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Pharm quiz 1
Terms in this set (10)
1. The nurse answers a patient's call light and finds the patient sitting up in bed and requesting pain medication. What will the nurse do first?
* Assess the patient's pain and pain level.
1. The day shift charge nurse is making rounds. A patient tells the nurse that the night shift nurse never gave him his medication, which was due at 2100. What will the nurse do first to determine whether the medication was given?
**What is the only documentation when it comes to medical records?
* Check the medication administration record
1. A nurse makes an error when administering medications to a patient. Which action by the nurse requires the supervising nurse to intervene?
If placed in the Medical Record, what will happen? Intervention by higher power
* The nurse records completion of an incident report in the medical record.
* If there is a medication error, the nurse should complete an incident report with the entire event, surrounding circumstances, therapeutic response, adverse effects, and notification of the prescriber described in detail. However, the nurse should not record completion of an incident report in the medical record.
1. A patient is prescribed ibuprofen 200 mg PO every 4 hours as needed for pain. The pharmacy sends up enteric-coated tablets, but the patient refuses the tablets, stating that she cannot swallow pills. What will the nurse do?
** Patient that cannot swallow pill medication?
Switch to liquid form**
Call the pharmacy and ask for the liquid form of the medication.
1. The nurse is preparing to administer a transdermal patch to a patient and finds that the patient already has a medication patch on his right upper chest. What will the nurse do?
Transdermal patch--> how? Remove patch & put new one in a dff area
* Remove the old patch and apply the new patch to a different clean area.
1. The nurse is giving a medication that has a high first-pass effect. The health care provider has changed the route from PO to IV. What can the nurse expect with the IV dose?
* The IV dose will be lower because of the first-pass effect.
1. A patient is complaining of severe pain and has orders for morphine sulfate. The nurse knows that the route that would give the slowest pain relief would be which route?
* PO- slowest route
1. Which racial group is predicted to be nearly one in three U.S. residents in 2050?
**Which population/ratio will be the highest race in 50 years?
1. A patient with newly diagnosed type 1 diabetes mellitus has completed a diabetes education program. One month later, the patient confesses at a follow-up appointment that he "just didn't feel like" giving himself the insulin injections. Which nursing diagnosis will the nurse assign the patient?
**Type 1 diabetic patient did not feel like taking his/her insulin?
What does the nurse identify as a pharmacokinetic change that occurs in older adults?
Older adults- diminish, kidney function decrease & kidney cells (nephrons)**
* The number of intact nephrons is decreased.
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