Chapter 33 Pharmacology and Preparation for Drug Administration

Chapter 33  Pharmacology and Preparation for Drug Administration

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:
a.
leave the medication in a cup at the bedside.
b.
ask another licensed nurse to check the dose.
c.
sign out the drug on a narcotic control inventory sheet.
d.
tell the patient to drink extra water with the pill.

ANS: C
Schedule II drugs are narcotics, which are controlled substances that are kept in a locked area on the nursing unit, and each dose must be signed out.

DIF: Cognitive Level: Application REF: p. 622 OBJ: Theory #2
TOP: Legal Control of Drugs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

2. The nurse is aware that the primary care provider has ordered a pain relief drug to be delivered in the manner in which postoperative pain would be relieved most rapidly. This method is:
a.
intradermally.
b.
orally.
c.
intramuscularly.
d.
intravenously.

ANS: D
Intravenously administered medications are absorbed more quickly than medications administered by other routes.

DIF: Cognitive Level: Knowledge REF: p. 625|Table 33-5
OBJ: Theory #3 TOP: Medication Absorption
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

3. A nurse is administering a medication to an older adult patient who is normally highly protein bound. The nurse would be concerned about increased drug activity and possible toxicity if the patient’s laboratory values show:
a.
low albumin levels.
b.
high glucose levels.
c.
low sodium levels.
d.
high potassium levels.

ANS: A
Albumin is a type of protein, and this patient is at risk if the albumin level is low, because this larger amount of drug will circulate in unbound form, increasing risk of adverse and toxic effects.

DIF: Cognitive Level: Analysis REF: p. 632
OBJ: Clinical Practice #1 TOP: Medication Absorption
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

4. A patient with liver disease is beginning medication therapy with a drug that is metabolized in the liver. The nurse anticipates the dose of the medication to be:
a.
increased above the normal dose.
b.
double the normal dose.
c.
unchanged from the normal dose.
d.
lower than the normal dose.

ANS: D
When there is a decrease in liver function resulting from disease or aging, a smaller dose may be ordered to prevent excess drug accumulation and development of toxicity.

DIF: Cognitive Level: Analysis REF: p. 632
OBJ: Clinical Practice #1 TOP: Factors Leading to Toxicity
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

5. A patient is receiving antibiotic drug therapy. It is important to ensure the scheduled dose is not given late to keep the circulating drug level above the:
a.
peak concentration level.
b.
minimum concentration level.
c.
average concentration level.
d.
baseline concentration level.

ANS: B
If a drug is given late, the concentration level of the drug in the circulation could drop below the minimum effective concentration level.

DIF: Cognitive Level: Comprehension REF: p. 627
OBJ: Clinical Practice #1 TOP: Pharmacodynamics
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies