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Chapter V exam
Test Success
| Question | Answer |
|---|---|
| The nurse identifies that an age-related alteration in the older adult that may affect the absorption of an oral hypoglycemic agent is: | an increase in subcutaneous fat |
| Which cathartic acts as a wetting agent to soften stool and is most effective inpreventing straining during defecation? | Colace |
| Which drug should the nurse identify as being most effective in the immediate treatment of anaphylaxis? | Epinephrine |
| A patient receiving a cardiac glycoside is "digitalized." The nurse understands that digitalization means: | Large doses of the drug were administered to quickly reach the therapeutic window. |
| The nurse anticipates which group of drugs is most likely to be ordered when a patient has difficulty sleeping? | Benzodiazepines |
| A patient is receiving prednisone, a glucocorticoid. The nurse should monitor the patient's electrolytes for: | Hypokalemia and hypernatremia |
| Which group of medications has a high risk for a drug interactions with digoxin (Lanoxin)? | Glucocorticoids |
| After administering a cathartic, the nurse identifies that the drug is effective when the patient | Has a bowel movement |
| The nurse is administering heparin to a pateint daily. The nurse should asses for which undesirable clinical response that indicates the need to discontinued the heparin therapy? | Hematuria |
| The nurse understands that the classification of drugs that can precipitate superinfections is? | Antibiotics |
| The physician orders an antibiotic intravenous piggyback every 12 hours. What time should the nurse schedule a blood sample to drawn to determine a trough level for this patient when the drug is administered at 2:00 PM? | 1:30 AM |
| The nurse is evaluating a patient's response to an antitussive. The patient response that indicates tath the anittussive is effective is a decrease in: | Frequency of coughing |
| When performing a health history a patient states, "I take 1 package of Metamucil every day no matter what." Which drug effect should the nurse most likely expect to occur? | Habituation |
| The patient is receiving an antibiotic that has a 4 to 10 μg/mL (micrograms per milliliter) therapeutic range, an optimum peak value of 8 to 10 μg/mL, and a minimum trough level of 0.5 μg/mL. The value that requires the nurse to notify the physician is a: | Trough value of 0.3 μg/mL |
| The nurse administers an expectorant to a patient. which adaptation indicates to the nurse that the patient is experiencing a therapeutic response to the medication? | Productive cough |
| The blood serum level of the therapeutic range for an antibiotic is 4 to 10 μg/mL. The nurse concludes that the implication of a peak level of 12 μg/mL is that the: | Patient is at risk for drug accumulation. |
| The nurse identifies which physiologic change in the older adult contributes to prolonged drug half-life? | Reduced glomerular filtration rate |
| A patient is receiving a neuroleptic antipsychotic medication. Extrapyramidal reactions are significant undesirable responses associated with this classification of drugs. Therefore, the nurse should assess the patient for which adaptations? | Spasm of the muscles of the face and akathisia |
| When caring for a patient receiving an analgesic, the nurse should assess for which therapeutic response? | Pain is tolerable |
| The patient is receiving a antibiotic that has a 4 to 10 μg/mL therapeutic range, an optimum peak value of 8 to 10 μg/mL, and a minimum trough level of 0.5 μg/mL. When monitoring patient's response to therapy, which value should nurse consider acceptable? | Peak value of 8 μg/mL |
| Which statement by the patient receiving digoxin (Lanoxin) 0.25 mg every day indicates that the nurse needs to provide further teaching? | "If I forget to take my digoxin, I should take 2 pills the next day." |
| The nurse understands that opioid (narcotic) analgesics limit pain by: | Modifying the patient's perception of pain |
| A patient is receiving an antibiotic, an antiemetic, an antihistamine, and an antihypertensive. Considering this patient's risk for falls, which medication commonly causes postural hypotension? | Antihypertensive |
| The nurse is collecting a health history for a patient who will be receiving intravenous heparin therapy. Which statement by the patient needs further exploration by the nurse? | "I always experience heavy menstrual periods." |
| To best promote intestinal peristalsis, the nurse should encourage a patient to: | Eat whole-grain foods every day |
| Which drug is palliative in its therapeutic action? | Demerol |
| After the physician orders an antidepressant for a patient, the patient asks the nurse, "How long will it take before I feel better?" Before answering, the nurse recalls that an emerging therapeutic response to an antidepressant medication usually takes: | 2 weeks |
| The nurse understands that antipsychotics potentiate the effects of: | Opioid analgesics |
| The nurse is administering vincristine sulfate (Oncovin), an antineoplastic drug, to patient with cancer,. For which neurologic system side effects should the nurse assess this patient? | Peripheral neuropathies and paralytic ileus |
| A patient is receiving a diuretic. Which patient assessments reflect therapeutic responses to the diuretic? | Decreased weight; Increased urinary output |
Created by:
chaptravelman
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