A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive
A) a higher-than-normal dose of drugs that bind to acid glycoproteins.
B) a lower-than-normal dose of drugs that bind to acid glycoproteins.
C) the recommended normal dose of drugs that bind to acid glycoproteins.
D) one half the recommended dose of drugs that bind to acid glycoproteins.
A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a
A) higher-than-normal dose.
B) lower-than-normal dose.
C) child's dose.
D) weight-based protocol dose.
A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a
A) C-I drug.
B) C-II drug.
C) C-III drug.
D) C-IV drug.
A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient?
A) Ensure that the woman receives care solely from Spanish-speaking caregivers.
B) Consider dimensions of the woman's cultural background when planning care.
C) Integrate teaching about American culture when interacting with the patient.
D) Address the woman's children first when explaining her care and changes in her health status.
A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states
A. Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed.
B. Consult with several pharmacists to determine the cost of each drug.
C. educate the patient to discard syringes in recycle bin
D. consult with the physician concerning choice of medications for the patient
A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will
A) speak loudly.
B) exaggerate her mouth movements.
C) use nonverbal language.
D) seak fast.
A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal?
A. National Provider Identification (NPI)
B. Centers for Medicare & Medicaid Services (CMS)
C. Health Insurance Portability and Accountability Act of 1996 (HIPPA)
D. None of the above
A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.
A. Is there a need for the drug in treating the presenting problem?
B. Is this the best drug for the presenting problem?
C. Can the patient take the prescribed drug?
A nurse at a large, university hospital has been informed that a drug trial will be taking place that may involve several patients in the hospital over the next several months. What is the nurse's most likely role in this drug testing process?
A) Determining the clinical efficacy and safety of the drug
B) Suggesting potential improvements to the testing process
C) Administering the investigational drug to patients
D) Consulting on the methodology that has been chosen for testing the drug
Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug
A. Schedule 1
B. Schedule 2
C. Schedule 3
D. Schedule 4
A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug?
A) Where to purchase the medication
B) The cost of the drug
C) The therapeutic effects and possible adverse effects
D) The pharmacokinetics of the drug
A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called
A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?
A) Narcotics are banned in private settings and cannot be used.
B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO).
C) Narcotics to be used in the hospital are dispensed only with a written prescription.
D) Narcotics can be used in the hospital according to patient preferences.
What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours?
D) Trade name of the drug
Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for “investigational use only” by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this?
A) Schedule 1
B) Schedule 2
C) Schedule 3
D) Schedule 4
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day?
A) 500 mg
B) 1000 mg
C) 1500 mg
D) 150 mg
A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs?
A) The drugs' chemical names
B) The drugs' generic names
C) The drugs' trade names
D) The drugs' biologic names
Which of the following serves to protect the public by ensuring the purity of a drug and its contents?
A) American Pharmaceutical Association
B) United States Adopted Names Council
C) Nursing drug guides
D) Federal legislation
Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process?
A) To protect state and federal departments from legal liability
B) To maximize autonomy and treatment options for citizens
C) To facilitate the efficiency of health care delivery
D) To ensure the safety of the public
A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery. The nurse's response to this request should be
A) "I'm sorry, but that will not be possible."
B) "I will need to inform the doctor and see if he will allow this."
C) "As long as the ritual does not interfere with the patient's preoperative care, it will be okay."
D) "I don't think that will help, but you have the right to perform the ritual."
A nurse who provides care in a long-term care facility is documenting a new resident's medication regimen on the resident's intake admission. The nurse is documenting the generic, rather than proprietary, names of the resident's current drugs because
A) there is a potential for confusion and miscommunication if proprietary names are used.
B) proprietary names of drugs can vary from state to state.
C) documentation of trade names for drugs requires permission from the manufacturer.
D) drugs with generic names are prescribed and used differently than proprietary drugs.
A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that
A) under the Combat Methamphetamine Abuse Act, pseudoephedrine now requires a prescription.
B) drugs containing pseudoephedrine are available without a prescription but are kept off pharmacy shelves.
C) she must be prepared to show identification when buying a drug that contains pseudoephedrine.
D) pseudoephedrine is being phased out of the marketplace in order to combat illegal use.
A patient has been prescribed a Scheduled 5 drug, an example of this drug is
B) Narcotic Analgesics
A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess
A) blood pressure.
B) body temperature.
C) fluid intake.
D) skin changes.
A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will
A) determine the best pharmacy for the patient to buy his medications.
B) compare the medications ordered by the health care provider with the list of medications obtained from the patient and communicate discrepancies to the health care provider.
C) Provide instructions pertaining to each medication the patient is currently taking and then add the medications ordered during the hospitalization.
D) explain to the patient the pharmacokinetics of each drug he will be taking in the hospital.
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- Submitted On 16 Jun, 2018 03:46:48