Chapter 29 Medications

Chapter 29 Medications

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A nurse is administering a medication to a client and says to the client, “I have your dailyfurosemide tablet for you.” The client says, “That looks like the same pill I take at home, only it’scalled Lasix.” The nurse explains that medications have trade and generic names, and that theprimary reason for ordering medications under the generic name rather than the trade name isbecause:1)A)It is easier to standardize medications and their chemical makeup.B)Medications are often less expensive when prescribed this way.C)The generic form of a medication is more effective.D)Generic names are easier for the client to remember.Answer:BExplanation:A)Furosemide is the generic name; Lasix is the trade name. The generic name of adrug is its common name. This name can be used by any manufacturer in anycountry. Most nursing drug books present medications alphabetized by genericname. The statement that it is easier to standardize medications is not true; theirchemical makeup refers to the chemical name of a drug. Trade names ofmedications are easier to remember, and drug manufacturers create those nameswith this in mind. The generic name is often longer and more difficult topronounce. There is no difference in drug efficacy between trade or generic name.ImplementationSafe, Effective Care Environment-Coordinated CareApplicationB)Furosemide is the generic name; Lasix is the trade name. The generic name of adrug is its common name. This name can be used by any manufacturer in anycountry. Most nursing drug books present medications alphabetized by genericname. The statement that it is easier to standardize medications is not true; theirchemical makeup refers to the chemical name of a drug. Trade names ofmedications are easier to remember, and drug manufacturers create those nameswith this in mind. The generic name is often longer and more difficult topronounce. There is no difference in drug efficacy between trade or generic name.ImplementationSafe, Effective Care Environment-Coordinated CareApplicationC)Furosemide is the generic name; Lasix is the trade name. The generic name of adrug is its common name. This name can be used by any manufacturer in anycountry. Most nursing drug books present medications alphabetized by genericname. The statement that it is easier to standardize medications is not true; theirchemical makeup refers to the chemical name of a drug. Trade names ofmedications are easier to remember, and drug manufacturers create those nameswith this in mind. The generic name is often longer and more difficult topronounce. There is no difference in drug efficacy between trade or generic name.ImplementationSafe, Effective Care Environment-Coordinated CareApplication1
D)Furosemide is the generic name; Lasix is the trade name. The generic name of adrug is its common name. This name can be used by any manufacturer in anycountry. Most nursing drug books present medications alphabetized by genericname. The statement that it is easier to standardize medications is not true; theirchemical makeup refers to the chemical name of a drug. Trade names ofmedications are easier to remember, and drug manufacturers create those nameswith this in mind. The generic name is often longer and more difficult topronounce. There is no difference in drug efficacy between trade or generic name.ImplementationSafe, Effective Care Environment-Coordinated CareApplication2)A client comes to a city clinic because of abnormal urethral discharge. The client is diagnosed withgonorrhea and an order is written for ceftriaxone sodium (Rocephin) 500 mg IM stat. Themedication is available in a vial that contains 1 g per milliliter of the drug. If all of the followingsyringes with attached needles are available, the nurse will most correctly plan to use a:2)A)2 ml syringe, 18 gauge, 1-inch needle.B)1 ml syringe, 25 gauge, 5/8-inch needle.C)2 ml syringe, 22 gauge, 1 ½-inch needle.D)1 ml syringe with 100 units/ml calibrations, 27 gauge, ½-inch needle.Answer:CExplanation:A)The medication is to be given IM, so a 22 gauge, 1 ½ inch needle is the mostappropriate choice for this route. An 18 gauge is more appropriate for starting anIV, and a 1-inch needle is too short to inject the medication deeply into muscletissue. Although only ½ ml of medication will be given, the gauges and needlelengths in the other answer choices are too small and too short.PlanningPhysiological Integrity-Pharmacological TherapiesAnalysisB)The medication is to be given IM, so a 22 gauge, 1 ½ inch needle is the mostappropriate choice for this route. An 18 gauge is more appropriate for starting anIV, and a 1-inch needle is too short to inject the medication deeply into muscletissue. Although only ½ ml of medication will be given, the gauges and needlelengths in the other answer choices are too small and too short.PlanningPhysiological Integrity-Pharmacological TherapiesAnalysisC)The medication is to be given IM, so a 22 gauge, 1 ½ inch needle is