Ford Roach’s Introductory Clinical Pharmacology 9th Edition by Susan M. Ford -Test Bank

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Ford Roach’s Introductory Clinical Pharmacology 9th Edition by Susan M. Ford -Test Bank

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Chapter 2- Administration of Drugs

1.	What is the nurse responsible for when a drug is prescribed to a client? Select all that apply.
	A)	Administering the drug to the client.
	B)	Monitoring for therapeutic response.
	C)	Checking for drug-drug interactions.
	D)	Reporting adverse reactions.
	E)	Teaching the client information needed to administer drugs safely at home.

 

2.	Which of the following is part of the concept known as the five + 1 rights of drug administration? Select all that apply.
	A)	Right documentation
	B)	Right patient
	C)	Right route
	D)	Right drug
	E)	Right prescriber

 

3.	Which of the following are appropriate ways to identify a client prior to administering a prescribed drug?
	A)	Checking a client’s name on his or her wristband.
	B)	Checking a client’s chart.
	C)	Asking the client to identify himself or herself and give his or her birth date.
	D)	Asking a client if they are the correct client.
	E)	Using a recent picture of the client if available.

 

4.	Which of the following should the nurse compare when determining the right drug to administer to the client? Select all that apply.
	A)	Medication
	B)	Container label
	C)	Medication record
	D)	MAR
	E)	Nursing notes

 

5.	Which of the following must be included on the physician’s order? Select all that apply.
	A)	Client’s name
	B)	Drug name
	C)	Dosage form
	D)	Route of administration
	E)	Frequency of administration

 

6.	When a physician phones in an order for a client, the nurse should do which of the following? Select all that apply.
	A)	Write down the order.
	B)	Record the order as soon as the MAR is retrieved.
	C)	Repeat back the information exactly as written.
	D)	Clarify any unclear information.
	E)	Obtain verbal confirmation that the information is correct.

 

7.	Which of the following factual knowledge should the nurse have prior to administering a drug? Select all that apply.
	A)	Normal dosage range
	B)	Special precautions in administration
	C)	Drug’s most common adverse effects
	D)	Drug’s general action
	E)	Reason for use of the drug

 

8.	Which of the following represent the different types of orders that may be given by a physician? Select all that apply.
	A)	Standing order
	B)	STAT order
	C)	Single order
	D)	Alternate order
	E)	PRN order

 

9.	A nurse should never do which of the following when administering a drug to a client? Select all that apply.
	A)	Chart immediately on the MAR after drug administration.
	B)	Remove a drug from an unlabeled container.
	C)	Give a drug that someone else prepared.
	D)	Crush tablets or open capsules.
	E)	Remove the wrapping of unit dose until the drug reaches the client’s bedside.

 

10.	Drug errors can occur at which of the following stages? Select all that apply.
	A)	When transcribing the drug order.
	B)	When verifying the client.
	C)	When dispensing the drug.
	D)	When charting after drug administration.
	E)	When administering the drug.

 

11.	Which of the following can a nurse do to help prevent drug errors? Select all that apply.
	A)	Recheck all calculations.
	B)	Always administer the drug before answering any client’s questions.
	C)	Avoid distractions and concentrate on only one task at a time.
	D)	Confirm any questionable orders.
	E)	Practice the five + 1 rights of drug administration.

 

12.	Which of the following abbreviations are appropriate to use in care plans, nurses’ notes, or medical orders at accredited health care organizations? Select all that apply.
	A)	IU
	B)	QD
	C)	0.2 mg
	D)	Unit
	E)	2.0 mg

 

13.	Which of the following is scanned during administration of a drug using a bar code point-of-care medication system? Select all that apply.
	A)	Client’s hospital chart
	B)	Client’s identification band
	C)	Drug unit dose package
	D)	Nurse’s identification badge
	E)	Client’s medication administration record

 

14.	Which of the following is considered a unit dose system? Select all that apply.
	A)	Floor stock bottle of aspirin 81 mg
	B)	A prefilled Lovenox syringe
	C)	One Phenergan suppository
	D)	Floor stock bottle of Motrin suspension
	E)	Single-dose cup of Maalox

 

15.	Which of the following steps need to be taken by the nurse when administering a drug to a client via the oral route? Select all that apply.
	A)	Assure clients are in an upright position prior to administration.
	B)	Assure that a full glass of water is readily available.
	C)	Assure that a client always has access to PRN drugs by leaving them at the bedside.
	D)	Instruct client to tilt head back to swallow a capsule.
	E)	Instruct client to tilt head forward to swallow a tablet.

