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NUR3145 - Test 1 Study Guide
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NUR3145 - Test 1 Study GuideThe nurse is using a drug handbook to determine the indications for the drug
furosemide (Lasix). The term indications is defined as the:
A. Way a drug works on the target organs.
B. Amount of the drug to be administered.
C. Conditions for which a drug is approved.
D. Reason that the drug should not be given. - Answer C.
Indications are conditions for which a particular drug is approved. A description of how
a drug works on it target organs and cells is called the mechanism of action. The dosage
is the amount of the drug that is given. The conditions whereby the drug should be
avoided are contraindications.
While completing the health history, the nurse asks the client, "What medications do you
take regularly?" Which drug name would the nurse expect the client to use in providing
the answer?
A. chemical
B. generic
C. trade
D. standard - Answer C.
Trade names or proprietary names are designed to help the client remember the name
of the drug. The chemical name refers to the chemical substances that compromise the
drug. A drug's generic name is assigned by the U.S. Adopted Name Council, and each
drug has only one generic name. There is no category referred to as "standard" in the
categories of drug names.
When providing nursing care for the client, the nurse understands that drugs are:
A. One of many tools available to prevent or treat human suffering.
B. The most important part of therapeutic treatment plan.
C. Primarily the concern of the health care provider and not included in nursing care.
D. Substances that should be relied on for health and wellness. - Answer A.
Drugs are only tools that are part of the overall therapeutic treatment plan. Other
treatment options and nurse-client relationship are also important in the care of the
client as an individual. Drug therapy alone is usually insufficient to correct and cure
human illness. Nurses play a major role in the drug therapy of clients by administering,
, educating, monitoring, and assessing the response to drugs. Too much reliance on drug
therapy can diminish the importance of the nurse-client relationship.
Which client characteristics, if noted in the client's medical record, would the nurse
consider important information that may affect the physiological response to various
types of drug therapy? Select all that apply.
A. 82 y.o. female
B. Asian and obese
C. past medical history of kidney disease
D. mother and sister with diabetes
E. Has no medical insurance - Answer A, B, C, D
Physiological responses to drug therapy are affected by a client's age, gender, race,
body mass, and health status. Many diseases such as diabetes have genetic origins.
Familial history of disease conditions may reflect potential problems in the client. E is
incorrect because not having medical insurance is not a physiological variable that
would affect drug therapy.
The nurse is looking up a drug that has been prescribed and wants to know the
therapeutic classification for the drug. Which of the following would indicate a
therapeutic classification?
A. beta-adrenergic antagonist
B. antihypertensive
C. diuretic
D. calcium channel blocker - Answer B.
Antihypertensive indicates the therapeutic classification of the drug by describing its
usefulness in lowering blood pressure. Beta-adrenergic antatgonists, diuretics, and
calcium channel blockers all focus on how the drug works, rather than on what
therapeutic effects occur.
The nurse is asked by a family member: "They're giving mom Motrin and she takes Advil.
Hasn't the wrong drug been ordered?" The nurse will respond, knowing that:
A. There has been an error in the order and the nurse will contact the health care
provider.
B. There may be a reason for the health care provider to order a different drug.
C. Not all health care agencies buy the same generic drugs and that may account for the
difference.
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