NURSING 306 EXAM 1 PRACTICE QUESTIONS WITH VERIFIED ANSWERS

NURSING 306 EXAM 1 PRACTICE QUESTIONS WITH VERIFIED ANSWERSA provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four A. One Medications with long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this medication once a day. A staff education is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? Select all that apply. A. Increased renal excretion B. Increased medication-metabolizing enzymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes C. E. Liver failure decreases metabolism and thus increases the concentration of a medication, requiring a decreased dosage. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? Select all that apply. A. Have the client lie on her side B. Ask the client to look up at the ceiling C. Tell the client to blink when the drops enter her eye D. Drop the medication into the center of the client's conjunctival sac E. Instruct the client to close her eye gently after instillation B. D. E. Lying on her side is not the best option, and blinking will eject the eye drops. A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will clean the site with an alcohol swab before I apply the patch" B. "I will rotate the application sites weekly" C. "I will apply the patch to an area of skin with no hair" D. "I will place the new patch on the site of the old patch" C. The client should apply the patch to a hairless