PATRICIA DOYLE V5 PC (HISTORY AND PHYSICAL EXAMS) I-HUMAN| COMPLETE SOLUTIONS 7
• Question 1
1 out of 1 points
1 out of 1 points
For which of the following patients would a nasogastric tube most likely be considered to aid
in the administration of medications?
Respons The use of an NG tube for medication administration requires a functioning GI
e tract. An NG tube would not be used if a patient is vomiting frequently or has
Feedbac had recent bowel surgery.
k Similarly, an NG tube would not be used in the case of a competent adult who
: wishes to discontinue his or her medications.
• Question 17
1 out of 1 points
A patient who has been admitted to the hospital for a mastectomy has stated that she
has experienced adverse drug effects at various times
during her life. Which of the following strategies should the nurse prioritize in order to
minimize the potential of adverse drug effects during the patient's stay in the hospital?
Response In an effort to minimize the potential of adverse drug effects, it is necessary to
Feedback: closely monitor the patient. It would be inappropriate for the nurse to alter the
route or frequency of administration or to encourage herbal remedies that also
carry the potential for adverse effects.
• Question 18
1 out of 1 points
A patient has been prescribed an oral drug that is known to have a high first-pass effect.
Which of the following measures has the potential to increase the amount of the free
drug that is available to body cells?
Response Unlike oral medications, drugs that are given intravenously do not initially
Feedback: pass through the liver. As a result, the first-pass
, PATRICIA DOYLE V5 PC (HISTORY AND PHYSICAL EXAMS) I-HUMAN| COMPLETE SOLUTIONS 7
effect is mitigated and more of the drug is available to cells. Frequent oral
doses, low protein intake, and administration with food do not reduce the first-
pass effect.
• Question 19
1 out of 1 points
An elderly postsurgical patient has developed postoperative pneumonia in the days
following abdominal surgery and is being treated with a number of medications. Which of
the following medications that the nurse will administer has the slowest absorption?
Response Absorption of drugs is dependent primarily on the route of administration. IV,
Feedback: IM, and sublingual administration results in faster absorption than drugs that
are given orally.
• Question 20
0 out of 1 points
A nurse is instructing a patient concerning a newly prescribed drug. Which of the following
should be included to help improve patient compliance and safety?
Respons If patients are aware of certain adverse effects and how to alleviate or
e decrease the discomfort, they are more likely to continue taking the medication
Feedbac and providing for safe administration. A list of pharmacies can be useful
k information, but will not improve safety or compliance. Knowing the cost of the
: brand versus the generic could also be helpful to the patient. However, a
substitution may not be allowed, and the cost of a drug does not improve
patient safety. Most patients are not concerned with statistics regarding drug
testing, and the testing is usually not discussed with patients.
• Question 21
0 out of 1 points
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the
following should the nurse anticipate?
Respons Receptors are not static; they can change or modify their response to a
e stimulus. Such change occurs when a receptor is continuously stimulated to
Feedbac act or continually inhibited from action. Continual stimulation from an agonist
k usually makes the receptor desensitized to the drug and thus less active.
: Therefore, the nurse should anticipate a decrease in effectiveness of the drug.
• Question 22
0 out of 1 points
A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM.
How should the nurse best administer this medication?
• Question 1
1 out of 1 points
1 out of 1 points
For which of the following patients would a nasogastric tube most likely be considered to aid
in the administration of medications?
Respons The use of an NG tube for medication administration requires a functioning GI
e tract. An NG tube would not be used if a patient is vomiting frequently or has
Feedbac had recent bowel surgery.
k Similarly, an NG tube would not be used in the case of a competent adult who
: wishes to discontinue his or her medications.
• Question 17
1 out of 1 points
A patient who has been admitted to the hospital for a mastectomy has stated that she
has experienced adverse drug effects at various times
during her life. Which of the following strategies should the nurse prioritize in order to
minimize the potential of adverse drug effects during the patient's stay in the hospital?
Response In an effort to minimize the potential of adverse drug effects, it is necessary to
Feedback: closely monitor the patient. It would be inappropriate for the nurse to alter the
route or frequency of administration or to encourage herbal remedies that also
carry the potential for adverse effects.
• Question 18
1 out of 1 points
A patient has been prescribed an oral drug that is known to have a high first-pass effect.
Which of the following measures has the potential to increase the amount of the free
drug that is available to body cells?
Response Unlike oral medications, drugs that are given intravenously do not initially
Feedback: pass through the liver. As a result, the first-pass
, PATRICIA DOYLE V5 PC (HISTORY AND PHYSICAL EXAMS) I-HUMAN| COMPLETE SOLUTIONS 7
effect is mitigated and more of the drug is available to cells. Frequent oral
doses, low protein intake, and administration with food do not reduce the first-
pass effect.
• Question 19
1 out of 1 points
An elderly postsurgical patient has developed postoperative pneumonia in the days
following abdominal surgery and is being treated with a number of medications. Which of
the following medications that the nurse will administer has the slowest absorption?
Response Absorption of drugs is dependent primarily on the route of administration. IV,
Feedback: IM, and sublingual administration results in faster absorption than drugs that
are given orally.
• Question 20
0 out of 1 points
A nurse is instructing a patient concerning a newly prescribed drug. Which of the following
should be included to help improve patient compliance and safety?
Respons If patients are aware of certain adverse effects and how to alleviate or
e decrease the discomfort, they are more likely to continue taking the medication
Feedbac and providing for safe administration. A list of pharmacies can be useful
k information, but will not improve safety or compliance. Knowing the cost of the
: brand versus the generic could also be helpful to the patient. However, a
substitution may not be allowed, and the cost of a drug does not improve
patient safety. Most patients are not concerned with statistics regarding drug
testing, and the testing is usually not discussed with patients.
• Question 21
0 out of 1 points
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the
following should the nurse anticipate?
Respons Receptors are not static; they can change or modify their response to a
e stimulus. Such change occurs when a receptor is continuously stimulated to
Feedbac act or continually inhibited from action. Continual stimulation from an agonist
k usually makes the receptor desensitized to the drug and thus less active.
: Therefore, the nurse should anticipate a decrease in effectiveness of the drug.
• Question 22
0 out of 1 points
A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM.
How should the nurse best administer this medication?
