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NURS 6521 WEEK 2 QUIZ | 7 Pages |26 Questions | Best for 2022 Exam Revision | PDF |

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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 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? Response Feedback: The nurse should ideally use the generic names of the drugs in care plans. The generic name is also known as its nonproprietary name. Usually, a drug is ordered by the generic name because numerous trade names may exist for the same drug. It is difficult to remember a drug by its chemical name, because it is usually long and complex. Therefore, drugs are generally not known by their chemical names. Drugs do not have biologic names. Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Response Feedback: Federal legislation protects the public from drugs that are impure, toxic, ineffective, or not tested before marketing. The primary purpose of federal legislation is to ensure safety. This consideration supersedes issues of legal liability, treatment options, and efficiency of health care delivery. A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Response Feedback: A nurse can administer narcotics in the hospital after ensuring that narcotics are dispensed only with a written prescription. JCAHO sets the standards for quality of patient care and accreditation of health care institutions, not for using narcotics. Which of the following patients should be advised by the nurse to avoid over-the- counter cold and allergy preparations that contain phenylephrine? Response Feedback: Phenylephrine is an alpha-1 adrenergic agonist and a drug commonly used topically for relief of nasal and nasopharyngeal mucosal congestion and to produce mydriasis for ophthalmologic procedures. Phenylephrine acts as a vasopressor causing vasoconstriction of the arterioles. The vasoconstriction from phenylephrine use can increase peripheral resistance and blood pressure. People with hypertension should not take over-the-counter cold and allergy preparations containing phenylephrine because it can further increase their already elevated blood pressure. Patients with diabetes and gout have not been identified as being at risk for adverse reactions from the use of phenylephrine. A patient with an upper respiratory infection may actually benefit from use of the drug. A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient? Response Feedback: Cultural competence requires maintaining awareness of one's own values and beliefs without letting them have undue influence on those of other backgrounds, demonstrating knowledge and understanding of another's culture, accepting and respecting cultural differences, and considering a patient's culture carefully. This does not mean that only Spanish-speaking staff members should provide care, that the nurse must teach the patient about American culture or that the nurse should address the children before the patient. When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

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NURS 6521 WEEK 2 QUIZ

• Question 1
1 out of 1 points
A patient has taken an overdose of a vitamin/mineral supplement containing
magnesium. The nurse will be sure to assess
Respon
An increase of magnesium could cause hypotension; therefore, the
se
nurse should assess the patient's blood pressure. Body
Feedba
temperature, skin changes, and fluid intake are not critically
ck:
associated with an overdose of magnesium.
• Question 2
1 out of 1 points
The nurse practitioner orders Amoxicillin 250 mg/5 ml tid for 10 days? The nurse
practitioner would expect the pharmacist to fill the prescription bottle with how many
ml?

• Question 3
0 out of 1 points
A nurse receives an order to administer a critically ill patient two drugs immediately
(stat). The nurse begins the process by
Response A nurse should always make sure that two or more drugs can be given

, Feedback: at the same time before the administration process is begun.
Incompatibility can affect absorption and distribution. Once the nurse
is certain that the drugs are compatible, he or she should perform
handwashing and prepare the medications for administration. The
nurse should also identify the patient appropriately and ask about
drug allergies prior to administering the medication.
• Question 4
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?
Respon
Phase III studies involve administering investigational drugs to
se
patients in a vast clinical market who are voluntarily enrolled in
Feedba
double-blind studies. In phase I studies, a small number of
ck:
healthy human volunteers are given the drug after blood urine and
other appropriate samples are taken to monitor drug metabolism.
Sometimes volunteers who have a certain disease are used in phase
I instead of healthy volunteers if the drug is expected to have
significant toxicity. In phase II, volunteers are given various dosages
of the test compound and studied in great detail. Dosage guidelines
are usually determined in this phase. Nurses are more likely to be
responsible for administering the investigational drugs in phase III
than in phases I and II. Use of animal testing is done in the preclinical
trials and would not involve a nurse.
• Question 5
1 out of 1 points
A physician has ordered subcutaneous injections of morphine, a narcotic, every 4
hours as needed for pain for a motor vehicle accident victim. The nurse is aware that
there is a high abuse potential for this drug and that it is categorized as a
Respon
Narcotics such as morphine are considered C-II drugs because of the
se
high abuse potential with severe dependence liability. C-I drugs have
Feedba
high abuse potential and are not accepted for medical use. C-III drugs
ck:
have a lesser abuse potential than C-II drugs and an accepted
medical use. C-IV drugs have a low abuse potential and limited
dependence liability.
• Question 6
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
Response The patient would likely be prescribed a lower-than-normal dose of

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