 

16.	To properly administer an oral dosage form through a nasogastric feeding tube or gastrostomy, the nurse should do which of the following? Select all that apply.
	A)	Do not dilute liquids prior to administration.
	B)	Check the tube for placement.
	C)	Crush tablets and dissolve them in water prior to administration.
	D)	Flush the tube with water after drugs are administered.
	E)	Flush the tube with air to assure the tube is clear prior to administration.

 

17.	A nurse can administer parenteral drugs via which of the following?
	A)	Subcutaneous
	B)	Intramuscular
	C)	Intradural
	D)	Intravenous
	E)	Intradermal

 

18.	Which of the following are steps a nurse should follow when administering a drug via intramuscular injection? Select all that apply.
	A)	Always wear gloves.
	B)	Cleanse skin at injection site.
	C)	Place pressure on the area after removing the needle.
	D)	Recap the needle before disposal.
	E)	Aspirate for 5 to 10 seconds.

 

19.	When administering an intradermal injection, a 1-mL syringe with what gauge needle should be used? Select all that apply.
	A)	26 gauge
	B)	28 gauge
	C)	29 gauge
	D)	25 gauge
	E)	27 gauge

 

20.	A client has an order to receive 10 units of Lantus insulin at bedtime via subcutaneous injection. Which of the following are appropriate sites for the injection? Select all that apply.
	A)	Upper arms
	B)	Inner forearm
	C)	Upper abdomen
	D)	Gluteus maximus
	E)	Upper thigh

 

21.	A nurse is required to give an intramuscular (IM) injection to a 2-year-old infant. Which of the following is the most appropriate administration site for this patient?
	A)  Dorsogluteal site    B)  Deltoid muscle    C)  Vastus lateralis    D)  Ventrogluteal site

 

22.	A physician instructs a nurse to administer a drug to a patient STAT. Which of the following should the nurse perform in this situation?
	A)	Insist on obtaining a written report before administering any drug.
	B)	Administer the drug as instructed by the physician.
	C)	Forgo obtaining the physician’s order after the drug has been administered.
	D)	Document the administration of the drug only after receiving the physician’s order.

 

23.	A nurse has administered narcotics to a patient. Which of the following interventions should the nurse perform immediately after administering the drug?
	A)	Monitor the vital signs of the patient.
	B)	Document administration of the drug.
	C)	Inform the patient about the type of drug.
	D)	Update the physician regarding the patient’s condition.

 

24.	A nurse is required to administer a drug through the transdermal route. Which of the following responsibilities should the nurse follow for the patient?
	A)	Apply next dose to a new site.
	B)	Check the infusion rate.
	C)	Inject only the inner part of the forearm.
	D)	Give small volumes of doses.

 

25.	The physician has asked a nurse to administer a drug intravenously to a patient who is unresponsive. How can the nurse ensure that the drug is administered to the right patient?
	A)	By waking him up to ask him his name.
	B)	By identifying the patient’s room number.
	C)	By checking the patient’s wristband.
	D)	By asking the nursing assistant for the patient’s location.

 

26.	A nurse is required to administer subcutaneous injections to a patient regularly. Which of the following interventions should the nurse perform in order to minimize tissue damage?
	A)	Insert the needle at the appropriate angle.
	B)	Select the needle length based on the patient’s weight.
	C)	Ensure that there is no hair on the injection site.
	D)	Rotate the injection site regularly.

 

27.	The nurse assigned to take care of a patient is unable to read the primary-care provider’s handwriting. Which of the following interventions is the most appropriate in this situation?
	A)	The nurse should question the order with the primary-care provider.
	B)	The nurse should try to interpret the handwriting.
	C)	The nurse should confirm the order with a nearby care provider.
	D)	The nurse should obtain a verbal order.

