In which of the following patients would a nurse expect to experience alterations in
drug metabolism? - ✔A 50 year old man with cirrhosis of the liver
A nurse is instructing a patient on a newly prescribed drug. Which of the following should be
included to help improve patient compliance and safety? - ✔Measures to alleviate
discomfort associated with adverse effects
Which of the following statements best defines how a chemical becomes termed a drug? -
✔A chemical must have a proven therapeutic value or efficacy without severe toxicity or
damaging properties to become a drug.
30ml=____tbsp - ✔2
A nurse has been administering a drug to a patient IM. The physician discontinues the IM dose
and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is
considerably higher that the parenteral dose and understands that this is due to the... -
✔first pass effect.
A patient with a recent diagnosis of acute renal failure has a long standing seizure disorder
which has been successfully controlled for several years with antiseizure medications. The
nurse should recognize that the patients compromised renal function will likely... -
✔Increase the half life of medications that are metabolized by the kidney.
, An older patient with a history of Alzheimer's disease and numerous chronic health problems
has been prescribed several medications during his current admission to hospital and recent
declines in the patients cognition have impaired his ability to swallow pills. Which of the
following medications may the nurse crush before administering them to this patient? -
✔An immediate release opioid analgesic tablet
An 80 year old patient has been taking lorazepam since his wife died a year ago. He has been
staying with his son, but will now move into an assisted living facility. Before admission to the
assisted living facility, the patients physician has determined that the drug is no longer needed.
The nurse at the facility will plan to.... - ✔withdraw the drug gradually over a 2 to 3 week
period.
A 79 year old patient in a long term care facility is to receive an intravenous fat emulsion.
Which of the following lab values would be a priority for the nurse to assess before
administration? - ✔Triglyceride level
Medication reconciliation for an 82 year old man who has recently moved to a long term care
facility reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse should recognize
what consequence of this aspect of the residents drug regimen? - ✔Increased risk for falls
A 77 year old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the
hospital with a diagnosis of failure to thrive. What should the nurse prioritize when addressing
the woman's apparent lack of nutrition? - ✔Assess the reasons behind the patients poor
nutritional status.
A patient who has been admitted to the hospital for a mastectomy has stated that she has
experienced an adverse drug effects at various times during her life. Which of the following
strategies should the nurse prioritize in order to minimize the potential of adverse drug
effects during the patients stay in the hospital? - ✔Monitor the patient vigilantly for signs
and symptoms of potentially adverse drug effects.
A patient is treated with an antibiotic for an infection in his leg. After 2 days of taking the
antibiotic, the patient calls the clinic and reports that he has a rash all over his body. The
nurse
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