A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a
long half-life of 4 days. How many times per day should the nurseexpect to administer this
medication?
A. One
B. Two
C. Three
D. Four - ANSWER-A. One
(Medications with long half-lives remain at their therapeutic levels between doses for long
periods of time. The nurse should expect to administer this medication once a day.)
A staff educator is reviewing medication dosages and factors that influence medication
metabolism with a group of nurses at an in-service presentation. Which of the followingfactors
should the educator include as a reason to administer lower medication dosages? (Select all
that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - ANSWER-C. Liverfailure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the concentration of amedication. This
requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabolism,thereby
increasing the concentration of one or both medications. This requires decreasing the dosage of
one or both
A nurse is preparing to administer eye drops to a client. Which of the following actionsshould the
nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
,E. Instruct the client to close her eye gently after instillation - ANSWER-B. Ask the clientto look
up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.E.
Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the center
of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
A nurse is completing discharge teaching for a client who has a new prescription for transdermal
patches. Which of the following statements should the nurse identify as anindication that the
client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the patch."B. "I will
rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch. - ANSWER-C. "I will apply thepatch to
an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote absorption of the
medication.)
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level
of the client's medication. Which of the following actions should the nursetake?
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining ablood
specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late - ANSWER-A.Obtain
a blood specimen immediately prior to administering the next dose of medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimenimmediately
before administering the next dose of medication.)
A nurse is preparing a client's medications. Which of the following actions should thenurse take in
following legal practice guidelines? (Select all that apply.)
A. Maintain skill competency.
,B. Determine the dosage.
C. Monitor for adverse effects.D.
Safeguard medications.
E. Identify the client's diagnosis - ANSWER-A. Maintain skill competency.C.
Monitor for adverse effects.
D. Safeguard medications.
(A.maintaining skill competency and using appropriate administration techniques arelegal
responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse effects ofmedication
D. Safeguarding of medications, such as controlled substances, is a legal responsibilityof the
nurse)
A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mgPO once
every day. The nurse should identify this as which of the following types of prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWER-C. Routine
(A routine or standard prescription identifies medications to give on a regular schedulewith or
without a termination date or a specific number of doses. The nurse will administer
this medication every day until the provider discontinues it.)
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and
vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the
following parts of the prescription with the provider?
A. Name B.
DosageC.
Route
D. Frequency - ANSWER-D. Frequency
(This prescription does not include the time or frequency of medication administration.The
nurse must clarify this with the prescribing provide)
, A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the preassessment?
(Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - ANSWER-A. Use of herbal teasC.
Current health status
E. Food allergies
(A. The nurse should inquire about the client's use of herbal products, which oftencontain
caffeine, prior to medication administration because caffeine can affect medication
biotransformation
C. The nurse should review the client's current health status because new prescriptionscan cause
alterations in current health status
E. The nurse should inquire about food allergies during the preassessment to identifyany
potential reactions or interactions)
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone
prescription. Which of the following statements should the nurse identify asan indication that
the newly licensed nurse understands the process?
A. "A second nurse enters the prescription into the client's medical record."B.
"Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription - ANSWER-B. "Anothernurse
should listen to the phone call."
(A second nurse should listen to a telephone prescription to prevent errors incommunication.)
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is
vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop
factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IVinfusion to
deliver how many gtt/min? (Round the answer to the nearest whole number.Do not use a
trailing zero. - ANSWER-22
A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. Theamount
available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride
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