Rasmussen NUR2407 2023 January Module 1 Quiz Latest

NUR2407 Pharmacology

Module 1 Quiz

Question 1 A nurse is explaining evidence-based practice (EBP) to a new student nurse. Which statements are a part of EBP? (Select all that apply)

Practice nursing as it has always been done

Integrate client's preferences into the client's care

Guided by research, use the most currently approved approach to providing client care

Always apply the 3 step process of nursing - assessment, planning, and implementation

Question 2A client is going home on a medication that can not be stopped suddenly, which is included in the discharge teaching. What part of the nursing process is this included in?

Evaluation

Implementation

Planning

Nursing diagnosis

Question 3You receive a patient with a new diagnosis of epilepsy. The doctor has order a larger than normal dose to reach the minimal effective serum concentration level. You realize this is known as what?

Toxic dose

Peak dose

Loading dose

Therapeutic dose

Question 4A client reports that he has been swallowing his nitroglycerin instead of leaving it under his tongue. Teaching is needed. What can happen if sublingual medications are swallowed?

First pass may inactivate the medication

The medication effects will simply be delayed

An esophageal burn will occur

The medication effects will be increased due to first pass effect

Question 5The nurse receives a client with a risk for injury due to taking sedatives. This is included in what phase of the nursing process?

Evaluation

Implementation

Planning

Nursing diagnosis

Question 6A laboring mother wants to know why pain medication is not advisable. What rationales could the nurse offer for this? (Select all that apply)

The blood brain barrier of an infant isn’t fully developed, so infants are at risk for sedation.

The liver of an infant is not well developed, so the effects of sedation can linger in the infant.

Epidural analgesia offers an alternative that will not harm the infant.

The baby will not be able to eliminate the medication until it has its first stool.

The baby can be given naloxone, so analgesia really isn’t a problem. It just isn’t “natural”.

Question 7Revision of a client's care plan goals is included in which phase of the nursing process?

Assessment

Planning

Implementation

Evaluation

Question 8The nurse knows that for a drug to pass rapidly through the GI membrane it needs to be what?

Lipid soluble and ionized

Lipid soluble and nonionized

Water soluble and ionized

Water soluble and nonionized

Question 9The nurse is explaining to a new student nurse the nursing process. Which of the following is the correct order of this process?

Implementation, planning, evaluation, assessment, nursing diagnosis

Assessment, planning, nursing diagnosis, implementation, evaluation

Assessment, nursing diagnosis, planning, implementation, evaluation

Planning, assessment, nursing diagnosis, implementation, evaluation

Question 10The nurse is explaining the disintegration of enteric coated tablets to a client. Where would the nurse teach that this occurs at in the body?

Colon

Liver

Small intestines

Stomach

Question 11A client who takes theophylline for asthma is experiencing theophylline toxicity. Which of these may be a contributing factor? (Select all that apply)

First pass effect

Forgetfulness leading to double dosing

Chewing the capsule

Cirrhosis with gallstones

Taking the medication with food

Question 12A malnourished elderly client has a low albumin level. What is the implication of this finding? (Select all that apply)

Less protein binding will occur. Medication will be more free to bind with target receptors. This may cause excessive effects.

Blood brain barrier crossover will be impaired. Albumin is a lipid. More medicine will be needed.

Low albumin levels will lead to receptor disintegration, so more medication will be needed.

Protein insufficiency can lead to loss of metabolizing enzymes and consequential drug accumulation.

Albumin insufficiency signifies impaired absorption. Doses will need to be increased.

Question 13When entering the client's room for assessment purposes, which of these things would be inappropriate by the nurse? (Select all that apply)

Knocking on the door

Handwashing

Asking the client to share their name and date of birth

The nurse shares his/her own date of birth

Agreeing to be friends on social media

Taking a picture of the client's wound and sharing it outside of work

Question 14The nurse is wanting to measure the margin of safety of a medication. Which description below is correct for this measurement?

Biologic half life

Duration of action

Therapeutic range

Therapeutic index

Question 15Which of these factors might impair the absorption of an oral medication?

The presence of food in the stomach

Renal insufficiency

Hepatic insufficiency

High serum albumin

Question 16The nurse acknowledges that the correct sequence of the 4 processes of pharmacokinetics are:

Absorption, metabolism, distribution, excretion

Distribution, absorption, metabolism, excretion

Distribution, metabolism, absorption, excretion

Absorption, distribution, metabolism, excretion

Question 17The nurse recognizes that which of the following are examples of objective data?  (Select all that apply.)

Observed productive cough

Complaint of ear pain

Lab values

Nausea

Heart rate from radial pulse

Reported allergies

Observed condition of the patients wound

Question 18Which of these assessments is not considered essential prior to giving medications to an acutely ill client?

Vital signs and O2 saturations

Pain rating

Level of consciousness

Mood

Question 19The nurse has just given a dose of antibiotic. Which measurement checks for the highest plasma/serum concentration of the drug?

Peak level

Trough level

Half-life level

Albumin level

Question 20If phenobarbital has a four day half-life, and a client accidentally took 200 mg of the drug on Tuesday morning, and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning?

150 mg

100 mg

75 mg

50 mg