Nursing Drug Classifications

Nursing Drug Classifications Related

Review Nursing Drug Classifications related questions and content

A nurse is preparing to administer an intramuscular injection to a patient for the first time. Which of the following would be most important for the nurse to do?

  • A. Obtain the patient's allergy history.
  • B. Obtain information about the drug.
  • C. Inquire if the patient has any objections to syringes.
  • D. Discuss the dosage with other nurses.
Correct Answer: A

Rationale: Before giving any drug for the first time, the nurse should ask the patient about any known allergies as well as any family history of allergies. The nurse need not particularly obtain information about the drug as it has been prescribed by the physician, but needs to be aware of the adverse effects it may cause. There is also no need to discuss the dosage with other nurses or to find out if the client has any objections to syringes. However, the nurse should help allay the patient's fears by reassuring him or her about the administration.

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The nurse learns that a drug needed by the patient is classified as an orphan drug and recognizes what as a reason for this classification?(Select one that does not apply.)

  • A. The drug is rarely prescribed.
  • B. The drug has dangerous adverse effects.
  • C. The drug treats a rare disease.
  • D. The patent on the medication is still effective.
Correct Answer: D

Rationale: Drugs are classified as orphan drugs when they are not financially viable for a drug company to produce either because of risk for lawsuits about adverse effects or because the drug is not prescribed, which is often seen in rare diagnoses. Generic drugs are not produced until the patent expires, but this has no impact on classifying a particular drug as an orphan drug. Generic drugs are often produced by companies that only manufacture drugs without conducting research, but this has no bearing on the classification of orphan drugs.

Flushing occurs when alcohol is taken along with

  • A. Phenformin
  • B. Chlorpropamide
  • C. Glibenclamide
  • D. Tolbutamide
Correct Answer: B

Rationale: Chlorpropamide causes a disulfiram-like reaction with alcohol, leading to flushing.

When the costs of a specific treatment or intervention are calculated and then compared with the dollar value of the benefit received it is referred to as:

  • A. Cost-minimization analysis
  • B. Cost-of-illness analysis
  • C. Cost-effectiveness analysis
  • D. Cost-benefit analysis
Correct Answer: D

Rationale: Cost-benefit analysis quantifies both costs and benefits in monetary terms.

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

  • A. Metformin, a biguanide to prevent diabetes
  • B. Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
  • C. Naproxen, an NSAID to treat joint pain
  • D. Furosemide, a diuretic to treat fluid retention
Correct Answer: B

Rationale: High-dose prednisone risks ulcers, warranting omeprazole; diabetes or fluid are less immediate.

The elderly are at high risk of ADRs due to:

  • A. Having greater muscle mass than younger adults, leading to higher volume of distribution
  • B. The extensive studies that have been conducted on drug safety in this age group
  • C. The blood-brain barrier being less permeable, requiring higher doses to achieve therapeutic effect
  • D. Age-related decrease in renal function
Correct Answer: D

Rationale: Age-related renal decline slows drug clearance, raising ADR risk in the elderly, unlike muscle mass , studies , or BBB .

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