 

28.	Which of the following precautions should a nurse take before administering a drug to a patient intramuscularly for the first time?
	A)	Obtain the patient’s allergy history.
	B)	Obtain information about the drug.
	C)	Inquire if the patient has any objections to syringes.
	D)	Discuss the dosage with other nurses.

 

1.	Which of the following are steps of the nursing process? Select all that apply.
	A)	Evaluation
	B)	Documentation
	C)	Analysis
	D)	Assessment
	E)	Planning

Chapter 4- The Nursing Process

2.	Successful use of the nursing process requires which of the following? Select all that apply.
	A)	Observation
	B)	Teaching
	C)	Practice
	D)	Experience
	E)	Updating

 

3.	Which of the following are examples of objective data?
	A)	Temperature
	B)	Heart rate
	C)	Chief complaint
	D)	Medication history
	E)	Respiratory rate

 

4.	Which of the following is part of the assessment phase of the nursing process? Select all that apply.
	A)	Obtaining a medication history.
	B)	Obtaining vital signs.
	C)	Formulating nursing diagnoses.
	D)	Asking about chief complaint.
	E)	Determining therapeutic response.

 

5.	Which of the following are examples of things that should be included as part of the nurse’s initial assessment? Select all that apply.
	A)	Allergy history
	B)	Treatment response
	C)	Occupational history
	D)	Vital signs
	E)	Pregnancy status

 

6.	Which of the following are frequently used nursing diagnoses related to the administration of a drug? Select all that apply.
	A)	Noncompliance
	B)	Anxiety
	C)	Deficient knowledge
	D)	Effective therapeutic regimen management
	E)	Ineffective therapeutic regimen management

 

7.	Which of the following are possible causes of ineffective therapeutic regimen management? Select all that apply.
	A)	Visual impairment
	B)	Forgetfulness
	C)	Cognitive deficits
	D)	Mobility issues
	E)	Order entry error

 

8.	Which of the following is conducted by the nurse during the evaluation step of the nursing process? Select all that apply.
	A)	Independent nursing actions
	B)	Collection of objective data
	C)	Collection of subjective data
	D)	Initial assessment
	E)	Ongoing assessment

 

9.	A nurse taking a client’s blood pressure prior to administering a drug could be considered which of the following? Select all that apply.
	A)	Assessment
	B)	Implementation
	C)	Subjective data
	D)	Objective data
	E)	Analysis

 

10.	Which of the following must occur prior to initiating an effective therapeutic regimen? Select all that apply.
	A)	Client’s compliance with other tasks of daily living.
	B)	Client verbalizes desire to manage the medication regimen.
	C)	Client must demonstrate ability to read.
	D)	Nurse’s assessment of the client’s ability to understand medication regimen.
	E)	Assessment of client’s educational level.

 

11.	When planning a client’s treatment regimen for administration of medication, which factors must be considered for inclusion in the teaching plan? Select all that apply.
	A)	To call the physician after the first week.
	B)	Method used to administer the drug.
	C)	Ability to calculate dosage.
	D)	Type of reaction to expect from the drug.
	E)	Information to report to the physician.

 

12.	Which of the following are reasons for ineffective therapeutic regimen management? Select all that apply.
	A)	Ability of client to afford the drug regimen.
	B)	Inadequate information provided regarding the drug regimen.
	C)	Client feels better and stops drug regimen.
	D)	Ability of client to remember to take drug regimen.
	E)	No therapeutic effect seen by client.

 

13.	When management of the drug regimen is found not to be correct, what must the nurse do? Select all that apply.
	A)	Assess client’s ability to use their hands.
	B)	Provide written instructions.
	C)	Assess client’s ability to read English.
	D)	Assess client’s reading level.
	E)	Provide information in the client’s native language.

 

14.	In discussing the drug regimen with the client, what factors should be included? Select all that apply.
	A)	Cut the tablet in half if he or she does not have enough.
	B)	Call the physician only after two unexpected reactions occur.
	C)	Length of time before desired therapeutic effect will occur.
	D)	Steps to minimize adverse reactions.
	E)	Adverse reactions to expect.

