NURS 6521A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication?

Week 1 quiz

Question 1

A patient has been prescribed several drugs and fluids to be
given intravenously. Before the nurse starts the intravenous administration, a
priority assessment of the patient will be to note the

Question 2

A nurse is caring for a postsurgical patient who has small
tortuous veins and had a difficult IV insertion. The patient is now receiving
IV medications on a regular basis. What is the best nursing intervention to
minimize the adverse effects of this drug therapy?

Question 3

A nurse who is responsible for administering medications
should understand that the goals of the MedWatch program are to (Select all
that apply.)

Question 4

In response to a patient’s nausea, the nurse has mixed a
dose of an antiemetic with 50 mL of sterile normal saline and will administer
the dose by IV piggyback. What is the rationale for the use of IV piggyback?

Question 5

A home health nurse notes that there have been changes to a
patient’s oral drug regimen. The nurse will closely monitor the new drug regimen
to

Question 6

A patient who has been admitted to the hospital for a
mastectomy has stated that she has experienced adverse drug effects at various
times during her life. Which of the following strategies should the nurse
prioritize in order to minimize the potential of adverse drug effects during
the patient’s stay in the hospital?

Question 7

An older adult patient with a history of Alzheimer’s disease
and numerous chronic health problems has been prescribed several medications
during his current admission to hospital and recent declines in the patient’s
cognition have impaired his ability to swallow pills. Which of the following
medications may the nurse crush before administering them to this patient?

Question 8

A mother brings her 4-year-old child, who is vomiting and
has a temperature of 103°F into the emergency department (ED). The ED physician
orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give
the child, considering her presentation, would be

Question 9 The nurse is caring for a patient receiving an
aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following
will alert the nurse that the patient may be experiencing nephrotoxicity?

Question 10

For which of the following patients would a nasogastric tube
most likely be considered to aid in the administration of medications?

Question 11

A patient has a blood serum drug level of 50 units/mL. The
drug’s half-life is 1 hour. If concentrations above 25 units/mL are toxic and
no more of the drug is given, how long will it take for the blood level to
reach the nontoxic range?

Question 12

The nurse’s assessment of a community-dwelling adult
suggests that the client may have drug allergies that have not been previously
documented. What statement by the client would confirm this?

Question 13

A nurse is caring for a patient who has had part of her
small intestine removed due to cancer. She has also now developed hypertension
and has been prescribed a new medication to decrease her blood pressure. While
planning the patient’s care, the nurse should consider a possible alteration in
which of the following aspects of pharmacokinetics?

Question 14

In light of her recent high blood pressure readings, a
patient has been started on a thiazide diuretic and metoprolol (Lopressor),
which is a beta-adrenergic blocker. What is the most likely rationale for using
two medications to address the patient’s hypertension?

Question 15

A patient who has ongoing pain issues has been prescribed
meperidine (Demerol) IM. How should the nurse best administer this medication?

Question 16

A 56-year-old female patient has been admitted to the
hospital with chronic muscle spasms and has been prescribed a new medication to
treat the spasms. She has a poorly documented allergy to eggs, synthetic
clothes, and perfumes. What is the priority action of the nurse to ensure that
prescribed medication does not experience an allergic reaction?

Question 17

In order to promote therapeutic drug effects, the nurse
should always encourage patients to

Question 18

In which of the following patients would a nurse expect to
experience alterations in drug metabolism?

Question 19

An unconscious patient has been brought to the hospital, and
the physician has prescribed a life-saving drug to be administered parenterally.
Which of the following methods would be the most appropriate for the nurse to
use when administering the medication?

Question 20

A nurse is instructing a patient concerning a newly
prescribed drug. Which of the following should be included to help improve
patient compliance and safety?

Question 21

The culture and sensitivity testing of a patient’s wound
exudate indicates that a specific antibiotic is necessary for treatment. The
United States Pharmacopeia–National Formulary indicates that the drug in
question is 96% protein bound. What are the implications of this fact?

