Deck 62: Classification of Medications

Question 1

What drug information is instrumental in determining nursing actions following drug administration?

A) Route of administration
B) Body system affected
C) Adverse effects
D) Protocols

Answer 1

Adverse effects

Question 2

A pregnant client wants to know what drugs she can take safely during her pregnancy. Which drug should the nurse understand is relatively safe during pregnancy?

A) Estazolam
B) Dihydroergotamine mesylate
C) Valproic acid
D) Magnesium sulfate

Answer 2

Magnesium sulfate

Question 3

The nurse administers penicillin to a client and monitors the client for an adverse reaction despite the client's denial of being allergic to penicillin. What is the rationale for checking for adverse reactions? Select all that apply.

A) A person can be allergic to any medication at any time.
B) Medications can react with over-the-counter medications to cause toxicity.
C) Certain medications react with orange juice to cause toxicity.
D) If medications are not taken on an empty stomach, adverse reactions may occur.
E) Medications can react with herbal supplements to cause adverse reactions.
F) Medications can react with other medications prescribed for the client.

Answer 3

A person can be allergic to any medication at any time.
Medications can react with over-the-counter medications to cause toxicity.
Medications can react with herbal supplements to cause adverse reactions.
Medications can react with other medications prescribed for the client.

Question 4

The nurse is about to administer a Category C drug to a pregnant client. Which describes this FDA category of risk potential during pregnancy?

A) A risk has not been documented during pregnancy.
B) Animal studies show no risk, but there is inadequate documentation in humans.
C) Animal studies show adverse effects but there are no adequate studies in humans.
D) There is evidence of human fetal risk, but the benefits may outweigh risks.

Question 5

During a health interview, a client tells the nurse that she is taking ginkgo for memory improvement. For which condition should the nurse assess related to this information?

A) Bleeding
B) Diabetes
C) Seizures
D) Depression

Question 6

The nurse is researching the benefits and risks associated with the herbal supplement ginseng. Which client is at risk for the development of an adverse reaction to ginseng? Select all that apply.

A) A client who has epilepsy
B) A client who is taking antidepressants
C) A client who is on hormonal contraceptives
D) A client who has diabetes
E) A client who is on prednisone
F) A client who is pregnant

Question 7

How long should the nurse expect most transdermal patches to be effective?

A) 1 day
B) 2 to 3 weeks
C) 12 hours to 30 days
D) 30 to 45 days

Question 8

A client is prescribed ciprofloxacin for an acute sinus infection. This drug belongs to what category of anti-infective medications?

A) Penicillins
B) Cephalosporins
C) Tetracyclines
D) Fluoroquinolones

Question 9

The nurse is administering amoxicillin by mouth (PO) to a client diagnosed with otitis media. Which statement is true regarding this antibiotic?

A) It must not be soluble in water.
B) It must not diffuse into body tissue.
C) It should not affect normal flora.
D) It should not be absorbed by the GI tract.

Question 10

A 30-year-old client reporting chills and fever is diagnosed with septicemia. The client has been prescribed an aminoglycoside antibiotic. What information should the nurse include in client teaching?

A) Take full dose of the antibiotic prescribed.
B) Reduce the dose after the fever subsides.
C) Discontinue the drug soon after fever subsides.
D) Take a higher dosage if the fever does not subside.

Question 11

Which is an example of a dangerous organism that has become resistant to antibiotics?

A) Pneumonia
B) Methicillin-resistant Staphylococcus aureus (MRSA)
C) Streptococcus infection
D) Herpes virus

Question 12

A client diagnosed with an upper respiratory tract infection was prescribed roxithromycin. The nurse should tell the client that irregular administration of this medication could lead what situation that would result in the ineffectiveness of the medication?

A) Decreased absorption of the drug
B) Development of drug resistance
C) Increased rate of elimination of the drug
D) Increased chances of serious adverse events

Question 13

Which statements accurately describe the action of penicillin?

A) It is effective against gram-positive organisms.
B) It is not effective against gram-negative organisms.
C) It has many side effects, especially in large doses.
D) It is metabolized in the liver.

Question 14

Which classification of antibiotics is most widely used in the hospital setting?

A) Penicillins
B) Tetracyclines
C) Aminoglycosides
D) Cephalosporins

Question 15

A client developed a nosocomial, gram-negative infection when hospitalized. What is considered the antibiotic of choice for this type of infection?

A) Cephalosporins
B) Tetracyclines
C) Aminoglycosides
D) Fluoroquinolones

Question 16

Which category of antimicrobial agents is used chiefly because of low cost and effectiveness in treating common bacterial infections?

A) Cephalosporins
B) Aminoglycosides
C) Sulfonamides
D) Macrolides

Question 17

Benzocaine is considered to be what type of dermatologic agent?

A) Anesthetic
B) Pain relief
C) Soothing
D) Antiseptic

Question 18

Which medication is classified as a narcotic analgesic?

A) Aspirin
B) Ibuprofen
C) Celecoxib
D) Morphine

Question 19

A client with severe back pain has been prescribed medication by the healthcare provider. Which class of drugs can help in relieving this condition?

A) Analgesics
B) Diuretics
C) Antitussives
D) Antiflatulents

Question 20

What specific vital sign should be monitored by the nurse after administrating morphine sulfate to a client?

A) Heart rate
B) Respiratory rate
C) Temperature
D) Pulse

Question 21

When administering narcotics to clients, the nurse must monitor for which side effect?

A) Diarrhea
B) Bleeding
C) Sleep deprivation
D) Constipation

Question 22

An 8-year-old child is experiencing pain following tonsillectomy. Which medication would be an appropriate pain reliever for this client?

A) Salicylates
B) Nonsalicylates
C) Morphine
D) Barbiturates

Question 23

A client has been prescribed a barbiturate for control of seizures. What condition should the nurse be particularly focused on when monitoring the client?

A) Insomnia.
B) Frequent mood changes.
C) Hypertension.
D) Urinary frequency.

Question 24

A 45-year-old male client tells the nurse that he has not slept through the night for the past 2 weeks. Which medication might the physician prescribe for this client?

A) Phenytoin
B) Loratadine
C) Eszopiclone
D) Norepinephrine

Question 25

A 70-year-old female client diagnosed with chronic asthma is prescribed steroid therapy. Which possible side effect of long-term therapy should the nurse discuss with the client and family?

A) Decreased appetite
B) Weight loss
C) Thrombophlebitis
D) Hypotension

Question 26

A 7-year-old child is diagnosed with adrenocortical insufficiency and has been prescribed prolonged steroid therapy. Which is a steroid used for prolonged therapy?

A) Insulin
B) Prednisone
C) Cephalosporin
D) Penicillin

Question 27

A client diagnosed with diabetes is prescribed insulin. The client expresses a fear of injecting insulin with a needle. Which drug would be the best option for this client?

A) Exubera
B) Hypoglycemics
C) Mydriatics
D) Cardiotonics

Question 28

What is a priority nursing intervention that should be implemented before digoxin is administered?

A) Count the apical pulse rate for 1 full minute before administration.
B) Take the client's blood pressure reading before and after administration.
C) Ask the client to report when they next urinate.
D) Take the client temperature; fever is a contraindication for administration.

Question 29

A client experiencing constipation has been prescribed mineral oil. What information should the nurse provide to explain the need to take the medication between meals or atbedtime?

A) It can cause dizziness
B) Physical activity interferes with absorption of the drug
C) It interferes with vitamin absorption
D) It causes nausea and vomiting