The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely on knowledge of which topic? Pharmacotherapeutics
What is a desired outcome when a drug is described as easy to administer? It enhances patient adherence to the drug regimen.
A patient has ...
NUR 352 Exam 1 Questions and Correct
Answers
The nurse is teaching a patient how a medication works to treat an illness. To do this,
the nurse will rely on knowledge of which topic? ✅Pharmacotherapeutics
What is a desired outcome when a drug is described as easy to administer? ✅It
enhances patient adherence to the drug regimen.
A patient has been receiving intravenous penicillin for pneumonia for several days and
begins to complain of generalized itching. The nurse auscultates bilateral wheezing and
notes a temperature of 38.5°C (101°F). Which is the correct action by the nurse?
✅Hold the next dose and notify the prescriber of the symptoms.
A patient tells the nurse that the oral drug that has been prescribed has caused a lot of
stomach discomfort in the past. What will the nurse ask the prescriber? ✅Whether an
enteric-coated form of the drug is available
A patient receives a drug that has a narrow therapeutic range. The nurse administering
this medication will expect to do what? ✅Monitor plasma drug levels.
A nurse is giving an enteral (oral) medication. The patient asks why this method is
preferable for this drug. How will the nurse reply? ✅"This route is safer, less
expensive, and more convenient."
A nurse is explaining drug metabolism to a nursing student who asks about
glucuronidation. The nurse knows that this is a process that allows drugs to be:
✅recycled via the enterohepatic recirculation to remain in the body longer.
A patient is receiving intravenous gentamicin. A serum drug test reveals toxic levels.
The dosing is correct, and this medication has been tolerated by this patient in the past.
Which could be a probable cause of the test result? ✅The patient is taking another
medication that binds to serum albumin.
A patient reports becoming "immune" to a medication because it no longer works to
alleviate symptoms. The nurse recognizes that this decreased effectiveness is likely
caused by: ✅desensitization of receptor sites by continual exposure to the drug.
What occurs when a drug binds to a receptor in the body? ✅It increases or decreases
the activity of that receptor.
, The nurse administers naloxone [Narcan] to a patient who has received a toxic dose of
morphine sulfate. The nurse understands that the naloxone is effective because of
which action? ✅Preventing activation of opioid receptors through antagonist actions
The nurse is teaching a patient about taking warfarin and asks if the patient takes
aspirin. This assessment by the nurse reflects a knowledge of which type of drug
interaction? ✅Potentiative effects
In a discussion of drug-drug interactions, which would be the best example of a
beneficial inhibitory interaction? ✅Naloxone [Narcan] blocking morphine sulfate's
actions
Which statement about food and drug interactions is true? ✅Some foods can inhibit
CYP isoenzymes and alter drug metabolism.
A patient is given a drug for the first time and develops shortness of breath. The
patient's heart rate is 76 beats/min, the respiratory rate is 20 breaths per minute, and
the blood pressure is 120/70 mm Hg. The nurse checks a drug administration manual to
make sure the correct dose was given and learns that some patients taking the drug
experience shortness of breath. The nurse will contact the provider to report what? ✅A
side effect
A patient is taking a drug that has known toxic side effects. What will the nurse do?
✅Monitor the function of all organs potentially affected by the drug.
A nursing student is preparing to give a medication that has a boxed warning. The
student asks the nurse what this means. What will the nurse explain about boxed
warnings? ✅They alert prescribers to measures to mitigate potential harm from side
effects.
A nurse administers the same medication in the same preparation in the same dose to
several patients and notes that some patients have a better response to the drug than
others. What is the most likely explanation for this phenomenon? ✅Pharmacogenomic
differences among individuals
A patient asks a nurse why a friend who is taking the same drug responds differently to
that drug. The nurse knows that the most common variation in drug response is due to
differences in each patient's: ✅metabolism of drugs.
A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the
lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which
diuretic agent ordered by the prescriber should the nurse question? ✅Spironolactone
[Aldactone]
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