Core Concepts in Pharmacology

What does the nurse need to determine prior to administering a medication to a client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1)Contraindications for this medication 2)What drug is ordered 3)The generic and trade name of the medication 4)The manufacturer of the medication 5)The drug classification

After administering a medication,the nurse notes that the client has itching and a runny nose.What is the nursing priority? 1)Document the findings 2)Assess vital signs 3)Notify the charge nurse 4)Monitor the client closely

Following administration of a drug to a client,who has the greatest responsibility for monitoring the client for adverse reactions? 1)The nurse 2)The nursing assistant 3)The family of the client 4)The physical therapist

The nurse is preparing to administer a medication.Which six rights of drug administration should the nurse assess for prior to administering the prescribed medication? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1)Right client 2)Right route of administration 3)Right dose 4)Right time of preparation 5)Right documentation

The nurse is preparing to administer a medication to a client.What are the checks that must occur prior to medication administration? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1)Checking the drug after administering it to the patient 2)Checking the drug when preparing it,pouring it,taking it out of the unit dose container,or connecting the IV tubing to the bag 3)Checking the drug with the medication administration record (MAR)or medication information system when removing it from the medication drawer,refrigerator,or controlled substance locker 4)Checking the drug before administering it to the patient 5)Checking the drug prior to documenting

The nurse is speaking with a client regarding current medications.The client states she does not always take the medications as prescribed.What are the potential reasons for this client's noncompliance? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1)Patients sometimes forget doses of medications. 2)The drug may be too expensive or may not be approved by the patient's health insurance plan. 3)Adverse effects such as headache,dizziness,nausea,diarrhea,or impotence often cause noncompliance. 4)The client takes medications as prescribed. 5)The client may not understand the reason for the medication.

What type of medication order should be given immediately or only once? 1)A single order 2)An ASAP order 3)A prn order 4)A STAT order

The nurse is caring for a client who has medications ordered to be given PO.The client asks the nurse what PO means.What is the best response by the nurse? 1)PO medications are given orally. 2)PO medications are given rectally. 3)PO medications are given intramuscularly. 4)PO medications are given vaginally.

The physician ordered amlodipine (Norvasc)5 mg tab PO bid.The drug is dispensed as 1 tablet,which is 5 mg.How should the nurse administer the medication? 1)One tablet orally four times per day 2)One tablet orally three times per day 3)One tablet orally once per day 4)One tablet orally twice per day

The physician writes an order for a medication to be given SL tid.How should the nurse administer the prescribed medication order to the client? 1)Subcutaneous three times per day 2)Subcutaneous four times per day 3)Sublingual three times per day 4)Sublingual four times per day

The nurse is reviewing some medication administration orders for her clients.Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1)hs-hour of sleep/bedtime 2)ac-after meals; after eating 3)prn-when needed/necessary 4)qid-three times per day 5)pc-before meals

Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1)PO-pills only 2)gtt-drop 3)no-number 4)qh-every hour 5)qid-three times a day

The nurse is reviewing orders for a newly admitted client with a student.Which statement by the student indicates that the student understands the meaning of a standing order? 1)It is to be given only once and at a specific time. 2)It is written in advance of a situation,and should be carried out under specific circumstances. 3)It is usually carried out within two hours of the time the order is written by the physician,but the exact timing is defined by each facility. 4)It is administered as required by the patient's condition.

The nurse is recording intake for a client.The nurse must document the client's intake in milliliters.What is the conversion between cups and milliliters? 1)One cup equals 15 mL 2)One cup equals 240 mL or 8 ounces 3)One cup equals 30 mL 4)One cup equals 500 mL

The nurse is weighing an infant during a well-care visit.The nurse weighs the child in kilograms but the client's parents ask what the weight is in pounds and ounces.The nurse calculates the weight based on which conversion? 1)One kilogram equals 2.2 pounds. 2)One kilogram equals 3.2 pounds. 3)One kilogram equals 1.2 pounds. 4)One kilogram equals 0.45 pounds.

A client has been prescribed a liquid medication to be taken 15 mL tid.How should the nurse instruct the client to take this medication? 1)Carefully measure the medication using any teaspoon and take one teaspoon three times per day. 2)Carefully measure the medication using any tablespoon available and take one tablespoon three times per day. 3)Carefully measure using a medical dosing device and take 15 mL,which equals one tablespoon three times per day. 4)Carefully measure using a medical dosing device and take 15 mL,which equals one teaspoon three times per day.

A client is being discharged with an order to drink 2400 mL of fluid per day.The client asks the nurse how many cups this equals.Which nursing response is the most appropriate? 1)You should drink five 8-ounce glasses of fluid per day. 2)You should drink ten 8-ounce glasses of fluid per day. 3)You should drink 1 pint of fluid per day. 4)You should drink 2 pints of fluid per day.

Which routes are appropriate for the nurse to use when administering enteral medications? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1)Subcutaneous 2)Oral 3)Via gastrostomy tube 4)Via nasogastric tube 5)Via intravenous tube

The nurse is preparing to administer medications to a client by nasogastric (NG)tube.Which type of medication should not be given by this route? 1)All medications can be given via NG tube 2)Tablets 3)Sustained-release medications 4)Liquid medications

The physician orders a medication to be given via the buccal route.What instructions should the nurse provide to the client prior to taking the medication? 1)The tablet should be crushed and given in either pudding or applesauce. 2)The tablet is placed in the oral cavity between the gum and the cheek. 3)The tablet is placed under the tongue and allowed to dissolve slowly. 4)This drug should be applied directly to the skin.