NR 293 - EXAM 1 Latest Update 2024-2025 Actual
Exam 150 Questions and 100% Verified Correct
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A 56 y.o. man is taking OTC antacids for relief of indigestion. He tells the nurse that he
drinks at least one bottle a week and has done so for over a month because "it works
for me". The nurses main concern is... - CORRECT ANSWER: The self-treatment may
be delaying treatment of a more serious problem. Normally OTC meds should be used
only for a short amount of time for common minor illnesses. Their use may postpone
effective management of chronic disease and delay treatment.
A 58 y.o. patient has an old tracheostomy and has developed pneumonia. He has a
productive cough and is producing thick mucus that he is having trouble coughing up.
What drug is best to give him? - CORRECT ANSWER: Guaifenesin (Humibid) tablets.
Expectorants such as guaifenesin aid in the expectoration of excessing mucus that has
accumulated in the respiratory tract by breaking down and thinning out secretions.
A mother calls the clinic to ask about giving acetaminophen to her infant. She said she
used the liquid form in her 5 year old child, and wants to know how much to give her
infant. The nurse should... - CORRECT ANSWER: Consult with a physician before
instruction the mother on giving the medication. The physician should be consulted
before acetaminophen is used in children under the age of 2.
A patient is complaining of severe pain and has orders for morphine sulfate. The nurse
knows that the route what would give the slowest pain relief would be.... - CORRECT
ANSWER: PO.
A patient is prescribed ibuprofen 200 mg PO q4h prn for pain. The pharmacy sends up
enteric-coated tablets, but the patient refuses stating she cannot swallow the pills. What
should the nurse do? - CORRECT ANSWER: Call the pharmacy and ask for the liquid
form of the medication. The liquid form is appropriate because it is also given via oral
route. Enteric-coated tablets cannot be crushed and the patient should not be forced to
take the tablets.
,A patient tells the nurse he wants to stop taking his antilipemic drugs and start taking
garlic to lower cholesterol. The nurse's best reply would be... - CORRECT ANSWER:
"Let's explore the evidence that supports the use of garlic to lower cholesterol." The
nurse can provide patient education regarding potential risks and adverse reactions that
are possible with herbal products.
Absorption of Drugs in Neonatal and Pediatric - CORRECT ANSWER: -Gastric pH less
acidic
-Gastric emptying slowed
-Intramuscular absorption faster and irregular
Acute Therapy - CORRECT ANSWER: Requires more intensive treatment; used for
critical/very sick patients.
Ex: giving nitroglycerin for heart attack
Additive Effect - CORRECT ANSWER: Drug interaction in which the effect of a
combination of 2 or more drugs with similar actions is equivalent to the sum of the
individual effects of the same drug given alone. 1+1=2
Adverse Drug Reactions - CORRECT ANSWER: Pharmacologic reactions, including
adverse effects.
Adverse Effects of Decongestant Adrenergics - CORRECT ANSWER: Nervousness,
insomnia, palpitations, tremors, systemic effects caused by adrenergic stimulation of
SNS, increased BP, increased heart rate
Adverse Effects of Decongestant Steroids - CORRECT ANSWER: Local mucosal
dryness and irritation
Agonist - CORRECT ANSWER: Drug binds to a receptor, there is a response
Alternative Medicine - CORRECT ANSWER: Use of herbal products and other
nontraditional remedies
, Antagonist - CORRECT ANSWER: Drug binds to a receptor, there is no response. The
drugs prevents the binding of agonists.
Antagonistic Effect - CORRECT ANSWER: Drug interaction in which the effect of a
combination of 2 or more drugs with similar actions is less than the sum of individual
effects of the same drug given alone.
1+1=<2
Anticholingeric - CORRECT ANSWER: Makes patient have dry mouth, dry eyes,
constipation, urinary retention, changes in vision. Patient 'dries up'
Antihistamine Administration - CORRECT ANSWER: Best tolerated when taken with
meals, reduces GI irritability. If dry mouth occurs, teach patient to perform frequent
mouth care, chew gum, or suck on hard sugarless candy. Monitor for intended
therapeutic effects.
Antihistamine Mechanism of Action - CORRECT ANSWER: The binding of H1 blockers
to the histamine receptors prevents the adverse consequences of histamine stimulation:
vasodilation, increased GI and respiratory secretions, and increased cap permeability.
It does not remove histamine already attached to receptors, needs to be given early.
Antihistamine Patient Teaching - CORRECT ANSWER: Report excessive sedation,
confusion, or hypotension. Avoid drinking or operating heavy machinery. Do not take
with alcohol or other CNS depressants. Do not take these meds with other prescription
or OTC meds until checking with provider.
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