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When describing the various types of medications to a group of nursing students, a nursing instructor would identify which of the following as a source for deriving medications? Select all that apply.
- A. Plants
- B. Synthetic sources
- C. Mold
- D. Minerals
- E. Animals
Correct Answer: A,B,C,D,E
Rationale: Medications are derived from natural sources, for example, plants, molds, minerals, and animals, as well as created synthetically in a laboratory.
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A nursing student is preparing to administer a prescribed drug to a patient. The student reviews information about the drug and its actions. Which of the following would be the best choice for obtaining this information? Select all that apply.
- A. Nursing instructor
- B. Nurse assigned to the patient
- C. Clinical drug reference
- D. Prescribing health care provider
- E. Clinical pharmacist
Correct Answer: C,E
Rationale: Although the nursing student can ask the nursing instructor, the nurse assigned to the patient, and the prescribing health care provider for information about the drug, the best choices for drug information would include an appropriate drug reference and the clinical pharmacist.
A nursing student is reviewing information about the Controlled Substances Act of 1970. The student would expect to find which of the following as being regulated for drugs classified as controlled substances? Select all that apply.
- A. Manufacturing
- B. Elimination
- C. Distribution
- D. Formulation
- E. Dispensing
Correct Answer: A,C,E
Rationale: The Controlled Substances Act of 1970 regulates the manufacture, distribution, and dispensing of drugs classified as controlled substances. Elimination refers to the excretion of drugs from the body, a pharmacokinetic activity. The act does not address formulation of the drug.
The nurse administers a prescribed medication that is supplied as an enteric-coated tablet. The patient asks the nurse about this form of tablet. When describing how this tablet is absorbed, which response by the nurse would be most accurate?
- A. The medication dissolves directly from the stomach into the body.
- B. The drug breaks up into pieces as it moves through the stomach.
- C. The medication bypasses the GI tract and goes quickly into the bloodstream.
- D. The drug dissolves into fragments after it reaches your small intestine.
Correct Answer: D
Rationale: Enteric-coated tablets disintegrate or fragment after reaching the alkaline medium of the small intestine. Tablets and capsules break up into small particles and dissolve into body fluids in the gastrointestinal tract. Liquids and parenteral drugs are quickly absorbed into the body system.
A nurse has administered drugs to a patient as per the physician's orders. Which of the following activities should the nurse perform after administering the prescribed drugs to the patient?
- A. Record symptoms of the condition.
- B. Perform a culture and sensitivity test.
- C. Obtain history of drug allergy.
- D. Check for adverse drug reactions.
Correct Answer: D
Rationale: After administering the drug to the patient, the nurse should observe the patient for adverse drug reactions. Recording symptoms of infection, performing a culture and sensitivity test, and obtaining a history of drug allergy are typically performed by the nurse in the preadministration assessment stage.
Which of the following is true regarding the Dietary Supplement Health and Education Act (DSHEA)? Select all that apply.
- A. The act allows for DEA enforcement of the act.
- B. The act gives the FDA power to enforce the laws governed by the act.
- C. The act permits general health claims.
- D. The act permits curative health claims.
- E. The act defines specific substances as 'dietary supplements.'
Correct Answer: B,C,E
Rationale: The DSHEA defines substances such as herbs, vitamins, minerals, amino acids, and other natural substances as 'dietary supplements' and permits general health claims as long as the label also has a disclaimer stating that the supplements are not approved by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. The act gives the FDA the power to enforce the laws governed by the act.