test2

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A client asks why she needs to take a medication on an empty stomach. The nurse explains that food generally has which effect on drug dissolution and absorption?

decreases

A nurse is ordered to administer a medication via the sublingual route. The nurse correctly places the medication

under the tongue

The nurse checks the expiration date on the medication to be administered and finds that the drug expired 2 days ago. What is the most appropriate action on the part of the nurse?

return medication to the pharmacy

"Give Tylenol 650 mg q3-4h as needed for headache" is an example of which category of drug order?

PRN

The nurse is monitoring a patient prescribed an aminoglycoside antibiotic for toxicity. Which nursing intervention is indicated when administering this medication?

monitor blood levels of the medication

The nurse is calculating the dosage of a drug to administer. Once the dosage has been calculated, what is the most important action on the part of the nurse?

Recalculate the drug dose and check with another nurse.

Which is a correctly written goal

The client will independently administer a prescribed dose of antibiotic by the end of the first teaching session.

A client's creatinine clearance level is 105 mL/min. Based on this information, what type of change in his medication should the nurse anticipate

Unchanged dosage

Upon physical assessment, a nurse notes that a client has visual impairment. The nurse is concerned that the client's visual changes may affect her ability to self-administer medications. Which nursing diagnosis best describes this situation?

Risk for ineffective therapeutic regimen management related to medication secondary to visual impairment

Because of hereditary influence, drug action may vary from a predicted drug response. This variance is known as

pharmacogenetics.

The nurse is teaching the client how to administer a sublingual tablet in the home setting. What is the highest priority instruction?

Avoid taking fluid with the medication.

A client is suffering from end-stage renal disease. Because of this condition, the nurse monitors drug levels to assess for which phenomenon?

toxicity

The nurse has decided to add a nursing diagnosis to the client's drug therapy plan of care that represents wellness/health promotion. What is the most appropriate diagnosis to add to promote these areas?

Therapeutic regimen management, readiness for enhanced

Attainment of goals is associated with which phase of the nursing process?

Evaluation

The nurse sees that the client has been prescribed a loading dose of medication. What effect should the nurse expect to result from the client receiving a loading dose?

A rapid minimum effective concentration

The nurse is establishing goals for a client related to medication administration. Which of the phases of the nursing process is characterized by goal setting?

planning

During which phase of the nursing process will the nurse include nursing actions or interventions necessary to accomplish expected outcomes?

Implementation

A nurse administers an injection using the Z-track method. The nurse instructs the patient that the Z-track technique is designed to accomplish what?

Prevent medication from leaking into subcutaneous tissue.

A nurse is administering an intradermal PPD to test for client exposure to the tuberculosis bacterium. Which method is the correct one for administering this injection?

Use a 10-degree angle to insert a 25-gauge needle.

The client's knowledge base about the drugs used is part of the

subjective database

A client is to receive a drug that has a half-life of 36 hours. The drug would probably be administered on which dose schedule?

Once a day

A nurse is determining whether a medication is ordered to be given at the appropriate intervals. This is done by assessing the half-life of the medication. The serum half-life (t) of a drug is

after absorption for half of the drug to be eliminated.

A nurse is providing an oral medication for pain relief to a client. To attain the fastest pain relief, the nurse administers the medication so that it is most rapidly absorbed from the gastrointestinal (GI) tract. Which mode of delivery has the fastest absorption?

Liquid suspension

A client returns to the nursing unit from conscious sedation after having a fracture set and placed in a cast. The client expresses pain 3 hours after the procedure. The choice of medication and route will be based on which information?

The client's ability to swallow should be evaluated before he or she receives oral medication.

A client asks why the oral dose of her pain medication is higher than the intravenous dose. The nurse explains that with the oral dose, only 20% to 40% of the drug may actually enter systemic circulation. This reduces the amount of active drug. What is the term for this effect?

bio-availability

The nurse is preparing to administer an ointment to the client's eye and is gathering the needed supplies. What supplies are needed to complete this task

clean gloves, medication ointment, tissues, sterile gauze

The client has been prescribed digoxin. Before administering the drug on a routine basis to the client, the nurse should recognize that the client should receive a _____ dose.

loading

The client has been on an oral dose of a medication. The nurse recognizes that the client is experiencing difficulty swallowing. What is the most important action on the nurse's part?

Call the physician for a liquid version of the medication.

During which phase of the nursing process would the nurse identify client perceptions and expectations of the drug's effectiveness?

assessment

The nurse is preparing to administer an intramuscular injection to an infant. What is the most accurate site for the nurse to select for this administration?

Vastus lateralis

Biotransformation is affected by many factors. What happens to the client's drug metabolism when liver function is decreased?

The client can develop toxicity.

A nurse is caring for a client who takes a chewable medication. The client does not take the medication because his teeth and gums have pain when chewing. The nurse establishes the following nursing diagnosis for the client: impaired dentition related to chronic gum inflammation secondary to poor dental hygiene. Which nursing goal is most appropriate for the client?

The client will demonstrate the procedure for brushing teeth.

A nurse is teaching a client about a medication that is scheduled to be administered q.i.d. The client states that she does not use a watch or clock and lives without a daily routine. Which teaching would be most helpful for the client?

. Instruct the client to take the medication with meals and at bedtime each day.

The nurse is caring for an older adult client who is scheduled to receive a dose of barbiturates. Based on the nurse's knowledge of how the older adult client responds to these medications, the nurse should expect the dosage to be:

lower than normal

The nurse ensures that she provides the next nurse taking over the care of her client with a complete list of his medications since the next nurse is newly admitted to that unit. She recognizes that this fulfills which of the National Patient Safety Goals?

Accurately and completely reconcile medications across the continuum of care

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