The nurse is conducting an admission assessment on a client. When collecting data related to medications, the nurse asks, "What medications are you currently taking?" After collecting this information, what other questions should the nurse ask? Select all that apply.

Do you feel like you take enough medication, too much, or too little?

Do you take medications safely when you take them?

Who prescribed these medications?

What over-the-counter (OTC) medications do you take?

Do you take any herbs, vitamins, or supplements?

Answer and Explanation

Correct Answer : C,D,E

a. Asking the patient if they feel they are taking enough, too much, or too little medication may not provide the most useful information for assessing medication safety or appropriateness. It is more important to focus on the types of medications being used and any potential interactions.

b. While medication safety is important, asking directly about who prescribed the medications, OTC medications, and supplements is more pertinent in this context to gather complete information about the patient’s medication regimen.

c. Knowing who prescribed the medications is important for understanding the source of the medications and ensuring they are appropriate for the patient’s condition.

d. Asking about over-the-counter (OTC) medications is essential because OTC drugs can interact with prescribed medications and affect the patient's health.

e. Inquiring about herbs, vitamins, and supplements is crucial because these can also interact with prescription medications and affect their efficacy or safety.

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Correct Answer is A

Explanation

a) Oral medications, such as oral analgesics, undergo a disintegration process in the gastrointestinal (GI) tract before they can be absorbed into the bloodstream. Tablets and capsules must break down into smaller particles to be dissolved and absorbed.

b) Subcutaneous medications bypass the GI tract and are absorbed directly into the tissue, so they do not require a disintegration process.

c) Intramuscular injections are directly absorbed into the bloodstream from muscle tissue and do not require disintegration.

d) Intravenous drugs are delivered directly into the bloodstream and are immediately available for action, eliminating the need for disintegration.

A. Healthy and ill subjects B. Subjects with other diseases C. Subjects with disease the drug will treat D. Healthy subjects

Correct Answer is C

Explanation

A. Phase I trials focus on healthy individuals, but the next phase (Phase II) involves patients with the target disease. Including both healthy and ill subjects at this stage is not appropriate.

B. Subjects with other diseases are not included in Phase II trials because the goal is to test the drug in individuals who have the specific condition the drug is intended to treat.

C. Phase II clinical trials focus on evaluating the drug’s efficacy and safety in individuals who have the disease it is designed to treat. This phase helps determine the optimal dosage and potential side effects in the target population.

D. Healthy subjects are included in Phase I trials to assess safety and pharmacokinetics, but in the next phase (Phase II), the study shifts to testing the drug in patients with the disease it is meant to treat.

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The nurse is conducting an admission assessment on a client. When collecting data related to medications, the nurse asks, "What medications are you currently taking?" After collecting this information, what other questions should the nurse ask? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which drug will go through a disintegration process after it is administered?

Correct Answer is A

Explanation

A clinical drug trial is conducting a study of pharmacokinetics and safety of a drug in healthy individuals. The nurse will assist enrollment of participants into the next phase of the study and will include which subject?

Correct Answer is C

Explanation

In response to the patient's question about how to know whether drugs are safe, the nurse explains that all medications undergo rigorous scientific testing controlled by what organization?

The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?

The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form of the medication will the nurse administer?

What would be the best source of drug information for a nurse?

When administering topical medications, which is an important nursing action?

The nurse is caring for an older adult patient who is receiving multiple medications. When monitoring this patient for potential drug toxicity, the nurse should review which lab values closely?

The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse’s actions best demonstrate?

A patient is taking methadone as part of a heroin withdrawal program. The nurse understands that in this instance methadone is classified as which drug schedule?