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?

Accepted Answer

This statement is incorrect as medication can potentially harm the growing fetus at any time during pregnancy, not just during the first trimester. Therefore, the nurse should provide additional education on this topic.

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.

Accepted Answer

The nurse should advise parents to call the Poison Control Centre for guidance if a toddler ingests medication, as they can provide specific instructions. Additionally, keeping medications locked up and out of reach is crucial to prevent accidental ingestion.

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?

Accepted Answer

B

Question 4

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

Accepted Answer

Giving the child a choice of beverage with which to take the medication allows the child to feel more in control and can make the process less intimidating. It is important to involve the child in the process and allow them to have some autonomy. Offering to play with the child or teaching them about the medication are also good actions, but offering a choice of beverage is the preferred action. Threatening to withhold recess is not an appropriate or effective action.

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?

Accepted Answer

The adolescent's statement "Everyone makes a big deal about what I eat, so don't ask" suggests body image concerns related to food and eating habits. Options A, B, and C are not directly related to body image concerns.

Question 6

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

Accepted Answer

Dosage based on milligrams per kilogram per day is considered the safest way to deliver medications to infants as it takes into account the infant's weight and ensures that they receive the appropriate dose.

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?

Accepted Answer

During pregnancy, a woman's blood volume increases, which can dilute medications and make them less effective.

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.

Accepted Answer

Pregnancy categories provided by the FDA do not indicate safety but provide a framework for safe use of drugs in pregnant women. FDA Pregnancy Category X drugs have shown to have teratogenic effects and should be avoided during pregnancy.

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?

Accepted Answer

The nursing instructor teaches that a common reason for difficulty in assessing for side effects of medications during pregnancy is that the adverse effects of medications are often similar to common discomforts of pregnancy. This can make it difficult for healthcare providers to differentiate between normal pregnancy symptoms and side effects of medications.

Question 10

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

Accepted Answer

Preschool children typically respond well to brief explanations that are easy to understand, followed by quick action. This approach respects their developmental stage, which is characterized by limited attention spans and an emerging ability to understand simple explanations and instructions.

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?

Accepted Answer

Most drugs, including herbal products, can be transferred to the infant through breast milk, and their safety during breastfeeding is not always well established. Therefore, caution is advised, and it's generally recommended to avoid unnecessary medications or herbal products during breastfeeding unless deemed safe by a healthcare provider.

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?

Accepted Answer

The elderly are frequently dehydrated, which can affect medication absorption, distribution, metabolism, and excretion, leading to increased risk of medication complications.

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?"

Accepted Answer

The answer of The elderly client comes to the emergency...

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?

Accepted Answer

Using a medication management box is a practical and effective method to ensure medication compliance. Crushing medication and hiding it in food is not safe and can alter the medication's effectiveness. Simply providing more education about the medication may not address the underlying reasons for non-compliance. Asking the doctor if all medications are necessary is important but does not address the issue of compliance.

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?

Accepted Answer

Crushing the tablet and mixing it with a small amount of jam will make it easier for the child to swallow and also make it more palatable. Offering a reward like a toy or threatening punishment may create a negative association with taking medication and should be avoided.

Quiz 6: Drug Administration Throughout the Lifespan