Question 22

5 ml = _______________tsp

Question 23

During a clinic visit, a patient complains of having
frequent muscle cramps in her legs. The nurse’s assessment reveals that the
patient has been taking over-the-counter laxatives for the past 7 years. The
nurse informed the patient that prolonged use of laxatives

Question 24

A nurse is caring for a patient who has recently moved from
Vermont to south Florida. The patient has been on the same antihypertensive
drug for 6 years and has had stable blood pressures and no adverse effects.
Since her move, however, she reports “dizzy spells and weakness” and feels that
the drug is no longer effective. The nurse suspects that the change in the
effectiveness of the drug is related to

Question 25

A nurse has been administering a drug to a patient
intramuscularly (IM). The physician discontinued the IM dose and wrote an order
for the drug to be given orally. The nurse notices that the oral dosage is
considerably higher than the parenteral dose and understands that this due to

Question 26

A community health nurse is performing a home visit to an
elderly client who receives twice-weekly wound care. The client has mentioned
that she has been having difficulty sleeping, a problem that she has not
previously experienced. Which of the following measures should the nurse
suggest?

Question 27

A nurse is caring for a 78-year-old patient with renal
insufficiency and chronic heart failure who is receiving rapid infusions of
high-dose furosemide. It will be a priority for the nurse to monitor for

Question 28

A 70-year-old woman is starting on an acidic drug. The nurse
is aware that food and nutrient intake can affect drug excretion by changing
the urinary pH. About which of the following will the nurse question the
patient concerning her diet?

Question 29

A nurse is conducting an assessment of a patient who has
recently had several changes made to her drug regimen. What assessment question
most directly addresses the safety implications of the patient’s drug regimen?

Question 30

A 70-year-old woman with a history of atrial fibrillation
has been admitted with a lower gastrointestinal bleed. During the nurse’s
admission assessment, the nurse realizes that the patient has been taking
ginkgo biloba supplements in addition to her prescribed warfarin, a combination
that has resulted in bleeding. What nursing diagnosis should the nurse identify
when planning this patient’s care?

Question 31

A nurse is caring for a 92-year-old patient who is taking
multiple drugs and displaying increased cognitive impairment and memory loss.
The initial action of the nurse would be to

Question 32

A nurse is caring for a 70-year-old patient who is taking
desmopressin (DDAVP). The patient has a history of cardiovascular disease. The
nurse will prioritize the assessment of which of the following?

Question 33

A nurse is administering drugs to a 70-year-old patient who
has a reduced plasma albumin level. When assessing the patient for therapeutic
outcomes of drug therapy, the nurse will also be careful to observe for

Question 34

A 79-year-old woman who takes several medications for a
variety of chronic health problems has been prescribed an oral antiplatelet
aggregator that is to be taken once daily. The nurse has encouraged the woman
to take the pill at the same time of day that she takes some of her other
medications. What is the most likely rationale for the nurse’s advice?

Question 35

An 80-year-old man has been prescribed oxycodone for severe,
noncancer, chronic pain. He tells the nurse that he has difficulty swallowing
and asks if he can crush the tablet before swallowing. The nurse will advise
the patient that

statements.

Question 36

A 77-year-old man with a long history of absence seizures
has been treated with ethosuximide for many years. The man is now in the
process of moving to a long-term care facility and a nurse is creating a plan
of care. The nurse understands the potential adverse effects of this drug and
would consequently prioritize which of the following nursing diagnoses?

Question 37

A nurse is caring for a 73-year-old man who is receiving
drug therapy. He is beginning to exhibit signs of decline in his renal system,
yet his current serum creatinine level is normal. The nurse will base the
patient’s plan of care on the understanding that there is

Response Feedback:

The patient’s creatinine level is within the normal range
for his age. Less creatinine overall exists in the older adult because
creatinine production declines as muscle mass decreases. The normal creatinine
level can be misleading and should not be interpreted as an indication of
normal renal function or effectiveness of the drug.

Question 38

An older adult who lives in a long-term care facility has
recently begun taking losartan (Cozaar) for the treatment of hypertension. The
nurse who provides care for this resident should recognize that this change in
the resident’s medication regimen make create a risk for

Question 39

A 72-year-old man is taking Adderall XR for the treatment of
narcolepsy. He is currently having problems with not being able to swallow
large tablets or capsules. The man also wears dentures, which makes it even
more difficult for him to swallow medication. He is in the clinic to talk to
the nurse about his problem. The nurse will instruct him to

Question 40

An elderly man has been admitted to a residential care
facility and the nurse has conducted a medication reconciliation. The man has
taken numerous drugs in the past, including a course of bicalutamide (Casodex)
several years earlier. The nurse recognizes this drug as being an antiandrogen
and is consequently justified in presuming that the man has a history of what
disease?

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