Pharmacology NCLEX QuestionsStudy online at 86-year-old patient is being discharged to home on digitalis therapy and has very little information re-garding the medication. Which statement best reflects a realistic outcome of patient teaching activities?a.

Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_llvcm1.An 86-year-old patient is being discharged to home on digitalis therapy and has very little information re-garding the medication. Which statement best reflects a realistic outcome of patient teaching activities?a. The patient and patient's daughter will state the proper way to take the drug.b. The nurse will provide teaching about the drug's adverse effects.c. The patient will state all the symptoms of digitalis toxicity.d. The patient will call the prescriber if adverse effects occur.a. The patient and patient's daughter will state the prop-er way to take the drug.2.A patient has a new prescription for a blood pressure medication that may cause him to feel dizzy during the first few days of therapy. Which is the best nursing diagnosis for this situation?a. Activity intoleranceb. Risk for injuryc. Disturbed body imaged. Self-care deficitb. Risk for injury3.A patient's chart includes an order that reads as fol-lows: "Lanoxin 250 mcg once daily at 0900." Which action by the nurse is correct?a. The nurse gives the drug via the transdermal route.b. The nurse gives the drug orally.c. The nurse gives the drug intravenously.d. The nurse contacts the prescriber to clarify the dosage route.d. The nurse con-tacts the pre-scriber to clarify the dosage route.4.A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?c. "What type of reaction did you have when you took penicillin?"1 / 16

Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_llvcma. "that's to be expected--lots of people are allergic to penicillin."b. "This allergy is not of major concern because the drug is given so commonly."c. "What type of reaction did you have when you took penicillin?"d. "Drug allergies don't usually occur in older individ-uals because they have built up resistance."5.The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the most information from the patient?a. "Do you depend on sleeping pills to get to sleep?"b. "Do you have a family history of heart disease?"c. "When you have pain, what do you do to relieve it?"d. "What childhood diseases did you have?"c. "When you have pain, what do you do to relieve it?"6.The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2 diabetes mel-litus. Put into correct order the steps of the nursing process, with 1 being the first step and 5 being the last step.a. Implementationb. Planningc. Assessmentd. Evaluatione. Nursing diagnoses4, 3, 1, 5, 27.The nurse is reviewing new medication orders that have been written for a newly admitted patient. The nurse will need to clarify which orders? Select all that apply.a. Metformin (Glucophage) 1000 mg PO twice a dayb. Sitagliptin (Januvia) 50 mg dailyc. Simvastatin (Zocor) 20 mg PO every eveningb. Sitagliptin (Januvia) 50 mg dailye. Docusate (Co-lace) as needed for constipation2 / 16

Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_llvcmd. Irbesartan (Avapro) 300 mg PO once a daye. Docusate (Colace) as needed for constipation8.An elderly woman took a prescription medicine to help her to sleep; however, she felt restless all night and did not sleep at all. The nurse recognizes that this woman has experienced which type of reaction or effect?a. Allergic reactionb. Idiosyncratic reactionc. Mutagenic effectd. Synergistic effectb. Idiosyncratic re-action9.While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which phase of pharmacokinetics may occur?a. Absorptionb. Distributionc. Metabolismd. Excretionc. Metabolism10.A patient who has advanced cancer is receiving opi-oid medications around the clock to "keep him com-fortable" as he nears the end of his life. Which term best describes this type of therapy?a. Palliative therapyb. Maintenance therapyc. Supportive therapyd. Supplemental therapya. Palliative thera-py11.The nurse is giving medications to a patient in heart failure. The intravenous route is chosen instead of the intramuscular route. The nurse knows that the factor that most influences the decision about which route to use is the patient'sa. altered biliary function.d. diminished cir-culation.3 / 16

Pharmacology NCLEX QuestionsStudy online at https://quizlet.com/_llvcmb. increased glomerular filtration.c. reduced liver metabolism.d. diminished circulation.12.A patient has just received a prescription for an en-teric-coated stool softener. When teaching the patient, the nurse should include which statement?a. "Take the tablet with 2 to 3 ounces of orange juice."b. "Avoid taking all other medications with any en-teric-coated tablet."c. "Crush the tablet before swallowing if you have problems with swallowing."d. "Be sure to swallow the tablet whole without chew-ing it."d. "Be sure to swallow the tablet whole with-out chewing it."13.Each statement describes a phase of pharmacokinet-ics. Put the statements in order, with 1 indicating the phase that occurs first and 4 indicating the phase that occurs last.a. Enzymes in the liver transform the drug into an inactive metabolite.b. Drug metabolites are secreted through passive glomerular filtration into the renal tubules.c. A drug binds to the plasma protein albumin and circulates through the body.d. A drug moves from the intestinal lumen into the mesenteric blood system.3,4,2,114.A drug that delivers 500 mg has a half-life of 4 hours. How many milligrams of drug will remain in the body after 1 half-life?250 mg15.The nurse is reviewing factors that influence pharma-cokinetics in the neonatal patient. Which factor puts the neonatal patient at risk with regard to drug thera-py?a. Immature renal systema. Immature renal system4 / 16