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FSCC F'09 Phrm final
| Question | Answer |
|---|---|
| The taking of multiple drugs, or _______________ in older adults increases the risk for drug interactions and side effects. | polypharmacy |
| The nurse is preparing medications prior to administration. To promote client safety, the nurse uses "rights" of drug administration. What do these "rights" include? | The right route of administration The right client The right medication The right dose The right time of delivery The right documentation |
| The nurse teaches a class to clients about how to help prevent medication errors when in the hospital. What is a priority question for the nurse to ask the clients? | Do you know the names of all the medications you take? |
| The nurse will administer medication to a school-age child. What is the preferred action by the nurse? | Offer the child a choice of beverage with which to take the medication. |
| The nurse administers an evening medication to the client in the morning. The medication did go to the correct client. What is the nurse's best course of action at this time? | Notify the physician about the error and complete an incident report. |
| The nurse is on a committee to reduce medication errors in a large healthcare facility. What is a recommendation the nurse proposes that will most likely help to reduce medication errors? | ? |
| What is the preferred site for administering an IM injection to an infant? | Vastus lateralis |
| During a routine prenatal visit in her third trimester, client informs nurse that she is smoking again because of a stressful situation at her job. The nurse counsels the client on the increased risks to the fetus. Why are risks increased at this time? | Blood flow to the placenta increases and placental vascular membranes become thinner. |
| The _______________ period is subdivided into the _______________ period (conception to 8 weeks) and the _______________ period (8 to 40 weeks or birth). | prenatal, embryonic, fetal |
| The nurse is providing client education in regard to breast-feeding. In relationship to drug and substance intake, what are the risks to the infant? | Equal risks |
| During which period of adulthood would the nurse expect to offer counseling in relationship to increased potential for adverse reactions to medications related to physiologic and biochemical processes? | Older adulthood |
| The nurse plans to teach a safety class to parents of toddlers about household exposure to medications. What will the best plan of the nurse include? | ?? Keep all medications locked up and stored out of reach of the toddler. Call the Poison Control Center for guidance with any medication ingested. |
| The nurse recognizes that agency system checks are in place to decrease medication errors. Who commonly collaborates with the nurse on checking the accuracy of the medication prior to administration? | The pharmacist |
| The adolescent is supposed to go to the school nurse at 12:00 to receive his medication for Attention Deficit Hyperactivity Disorder (ADHD). He often does not go for the medication. What best describes the nurse's understanding of this situation? | ?? |
| What does the nurse consider to be the safest way to deliver medications to infants? | The dosage should be based on milligrams per kilogram per day. |
| Which of the following physiological principles contributes to the effects of polypharmacy for the older adult? | Decreased gastric response leads to alterations in drug absorption. |
| The nurse makes a medication error and a client dies. In court, the attorney for the family of the deceased client asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this question? | "Did you do what another nurse would have done under similar circumstances?" |
| The nurse provides care for elders in an assisted living facility. What does the nurse assess as a primary contributing factor for medication complications in the elderly? | The elderly are frequently dehydrated. |
| The nurse assesses an adverse effect of a medication that has been administered. No medication error was committed. What is the best plan of the nurse at this time? | Report the adverse effect to the Food and Drug Administration's (FDA) MedWatch Website. |
| During which period of adulthood would the nurse expect to offer counseling in relationship to substance abuse and sexually transmitted diseases? | Young adulthood |
| The student nurse is studying the categories of medication errors. Which factor does the student nurse recognize as increasing in severity through the categories? | The level of harm to the client |
| The nurse plans to administer medication to the preschool child. Which approach indicates the nurse has an understanding of growth and development? | Use a brief explanation, followed by quick administration of the medication. |
| The nurse is preparing medications for a group of clients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first nurse? | Tell the second nurse that the conversation is distracting and must cease while medications are being prepared. |
| The pregnant client tells the nurse that her prescribed medication is not as effective as it was before her pregnancy. What is the best response by the nurse? | ?? |
| During which trimester do the skeleton and major organs form? | First |
| When determining the correct method for calculating drug amount for infants, what must the nurse consider? | Age and size of the infant |
| The nursing instructor teaches student nurses about the Food and Drug Administration (FDA) Pregnancy Categories. What is the best information to include? | Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects. Food and Drug Administration (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women. |
| The nurse commits a medication error. The nurse documents the error in the client's record and completes the incident report. What does the nurse recognize as the primary reason for doing this? | ?? |
| The nurse manager plans to teach the graduate nurse the reason why the nursing unit has policies and procedures. What best describes the reason for policies and procedures? | The policies and procedures establish standards of care for the institution. |
| During the first trimester of pregnancy, what is(are) the primary consideration(s) from a medical, nursing, and pharmacological viewpoint? | Safety of the client and delivery of a healthy baby |
| A term that characterizes the progressive increase in physical size is: | growth |
| Before administering a drug to an older adult, the nurse should understand that the "average" dose may be affected by which of the following normal consequences of aging? | Older adults have reduced glomerular filtration rates and diminished nephron function. |
| The client is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse obtains the medication from the pharmacy and administers it to the client 30 minutes later Which statement best describes the nurse's action? | The medication should have been administered within a five-minute time frame. |
