Deck 8: Drug Administration Throughout the Lifespan

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?
1)The adolescent is embarrassed in front of his peers.
2)The adolescent does not understand the need for the medication.
3)The adolescent forgets that he is supposed to take the medication.
4)The adolescent has made a conscious decision not to take the medication.

Answer 1

1

Question 2

A drug that is known to cause birth defects is known as
1)category A.
2)category C.
3)cautionary.
4)teratogenic.

Answer 2

4

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?
1)"Tell him you will buy him a toy if he takes the medication."
2)"Crush the tablet and mix it with a small amount of jam."
3)"Crush the tablet and mix it with milk."
4)"Tell him he will be punished if he does not take the medicine."

Answer 3

2

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

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.
1)Keep the toddler awake and observe for side effects of the medication.
2)Keep all medications locked up and stored out of reach of the toddler.
3)Use syrup of ipecac immediately if the toddler has ingested medication.
4)Call the Poison Control Center for guidance with any medication ingested.
5)Teach the toddler that medications are for adult use only.

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

Question 7

Which method is the most appropriate for administering medications to school-age children?
1)Allowing the child to make decisions regarding the time the medications are taken
2)Providing a brief explanation
3)Administering drugs while holding the child down
4)Providing a lengthy explanation followed by quick drug administration

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?
1)"Be sure to check the label to see if the herbal product could be used during breastfeeding."
2)"Most drugs can be transferred to the infant during breastfeeding,so this is not recommended."
3)"Herbal products are considered natural,so it should be fine to use them during breastfeeding ."
4)"This should be fine,as long as there is at least 12 hours between the time you use the product and when you breastfeed."

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

Question 10

The nurse will administer medication to a school-age child.What is the preferred action by the nurse?
1)Teach the child the action and expected side effects of the medication.
2)Tell the child he will not be allowed to go to recess if the medication is not taken.
3)Offer the child a choice of beverage with which to take the medication.
4)Offer to play with the child prior to medication administration.

Question 11

Which statement is accurate regarding pharmacotherapy in the older adult?
1)Increased body water can lead to a higher risk of drug toxicity.
2)Plasma levels are increased,leading to a heightened drug response.
3)Generally,drug doses should be increased due to prolonged drug metabolism.
4)Drug absorption is slower due to increased gastric pH.

Question 12

Which stage of fetal development poses the greatest risk to the fetus related to medication administration?
1)Each stage is equal in risk.
2)Pre-implantation period
3)Third trimester
4)Embryonic

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?
1)The patient is having an allergic reaction to one of the new medications.
2)The patient is experiencing adverse reactions as a result of polypharmacy.
3)The patient is not in compliance with her prescribed medications.
4)The patient is experiencing an adverse effect that will go away in time.

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?
1)"This is because your blood volume has increased."
2)"Tell me how you have been taking your medication."
3)"This is because your baby is receiving part of the medication."
4)"Maybe the medication has expired;check the label."

Question 15

Which statement is the most accurate regarding medication use in pregnant women?
1)Inhaled drugs are absorbed more quickly.
2)Drug excretion rates are lowered.
3)Oral drugs' absorption rate is lowered.
4)Drug use should be avoided during pregnancy.

Question 16

A drug for which research has shown an adverse effects in animals but not in pregnant women would be categorized as Category
1)A.
2)B.
3)D.
4)C.

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

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?
1)The elderly often abuse alcohol.
2)The elderly are frequently dehydrated.
3)The elderly are frequently constipated.
4)The elderly have decreased stomach acid.

Question 19

Which of the following kinds of drugs would be most likely to enter breast milk?
1)Ionized
2)Lipid-soluble
3)Water-soluble
4)Bound to plasma protein

Question 20

The nurse plans to administer medication to the preschool child.Which approach indicates the nurse has an understanding of growth and development?
1)The child is often more cooperative if the parent is not in the room.
2)The child does better with verbal instruction than with play instruction.
3)There should be no need to restrain a child of this age.
4)Use a brief rationale,followed by quick administration of the medication.

Question 21

When possible,drug therapy is postponed until after pregnancy and lactation.However,certain acute and chronic conditions must be managed during pregnancy,including Credit will be given only if all correct choices and no incorrect choices are selected.
1)epilepsy.
2)serious cystic acne.
3)sexually transmitted infections.
4)gestational diabetes.
5)hypertension.

Question 22

A pregnant patient suspected of drug abuse is admitted to the emergency department.The nurse plans to teach the patient about which complications associated with drug use during pregnancy? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Preterm birth
2)Low birth weight
3)Birth defects
4)Allergies to narcotics
5)Increased labor

Question 23

The nurse preparing a teaching plan for an adolescent postpartum mother includes which topics? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Most medications are secreted into breast milk.
2)The new mother's insulin will not be secreted into her breast milk.
3)Over-the-counter (OTC)drugs and herbal products are secreted into breast milk and have the potential to cause harm to the infant.
4)Topical medications must be avoided as these also are secreted into breast milk.
5)Most drugs are safe to take right after breastfeeding because they have not reached the blood stream yet.

Question 24

The clinic nurse will immediately alert the health care provider when which category X drugs are identified on a recently diagnosed pregnant patient? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Tetracycline
2)ACE inhibitor antihypertensive medication
3)Methotrexate
4)Isotretinoin (Accutane)
5)Oral contraceptives

Question 25

For which patient would the nurse expect the health care provider to continue prescribed medications during pregnancy? Credit will be given only if all correct choices and no incorrect choices are selected.
1)The patient recently diagnosed with gonorrhea
2)The patient with a history of frequent asthma attacks
3)The patient with hypertension
4)The patient with frequent insomnia
5)The patient with a family history of stroke

Question 26

The nurse is planning care for a pregnant patient prone to substance abuse.When the patient states,"My baby isn't getting my drugs,I am," how does the nurse respond? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Most illicit drugs will cross the placenta and hurt the baby."
2)"Even drugs that do not cross the placenta can hurt your baby by preventing nutrients from getting across the placenta."
3)"Research shows taking drugs can cause your baby to be born too early."
4)"You are correct.You are far enough along in your pregnancy that drugs will not harm your baby."
5)"If you continue to take drugs,it will make you have a very irritable infant."