pharm ch 3 nclex

  1. which does the nurse identify as a pharmacokinetic change that occurs in the elderly?

    D. the number of intact nephrons is decreased
  2. when teaching a pregnant woman about the use of drugs during pregnancy, which statement will the nurse include?

    B. drug transfer to the fetus is most likely to occur during the last trimester
  3. when administering medications to pediatric patients, the nurse understands that the dosage calculations for them are different than for adults because pediatric patients

    C. have immature liver and kidney function, resulting in impaired drug metabolism and excretion
  4. the nurse is reviewing factors that influence pharmacokinetics in the neonatal patient.  which factor puts the neonatal patient at risk with regard to drug therapy?

    A. immature renal system
  5. the psysiologic differences in the pediatric patient compared with the adult patient affect the amount of drug needed to produce a therapeutic effect.  the nurse is aware that one of the main differences is that infants have

    A. water composition of approx. 75%
  6. while teaching a 75 year old patient about the adverse effects of his medications, the nurse encourages him to keep a journal of the adverse effects he experiences.  this intervention is important for the elderly patient because of which alterations in pharmacokinetics?

    C. decreased blood flow to the liver, resulting in altered metabolism
  7. when the nurse is reviewing a list of meds taken by an 88 yo patient, the patient says "i get dizzy when i stand up".  she also states that she has nearly fainted a "time or two" in the afternoons.  her systolic BP drops 15 points when she stands up.  which type of medication may be responsible for these effects?

    B. antihypertensives
  8. a pregnant patient who is at least 32 weeks gestation has a cold and calls the office to ask about taking an OTC med that is rated as pregnancy category A.  which answer by the nurse is correct?

    D. studies indicate that there is no risk to the human fetus, so it is okay to take this med as directed if you need it.
  9. the nurse is preparing to administer an injection to a preschool age child.  what approaches are appropriate for this age group?  (select all that apply)

    • C. provide a brief, concrete explanation about the injection
    • d. make use of magical thinking
    • e. provide comfort measures after the injection
Card Set
pharm ch 3 nclex
nclex style questions