Chapter 3: Drug Action Across the Life Span

Chapter 3: Drug Action Across the Life Span

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What time will the trough blood level need to be drawn if the nurse administers the intravenous medication dose at 9:00 AM?

A.	6:30 AM
B.	8:30 AM
C.	9:30 AM
D.	11:30 AM

 

 

ANS:   B

 

	Feedback
A	Trough blood levels measure the lowest blood level of medicine and are obtained just before the dose is administered. This time is too early to obtain the blood level.
B	Trough blood levels are drawn just before the dose is to be administered.
C	Trough blood levels measure the lowest blood level of medicine and are obtained before the dose is administered. This time is after the medication is administered.
D	Trough blood levels measure the lowest blood level of medicine and are obtained before the dose is administered. This time is after the medication is administered.

 

 

DIF:    Cognitive Level: Application             REF:    31

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

2. What will the nurse expect the health care provider’s order to be when starting an older adult patient on thyroid hormone replacement therapy?

A.	Administer a loading dose of the drug
B.	Directions on how to taper the drug
C.	A dosage that is one third to one half of the regular dosage
D.	A dosage that is double the regular dosage

 

 

ANS:   C

 

	Feedback
A	Loading doses of drugs could cause severe toxicity.
B	Tapering off is characteristic of discontinuation of medications and is not appropriate for this situation.
C	To prevent toxicity, dosages for new medications in older adults should be one third to one half the amount of a standard adult dosage.
D	Older adults generally need a lower medication dosage than younger patients

 

 

DIF:    Cognitive Level: Application             REF:    33

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

3. Which drugs cause birth defects?

A.	Teratogens
B.	Carcinogens
C.	Metabolites
D.	Placebos

 

 

ANS:   A

 

	Feedback
A	Teratogens are drugs that cause birth defects.
B	Carcinogens cause cancer.
C	Metabolites are the end product of metabolism.
D	Placebos are drugs that have no pharmacologic activity.

 

 

DIF:    Cognitive Level: Knowledge             REF:    34

TOP:    Nursing Process Step: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

4. Which life-threatening illness may occur as a result of aspirin (salicylate) administration during viral illness to patients younger than 20 years of age?

A.	Anaphylactic shock
B.	Reye’s syndrome
C.	Chickenpox
D.	Influenza A

 

 

ANS:   B

 

	Feedback
A	Anaphylactic shock is caused by a hypersensitivity reaction.
B	Children are susceptible to Reye’s syndrome if they ingest aspirin at the time of or shortly after a viral infection of chickenpox or influenza.
C	Chickenpox is the result of being infected with a virus.
D	Influenza A is caused by a pathogen.

 

 

DIF:    Cognitive Level: Knowledge             REF:    32

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity