Question 1

What are the properties of an ideal drug? (Select all that apply)

Accepted Answer

chemical stability
Ease of administration
Predictability

Question 2

he nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain.

Which action is not part of the six rights of drug administration?

Accepted Answer

Assessing the patient’s pain level 15 to 30 minutes after giving the medication

Question 3

receiving intravenous penicillin for pneumonia for several days and begins to complain of generalized itching. The nurse auscultates bilateral wheezing and notes a temperature of 38.5°C (101°F).
Which is the correct action by the nurse?

Accepted Answer

Hold the next dose and notify the prescriber of the symptoms

Question 4

A nurse is teaching nursing students about the use of nonproprietary names for drugs.

The nurse tells them which fact about nonproprietary names?

Accepted Answer

They are assigned by the U.S. Adopted Names Council

Question 5

A nursing student asks a nurse about pharmaceutical research and wants to know the purpose of randomization in drug trials.

The nurse explains that randomization is used to do what?

Accepted Answer

To ensure that differences in outcomes are the result of treatment and not differences in subjects

Question 6

A patient has had dilation of the eyes with an anticholinergic agent.

What will the nurse say when preparing this patient to go home after the examination?

Accepted Answer

“You may need to wear dark glasses until this medication wears off.”

Question 7

The nurse is reviewing personal knowledge of the medications used in the treatment of open-angle glaucoma.

The nurse would be correct to identify which medications as treatment? (Select all that apply)

Accepted Answer

Prostaglandin analogs

Carbonic anhydrase inhibitors

Beta blockers

Alpha2 agonists

Question 8

A nurse is teaching a patient diagnosed with wet ARMD who will begin receiving bevacizumab [Avastin].
Which statement by the patient indicates a need for further teaching?

Accepted Answer

“This medication will not reduce the risk of blindness.”

Question 9

An adolescent has recently been experiencing pimples. The nurse notes several closed comedones across the patient’s forehead and on the nose.

The nurse will expect to teach this patient about the use of which medication?

Accepted Answer

Benzoyl peroxide

Question 10

A patient has severe acne that has been refractory to treatment. The patient is taking tetracycline and using topical tretinoin [Retin-A] and has been applying benzoyl peroxide twice daily. The provider asks the nurse to teach this patient abou[Accutane]

Accepted Answer

“Tetracycline must be discontinued before beginning the isotretinoin.”

Question 11

To which external agency would the nurse report significant events that caused patient harm?

Accepted Answer

The Joint Commission

Question 12

Which outcome is likely to occur with medication or procedure errors? Select all that apply. One, some, or all responses may be correct.

Accepted Answer

Poor patient health outcomes

Increased patient morbidity rates

Increased rate of hospital-acquired infections

Psychological harm to patient

Question 13

Which nursing action is a strategy for decreasing medication errors?

Accepted Answer

Ignoring a phone call while preparing medications
Checking the patient’s armband before administering medications
Asking the patient to mute tv
Using automated medication dispensing systems

Question 14

A health care provider prescribes a medication for a specific patient and includes the dose and the time. Which information must be included in the prescription to ensure safe administration?

Accepted Answer

Route of administration

Question 15

Which abbreviation is appropriate for the nurse to use to prevent medication errors?

Accepted Answer

0.X mg

Question 16

Which way should half an mg be written to prevent medication error?

Accepted Answer

0.5mg

Question 17

Which advantage corresponds to using an automated medication dispensing system?

Accepted Answer

Maintains heightened security measures for medication

Question 18

Which purpose is accomplished by teaching older adults about the medications they are taking?

Accepted Answer

Reduces medication errors

Question 19

Which nursing intervention is appropriate to prevent medication errors for an older adult patient with impaired vision?

Accepted Answer

Using pill organizers to prepare medications for the patient ahead of time.

Question 20

A patient asks a nurse why a friend who is taking the same drug responds differently to that drug.

The nurse knows that the most common variation in drug response is due to differences in each patient’s:

Accepted Answer

Metabolism of drugs

Question 21

Which groups of people are especially sensitive to medication effects? (Select all that apply)

Accepted Answer

infants and older adults

Question 22

A nurse is performing a preoperative drug history on a patient who is admitted to the hospital for surgery.

Accepted Answer

To evaluate the risk of hemorrhage, the nurse will ask the patient about antiplatelet and anticoagulant medications as well as which dietary supplement?
Ginkgo biloba

Question 23

A patient will begin taking drugs for hyperlipidemia. The patient asks about using flaxseed supplements to increase fiber.

What will the nurse tell this patient?

Accepted Answer

Take the flaxseed 1 hour before taking the drug

Question 24

Which claim may be made by manufacturers of dietary supplements? (Select all that apply)

Accepted Answer

“Reduces stress.”
“Promotes pulmonary health.”
“Energizes and rejuvenates.”

Question 25

A nurse is caring for a patient infected with the human immunodeficiency virus (HIV).

Which finding would most concern the nurse?

Accepted Answer

Very low helper T lymphocyte count

Question 26

A nurse is reviewing the immune system with a group of nursing students. One student asks about the difference between cell-mediated immunity and humoral immunity.

How should the nurse reply?

Accepted Answer

“Humoral immunity uses cells produced by B lymphocytes in the immune response.”

Question 27

A nurse is teaching a group of nursing students about antibodies. The nurse correctly explains that which type of response is triggered when antigens bind to antibodies on mast cells or basophils?

