Pharmacology I Exam 1: Fall 2024

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is NOT a factor that is typically assessed when determining a patient's risk for drug interactions?

Occupation (correct)

History of liver disease

Age

Lifestyle

What is the primary purpose of measuring a patient's trough level of medication?

To ensure that the medication is not accumulating in the body to toxic levels (correct)

To assess the effectiveness of the medication over time

To monitor the rate of medication absorption

To determine the time it takes for the medication to reach peak concentration

Which of these resources would be the most helpful for finding information about the potential interactions between a dietary supplement and prescribed medications?

Natural Medicines Comprehensive Database (correct)

Drug Interaction Facts

USP Dictionary of USAN & International Drug Names

United States Pharmacopoeia/National Formulary (USP NF)

What is the main purpose of a critical care pathway?

To standardize and improve the quality of care for patients in critical care units (B) Signup and view all the answers

Why are elderly patients at an increased risk for drug interactions and toxicity?

They have a lower metabolic rate and slower drug clearance. (D) Signup and view all the answers

Which medication should not be administered with tetracycline?

Mylanta (B) Signup and view all the answers

Which step of the nursing process is being used when prior to the administration of a nephrotoxic drug, the nurse determines that the kidney lab data are within normal range?

Assessment (A) Signup and view all the answers

Which explanation by the nurse is most helpful when teaching an elderly patient with difficulty swallowing about medications?

Tablets that are scored can be broken in half. (B) Signup and view all the answers

Which blood level determines the lowest amount of medication present in the patient?

Trough level (C) Signup and view all the answers

What is a common adverse effect associated with nephrotoxic drugs?

Kidney impairment (A) Signup and view all the answers

Which of the following medication administration methods can be problematic for elderly patients with swallowing difficulties?

Sublingual tablets (B) Signup and view all the answers

When should a nurse conduct a thorough assessment before administering a medication?

Prior to the initial administration of a medication (B) Signup and view all the answers

What is the nurse's primary source of information when obtaining a patient history?

The patient (C) Signup and view all the answers

When is the ideal time for a nursing mother to take her own medications?

Before the infant latches on to begin to breastfeed (A) Signup and view all the answers

Which classification of medications commonly causes allergic reactions in children?

Antibiotics (B) Signup and view all the answers

Which term describes when two drugs compete for the same receptor site, resulting in increased activity of the first drug?

Displacement (A) Signup and view all the answers

Which of the following is an appropriate interdependent nursing action?

Assess lung sounds every 4 hours (B) Signup and view all the answers

What might be a consequence of a nursing mother taking medication just before breastfeeding?

Potential transfer of medication to the infant (C) Signup and view all the answers

What is a common side effect associated with antibiotics in pediatrics?

Rash (D) Signup and view all the answers

Which type of drug interaction involves one drug enhancing the effects of another?

Synergism (B) Signup and view all the answers

In nursing practice, what is a vital aspect of taking a patient's history?

Listening to the patient's account (A) Signup and view all the answers

Which patient statement indicates the need for further teaching about taking medications during pregnancy?

I will limit my alcohol intake to only one glass of wine weekly. (C) Signup and view all the answers

What do drug blood levels indicate?

They determine if the amount of drug in the body is in a therapeutic range. (B) Signup and view all the answers

Which explanation indicates a characteristic of a nursing diagnosis?

It focuses on impairments in patient structure. (C), It is based on patient's ability to function. (D) Signup and view all the answers

What is true about over-the-counter (OTC) drugs?

They can be purchased without a prescription. (C) Signup and view all the answers

Which type of nursing diagnosis will be written when the patient exhibits factors that make him or her susceptible to the development of a problem?

Risk diagnosis (B) Signup and view all the answers

If a physician's order specifies the percutaneous route for medication administration, which method will the nurse use?

Topical application (D) Signup and view all the answers

Which patient would the nurse identify as having the lowest rate of absorption of enteral medications?

A patient with a high gastric pH level. (D) Signup and view all the answers

What is the recommended administration route and dosage for Demerol for pain management?

50 mg intramuscularly every 4 hours PRN. (C) Signup and view all the answers

Which option describes a medical diagnosis?

It primarily reflects laboratory findings. (B) Signup and view all the answers

Which statement indicates safe practices regarding herbal medicine use during pregnancy?

Consulting a healthcare provider before using any herbal medicine is prudent. (C) Signup and view all the answers

What information primarily influences drug metabolism?

Amount of concurrent medications (C) Signup and view all the answers

Which of the following is NOT a factor in determining drug absorption?

The patient's opioid tolerance. (A) Signup and view all the answers

Which statement reflects the differentiating nature of a nursing diagnosis?

It allows for personalized interventions. (D) Signup and view all the answers

What is the primary purpose of encouraging a patient to express their feelings?

To build a therapeutic relationship and enhance their emotional well-being. (B) Signup and view all the answers

In the context of nursing and medical diagnoses, which of the following is true?

Medical diagnoses focus on disease pathophysiology. (B) Signup and view all the answers

What is a correct assessment regarding OTC medications?

They are available under generic and brand names. (D) Signup and view all the answers

When documenting an administration of non-prescription medication, which is the most important detail to include?

The patient's response to the medication. (D) Signup and view all the answers

How can a nursing diagnosis change based on patient conditions?

