Deck 6: Drug Administration Throughout the Lifespan

Question 1

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

A) "If I breast -feed my baby, drugs can come through my breast milk."
B) "The baby can only be harmed by medications during the first trimester."
C) "It is important to not take over -the -counter (OTC) drugs during my pregnancy."
D) "Exposure to teratogens can result in my baby's death or in malformations."

Answer 1

"The baby can only be harmed by medications during the first trimester."

Question 2

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? Select all that apply.

A) Teach the toddler that medications are for adult use only.
B) Call the Poison Control Centre for guidance with any medication ingested.
C) Keep the toddler awake and observe for side effects of the medication.
D) Keep all medications locked up and stored out of reach of the toddler.
E) Use syrup of ipecac immediately if the toddler has ingested medication.

Answer 2

Call the Poison Control Centre for guidance with any medication ingested.
Keep all medications locked up and stored out of reach of the toddler.

Question 3

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?

A) The adolescent does not understand the need for the medication.
B) The adolescent is embarrassed in front of his peers.
C) The adolescent has made a conscious decision not to take the medication.
D) The adolescent forgets that he is supposed to take the medication.

Answer 3

The adolescent is embarrassed in front of his peers.

Question 4

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

A) Offer to play with the child prior to medication administration.
B) Offer the child a choice of beverage with which to take the medication.
C) Teach the child the action and expected side effects of the medication.
D) Tell the child he will not be allowed to go to recess if the medication is not taken.

Question 5

An adolescent client 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?

A) The adolescent reports, "My periods are irregular. Should I see a doctor?"
B) The adolescent tells the nurse "I just can't seem to get along with my parents."
C) The adolescent tells the nurse "I have been sexually active with my boyfriend."
D) The adolescent says "Everyone makes a big deal about what I eat, so don't ask."

Question 6

What does the nurse consider to be the safest way to deliver medications to infants?

A) Medications should be calculated based on the infant's age.
B) The gluteal site is the preferred site of intramuscular (IM) administration of medication.
C) The dosage should be based on milligrams per kilogram per day.
D) Oral medications are the preferred route due to fewer side effects.

Question 7

The pregnant client 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?

A) "Tell me how you have been taking your medication."
B) "This is because your baby is receiving part of the medication."
C) "Maybe the medication has expired; check the label."
D) "This is because your blood volume has increased."

Question 8

The nursing instructor teaches student nurses about the Food and Drug Administration (FDA) Pregnancy Categories. What is the best information to include? Select all that apply.

A) Food and Drug Administration (FDA) Pregnancy Category C is safe to use during pregnancy.
B) Food and Drug Administration (FDA) Pregnancy categories for individual drugs seldom change once they are established.
C) Food and Drug Administration (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women.
D) Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects.
E) Food and Drug Administration (FDA) Pregnancy categories are based on studies using clinical human research trials.

Question 9

The nursing instructor is teaching the nursing students about the use of medications during pregnancy. What does the nursing instructor teach as a common reason for difficulty in assessing for side effects of medications during pregnancy?

A) Adverse effects of medications are not experienced as often with pregnant women.
B) Adverse effects of medications are often similar to common discomforts of pregnancy.
C) The mother has increased blood volume so the drugs are not strong enough to produce adverse effects.
D) The mother is so uncomfortable with the pregnancy that she chooses to ignore the adverse effects.

Question 10

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

A) The child does better with verbal instruction than with play instruction.
B) There should be no need to restrain a child of this age.
C) The child is often more cooperative if the parent is not in the room.
D) Use a brief explanation, followed by quick administration of the medication.

Question 11

The pregnant client plans to breast -feed her baby. She asks the nurse about the use of herbal products during breast -feeding. What is the best response by the nurse?

A) "Be sure to check the label to see if the herbal product could be used during breast -feeding."
B) "Most drugs can be transferred to the infant during breast -feeding, so this is not recommended."
C) "Herbal products are considered natural, so it should be fine to use them during breast -feeding."
D) "This should be fine, as long as there is at least 12 hours between the time you use the product and when you breast -feed."

Question 12

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?

A) The elderly have decreased stomach acid.
B) The elderly are frequently dehydrated.
C) The elderly often abuse alcohol.
D) The elderly are frequently constipated.

Question 13

The elderly client comes to the emergency department and is very confused. In order to do a complete assessment, what is the best priority of questions to ask the client's wife?

A) "How long has he been confused?"
B) "Has he been eating his meals?"
C) "What medications does he take?"
D) "Is there a history of Alzheimer's disease in his family?"

Question 14

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

A) "We should use a medication management box so they won't forget to take it."
B) "We should crush their medicine and put it in applesauce so they will swallow it."
C) "We should give them more education about the medicine so they will take it."
D) "We should ask the doctor if all the medication is really necessary."

Question 15

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?

A) "Crush the tablet and mix it with milk."
B) "Tell him you will buy him a toy if he takes the medication."
C) "Crush the tablet and mix it with a small amount of jam."
D) "Tell he will be punished if he does not take the medicine."