NUR 135 Test 1 With Full Correct
Solutions
A nurse is providing an oral medication for pain relief to a client. To attain the
fastes pain relief, the nurse administers the medication so that it is most
rapidly absorbed from the Gastrointestinal tract. Which of the following has
the fastest absorption? - Ans--Liquid Suspension
A client asks why he has to take a medication on an empty stomach. The
nurse explains that generally food does which of the following to drug
dissoluation and absorption? - Ans--Decreases
A client is given an oral medication that is a lipid soluble, nonionized drug.
This drug will be absorbed: - Ans--Readily
The client is given a drug at 0800hours. The drug has a half-life of 6 hours.
At what time will half of the drug be eliminated from the system? - Ans--1400
hours (6 hours later)
The client questions why she is only getting furosemide (lasix) 20mg by the
intravenous route when she is used to taking furoseminde (lasic) 40mg
orally every day. The appropriate response by the nurse is. - Ans--"IV doses
of medications work much faster and generally require a smaller dose than
than your oral preparation"
The client is to receive a prodrug. Before giving this medication, the nurse
will check which of the following? - Ans--Not the protein levels in the blood.
or kidney function not whter the drug is given
The nurse is giving a transdermal medication. The first thing the nurse will
do is: - Ans--Remove the old transdermal patch.
The nurse is administering a drug that is highly protein bound, but the
client's serum albumin is low. The nurse will be expect the physician to: -
Ans--Decrease the dosage.
, The client is emaciated with very poor, small muscle mass. The client is to
receive a medication given intramuscularly (IM). The best choice of action
by the nurse is to: - Ans--Use a shorter needle
The client is given a drug that may cause gastrointestinal upset. The best
action by the nurse is to: - Ans--Give the drug with a small amount of food.
The nurse gives a drug IV that has an onset of action of 7 minutes. The fast
action of this drug is due to: - Ans--Elimination of the hepatic first-pass
effect.
The client's kidney funtion lab studies reveal that there is kidney
impairment. The nurse giving medications will do which of the following as a
priority? - Ans--Monitor for signs and symptoms of drug toxicity.
Your client which abdominal pain complains of pain 10/10 on the ten point
scale. He is sitting in bed watching TV and does not appear in acute
distress. Your priority action is to: - Ans--Medicate the client per MD
standing orders.
The client is nauseated and has vomited. The patient is scheduled for
medication administration and all of the drugs are to be given orally. The
priority action by the nurse is to: - Ans--Notify the MD of the gastric distress
and hold the medications.
You have two clients in one room. Both are receiving the same meds, but by
different routes. The priority action by the nurse is to: - Ans--Verify the five
rights of safe medication practice and proceed with administration.
You are giving medications and you know the client is treated for
hypertension. The drug you have has a trade name that you do not
recognize. Your priority action is to: - Ans--Verify the generic name against
the pharmacy label and the drug order.
The elderly client with multiple medical problems is on numerous
medications. The priority action by the nurse is to: - Ans--Observe for
untoward effects and drug-drug interactions.
Solutions
A nurse is providing an oral medication for pain relief to a client. To attain the
fastes pain relief, the nurse administers the medication so that it is most
rapidly absorbed from the Gastrointestinal tract. Which of the following has
the fastest absorption? - Ans--Liquid Suspension
A client asks why he has to take a medication on an empty stomach. The
nurse explains that generally food does which of the following to drug
dissoluation and absorption? - Ans--Decreases
A client is given an oral medication that is a lipid soluble, nonionized drug.
This drug will be absorbed: - Ans--Readily
The client is given a drug at 0800hours. The drug has a half-life of 6 hours.
At what time will half of the drug be eliminated from the system? - Ans--1400
hours (6 hours later)
The client questions why she is only getting furosemide (lasix) 20mg by the
intravenous route when she is used to taking furoseminde (lasic) 40mg
orally every day. The appropriate response by the nurse is. - Ans--"IV doses
of medications work much faster and generally require a smaller dose than
than your oral preparation"
The client is to receive a prodrug. Before giving this medication, the nurse
will check which of the following? - Ans--Not the protein levels in the blood.
or kidney function not whter the drug is given
The nurse is giving a transdermal medication. The first thing the nurse will
do is: - Ans--Remove the old transdermal patch.
The nurse is administering a drug that is highly protein bound, but the
client's serum albumin is low. The nurse will be expect the physician to: -
Ans--Decrease the dosage.
, The client is emaciated with very poor, small muscle mass. The client is to
receive a medication given intramuscularly (IM). The best choice of action
by the nurse is to: - Ans--Use a shorter needle
The client is given a drug that may cause gastrointestinal upset. The best
action by the nurse is to: - Ans--Give the drug with a small amount of food.
The nurse gives a drug IV that has an onset of action of 7 minutes. The fast
action of this drug is due to: - Ans--Elimination of the hepatic first-pass
effect.
The client's kidney funtion lab studies reveal that there is kidney
impairment. The nurse giving medications will do which of the following as a
priority? - Ans--Monitor for signs and symptoms of drug toxicity.
Your client which abdominal pain complains of pain 10/10 on the ten point
scale. He is sitting in bed watching TV and does not appear in acute
distress. Your priority action is to: - Ans--Medicate the client per MD
standing orders.
The client is nauseated and has vomited. The patient is scheduled for
medication administration and all of the drugs are to be given orally. The
priority action by the nurse is to: - Ans--Notify the MD of the gastric distress
and hold the medications.
You have two clients in one room. Both are receiving the same meds, but by
different routes. The priority action by the nurse is to: - Ans--Verify the five
rights of safe medication practice and proceed with administration.
You are giving medications and you know the client is treated for
hypertension. The drug you have has a trade name that you do not
recognize. Your priority action is to: - Ans--Verify the generic name against
the pharmacy label and the drug order.
The elderly client with multiple medical problems is on numerous
medications. The priority action by the nurse is to: - Ans--Observe for
untoward effects and drug-drug interactions.