| The pregnant client plans to breast-feed her baby. She asks the nurse about the use of herbal products during breast-feeding. What is the best response by the nurse? | "Most drugs can be transferred to the infant during breast-feeding, so this is not recommended." |
| The pediatrician orders a weight-based medication for the child who weighs 30 pounds. The formula is set up for a certain amount of medication per kg of body weight. The nurse correctly assesses the child's weight in kg to be what amount? | 13.64 kg |
| The nurse suspects that the client has not been taking his precribed antihypertensive medication because the client's blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance? | "Taking medication is difficult for many people. What are some of your concerns about the medication?" |
| The nurse determines that the fetus is at the greatest risk for developmental anomalies during which trimester? | First |
| The toddler refuses to take his oral medication. What is the best suggestion to the mother from the nurse for ensuring the toddler receives his medication? | "Crush the tablet and mix it with a small amount of jam." |
| STAT | Immediately; at once |
| tid | Three times per day |
| PRN | When needed/necessary |
| pc | After meals; after eating |
| IM | Intramuscular |
| The nursing instructor is teaching the nursing students about the use of medications during pregnancy. What does the nursing instructor teach as a common reason for difficulty in assessing for side effects of medications during pregnancy? | ?? |
| The functional evolution of the physical, psychomotor, and cognitive capabilities of a living being is referred to as: | development |
| Which statement is true regarding the types of medication orders? | ?? |
| During which period of adulthood would the nurse expect to offer counseling in relationship to positive lifestyle modifications? | Middle adulthood |
| The adolescent client comes to the school nurse with complaints of vague abdominal pain. What assessment data would help to confirm the nurse's suspicion that the adolescent has body image concerns? | The adolescent says, "Everyone makes a big deal about what I eat, so don't ask." |
| The nurse knows that antidepressants and anti-anxiety agents are used more frequently by which age group? | Over 50 |
| During adolescence the nurse assumes a key role in the client's education in relationship to which of the following? | Use of tobacco and illicit drugs |
| The nurse was very busy and unfamiliar with a new medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this behavior? | An error could have occurred because the nurse was unfamiliar with the medication. |
| Which of the following statements by a pregnant client requires that additional instruction is required by the nurse during a prenatal clinic visit? | ?? |
| The nurse was very busy and unfamiliar with a new medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this behavior? | An error could have occurred because the nurse was unfamiliar with the medication. |
| The nurse is preparing medications for a group of patients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first nurse? | Tell the second nurse that the conversation is distracting and must cease while medications are being prepared. |
| The nurse is providing patient education in regard to breast-feeding. In relationship to drug and substance intake, what are the risks to the infant? | Equal risks |
| During which period of adulthood would the nurse expect to offer counseling in relationship to positive lifestyle modifications? | Middle adulthood |
| Which of the following are included in the FIRST six rights of drug administration? | Right drug, right time, right dose, right patient, right route, right documentation |
| During routine prenatal visit in her third trimester, patient informs nurse that she is smoking again because of a stressful situation at her job. The nurse counsels the patient on the increased risks to the fetus. Why are risks increased at this time? | Blood flow to the placenta increases and placental vascular membranes become thinner. |
| The student nurse learns about categories of medication errors. What is an example of a Category A error that the student will learn? | A physician was talking to the nurse while medications were being prepared for administration. |
| The functional evolution of the physical, psychomotor, and cognitive capabilities of a living being is referred to as _____________________. | development |
| The nurse teaches a class to patients about how to help prevent medications errors when in the hospital. What is a priority question for the nurse to ask the patients? | "Do you know the names of all the medications you take?" |
| The nurse teaches a class to patients about how to help prevent medications errors when in the hospital. What is a priority question for the nurse to ask the patients? | "Do you know the names of all the medications you take?" |
| During which period of adulthood would the nurse expect to offer counseling in relationship to increased potential for adverse reactions to medications related to physiologic and biochemical processes? | Older adulthood |
| Before administering a drug to an older adult, the nurse should understand that the "average" dose may be affected by which of the following normal consequences of aging? | Older adults have reduced glomerular filtration rates and diminished nephron function |
| The student nurse is studying the categories of medication errors. Which factor does the student nurse recognize as increasing in severity through the categories? | The level of harm to the patient |
| The nurse in the emergency department administers an adult dose of an antibiotic to a 3-month-old baby. As a result, the baby suffers permanent brain damage. What best describes the effect of this error on the healthcare facility? | The morale of the staff involved will be depleted. |
| During the first trimester of pregnancy, what is(are) the primary consideration(s) from a medical, nursing, and pharmacological viewpoint? | Safety of the patient and delivery of a healthy baby |
| The nursing instructor teaches the student nurses about how medication errors can occur. What information will the nursing instructor include in the presentation? | The nurse miscalculates the medication dose The nurse administers the incorrect drug The nurse misinterprets a physician's order The nurse does not check the patient's identification |
| When assessing risk factors, which age group must the nurse evaluate the patient's desire to explore and risks encountered? | Toddler |
| During which period of adulthood would the nurse expect to offer counseling in relationship to substance abuse and sexually transmitted diseases? | Young adulthood |
| When determining the correct method for calculating drug amount for infants, what must the nurse consider? | Age and size of the infant |
Created by:
chaptravelman
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