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07 Sep A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication??20240403063359_660cf

Posted at 11:47h in Chemistry / Pharmacology by

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

NURS 676 Advanced Pharmacology Midterm Exam (WCU) @Question And Answers

@QUIZ 1

A nurse works in a private hospital and needs to administer some narcotic drugsto one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?

( WCU ) ( MIDTERM EXAM 2023-2024 )

Selected Answer:

· @QUIZ 2

Narcotics to be used in the hospital are dispensed only with a written prescription.

1 out of 1 points

A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?

Selected Answer:

· @QUIZ 3

The drug will decrease in effectiveness

1 out of 1 points

A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care?

Selected Answer:

· @QUIZ 4

Acute Pain, Headache, related to adverse effects of drug therapy

1 out of 1 points

A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of

Selected Answer:

· @QUIZ 5

nonpharmacologic interventions combined with an exercise program.

1 out of 1 points

A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments?

Selected Answer:

· @QUIZ 6

Pain intensity, respiratory rate, and level of consciousness

1 out of 1 points

A patient has been prescribed an oral drug that is known to have a high first- pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells?

Selected Administering the drug intravenously rather than

Answer: orally

· @QUIZ 7

1 out of 1 points

A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs?

Selected Answer:

· @QUIZ 8

The drugs' generic names

1 out of 1 points

Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process?

Selected Answer:

· @QUIZ 9

To ensure the safety of the public

1 out of 1 points

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

Selected Answer:

· @QUIZ 10

may cause nutrient deficiencies.

1 out of 1 points

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

Selected Answer:

identify any changes in drug absorption that would change the drug effect.

· @QUIZ 11

1 out of 1 points

What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours?

Selected Answer:

· @QUIZ 12

Route

1 out of 1 points

A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of

Selected Answer:

· @QUIZ 13

an adrenergic antagonist.

1 out of 1 points

Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)?

Selected Answer:

· @QUIZ 14

Gastrointestinal distress

0 out of 1 points

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

Selected Answer:

· @QUIZ 15

Into the patient shoulder muscle using a small-gauge needle

0 out of 1 points

A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered

Selected Answer:

· @QUIZ 16

orally.

1 out of 1 points

A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to

Selected Answer:

· @QUIZ 17

swallow the tablet with milk or food.

1 out of 1 points

A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs?

Selected Answer:

· @QUIZ 18

Possible drug–drug interactions that might occur

1 out of 1 points

A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the

following?

Selected Answer:

· @QUIZ 19

How well a drug produces its desired effect

1 out of 1 points

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?

Selected Answer:

"I broke out in hives and got terribly itchy when I started a new prescription last year."

· @QUIZ 20

1 out of 1 points

An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined that the drug is no longer needed. The nurse at the facility will plan to

Selected Answer:

· @QUIZ 21

withdraw the drug gradually over a 2 to 3 week period.

1 out of 1 points

A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately?

Selected Answer:

· @QUIZ 22

Muscle twitching

1 out of 1 points

The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system?

Selected Answer:

Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed.

· @QUIZ 23

1 out of 1 points

A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient?

Selected Answer:

Oropharyngeal Candida albicans infection

· @QUIZ 24

1 out of 1 points

A nurse practitioner understands when prescribing a medication that there are certain @QUIZs to address. Check all that apply.

Selected Answers:

· @QUIZ 25

Is there a need for the drug in treating the presenting problem?

Is this the best drug for the presenting problem? Can the patient take the prescribed drug?

1 out of 1 points A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy

has also experienced intermittent abdominal pain and has lost almost 15

pounds this year. Which of the following medications is most likely to treat this boy's diagnosis?

Selected Answer:

· @QUIZ 26

Mesalamin e

1 out of 1 points

A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development?

Selected Answer:

· @QUIZ 27

Administering investigational drugs to patients

1 out of 1 points

A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?

Selected Answer:

· @QUIZ 28

Vitamin B

1 out of 1 points

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?

Selected Answer:

· @QUIZ 29

Intravenous infusion.

1 out of 1 points

A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's

Selected Answer:

· @QUIZ 30

use of alcohol.

