When categorizing medications, drug classifications may be defined by the effects of the drug and:

The symptoms the drug relieves.

The dosage amounts.

Patient tolerance.

The nursing implications.

Answer and Explanation

The Correct Answer is A

Choice A reason: Classifications like “analgesics” pair effects (pain relief) with symptoms (pain); this pharmacological basis groups drugs by therapeutic purpose and mechanism.

Choice B reason: Dosage varies within classes; it’s not a defining trait, as classifications focus on action (e.g., beta-blockers), not specific amounts administered.

Choice C reason: Tolerance is patient-specific, not a classification criterion; drugs are grouped by effect and symptom relief, not individual response variations.

Choice D reason: Nursing implications guide administration, not classification; categories stem from pharmacology (e.g., antihypertensives), not care protocols or implications.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: An applicator ensures precise vaginal delivery; it maintains sterility, controls depth, and optimizes medication contact with mucosa for effective absorption.

Choice B reason: Irrigation kits are for flushing; they’re inappropriate for solid or cream medications, risking uneven distribution or mucosal irritation in the canal.

Choice C reason: A finger risks contamination; without sterile technique, it introduces bacteria, and depth control is poor compared to a designed applicator.

Choice D reason: Gauze pads can’t deliver deeply; medication may stick or distribute poorly, reducing efficacy and comfort in vaginal administration settings.

A. Document the error on the client's medical record and notify the supervisor. B. Check the client's MAR for drug allergies, and if there is no indicated allergy to the drug administered in error, no further action is necessary. C. Call the health care provider immediately and complete an incident report. D. Administer the original drug and observe the client frequently for adverse reactions to the first drug.

Correct Answer is C

Explanation

Choice A reason: While documentation and supervisor notification are crucial, immediate action involving the health care provider ensures timely response to potential adverse effects from the medication error.

Choice B reason: Relying solely on the absence of drug allergies is insufficient and may jeopardize patient safety. Errors require immediate communication and reporting for appropriate interventions.

Choice C reason: Timely provider notification prioritizes patient safety and enables corrective measures. Completing an incident report supports institutional transparency and learning to prevent future errors.

Choice D reason: Administering additional drugs risks compounding harm. The priority is addressing the initial error and ensuring patient safety without introducing further interventions.

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When categorizing medications, drug classifications may be defined by the effects of the drug and:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What should the nurse use when placing medication into a patient’s vaginal canal?

Correct Answer is A

Explanation

After administering a medication to a client, the nurse realizes that the client was given another client's drug. What must the nurse do next?

Correct Answer is C

Explanation

The patient's insurance company refuses to pay for the brand name formulation of a prescribed drug. Which formulation of the drug will the patient receive instead?

The nurse explains that a drug may have several names. The trade name is the only name that can be:

A nurse is assessing patient response to medications received. Which must the nurse know about these drugs to best evaluate whether the expected outcomes of the drug therapy have been achieved?

A patient is scheduled to have biofeedback therapy for migraine headaches. On arrival to the clinic, the patient appears anxious and fearful and tells the nurse that she does not want electric shocks. The most reassuring response by the nurse is:

The nurse explains to a client that the drug administration of a medication is to be placed between the gum and jaw. By which route is the nurse administering this medication?

The nurse administering medications to a client is aware that the primary reason that most drugs are administered orally is because the oral route:

An elderly patient who lives in a skilled nursing facility and who likes to walk is taking a medication that lowers blood pressure by dilating blood vessels. The best nursing action for this patient is to:

A hospitalized 3-year-old toddler is to receive an oral medication. For the most effective approach, the nurse should tell the child: