Exam (elaborations)
CAPELLA-SOPHIA ETHICS MILESTONES Q & A EXAM/2023.Qualified
- Course
- Institution
CAPELLA-SOPHIA ETHICS MILESTONES Q & A EXAM/2023.Qualified
[Show more]
Seller
Follow
colletnjoroge61
Content preview
PHARMACOLOGY: CHAPTER THE NURSING PROCESS IN DRUGTHERAPY AND PATIENT’S SAFETY WITH ANS
FEEDBACK/2023.Qualified
1) The nurse is caring for a patient who takes several drugs. What patient would the nurse
monitor most closely because of an increased risk for adverse effects of medications?
A) The school-aged child
B) The obese middle-aged man
C) The adolescent
D) The newborn infant
Ans: D
Feedback:
Patients most likely to have adverse drug reactions include the very young or very old
due to physiologic characteristics peculiar to these age groups. Therefore, the newborn
infant would be at greater risk than the school-aged child who is at greater risk than the
adolescent or middle-aged man.
2) Which statement best describes drug efficacy/toxicity in pediatric patients?
A) Drug requirements for infants have been extensively studied.
B) Drug dosage is altered by age and weight in children.
C) Children always need smaller doses of medication than adults.
D) Infants and children are not at risk for drug toxicity if the
dosage is correct. Ans:
Feedback:
All aspects of pediatric drug therapy must be guided by the child’s age, weight, and level of
growth and development. Drugs are generally studied using healthy young men and are never
studied in infants because they are not old enough to give consent for themselves. Drug
dosages are very specific and a big child may weigh more than an adult and require a larger
dose. Even when medications are given accurately, adverse effects can occur.
3) A 7-year-old boy fell off a wood pile while playing. He has been admitted to the intensive
care unit with multiple broken bones and internal bleeding. What should the nurse know
about drug therapy in this type of patient?
A) Adverse effects may be decreased.
B) Therapeutic effects may be increased.
C) Pharmacodynamics may be altered.
D) Pharmacokinetics remain the
same. Ans: C
Feedback:
, The child’s developmental age will influence pharmacokinetics and pharmacodynamics; the
immature liver may not metabolize drugs in the same way and the kidneys may not work as
efficiently as those of an adult. Adverse effects might be increased and therapeutic effects may
be decreased.
4) After admitting a patient to the unit, the nurse is organizing times to administer ordered
medications. What important consideration will guide the nurse’s timing of each
medication?
A) Comfort
B) Ethnicity of patient
C) Gender
D) Age
Ans: A
Feedback:
Organizing the day and the drug regimen to make it the least intrusive on a patient’s comfort
can help to prevent errors and improve compliance. Ethnicity, gender, and age should be a
consideration when ordering the drug, but after the drug is chosen it should be administered
in a way that will maintain the
patient’s quality-of-life.
5) The nursing instructor is discussing drug therapy in the older adult. What would the
instructor tell the students about what could affect therapeutic dosing in an older adult?
A) Changes in the gastrointestinal (GI) system can reduce drug absorption.
B) In older adults,drugs enter into circulation more quickly.
C) In older adults,drugs are distributed to a smaller portion of the tissues.
D) In older adults,drugs have an increased
action. Ans: A
Feedback:
As patients age, the body undergoes many normal changes that can affect drug therapy,
such as a decreased blood volume, decreased GI absorption, reduced blood flow to
muscles or skin, and changes in receptor site responsiveness. They are not released more
quickly into circulation; distributed to a smaller portion of tissue; nor do they have an
increased action.
6) In today’s health care environment there is often more contact between the patient and the
nurse than between the patient and the physician. How does this increased patient contact
impact drug therapy?
A) Choosing the best medication to treat the patient’s condition
, B) Assessing the patient’s preferred communication strategies
C) Assessing the therapeutic success of the drug therapy
D) Reducing dosage quickly when adverse
effects arise Ans: C
Feedback:
Because the nurse has the greatest direct and continued contact with the patient, the nurse is
in the best position to detect minute changes that ultimately determine the course of drug
therapytherapeutic success or discontinuation because of adverse or unacceptable responses.
The nurse does not choose the medication or reduce dosage because it is outside the scope of
practice of the nurse. Communication strategies used by patients are not related to drug
therapy.
7) The nurse admits a patient to the unit and learns the patient has recently been diagnosed
with chronic renal failure but has not informed the primary care provider of this
diagnosis. What is the nurse’s first priority?
A) Administer medications ordered immediately.
B) Maintain the patient’s confidentiality.
C) Call the admitting physician immediately.
D) Provide teaching about chronic renal
failure. Ans: C
Feedback:
Knowledge of the patient’s diagnosed renal failure is essential to proper medication ordering
because some dosages will need to be decreased whereas other medications may be
contraindicated in this patient. The nurse does not breach confidentiality when sharing
information that impacts needed care to the primary care provider. Teaching about renal
failure may be provided at some point but it is not the priority in this situation.
Medications should not be administered until they are appropriately adjusted by a health care
provider who is aware of the renal failure diagnosis.
8) It is often necessary to obtain baseline data prior to initiating many forms of drug therapy.
These baseline data include what? (Select all that apply.)
A) Education level
B) Allergies
C) Drug use
D) Number of members in family
E) Father’s occupation
Ans: A, B, C
Feedback:
Assessing educational level allows the nurse to plan an effective teaching plan. Allergies must
be fully assessed before administering any medication to prevent allergic responses.
Understanding the patient’s current drug use informs the nurse about drugs that may interact
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller colletnjoroge61. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now