Accepted Answer

Hypersensitivity reaction

Question 28

A patient who breast-feeds her infant asks the nurse about the immunity the infant receives from breast milk.

What does the nurse tell the patient about immunity through breast-feeding?

Accepted Answer

“The immunity results from the transfer of IgA through the breast milk.”

Question 29

Which immune responses can result in harm to the body?

Accepted Answer

Autoimmune response
 IgE binding to mast cells and basophils
Recognition of MHC molecules as nonself

Question

Question

Question

BSN215

pharma 1 WK 1-5 Quiz

Question	Answer
What are the properties of an ideal drug? (Select all that apply)	chemical stability Ease of administration Predictability
he nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain. Which action is not part of the six rights of drug administration?	Assessing the patient’s pain level 15 to 30 minutes after giving the medication
receiving intravenous penicillin for pneumonia for several days and begins to complain of generalized itching. The nurse auscultates bilateral wheezing and notes a temperature of 38.5°C (101°F). Which is the correct action by the nurse?	Hold the next dose and notify the prescriber of the symptoms
A nurse is teaching nursing students about the use of nonproprietary names for drugs. The nurse tells them which fact about nonproprietary names?	They are assigned by the U.S. Adopted Names Council
A nursing student asks a nurse about pharmaceutical research and wants to know the purpose of randomization in drug trials. The nurse explains that randomization is used to do what?	To ensure that differences in outcomes are the result of treatment and not differences in subjects
A patient has had dilation of the eyes with an anticholinergic agent. What will the nurse say when preparing this patient to go home after the examination?	“You may need to wear dark glasses until this medication wears off.”
The nurse is reviewing personal knowledge of the medications used in the treatment of open-angle glaucoma. The nurse would be correct to identify which medications as treatment? (Select all that apply)	Prostaglandin analogs Carbonic anhydrase inhibitors Beta blockers Alpha2 agonists
A nurse is teaching a patient diagnosed with wet ARMD who will begin receiving bevacizumab [Avastin]. Which statement by the patient indicates a need for further teaching?	“This medication will not reduce the risk of blindness.”
An adolescent has recently been experiencing pimples. The nurse notes several closed comedones across the patient’s forehead and on the nose. The nurse will expect to teach this patient about the use of which medication?	Benzoyl peroxide
A patient has severe acne that has been refractory to treatment. The patient is taking tetracycline and using topical tretinoin [Retin-A] and has been applying benzoyl peroxide twice daily. The provider asks the nurse to teach this patient abou[Accutane]	“Tetracycline must be discontinued before beginning the isotretinoin.”
To which external agency would the nurse report significant events that caused patient harm?	The Joint Commission
Which outcome is likely to occur with medication or procedure errors? Select all that apply. One, some, or all responses may be correct.	Poor patient health outcomes Increased patient morbidity rates Increased rate of hospital-acquired infections Psychological harm to patient
Which nursing action is a strategy for decreasing medication errors?	Ignoring a phone call while preparing medications Checking the patient’s armband before administering medications Asking the patient to mute tv Using automated medication dispensing systems
A health care provider prescribes a medication for a specific patient and includes the dose and the time. Which information must be included in the prescription to ensure safe administration?	Route of administration
Which abbreviation is appropriate for the nurse to use to prevent medication errors?	0.X mg
Which way should half an mg be written to prevent medication error?	0.5mg
Which advantage corresponds to using an automated medication dispensing system?	Maintains heightened security measures for medication
Which purpose is accomplished by teaching older adults about the medications they are taking?	Reduces medication errors
Which nursing intervention is appropriate to prevent medication errors for an older adult patient with impaired vision?	Using pill organizers to prepare medications for the patient ahead of time.
A patient asks a nurse why a friend who is taking the same drug responds differently to that drug. The nurse knows that the most common variation in drug response is due to differences in each patient’s:	Metabolism of drugs
Which groups of people are especially sensitive to medication effects? (Select all that apply)	infants and older adults
A nurse is performing a preoperative drug history on a patient who is admitted to the hospital for surgery.	To evaluate the risk of hemorrhage, the nurse will ask the patient about antiplatelet and anticoagulant medications as well as which dietary supplement? Ginkgo biloba
A patient will begin taking drugs for hyperlipidemia. The patient asks about using flaxseed supplements to increase fiber. What will the nurse tell this patient?	Take the flaxseed 1 hour before taking the drug
Which claim may be made by manufacturers of dietary supplements? (Select all that apply)	“Reduces stress.” “Promotes pulmonary health.” “Energizes and rejuvenates.”
A nurse is caring for a patient infected with the human immunodeficiency virus (HIV). Which finding would most concern the nurse?	Very low helper T lymphocyte count
A nurse is reviewing the immune system with a group of nursing students. One student asks about the difference between cell-mediated immunity and humoral immunity. How should the nurse reply?	“Humoral immunity uses cells produced by B lymphocytes in the immune response.”
A nurse is teaching a group of nursing students about antibodies. The nurse correctly explains that which type of response is triggered when antigens bind to antibodies on mast cells or basophils?	Hypersensitivity reaction
A patient who breast-feeds her infant asks the nurse about the immunity the infant receives from breast milk. What does the nurse tell the patient about immunity through breast-feeding?	“The immunity results from the transfer of IgA through the breast milk.”
Which immune responses can result in harm to the body?	Autoimmune response IgE binding to mast cells and basophils Recognition of MHC molecules as nonself

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