It can vary according to the progress of the patient. (B) Signup and view all the answers

Which factor primarily affects the route of drug administration?

Patient's age and physical state (A), Type of drug formulation available (C) Signup and view all the answers

Study Notes

Exam 1: Pharmacology I (Fall 2024)

Exam Details:
- Instructor: AMI Exams
- 1st Attempt: Sept 12, 2024, 7:09 PM
- Time Limit: 1 hour 30 minutes
- Start Date: Sept 12, 2024, 7:00 PM
- End Date: Sept 12, 2024, 10:00 PM

My Performance

Pass Status: 8/40, 80th Percentile
Points Score: 51/60, 85%
Time Spent: 1 hour, 10 minutes, 4 seconds
Average Score: 61.3%
Median Score: 66.7%
Standard Deviation: 17
High Score: 95%
Average Time Spent: 57 seconds

Questions (Multiple Choice and Multiple Select)

Question 1 (Multiple Select): Factors influencing GI absorption of medications:
- Stomach pH
- Level of consciousness
- Fever
- Blood flow to gastric mucosa
- Weight
- Body surface area
- Time Spent: 4 minutes, 43 seconds
Questions 2-17: Detail of questions, possible answers, and time spent for each.
- Revise your study notes per the details of each question.
Question 2 (Multiple Choice): Life-threatening illness due to Aspirins (Salicylate) administration to patients under age 20. Reye's syndrome.
Question 3 (Multiple Choice): Drug reference containing monographs for drugs available in US. Martindale: The Complete Drug Reference.
Question 4 (Multiple Choice): Assessment step in the nursing process. Collecting and communicating data.
Question 5 (Multiple Choice): Nursing process step used to evaluate the effectiveness of pain medication, Evaluation.
- Detail of each question (2-32) is required for your own study notes (time spent for each question).
Question 10 (Multiple Choice):
- Factors to determine mixing two drugs in the same syringe. Compatibility of the drugs.
Question 11 (Multiple Choice): Medication incompatible with Tetracycline. Ativan.
Question 12 (Multiple Choice): Nursing process step used to assess kidney lab data regarding nephrotoxic drugs. Assessment.
Question 13 (Multiple Choice): Teaching explanation for swallowing difficulty in elderly patients. Tablets that are scored can be broken in half.
Question 14 (Multiple Choice): Which blood level determines the lowest amount of medication present in a patient? Trough.
Question 15 (Multiple Choice): Patient reaction to drug for the first time. Anaphylaxis, Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy.
Question 16 (Multiple Choice): Online drug reference for healthcare providers. DailyMed.
Question 17 (Multiple Select): Nurses actions when formulating a plan for a patient's needs. Make a clinical judgment about the patient, Set priorities, Collect data, Formulate nursing interventions, Develop measurable goals.
Question 18 (Multiple Choice): Term for an unusual reaction after a steroid dose. Idiosyncratic reaction.
Question 19 (Multiple Choice): Correct outcome statement for a patient. * Within the next 8 hours, urine output will be greater than 30 mL/hr.*
Question 20 (Multiple Choice): First priority when patient exhibits hives. Notify physician of allergic reaction.
Question 21 (Multiple Choice): Description of the nursing process planning phase. The patient will state the expected adverse effects of medication by the end of the teaching session.
Question 22 (Multiple Choice): Drug reference containing drug monographs describing all drugs in a therapeutic class. Martindale-The Complete Drug Reference.
Question 23 (Multiple Choice): Nurse's primary source for patient history. Patient record.
Question 24 (Multiple Choice): Ideal time for a nursing mother to take medication. As soon as the infant finishes breastfeeding.
Question 25 (Multiple Choice): Medication classification commonly causing allergic reactions in children. Analgesics.
Question 26 (Multiple Choice): Term for when two drugs compete at the same receptor. Synergistic effect.
Question 27 (Multiple Choice): Example of an interdependent nursing action. Educate the patient about the prescribed medication.
Question 28 (Multiple Choice): Indicates need for further teaching for pregnant mother. "I will not take herbal medicines during pregnancy."
- Continue adding specifics about the questions to generate your study notes.
Questions 29-50: Provide similar detail for the remaining questions
Question 31 (Multiple Choice): Identify patient with the lowest rate for oral medication absorption. 85-year-old woman.
Question 32 (Multiple Select): Differences between medical diagnoses and nursing diagnoses.
Question 33 (Multiple Choice): Truth about OTC (over-the-counter drugs). They are sold without a prescription.
Question 34 (Multiple Choice): Percutaneous route for medication. Intramuscularly.
Question 35 (Multiple Choice): Assessment data with most effect on drug metabolism. History of liver disease.
Question 36 (Multiple Choice): Blood level to determine amount of circulating medication. Trough.
Question 37(Multiple Choice): Source of nutritional supplement information. Natural Medicines Comprehensive Database.
Question 38 (Multiple Choice): Definition of critical care pathway. * standardized care plan derived from best practice patterns.*
Question 39 (Multiple Select): Risk factors for elderly patient drug interactions. Higher incidence of malnourishment, Increased use of multiple medications, Hepatic function is reduced, Issues with swallowing.
- Continue with the details for the rest of the questions

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Prepare for the Pharmacology I Exam 1 scheduled for Fall 2024. This exam covers essential topics on drug action and absorption factors affecting medications. Review the questions and improve your study strategy to boost your performance.