 

15.	To develop a trusting and comfortable relationship between the client and the nurse, the nurse should incorporate what following actions? Select all that apply.
	A)	Follow-up visits with the client.
	B)	Send a certified letter to the client.
	C)	Telephone calls to the client.
	D)	Accompany client to all physician appointments.
	E)	Encourage client to express feelings and concerns.

 

16.	What aspects of self-administration of drugs show that the client is deficient in knowledge of the subject? Select all that apply.
	A)	Inability to remember
	B)	Not having a college degree
	C)	Cognitive limitation
	D)	Lack of interest in learning
	E)	Not having a high school degree

 

17.	Reasons for noncompliant behavior in clients administering their own medications include which the following? Select all that apply.
	A)	Knowledge deficit of expected results
	B)	Bothersome adverse effects
	C)	Depression
	D)	Anxiety
	E)	Lack of information about the drug

 

18.	The anxiety experienced during drug administration depends on the following? Select all that apply.
	A)	Fear
	B)	Severity of illness
	C)	Lack of concern by the nurse
	D)	Good comprehension of information
	E)	Reassurance by the nurse

 

19.	To alleviate the client’s anxiety, the nurse should include which of the following in his or her exchanges with the client? Select all that apply.
	A)	Do not disturb the client.
	B)	Identify and address the specific fear.
	C)	Give the client the shortest explanation possible.
	D)	Reassure the client that the drug will alleviate the symptoms.
	E)	Thoroughly explain any procedures.

 

20.	To evaluate the client’s understanding of the drug regimen, the nurse may note which of the following? Select all that apply.
	A)	Facial expressions
	B)	Positive verbal expression
	C)	Positive nonverbal expression
	D)	Regimen being followed correctly
	E)	Correct answers to questions asked

 

21.	A nurse caring for a patient is describing steps for carrying out nursing activities that will assist in achieving patient goals. At which step of the nursing process is the nurse?
	A)  Assessment    B)  Planning    C)  Implementation    D)  Evaluation

 

22.	What is the significance of the nursing diagnoses developed by the North American Nursing Diagnosis Association (NANDA)?
	A)	Useful in identifying patient problems related to drug therapy.
	B)	Useful in classifying the patients as per their age groups.
	C)	Useful in classifying the drugs as per their actions.
	D)	Useful in identifying the expected outcome of treatments given.

 

23.	A nurse is assigned to care for a patient with a respiratory problem in a health care facility. Which of the following should a nurse consider in an expected outcome for a patient undergoing drug therapy?
	A)	Amount of time the patient will take to recover fully.
	B)	Amount of drugs the patient will require during the treatment.
	C)	Possible adverse reactions that could occur during the therapy.
	D)	Maximum level of wellness that is reasonably attainable for the patient.

 

24.	A nurse who had been caring for a patient with a cardiac disorder has to now provide care on an outpatient basis. What information should the nurse provide to this patient who is willing and now able to manage the treatment regimen?
	A)	Composition of the drug	C)	Method of drug administration
	B)	Disorders treated using the drug	D)	Contraindications of the drug

 

25.	A nurse is assigned to care for a patient in a health care facility. What is the nursing responsibility before administering a drug to the patient?
	A)	Review the subjective and objective data.
	B)	Provide the basis for the selection of nursing interventions.
	C)	Review the related nursing diagnosis.
	D)	List the potential goals to be achieved by the patient.

 

26.	A nurse has been caring for a patient in a health care facility. Under what circumstances should the nurse consider the evaluation of a patient to be positive?
	A)	If the expected outcomes are accomplished.
	B)	If the patient does not experience anxiety during therapy.
	C)	If the patient is better able to communicate with the nurse.
	D)	If subjective and objective data are successfully obtained.

 

27.	A nurse is assigned to care for a patient with a cardiac disorder. During assessment, what intervention should the nurse perform to obtain objective data related to the patient’s condition?
	A)	Review the patient’s health history.
	B)	Assess the patient for difficult breathing.
	C)	Review the patient’s family history.
	D)	Inquire about the patient’s eating habits.