Chapter 35 Researching and Preparing Medications

Chapter 35  Researching and Preparing Medications

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. While providing care and medications to a number of patients during the shift, the nurse recognizes that which of the following patients has the highest risk for an adverse drug reaction?
A.
A 29-year-old male with a history of asthma.
B.
A 55-year-old male with hepatitis.
C.
A 41-year-old female being treated for pneumonia.
D.
A 68-year-old female with a cerebral vascular accident.

____ 2. While caring for a patient who recently took a new anticonvulsant medication, the nurse would contact the physician immediately if
A.
The patient reports a rash across the abdomen.
B.
The patient reports feeling nauseated.
C.
The patient reports itching across the chest and neck.
D.
The patient reports feeling short of breath.

____ 3. The nurse is called to the room of a patient who is receiving an intravenous antibiotic. The patient is flushed, anxious, and short of breath. First the nurse should
A.
Determine the patient’s blood pressure.
B.
Contact the physician.
C.
Listen to the patient’s breath sounds.
D.
Stop the intravenous infusion.

____ 4. While admitting a new patient to the unit, the patient reports, “I’m allergic to Vicodin; it makes me sick to my stomach.” The nurse’s best action is to
A.
Record Vicodin under allergies and the patient’s reported symptoms.
B.
Inform the patient this is not a true allergy.
C.
Make a note in the chart that the patient cannot take Vicodin.
D.
Contact the physician to report the patient’s allergies.

____ 5. While reviewing lab values, the student notes a patient’s digoxin level is 2.1 ng/mL. Which of the following actions should the nurse take regarding the patient’s scheduled dose of digoxin?
A.
The level is therapeutic, so the nurse should continue with digoxin.
B.
The level is toxic, so the nurse should hold the patient’s digoxin.
C.
The level is sub-therapeutic, so the nurse should notify the physician.
D.
The level is therapeutic, so the nurse should check the patient’s pulse prior to administration.

Chapter 35. Researching and Preparing Medications
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
Asthma is a chronic illness, but it generally does not impact the patient’s ability to metabolize or excrete medications.
B
Some reasons that adverse reactions might occur include chronic illness that affects the body’s ability to metabolize and excrete the drug, drug allergies, liver or renal impairment or failure, and history of previous drug reactions. Hepatitis will impact drug metabolism. Chapter Objective: Contrast desired effects, side effects, and adverse effects of medications.
C
This patient is most likely receiving antibiotics, but she has no significant history or current process that increases the risk of an adverse drug reaction.
D
This patient has no known significant history or current process that increases the risk of an adverse drug reaction.

PTS: 1 REF: Chapter: 35 | Page: 830 OBJ: Chapter Objective: 35-7
KEY: Content Area: Adverse Effects | Integrated Process: Nursing Process/Evaluation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Analysis

2. ANS: D

Feedback
A
A typical mild allergic reaction causes a rash, hives, and itching.
B
This side effect is not life-threatening.
C
A typical mild allergic reaction causes a rash, hives, and itching.
D
A more severe reaction, referred to as an anaphylactic reaction, is life-threatening. It causes swelling of the airways, shortness of breath, respiratory arrest, decreased blood pressure, and eventually circulatory collapse. Chapter Objective: Describe allergic reactions, including anaphylaxis.

PTS: 1 REF: Chapter: 35 | Page: 831 OBJ: Chapter Objective: 35-8
KEY: Content Area: Adverse Effects | Integrated Process: Nursing Process/Evaluation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Analysis

3. ANS: D

Feedback
A
This is an important assessment, but it is not the highest priority.
B
This is an important action if the nurse’s assessment indicates that the patient is experiencing acute distress or an anaphylactic reaction, but it is not the highest priority.
C
This is an important assessment, but it is not the highest priority.
D
Safety: If you suspect an anaphylactic reaction, stop the medication at once and follow facility procedure for responding to anaphylaxis. Chapter Objective: Describe allergic reactions, including anaphylaxis.

PTS: 1 REF: Chapter: 35 | Page: 831 OBJ: Chapter Objective: 35-8
KEY: Content Area: Adverse Effects | Integrated Process: Nursing Process/Implementation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application

4. ANS: A

Feedback
A
Safety: If the patient says that he or she is allergic to a medication, the nurse must record it as an allergy, along with documenting the patient’s description of the reaction when the medication is taken. Chapter Objective: Describe allergic reactions, including anaphylaxis.
B
An allergy to Vicodin must be listed in the patient’s chart.
C
Vicodin must be listed as an allergy since the patient reported it as such.
D
There is no need to contact the physician at this time.

PTS: 1 REF: Chapter: 35 | Page: 831 OBJ: Chapter Objective: 35-8
KEY: Content Area: Contraindications and Compatibilities | Integrated Process: Nursing Process/Implementation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application

5. ANS: B

Feedback
A
This level is toxic.
B
Blood levels greater than 2.0 ng/mL of blood indicate toxic levels of digoxin. Chapter Objective: Identify common classifications of medications and safety assessments to make prior to administering them.
C
This level is toxic.
D
This level is toxic.

PTS: 1 REF: Chapter: 35 | Page: 831 OBJ: Chapter Objective: 35-11
KEY: Content Area: Contraindications and Compatibilities | Integrated Process: Nursing Process/Implementation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application