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NURS 1140 Pharm Ch. 3, 4, 5, 6 Questions
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Which record may be updated in pencil and then discarded when the patient is discharged from the hospital? A. PRN record B. Kardex record C. Graphic record D. Patient education record - โโB. Kardex record Which sequence of actions is correct when preparing to administer a controlled substance to a patient if an automated dispensing system is not available? (put steps in order A through D) A. Unlock the cabinet B. Count the contents in the cabinet with another nurse C. Verify time interval and enter details in the inventory control record D. Record the degree of effectiveness - โโA - C - D - B Which is an example of a transcription-based medication error? A. Omission of orders B. Incorrect dose for diagnosis C. Extra dose given or missed dose D. Suboptimal drug therapy decisions - โโA. Omission of orders Which types of medication error have occurred when a patient who has received suboptimal patient education takes a drug that is not prescribed and develops an allergy and intolerance? Select all that apply. A. Dispensing B. Prescribing C. Monitoring
D. Transcription E. Administration - โโB, C Which descriptions are characteristic of monitoring medication errors? Select all that apply. A. Suboptimal patient education B. Suboptimal drug therapy decisions C. Drug for patient with known allergy or intolerance D. Suboptimal assessment of drug response or revision of regimen E. Misinterpretation or misunderstanding of drug ordered or any directions listed - โโA, D Which medication order process is most likely to result in a medication error? A. PRN B. Single C. Verbal D. Standing - โโC. Verbal Which statement is true about the floor or ward system with regard to medication administration in the hospital? A. It reduces medication errors B. It diminishes the drug deterioration C. It minimizes the return of medications D. It requires infrequent total drug inventories - โโC. It minimizes the return of medications Which statement is true about the use of identification bracelets in the administration of medications? A. One patient identifier is enough to confirm the identity B. It is not necessary to check the identification bracelet every time C. Children should be asked their names before administering a drug D. Verbal confirmation of the name of all patients on the ID bracelet is needed - โโD. Verbal confirmation of the name of all patients on the ID bracelet is needed
B. Patient education C. Unscheduled medication D. Medication administration - โโA. Kardex Which form is required when seeking permission from a patient before starting any treatment? A. Consent B. Patient history C. Physician's order D. Physical examination - โโA. Consent Which information can be documented in an order form? Select all that apply. A. Laboratory tests B. Diagnostic procedures C. Problems to be corrected D. Medications and treatments E. Improvements in the patient's condition - โโA, B, D Which drug has reduced absorption in an infant? A. Ampicillin B. Phenytoin C. Ibuprofen D. Chloramphenicol palmitate - โโD. Chloramphenicol palmitate For which medication can blood and urine samples be obtained for legal purposes? A. Cocaine B. Digoxin C. Gentamicin D. Phenobarbital - โโA. Cocaine
Which class of drugs is categorized as water soluble? A. Phenothiazines B. Antidepressants C. Aminoglycosides D. Calcium channel blockers - โโC. Aminoglycosides Which parameter should be monitored to determine optimal functioning of the kidneys in an elderly patient? A. Serum proteins B. Serum creatinine C. Urinary creatinine D. Blood urea nitrogen - โโC. Urinary creatinine Which drug interferes with the metabolism of a nursing infant? A. Aspirin B. Alprazolam C. Cytarabine D. Amphetamine - โโC. Cytarabine Which information about pregnancy-related issues is required to be on drug labels per the Food and Drug Administration (FDA) rules? Select all that apply. A. Contraception B. Pregnancy testing C. Infertility D. Risks when taking while breastfeeding E. Dietary requirements - โโA, B, C, D When should blood samples be taken to measure peak value for an oral medication?
C. Hypothyroidism D. Nephrotic syndrome - โโD. Nephrotic syndrome Which number is the pH in the stomach of a premature infant? A. 2 B. 3 C. 5 D. 6 - โโD. 6 Which number is the gastric pH of a full-term newborn after 24 hours? A. 4 B. 5 C. 6 D. 7 - โโA. 4 Which factor is the reason for administering a higher dose of a water-soluble drug on a milligram-per- kilogram (mg/kg) basis to an infant? A. Lean body mass B. High fat content C. Larger volume of distribution D. Low percentage of total body water - โโC. Larger volume of distribution When initiating drug therapy in elderly adults, at which range are prescribed medications are typically started? A. 1/4 to 1/ B. 1/8 to 1/ C. 1/3 to 1/ D. 1/2 to 3/4 - โโC. 1/3 to 1/
Which class of drugs would be given at higher than normal doses in an infant? A. Phenothiazines B. Benzodiazepines C. Calcium channel blockers D. Aminoglycoside antibiotics - โโD. Aminoglycoside antibiotics Which genetic factor influences how a person responds to a medication? A. Genome B. Polymorphisms C. Pharmacokinetics D. Pharmacogenetics - โโB. Polymorphisms Which phenomenon occurs in the body as a person ages? A. Lean body mass decreases B. Total body water increases C. Total fat content decreases D. Protein needs peak at adolescence - โโA. Lean body mass decreases Which statement made by a nurse indicates effective teaching on the cumulative effects of drugs? A. "It may occur because of administration of benzodiazepines." B. "Excessive accumulation of drugs may cause toxicity." C. "It occurs when a patient has no control over consumption of drugs." D. "It may lead to psychological symptoms when the drug is withdrawn." - โโB. "Excessive accumulation of drugs may cause toxicity." Which actions are examples of independent nursing actions? Select all that apply. A. Collecting the premedication assessment B. Reviewing the diagnostic test along with pharmacist results C. Evaluating the lab test results with the primary healthcare provider