1 out of 1 points

To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should

Selected Answer:

· @QUIZ 31

administer carbohydrates.

1 out of 1 points

A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to

Selected Answer:

· @QUIZ 32

avoid aggravating the gastrointestinal tract.

1 out of 1 points

A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome?

Selected Answer:

· @QUIZ 33

The patient develops muscle rigidity and a sudden, high fever.

1 out of 1 points

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?

Selected Answer:

Monitor the patient vigilantly for signs and symptoms of potentially adverse drug effects

· @QUIZ 34

1 out of 1 points

A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?

Selected Answer:

· @QUIZ 35

Late afternoon

1 out of 1 points

A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?

Selected Answer:

· @QUIZ 36

Shrimp

1 out of 1 points

A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a

Selected Answer:

· @QUIZ 37

lower-than-normal dose.

1 out of 1 points

A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking

Selected Answer:

· @QUIZ 38

an elixir.

1 out of 1 points

A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will @QUIZ this order because

Selected Answer:

· @QUIZ 39

secretions may be retained.

1 out of 1 points

A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to

Selected Answer:

rebound bronchoconstriction.

· @QUIZ 40

1 out of 1 points

These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug

Selected Answer:

· @QUIZ 41

Schedule 3

1 out of 1 points

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

Selected Answers:

provide regular feedback about product safety issues.

facilitate the reporting of adverse reactions of drugs.

increase awareness of serious reactions caused by drugs or medical devices.

· @QUIZ 42

1 out of 1 points

A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient?

Selected Answer:

· @QUIZ 43

Risk for Injury related to CNS depressant effects

1 out of 1 points

A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to

Selected Answer:

· @QUIZ 44

pork.

1 out of 1 points

A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication?

Selected Answer:

· @QUIZ 45

Dizziness

1 out of 1 points

A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due to

Selected Answer:

polypharmacy decreasing the number of available protein- binding sites.

· @QUIZ 46

1 out of 1 points

An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption?

Selected Answer:

An oral antidepressant that the patient has been taking daily for several years

· @QUIZ 47

1 out of 1 points

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?

Selected Answer:

· @QUIZ 48

1 hour

1 out of 1 points

A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug?

Selected Answer:

"Determine if the drug is going to make you drowsy before you drive."

· @QUIZ 49

1 out of 1 points

Talwin given in combination with Vistaril diminishes the adverse effects of nausea caused by the Talwin. This drug interaction affecting the pharmacodynamics of the Talwin is

Selected Answer:

· @QUIZ 50

an antagonistic effect.

1 out of 1 points

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

Selected Answer:

· @QUIZ 51

take their medication at the prescribed times.

1 out of 1 points

A 57-year-old male patient who has been prescribed doxorubicin for small-cell lung cancer is advised by the nurse to avoid taking aspirin or drugs that contain aspirin because it may

Selected Answer:

· @QUIZ 52

promote bleeding.

1 out of 1 points

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 @QUIZ the patient concerning her diet?

Selected Answer:

· @QUIZ 53

The amount of meat and vegetables

1 out of 1 points

A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that

Selected Answer:

optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment.

· @QUIZ 54

1 out of 1 points

A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?

Selected Answer:

· @QUIZ 55

Dietary habits

1 out of 1 points

A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is

Selected Answer:

· @QUIZ 56

headache.

1 out of 1 points

A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment?

Selected Answer:

· @QUIZ 57

Carefully assess the patient for infections

1 out of 1 points

A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of

Selected Answer:

· @QUIZ 58

seizure disorders.

1 out of 1 points

A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to

Selected Answer:

· @QUIZ 59

avoid the small veins in the dorsum of the hand or the wrist.

1 out of 1 points

A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension. The patient lives in assisted living and is on a low- sodium diet. Before the magnesium hydroxide therapy begins, it will be most important for the nurse to assess the patient's

Selected Answer:

· @QUIZ 60

medication history.

1 out of 1 points

A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen?

Selected Answer:

It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs.

· @QUIZ 61

1 out of 1 points

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?

Selected Answer:

· @QUIZ 62

Monitor the IV site for redness, swelling, or pain

1 out of 1 points

A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement?

Selected Answer:<

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