NSG 325Module 1 QuizAugust 26, 2013Name: ANSWER KEY1) What patient population would you like to work with as an RN?2) The syllabus indicates that attendance is optional True or False3) Pharmacology is good for nurses to know, but it is not mandatory. True or False4) Adverse effects are only caused by drug/drug interactions. True of False5) When evaluating kidney function in the older debilitated adult, it is a priority for the nurse to review the results of which test?a) Serum blood urea nitrogen (BUN) and creatinineb) Renal ultrasoundc) Skin turgord) Heart sounds6) A nitroglycerin (NTG) transdermal patch is ordered to be applied at 0900 and removed at 2100. The patch from the previous day is still in place when the nurse is preparing to administer the 0900 patch. What is the best action by the nurse? a) Leave the old patch on and apply the new one in a different siteb) Remove the old patch and consult the prescriberc) Leave the old patch on and date it with today’s date so it will be removed tomorrowd) Leave the old patch in place and chart it as todays dose7) A patient who has overdosed on methadone HCL (Metadol), an opiate is brought into the emergency department unresponsive with severely depressed respirations. The patient receives intravenous naloxone HCL (Narcan), a narcotic antagonist with a dramatic improvement in the level of consciousness (LOC) and respiratory rate and effort within minutes. Which is the priority nursing action 45-60 minutes after the naloxone is administered? a) Assess for the return of painb) Assess for the need of another dose of naloxone for decreased LOC and decreased RRc) Go to lunch and have a colleague “keep an ear out”d) Administer dose of methadone8) Grapefruit juice inhibits the cytochrome P450 CYP3A4 drug metabolizing enzyme and inhibits p-glycoprotein in the intestines for days after ingestion. This especially affectscalcium channel blockers, benzodiazepines, cyclosporine, and “statin” drugs. The nurse should teach a patient who is prescribed any of these drugs that drinking grapefruit juice can cause what problem?a) Lack of therapeutic effects of the drugb) Excess levels of drug in bloodc) Excessive salivationd) Extreme constipation9) A patient is receiving vancomycin 500 mg every 6 hours IV for an infection. Vancomycin IVhas an immediate onset and can be neuro-toxic, but adequate levels of the drug are needed to treat the infection. The prescriber has ordered peak and trough levels to be drawn. When would the nurse expect the peak and trough levels to be drawn.a) Peak level 1.5 hours after infusion, trough 30 minutes before the next doseb) Peak level during infusion and trough level right after infusionc) Peak level during infusion and trough level 30 minutes after infusiond) Doesn’t matter the lab will come draw the labs when they can get to it10) It would be a priority for the nurse to withhold a drug and contact the prescriber if the patientreported last time they took this drug they experienced:a) Constipationb) Dry mouthc) Gigglesd)
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