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CTUAL EXAM COMPLETE 140 QUESTIONS AND CORRECTD n n n n n n n
ETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRAD n n n n n
ED A+ n
A provider prescribes phenobarbital for a client who has a seizure disorder.
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nThe medication has a long half-
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life of 4 days. How many timesper day should the nurse expect to administe
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r this medication?
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A. One
B. Two
C. Three
D. Four - ANSWER A. One n n n n
(Medications with long half- n n n
lives remain at their therapeutic levelsbetween doses for long periods
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nof time. The nurse should expect toadminister this medication once a
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nday.)
A staff educator is reviewing medication dosages and factors that influenc
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e medication metabolism with a group of nurses at an in-
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servicepresentation. Which of the following factors should the educator in
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cludeas a reason to administer lower medication dosages? (Select all that a
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pply.)
A. Increased renal secretion n n
B. Increased medication-metabolizing enzymes n n
C. Liver failure n
D. Peripheral vascular disease n n
E. Concurrent use of medication the same pathway metabolizes - n n n n n n n n
ANSWER C. Liver failure
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E. Concurrent use of medication the same pathway metabolizes
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,C. Liver failure decreases metabolism and thus increases the concentratio
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n of a medication. This requires decreasing the dosage.
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E. When the same pathway metabolizes two medications, they competefo
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r metabolism, thereby increasing the concentration of one or both medica
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tions. This requires decreasing the dosage of one or both
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A nurse is preparing to administer eye drops to a client. Which of thefollow
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ing actions should the nurse take? (Select all that apply.)
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A. Have the client lie on her side. n n n n n n
B. Ask the client to look up at the ceiling.n n n n n n n n
C. Tell the client to blink when the drops enter her eye.
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D. Drop the medication into the center of the client's conjunctival sac.
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E. Instruct the client to close her eye gently after instillation - ANSWER
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B. Ask the client to look up at the ceiling.
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D. Drop the medication into the center of the client's conjunctival sac.
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E. Instruct the client to close her eye gently after instillation
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(B. The client should look upward to keep the drops from falling ontohe
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r cornea.
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D. The nurse should drop the medication into the center
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nof the conjunctival sac to promote distribution.
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E. The client should close her eye gently to promote distribution of themed
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ication)
A nurse is completing discharge teaching for a client who has a new prescr
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iption for transdermal patches. Which of the following statementsshould t
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he nurse identify as an indication that the client understands theinstruction
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s?
A. "I will clean the site with an alcohol swab before I apply the patch."
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B. "I will rotate the application sites weekly."
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C. "I will apply the patch to an area of skin with no hair."
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,D. "I will place the new patch on the site of the old patch. - ANSWER
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C. "I will apply the patch to an area of skin with no hair."
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(The client should apply the patch to a hairless area of skin to promoteabsor
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ption of the medication.)
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A nurse reviewing a client's medical record notes a new prescription forver
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ifying the trough level of the client's medication. Which of the following a
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ctions should the nurse take?
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A. Obtain a blood specimen immediately prior to administering the nextd
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ose of medication.
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B. Verify that the client has been taking the medication for 24 hr beforeob
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taining a blood specimen. n n n
C. Ask the client to provide a urine specimen after the next dose ofm
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edication.
D. Administer the medication,and obtain a blood specimen 30 min late - n n n n n n n n n n
ANSWER A. Obtain a blood specimen immediately prior to administerin
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g the next dose of medication.
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(To verify trough levels of a medication, the nurse should obtain a bloodsp
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ecimen immediately before administering the next dose of medication.)
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A nurse is preparing a client's medications. Which of the following actions
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should the nurse take in following legal practice guidelines?(Select all that
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apply.)
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A. Maintain skill competency. n n
B. Determine the dosage. n n
C. Monitor for adverse effects. n n n
D. Safeguard medications. n
E. Identify the client's diagnosis - n n n n
ANSWER A. Maintain skillcompetency.
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C. Monitor for adverse effects.
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, D. Safeguard medications.
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(A.maintaining skill competency and using appropriate administrationtn n n n n n n
echniques are legal responsibilities of the nurse
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C. A nurse is legally responsible for monitoring for side and adverseeffects
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of medication
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D. Safeguarding of medications, such as controlled substances, is a legalre
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sponsibility of the nurse) n n n
A nurse reviewing a client's health record notes a new prescription forLi
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sinopril 10 mg PO once every day. The nurse should identify this aswhic
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h of the following types of prescription?
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A. Single
B. Stat
C. Routine
D. Standing - ANSWER C. Routine n n n n
(A routine or standard prescription identifies medications to give on a regu
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lar schedule with or without a termination date or a specific numberof dose
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s. The nurse will administer
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this medication every day until the provider discontinues it.)
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A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRNfor
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nausea and vomiting for a client who has Hyperemesis Gravidarum. The n
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urse should clarify which of the following parts of the prescriptionwith the
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provider?
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A. Name
B. Dosage
C. Route
D. Frequency - ANSWER D. Frequency n n n n