An 80 year old patient is being discharged home on drug therapy for hyperthyroidism and has
very little information regarding the medication. Which statement best reflects a realistic
outcome of patient teaching activities?
a. The patient and patient's daughter will state the proper way to take the drug
b. The nurse will provide teaching about the drug's adverse effects
c. The patient will state all the symptoms of toxicity of the drug
d. The patient will call the prescriber if adverse effects occur - A
A patient has a new prescription for a blood pressure medication that may cause him to feel
dizzy during the first few days of therapy. Which is the best human needs statement for this
situation?
a. physical activity
b. physical safety
c. physical pain
d. interchange of gases - B
A patient's medical record includes an order that reads as follows: "Atenolol 25 mg once daily at
0900". Which action by the nurse is correct?
a. the nurse does not give the drug
b. the nurse gives the drug orally
c. the nurse gives the drug intravenously
d. the nurse contacts the prescriber to clarify the dosage route - D
A 77 y/o man who has been diagnosed with an upper respiratory tract infection tells the nurse
that he is allergic to penicillin. Which is the most appropriate response by the nurse?
a. Many people are allergic to penicillin
b. This allergy is not of major concern because the drug is given so often
c. what type of reaction did you have when you took penicillin?
d. drug allergies don't usually occur in older individuals due to built up resistance to allergic
reactions - C
The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2
diabetes mellitus. Which of these reflect the correct order of the steps of the nursing process?
a. assessment, planning, human needs statement, implementation, evaluation
b. eval, assessment, human needs statement, planning, implementation
c. human needs statement, assessment, planning, implementation, eval
, d. assessment, human needs statement, planning, implementation, eval - D
An elderly woman took a prescription medicine to help her sleep; however, she felt restless all
night and did not sleep at all. The nurse recognizes that this woman has experienced which type
or reaction or effect?
a. allergic reaction
b. idiosyncratic reaction
c. mutagenic effect
d. synergistic effect - B
The nurse is caring for a patient with cirrhosis or hepatitis and recognizes that abnormalities in
which phase of pharmokinetics may occur in this patient?
a. absorption
b. distribution
c. metabolism
d. excretion - C
A patient who has hypertension is now taking a daily beta blocker. Which term best describes
this type of therapy?
a. palliative therapy
b. maintenance therapy
c. supportive therapy
d. supplemental therapy - B
The physiologic differences in the pediatric patient compared with the adult patient affect the
amount of drug needed to produce a therapeutic effect. The nurse is aware that one of the main
differences is that infants have
a. increased protein in circulation.
b. at composition lower than 0.001%.
c. more muscular body composition.
d. water composition of approximately 75%. - D
While teaching a 76-year-old patient about the adverse effects of his medications, the nurse
encourages him to keep a journal of the adverse effects he experiences. This intervention is
important for the older adult patient because of which alterations in pharmacokinetics?
a. Increased renal excretion of protein-bound drugs
b. More alkaline gastric pH, resulting in more adverse effects
c. Decreased blood flow to the liver, resulting in altered metabolism
d. Less adipose tissue to store fat-soluble drugs - C
When the nurse is reviewing a list of medications taken by an 88 y/o patient, the patient says "i
get dizzy when I stand up". She also states that she has nearly fainted "a time or two" in the
afternoon. Her systolic BP drops 15 points when she stands up. Which type of medication may
be responsible for these effects?
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