drug effects, the nurse should always encourage patients to: A) Take their medication with meals B) Take their medication at the prescribed times C) Increase medication dosages if necessary D) Use alternative therapy to increase the effects of their medications B A patient is treated with an antibiotic for an infection of the leg. After 2 days of taking the antibiotic, the patient calls the clinic and reports that he has a rash all over his body. The nurse is aware that a rash can be an adverse effect of an antibiotic and can be either a biologic, chemical, or physiologic action of the drug, which is an example of: A) Pharmacotherapeutics B) Pharmacokinetics C) Pharmacodynamics D) Pharmacogenetics C A nurse has been assigned the task of preparing educational materials for patients with diabetes. The nurse has included the drug name, the reason the drug was prescribed, the intended effect of the drug, along with important adverse effects that should be reported to the nurse or health care provider. Which of the following information is essential to include in the educational materials? A) Drug administration method B) Core drug knowledge C) Vital signs of the patient D) Diagnosis and outcome identification mechanism A A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not aggravate the patient's allergies? A) Call the prescriber immediately regarding her allergic reactions. B) Hold the medication for her muscle spasms until she can be treated for a possible allergic reaction. C) Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patient's record. D) Call the dietary staff and make sure that the patient is not served eggs for breakfast. C The nurse has been assigned a 49-year-old patient who has acute colitis, and the nurse just completed gathering data concerning core drug knowledge and core patient variables. To implement nursing management of drug therapy for this patient, the nurse will then: A) Evaluate the outcome of the drug therapy. B) Devise strategies to maximize the therapeutic effects of the drug. C) Implement planned nursing actions. D) Assess for data that will indicate interactions between core drug knowledge and core patient variables. B Which of the following activities would the nurse expect to complete during the evaluation phase of the nursing process in drug therapy? A) Compare the outcome expected with the actual patient outcome. B) Reconsider core drug knowledge and core patient variables. C) Ask questions to prepare an effective patient education program. D) Establish a baseline for the patient's treatment and care. A A nurse is caring for a post-surgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy? A) Monitor the patient's bleeding time. B) Check the patient's blood glucose levels. C) Record baseline vital signs. D) Monitor the IV site for redness, swelling, or pain. D A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note: A) Heart rate B) Body weight and height C) Blood pressure D) Skin surrounding the potential IV site D A physician has ordered intramuscular injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a: A) C-I drug B) C-II drug C) C-III drug D) C-IV drug B A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? A) Working with animals who are given experimental drugs B) Monitoring drug effects in patients who are selected to participate in a study, who have the disease that the drug is meant to treat C) Administering investigational drugs to patients D) Informing healthy, young volunteer participants of possible risks that could occur from taking an experimental drug C Which of the following would be the best source of drug information for a nurse? A) Drug Facts and Comparisons book B) A nurse's drug guide C) A drug package insert D) The Physician's Drug Reference (PDR) B A nurse works in a private hospital in Canada. She needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a Canadian hospital? A) Narcotics are banned in Canada and cannot be used. B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO). C) Narcotics to be used in the hospital are dispensed only with a written prescription and "N" on the label. D) Narcotics can be used in the hospital after obtaining written approval from the Health Protection Branch of Canada. C A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to: (Select all that apply.) A) Provide regular feedback about product safety issues B) Accredit new medical facilities and hospitals C) Facilitate the reporting of adverse reactions of drugs D) Increase awareness of serious reactions caused by drugs or medical devices E) Report medication errors that occur in hospitals A, C, D A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called: A) Pharmacotherapeutics B) Pharmacodynamics C) Pharmacoeconomics D) Pharmacogenomics D Which of the following statements best defines how a chemical becomes termed a drug? A) A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug. B) A chemical becomes a drug when it is introduced into the body to cause a change. C) A chemical is considered a drug when the Food and Drug Administration (FDA) approves its release to be marketed. D) A chemical must have demonstrated therapeutic value to become a drug. A .............CONTINUED [Show More]

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