Question 1

The adolescent is supposed to go to the school nurse at 12:00 to receive his medication for attention-deficit hyperactivity disorder (ADHD).He often does not go for the medication.What best describes the nurse's understanding of this situation?

Accepted Answer

A

Question 2

A drug that is known to cause birth defects is known as

Accepted Answer

A drug that is known to cause birth defects is known as teratogenic. Category A, category C, and cautionary are classifications used by the FDA to indicate the potential risks of a drug during pregnancy, but they do not necessarily indicate that a drug is teratogenic.

Question 3

The toddler refuses to take his oral medication.What is the best suggestion to the mother from the nurse for ensuring the toddler receives his medication?

Accepted Answer

Crushing the tablet and mixing it with a small amount of jam can mask its taste and make it easier for the toddler to take the medication. Offering a reward (option A) may work in the short-term, but it is not a sustainable solution, and threatening punishment (option D) is not appropriate or effective in encouraging a child to take medication. Mixing the medication with milk (option C) is not recommended as calcium can bind with certain medications and reduce their efficacy.

Question 4

The nurse teaches a class about medication used during pregnancy to pregnant women.The nurse determines that additional instruction is required when a patient makes which response?

Accepted Answer

This response is incorrect because medications can harm the baby at any point during the pregnancy, not just during the first trimester. The patient needs additional instruction to understand the risks associated with medication use throughout the entire pregnancy.

Question 5

The nurse plans to teach a safety class to parents of toddlers about household exposure to medications.What will the best plan of the nurse include? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Keeping all medications locked up and stored out of the reach of toddlers is important to prevent accidental ingestion, and calling the Poison Control Center for guidance with any medication ingested is essential to getting prompt and accurate advice on how to manage the situation. Keeping a child awake to observe for side effects is not necessary in all cases and could potentially cause further harm, using syrup of ipecac is no longer recommended as a first-line treatment for medication ingestion, and teaching toddlers that medications are for adult use only may not be effective in preventing accidental ingestion.

Question 6

The nursing instructor teaches student nurses about the Food and Drug Administration (FDA)Pregnancy Categories.What is the best information to include? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

FDA Pregnancy categories provide a framework for safe use of drugs in pregnant women. Category X has been associated with teratogenic effects, indicating that these drugs should be avoided in pregnancy. Options A, C, and D are incorrect as FDA Pregnancy Category C is not always safe to use in pregnancy, pregnancy categories can change, and the categories are not solely based on human clinical research trials.

Question 7

Which method is the most appropriate for administering medications to school-age children?

Accepted Answer

Providing a brief explanation can give the child an understanding of why they need to take the medication and can alleviate any fears or concerns they may have. It empowers them to take responsibility for their health and can make the process less intimidating.

Question 8

The pregnant patient plans to breastfeed her baby.She asks the nurse about the use of herbal products during breastfeeding.What is the best response by the nurse?

Accepted Answer

The answer of The pregnant patient plans to breastfeed her...

Question 9

The nurse is teaching a caregivers' support group for caretakers of elderly patients.The focus is medication compliance.The nurse determines that learning has occurred when the caregivers make which response?

Accepted Answer

Using a medication management box is a practical solution for ensuring medication compliance as it helps patients keep track of their medications and reduces the risk of missed doses. Crushing medicine or questioning the necessity of medication can have negative consequences, while education may not address the underlying reasons for noncompliance.

Question 10

The nurse will administer medication to a school-age child.What is the preferred action by the nurse?

Accepted Answer

The answer of The nurse will administer medication to a...

Question 11

Which statement is accurate regarding pharmacotherapy in the older adult?

Accepted Answer

The answer of Which statement is accurate regarding pharmacotherapy in...

Question 12

Which stage of fetal development poses the greatest risk to the fetus related to medication administration?

Accepted Answer

The embryonic stage (weeks 3-8) is the period of major organogenesis and is considered the most vulnerable time for medication exposure. During this stage, organs and structures are forming and any interference with this process can lead to birth defects or other developmental abnormalities. It is important for healthcare providers to avoid medication use during this critical period unless absolutely necessary and after careful consideration of the risks and benefits.

Question 13

A patient presents with hypotension and bradycardia.The patient indicates that one of her physicians recently prescribed three new medications to her current list of 10 medications per day.Based on this information,which statement would be the most accurate?

Accepted Answer

The patient's symptoms suggest that she may be experiencing adverse reactions as a result of taking multiple medications, also known as polypharmacy. It is important to review the patient's medication regimen and consider discontinuing any unnecessary medications or adjusting the doses to avoid adverse reactions. A thorough medication review by a healthcare provider is recommended. Allergic reactions are typically acute and manifest as rash, itching, or swelling, whereas the patient's symptoms suggest a more gradual onset of hypotension and bradycardia. Non-compliance with medication regimens could also lead to adverse effects, but there is no indication that this is the case here. Adverse effects may or may not go away in time, depending on the medication and the patient's individual response.

Question 14

The pregnant patient tells the nurse that her prescribed medication is not as effective as it was before her pregnancy.What is the best response by the nurse?

Accepted Answer

The answer of The pregnant patient tells the nurse that...

Question 15

Which statement is the most accurate regarding medication use in pregnant women?

Accepted Answer

Inhaled drugs are absorbed more quickly because they bypass the first-pass effect of the liver.

Question 16

A drug for which research has shown an adverse effects in animals but not in pregnant women would be categorized as Category

Accepted Answer

Category B drugs have shown no adverse effects in animal studies, but there is insufficient data from human studies. This scenario of adverse effects in animals but not in pregnant women matches category B since there is no data from human studies. Categories C and D are used for drugs that have shown adverse effects in animal studies and/or human studies, while Category A is used for drugs that have shown no adverse effects in animal or human studies.

Question 17

An adolescent patient comes to the school nurse with complaints of vague abdominal pain.What assessment data would help to confirm the nurse's suspicion that the adolescent has body image concerns?

Accepted Answer

The adolescent's comment about others making a big deal about what they eat indicates a preoccupation with body image and potential disordered eating behaviors. The other options do not directly relate to body image concerns.

Question 18

The nurse provides care for elders in an assisted living facility.What does the nurse assess as a primary contributing factor for medication complications in the elderly?

Accepted Answer

The answer of The nurse provides care for elders in...

Question 19

Which of the following kinds of drugs would be most likely to enter breast milk?

Accepted Answer

Lipid-soluble drugs are the most likely to enter breast milk due to their ability to cross lipid membranes easily. These drugs are able to pass through the mammary gland cells and enter the milk as it is being produced. This can result in the baby receiving a dose of the drug through breastfeeding.

Question 20

The nurse plans to administer medication to the preschool child.Which approach indicates the nurse has an understanding of growth and development?

Accepted Answer

The answer of The nurse plans to administer medication to...

Quiz 8: Drug Administration Throughout the Lifespan

The adolescent is supposed to go to the school nurse at 12:00 to receive his medication for attention-deficit hyperactivity disorder (ADHD) .He often does not go for the medication.What best describes the nurse's understanding of this situation?