L4 Drug Classification Nursing

L4 Drug Classification Nursing Related

Review L4 Drug Classification Nursing related questions and content

Discharge planning for patients leaving the hospital should include instructions on the use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good understanding of OTC drugs?

  • A. OTC drugs are safe and do not cause adverse effects if taken properly.
  • B. OTC drugs have been around for years and have not been tested by the Food and Drug Administration (FDA).
  • C. OTC drugs are different from any drugs available by prescription and cost less.
  • D. OTC drugs could cause serious harm if not taken according to directions.
Correct Answer: D

Rationale: It is important to follow package directions because OTCs are medications that can cause serious harm if not taken properly. OTCs are drugs that have been determined to be safe when taken as directed; however, all drugs can produce adverse effects even when taken properly. They may have originally been prescription drugs that were tested by the FDA or they may have been grandfathered in when the FDA laws changed. OTC education should always be included as a part of the hospital discharge instructions.

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After teaching a group of nursing students about pharmacokinetics, the instructor determines that the teaching was successful when the students identify which of the following as a phase? (Select one that does not apply.)

  • A. Absorption
  • B. Distribution
  • C. Administration
  • D. Metabolism
Correct Answer: C

Rationale: The pharmacokinetic phases are absorption, distribution, metabolism, and excretion. The acronym ADME is a helpful way to remember the pharmacokinetic phases.

Patients who are prescribed olanzapine (Zyprexa) should be monitored for:

  • A. Insomnia
  • B. Weight gain
  • C. Hypertension
  • D. Galactorrhea
Correct Answer: B

Rationale: Olanzapine commonly causes significant weight gain.

A nurse is teaching an adolescent client who has a new prescription for Clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication?

  • A. Wear sunglasses when outdoors.
  • B. Check your temperature daily.
  • C. Take this medication in the morning.
  • D. Add extra calories to your die
Correct Answer: A

Rationale: Clomipramine can cause photosensitivity; sunglasses minimize this adverse effect.

Adequate vitamin D is needed for:

  • A. Absorption of calcium from the gastrointestinal tract
  • B. Regulation of serum calcium levels
  • C. Regulation of serum phosphate levels
  • D. All of the above
Correct Answer: D

Rationale: Vitamin D facilitates calcium absorption, regulates serum calcium, and maintains phosphate levels.

The nurse transcribes an order to administer Valium 10 mg IV stat. This order is correctly interpreted by the nurse to mean it should be provided how? (Select all that apply.)

  • A. As needed
  • B. Immediately
  • C. One time only
  • D. Intravenously
Correct Answer: D

Rationale: The stat order is generally used on an emergency basis. It means that the drug is to be administered as soon as possible, but only once. IV indicates the route is intravenous. A PRN order means administer if needed. The order would specify divided doses and amount per dose if indicated.

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