the mostappropriate choice for this route. An 18 gauge is more appropriate for starting anIV, and a 1-inch needle is too short to inject the medication deeply into muscletissue. Although only ½ ml of medication will be given, the gauges and needlelengths in the other answer choices are too small and too short.PlanningPhysiological Integrity-Pharmacological TherapiesAnalysisD)The medication is to be given IM, so a 22 gauge, 1 ½ inch needle is the mostappropriate choice for this route. An 18 gauge is more appropriate for starting anIV, and a 1-inch needle is too short to inject the medication deeply into muscletissue. Although only ½ ml of medication will be given, the gauges and needlelengths in the other answer choices are too small and too short.PlanningPhysiological Integrity-Pharmacological TherapiesAnalysis2
3)A nurse is beginning discharge teaching with a 58-year-old client who will be starting to takealendronate sodium (Fosamax) for osteoporosis. The order is for the client to take one 10 mg tabletof the medication PO AC every morning. When teaching the client about promoting efficacy of themedication and reducing the chances of complications, it is essential that the nurse reinforce theinformation that the:3)A)Medication must be taken by mouth.B)Medication must be taken on an empty stomach.C)Client should not become pregnant while taking the medication.D)Client should never miss a dose of this medication.Answer:BExplanation:A)The abbreviation AC means that a medication is to be given before meals. Thescenario gives further information that this should be administered every morning.The correct way to teach the client to take alendronate sodium (Fosamax) is at least30 minutes before the first morning meal. It should be taken with a full glass ofplain water. The client should also be taught to remain in an upright position for 30minutes after taking the medication to facilitate delivery to the stomach and reduceesophageal irritation. Missing a dose is not desirable; it is not life-threatening ifone is missed. The medication is a tablet and tablets are taken PO, or orally. This isnot the most important information to be reinforced. The client is unlikely at herage to become pregnant, although it is important to know if she is menopausal.ImplementationPhysiological Integrity-Pharmacological TherapiesApplicationB)The abbreviation AC means that a medication is to be given before meals. Thescenario gives further information that this should be administered every morning.The correct way to teach the client to take alendronate sodium (Fosamax) is at least30 minutes before the first morning meal. It should be taken with a full glass ofplain water. The client should also be taught to remain in an upright position for 30minutes after taking the medication to facilitate delivery to the stomach and reduceesophageal irritation. Missing a dose is not desirable; it is not life-threatening ifone is missed. The medication is a tablet and tablets are taken PO, or orally. This isnot the most important information to be reinforced. The client is unlikely at herage to become pregnant, although it is important to know if she is menopausal.ImplementationPhysiological Integrity-Pharmacological TherapiesApplicationC)The abbreviation AC means that a medication is to be given before meals. Thescenario gives further information that this should be administered every morning.The correct way to teach the client to take alendronate sodium (Fosamax) is at least30 minutes before the first morning meal. It should be taken with a full glass ofplain water. The client should also be taught to remain in an upright position for 30minutes after taking the medication to facilitate delivery to the stomach and reduceesophageal irritation. Missing a dose is not desirable; it is not life-threatening ifone is missed. The medication is a tablet and tablets are taken PO, or orally. This isnot the most important information to be reinforced. The client is unlikely at herage to become pregnant, although it is important to know if she is menopausal.ImplementationPhysiological Integrity-Pharmacological TherapiesApplication3
D)The abbreviation AC means that a medication is to be given before meals. Thescenario gives further information that this should be administered every morning.The correct way to teach the client to take alendronate sodium (Fosamax) is at least30 minutes before the first morning meal. It should be taken with a full glass ofplain water. The client should also be taught to remain in an upright position for 30minutes after taking the medication to facilitate delivery to the stomach and reduceesophageal irritation. Missing a dose is not desirable; it is not life-threatening ifone is missed. The medication is a tablet and tablets are taken PO, or orally. This isnot the most important information to be reinforced. The client is unlikely at herage to become pregnant, although it is important to know if she is menopausal.ImplementationPhysiological Integrity-Pharmacological TherapiesApplication