Pharm quiz 1 home
1. which of these factors might impair the absorption of an oral med?
• the presence of food in the stomach
2. a client reports that he has been swallowing his nitroglycerin instead of leaving
it under his tounge. Teaching is needed. What can happen if sublingual meds are
swallowed?
• gastric acid may inactivate the med
3. The nurse is wondering if advocacy for a change to oral med instead of an IV route
of administration is appropriate. What rationale for advocacy would be appropriate?
• A serious infection or injury may start at the site of the IV insertion
4. if phenobarbital has a four day half-life and a client accidently took 200 mg of the
drug on Tuesday morning and no intervention occurred, how much med will remain in
the bloodstream of that client on Thursday morning?
• 200 mg
5. a malnourished elderly client has low serum albumin level. What is the implication
of this finding?
• less protein binding will occur and more medication will be free to
bind with target receptors. This may cause excessive effects.
6. a laboring mother wants to know why pain med is not advisable. What rationales
could the nurse offer to explain this?
• the blood barrier of a fetus is not fully developed so the fetus is at risk
for sedation.
• epidural anesthesia offers an alternative that will not harm the fetus.
• the liver of the fetus is not well developed so the effects of sedation
could linger in the fetus
7. A client who takes Theo-24 (theophylline) for asthma is experiencing theophylline
toxicity. Which of these may be a contributing factor?
• forgetfulness causing double dosage
• cirrhosis with gallstones
• chewing the capsule
8. which comment about over the counter (OTC) meds indicate the need for
further teaching?
• they are generally safe to take while pregnant
9. which of these is not a essential part of med order?
• both the trade and generic names must be cited together
10. the nurse is prioritizing what step to take first when beginning to care for the
client. Which step should occur first?
• check the patients chart and last set of vital signs
11. when entering the clients room for assessment purposes, which of these
actions would be questionable?
• the nurse sharing his or her date of birth with the patient
1. which of these factors might impair the absorption of an oral med?
• the presence of food in the stomach
2. a client reports that he has been swallowing his nitroglycerin instead of leaving
it under his tounge. Teaching is needed. What can happen if sublingual meds are
swallowed?
• gastric acid may inactivate the med
3. The nurse is wondering if advocacy for a change to oral med instead of an IV route
of administration is appropriate. What rationale for advocacy would be appropriate?
• A serious infection or injury may start at the site of the IV insertion
4. if phenobarbital has a four day half-life and a client accidently took 200 mg of the
drug on Tuesday morning and no intervention occurred, how much med will remain in
the bloodstream of that client on Thursday morning?
• 200 mg
5. a malnourished elderly client has low serum albumin level. What is the implication
of this finding?
• less protein binding will occur and more medication will be free to
bind with target receptors. This may cause excessive effects.
6. a laboring mother wants to know why pain med is not advisable. What rationales
could the nurse offer to explain this?
• the blood barrier of a fetus is not fully developed so the fetus is at risk
for sedation.
• epidural anesthesia offers an alternative that will not harm the fetus.
• the liver of the fetus is not well developed so the effects of sedation
could linger in the fetus
7. A client who takes Theo-24 (theophylline) for asthma is experiencing theophylline
toxicity. Which of these may be a contributing factor?
• forgetfulness causing double dosage
• cirrhosis with gallstones
• chewing the capsule
8. which comment about over the counter (OTC) meds indicate the need for
further teaching?
• they are generally safe to take while pregnant
9. which of these is not a essential part of med order?
• both the trade and generic names must be cited together
10. the nurse is prioritizing what step to take first when beginning to care for the
client. Which step should occur first?
• check the patients chart and last set of vital signs
11. when entering the clients room for assessment purposes, which of these
actions would be questionable?
• the nurse sharing his or her date of birth with the patient
