Chapter 33: Pharmacology and Preparation for Drug Administration

Chapter 33: Pharmacology and Preparation for Drug Administration

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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:

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:

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:

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:

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:

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