Drug Classifications for Nurses

Drug Classifications for Nurses Related

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A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which information should the nurse teach when carrying out plans for discharge?

  • A. Keep insulin vials refrigerated at all times.
  • B. Rotate the insulin injections systematically.
  • C. Increase the amount of insulin before unusual exercise.
  • D. Monitor the urine acetone level to determine the insulin dosage.
Correct Answer: B

Rationale: Insulin dosages should not be adjusted or increased before unusual exercise. If acetone is found in the urine, it may possibly indicate the need for additional insulin. To minimize the discomfort associated with insulin injections, the insulin should be administered at room temperature. Injection sites should be systematically rotated from one area to another. The client should be instructed to give injections in one area, about 1 inch apart, until the whole area has been used and then to change to another site. This prevents dramatic changes in daily insulin absorption.

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A 27-year-old male is admitted to the Emergency Department (ED) after a serious motorcycle accident. The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the ICU. The nurse who is going to care for this patient in the ICU knows that one of their most important responsibilities in regard to drug therapy is what?

  • A. Support vital functions
  • B. Continue curative treatment
  • C. Institute life-saving treatment
  • D. Monitor the patient's response
Correct Answer: D

Rationale: Monitoring drug response ensures timely adjustments in critical care, optimizing therapy amidst multiple injuries.

The American Dietetic Association has recommended the use of specific nutritional supplements in the following population(s):

  • A. 400 IU per day of vitamin D in all infants and children
  • B. 1,000 IU per day of vitamin D for all pregnant women
  • C. 60 mg per day of iron for all adults over age 50 years
  • D. All of the above
Correct Answer: A

Rationale: The ADA recommends 400 IU/day of vitamin D for infants and children to support bone health.

Piroxicam has a particularly long half-life (50 hours) as it undergoes enterohepatic recycling.

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: Piroxicam's long half-life is due to enterohepatic recycling, prolonging its presence in the body.

Tick the second messenger of G-protein-coupled (metabotropic) receptor:

  • A. Adenylyl cyclase
  • B. Sodium ions
  • C. Phospholipase C
  • D. cAMP
Correct Answer: D

Rationale: cAMP is a classic second messenger generated by G-protein-coupled receptors via adenylyl cyclase.

Which example best demonstrates safe drug administration by the nurse?

  • A. Administering an oral medication with the patient sitting upright
  • B. Asking children to say their name before administering the medication
  • C. Leaving the medications on the bedside stand after verifying patient identification
  • D. Returning the unused portion of a medication to a stock supply bottle
Correct Answer: A

Rationale: Sitting the patient upright for oral medications is safe medication practice. Children should never be asked their names as a means of positive identification. Remaining with a patient until the drug is swallowed is safe practice. Returning an unused portion of medication to the stock supply bottle is not safe medication practice.

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