Chapter 2: Application of Pharmacology in Nursing Practice Study Guide

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Match the nursing action with the seven aspects of drug therapy. Knowing the major adverse reactions of a drug, when they are likely to occur, early signs of development, and interventions to minimize discomfort and harm:
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D. Minimizing Adverse Effects.
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Match the nursing action with the seven aspects of drug therapy. The rights of drug administration couple with the knowledge of pharmacology:
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B. Dosage and Administration.
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Match the nursing action with the seven aspects of drug therapy. Knowing the reason for drug use and being able to assess the patient’s medication needs:
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F. Making as-needed (PRN) decisions.
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Match the nursing action with the seven aspects of drug therapy. Knowing the early signs of toxicity and the proper intervention when it occurs:
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G. Managing Toxicity.
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Match the nursing action with the seven aspects of drug therapy. Collecting baseline data, identifying high risk patients, and determining the patient’s capacity for self-care:
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A. Preadminsitration Assessment
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Match the nursing action with the seven aspects of drug therapy. Taking a thorough drug history, advising the patient to avoid drugs that may interact with prescribed medication, and monitoring for adverse interactions:
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E. Minimizing Adverse Interactions
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Match the nursing action with the seven aspects of drug therapy. The process to determine if a drug is beneficial or causes harm:
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C. Evaluating and promoting therapeutic effects.
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The nurse is preparing to administer an antihypertensive drug (medication that lowers blood pressure). The nurse assesses the patient’s blood pressure at 110/70 mm Hg. What action should the nurse take at this time? A. Administer the medication because the antihypertensive medication is prescribed. B. Assess the patient’s baseline blood pressure and the blood pressure before and after the last dose of this medication to determine if the medication should be administered. C. Call the prescriber, report the current blood pressure, and ask if the medication should be administered. D. Withhold the medication because the patient’s blood pressure is too low to administer an anti-hypertensive drug.
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B. Assess the patient’s baseline blood pressure and the blood pressure before and after the last dose of this medication to determine if the medication should be administered.
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The nurse should withhold a drug and contact the prescriber if the patient reported an allergy to the drug with which symptom occurring shortly after the last time the drug was taken? A. Constipation. B. Dry Mouth. C. Vesicular Rash. D. Wheezing.
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D. Wheezing.
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Which postoperative patient assessment would warrant withholding an opiate analgesic that depresses the central nervous system (CNS): A. BP 150/92 mm Hg. B. Pulse 110 beats/min. C. Respirations 9/min. D. Temperature 102.2 (F)
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C. Respirations 9/min.
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Which nursing diagnosis would be most appropriate for a patient who is receiving an opiate analgesic that depresses the central nervous system (CNS)?: A. Fatigue. B. Impaired physical mobility. C. Risk for activity intolerance. D. Risk for injury.
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D. Risk for injury.
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A patient who is admitted to the nursing unit from the post-anesthesia care unit (PACU) is moaning in pain. The patient is due for another dose of pain medication. What is the nursing priority at this time? A. Administer prescribed pain-relieving drugs. B. Assess the patient’s vital signs, tubes, and surgical site. C. Obtain the patient’s pain rating on a scale of 1-10. D. Review the patient’s allergy history.
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B. Assess the patient’s vital signs, tubes, and surgical site.
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The nurse is preparing to administer insulin based on the patient’s metered blood glucose level. Which action could be delegated to a liscened practical/vocational nurse (LPN/LVN)?: A. Documenting the insulin that the RN administered. B. Drawing up the insulin in the syringe. C. Identifying the patient for medication administration. D. Obtaining the metered blood glucose level.
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D. Obtaining the metered blood glucose level.

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