E. Assessment finding of laboratory reports - โโD, E Which processes provide data about the patient's physiology to assist in formulation of the first phase of the nursing diagnosis? Select all that apply. A. Critical care pathway B. Head-to-toe assessment C. Body system assessment D. Evidence-based medicine E. Gordon's Function Health Patterns - โโB, C Which factor is associated with "deficient knowledge" as a nursing diagnosis? A. Low cognitive level B. Poor economic resources C. Differences in cultural factors D. Insufficient or improper patient education - โโD. Insufficient or improper patient education Which step in the nursing process is executed when the nurse collects the lab results of direct and total bilirubin levels of a patient with jaundice? A. Planning B. Evaluation C. Assessment D. Implementation - โโC. Assessment What does the classification system NMDS stand for? A. New Medicine Detail Service B. Nursing and Medicine Data Service C. Nursing Minimum Data Set D. National Medicine Details Set - โโC. Nursing Minimum Data Set
When a patient's family members report that the patient is depressed because of problems related to personal and professional life, which category of human needs is at greatest risk in the patient? A. Belonging B. Physiologic C. Self-esteem D. Self-actualization - โโD. Self-actualization Which patient information should be gathered when developing a "risk" nursing diagnosis? A. Functional disability B. Psychological changes C. Lifestyle modifications D. Structural modifications - โโC. Lifestyle modifications Which are examples of self-actualization needs? Select all that apply. A. Dignity B. Improved values C. Increased creativity D. Group companionship E. Less rigid conventionally - โโB, C, E Which information is considered objective data? A. Chief problem B. Laboratory results C. Medical history of a patient D. Review of body systems - โโB. Laboratory results Diagnosis represents which phase of the five-step nursing process? A. First B. Second
Which actions does the model Case Management Adherence Guidelines, version 2, help the nurse perform? Select all that apply. A. Make decisions B. Dictate the patient's actions C. Assess the patient's knowledge D. Understand the patient's support system E. Identify those who are more at risk for nonadherence - โโC, D, E Which post teaching intervention by the nurse may result in ineffective learning in the patient? A. Using a teach back session for the patient B. Asking whether or not the patient has understood C. Rescheduling sessions to revise the lesson content D. Providing teaching information in small increments - โโB. Asking whether or not the patient has understood Which patient is learning in the psychomotor domain? A. A patient who learns from previous experiences B. A patient who identifies from previous experiences C. A patient who learns a new technique or procedure D. A patient who expresses the importance of a health lifestyle - โโC. A patient who learns a new technique or procedure Which source is appropriate for the patient seeking information about sickle cell anemia? A. Krames Online B. Therapeutic Choices C. Health on the Net Foundation D. Healthcare institution intranet - โโA. Krames Online Which teaching material is essential to teach the basics of diabetes to a patient? A. Models
B. Computers C. Photographs D. Video recording - โโC. Photographs Which statement describes the objective of health teaching for a pregnant patient with diabetes who complains of nausea and vomiting? A. Encourage the patient to exercise B. Improve the patient's fluid intake C. Teach the patient the interrelationship of food and insulin D. Encourage the patient to eat hot instead of cold meals - โโB. Improve the patient's fluid intake Which principle is involved in the teach-back method? A. Considering learning styles B. Considering education level C. Organizing teaching sessions D. Motivating the individual to learn - โโC. Organizing teaching sessions The cognitive domain involves which portion of the learning process? A. Feeling B. Thinking C. Doing D. Observing - โโB. Thinking Which factor acts as a key to evaluate a patient's psychomotor skills after a lesson? A. Asking for further queries B. Reviewing the previous session C. Asking for return demonstartions D. Considering the patient's language abilities - โโC. Asking for return demonstrations
B. Pamphlets C. Computers D. Photographs - โโC. Computers Which drug information source discusses both nonpharmacologic and pharmacologic therapies? A. Krames Online B. Therapeutic Choices C. Health on the Net Foundation D. Healthcare institution intranet - โโB. Therapeutic Choices Which action fosters successful achievement in a health regimen? A. Reviewing accomplishments B. Repeating learning sessions C. Reinforcing accomplishments D. Rescheduling presentations - โโC. Reinforcing accomplishments Which principle is involved in teaching a patient based on his or her view of the illness? A. Utilization of relevant content B. Organization of teaching session C. Consideration of education level D. Determination of readiness to learn - โโA. Utilization of relevant content Which teaching method is most effective when educating patients about medications? A. Presenting content in a few long sessions B. Designing a teaching method and pace for each patient C. Using a single teaching method for all patients D. Encouraging all family members to be present for each teaching session - โโB. Designing a teaching method and pace for each patient
How can the nurse positively influence the teaching and learning process? A. By being enthusiastic about the content to be taught B. By reviewing a session which has already been taught C. By stopping the presentation when the patient is anxious D. By rescheduling the session when the patient is not ready to learn - โโA. By being enthusiastic about the content to be taught Which type of learning is involved in the cognitive domain? A. Beliefs B. Feelings C. Knowledge D. New procedures - โโC. Knowledge
