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A nurse is preparing to give an oral dose of drug X to treat a patient's high blood
pressure. After giving the drug, the nurse finds that it not only reduces the blood
pressure without serious harmful effects, but it also causes the patient to have
nausea and headache. Based on this information, which property of an ideal drug
is this drug lacking?
a. Effectiveness
b. Safety
c. Selectivity
d. Ease of administration
c. Selectivity
The nurse is preparing to give a drug with certain properties. Which property of
the drug is the most compelling indication that it should not be given?
a. The drug produces an unwanted side effect.
b. The drug is difficult to administer.
c. The drug's effects are reversible.
d. The drug is not effective for its intended purpose.
d. The drug is not effective for its intended purpose.
Why is it important for drugs to have ease of administration?
a. Fewer administration errors
b. Less risk of side effects
c. Greater chemical stability
d. Greater likelihood of reversibility
a. Fewer administration errors
The nurse teaches a patient not to consume alcohol with nitroglycerine, because
the blood pressure often drops significantly when nitroglycerine is taken with
alcohol. Which drug property does this illustrate?
a. Chemical instability
b. Drug interaction
c. Reversible action
d. Drug selectivity
b. Drug interaction
When studying the impact a drug has on the body, the nurse is reviewing what?
a. The drug's pharmacokinetics
b. The drug's selectivity
c. The drug's pharmacodynamics
d. The drug's predictability
c. The drug's pharmacodynamics
When studying the effects of drugs in humans, the nurse is learning about what?
a. Pharmacology
b. Clinical pharmacology
,c. Therapeutics
d. Effectiveness
b. Clinical pharmacology
Which statement by a new nurse indicates that further study is indicated?
a. Effectiveness is the most important property a drug can have.
b. There is no such thing as a safe drug.
c. Drugs are defined as illegal substances.
d. There is no such thing as a selective drug; all medications cause side effects.
c. Drugs are defined as illegal substances.
What is the ultimate concern for the nurse when administering a drug?
a. Intensity of the response
b. Dosage
c. Route of administration
d. Timing of administration
a. Intensity of the response
What is the objective of drug therapy?
a. To provide maximum benefit with minimal harm
b. To provide minimum benefit with maximum harm
c. To provide total relief of symptoms regardless of harm
d. To provide as much benefit as possible
a. To provide maximum benefit with minimal harm
Characteristics unique to each patient can influence pharmacokinetic and
pharmacodynamic processes. What characteristics may determine the patient's
response to a drug? (Select all that apply.)
a. Age
b. Gender
c. Weight
d. Mood
e. Genetics
a, b, c, and e
The nurse is preparing to administer a dose of penicillin. Before administering the
medication, the nurse assesses the patient's allergy history. Which aspect of
drug therapy does this represent?
a. Making PRN (as needed) decisions
b. Evaluating therapeutic effects
c. Ensuring proper dosage
d. Identifying high-risk patients
d. Identifying high-risk patients
The nurse is preparing to administer a medication with the following order:
"Aldomet 250 mg daily." What should the nurse do?
a. Administer the medication as it was given last time.
b. Administer the medication by mouth.
c. Verify the order with the prescriber.
d. Ask the patient how this medication is usually given.
c. Verify the order with the prescriber.
, Which aspect of drug therapy indicates to the nurse whether a drug is having a
beneficial effect?
a. Performing a preadministration assessment
b. Evaluating therapeutic responses
c. Minimizing adverse effects
d. Managing toxicity
b. Evaluating therapeutic responses
The nurse is managing the care of a group of patients with cancer who will be
receiving chemotherapy. The nurse defines goals, sets priorities, identifies
interventions, and establishes criteria for evaluating success. Which phase of the
nursing process does this represent?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
b. Planning
The nurse identifies which as the goal of drug therapy in the treatment of
patients?
a. Cure of the disease
b. Follow-up with the prescriber
c. Correct administration technique
d. Production of maximum benefit with minimum harm
d. Production of maximum benefit with minimum harm
A diabetic patient is taught the signs and symptoms of hypoglycemia with insulin
use. The patient knows to eat fast-acting carbohydrates. This is an example of
which goal?
a. Minimizing adverse effects
b. Promoting therapeutic effects
c. Minimizing adverse interactions
d. Managing toxicity
a. Minimizing adverse effects
When questioning a patient about his or her allergic reaction to a drug, the nurse
should ask for which additional information?
a. The dose taken
b. The type of reaction
c. Who gave the drug
d. What was eaten with the drug
b. The type of reaction
The nurse is obtaining a drug history for a patient admitted to the unit. The nurse
obtains information about past and present health histories, currently used
prescription drugs, behavioral factors, and use of over-the-counter (OTC) drugs.
What other information does the nurse need to obtain? (Select all that apply.)
a. Use of recreational drugs and substances
b. Usual sleep patterns and disturbances
c. Highest level of education completed