Exam 20: Safe Medication Preparation

______________ are predictable and often unavoidable secondary effects of a medication produced at a usual therapeutic drug dose.

A patient reports a pain level of 7 out of 10 and receives 10 mg of morphine IV.The nurse knows that IV morphine has an onset of 1 to 2 minutes,a peak of 20 minutes,and a duration of 4 to 5 hours.The patient asks when he will start to feel some pain relief.The nurse should respond that relief should begin in _____________.

The nurse administers 100 mg of a drug at 0800.The drug's biological half-life is 4 hours.A serum drug level is drawn at 1600.The nurse should anticipate ___________ milligrams will be left in the body at 1600?

A drug interaction in which the combined effect of drugs is greater than the sum of the effects of each individual agent acting independently is known as a _____________.

The nurse administers 650 mg of acetaminophen orally to a patient with a pain level of 4 out of 10.The nurse is aware that the onset of action is 30 minutes to 1 hour,the peak action is 1 to 3 hours,and the duration of action is 3 to 8 hours.After _____ hours,the nurse should assess the patient to determine the maximum effectiveness of the drug.

The _________________ of a drug is the blood serum concentration reached and maintained after repeated,fixed doses.

An 80-year-old patient who complains of feeling "anxious" is given lorazepam.The patient becomes agitated and delirious.The nurse documents this reaction to Ativan as which of the following?

The patient is complaining of severe leg pain.No pain medication is ordered,so the nurse calls the health care provider.An order for Tylenol with Codeine prn is given,in addition to a one-time order for morphine sulfate to be given stat.Which action by the nurse is most appropriate?

A medication distribution system that uses individual patient drawers and whereby medication is packaged according to what the patient would receive at one time is known as the _______ system.

The patient is to receive a medication via the sublingual route.Which action by the nurse is appropriate?

The intended or desired physiological response to a medication is known as its ____________.

When medications are administered,which action by the nurse is appropriate?

When controlled substances are administered,which action is required by the nurse?

To prevent medication errors,which action should be taken by the nurse?

The patient is to receive 200 mg of a medication.There are 100-mg scored tablets available.The nurse prepares _________ tablets.

A patient with a history of renal failure and liver disease has been receiving morphine sulfate every 4 hours for the past 2 weeks.The nurse finds the patient lethargic with a respiratory rate of 6 breaths per minute.The health care provider orders naloxone.The nurse anticipates which effects when naloxone is given? (Select all that apply. )

The nurse reviews a medication administration record for an anticoagulant that is ordered at 0900 daily.The medication record indicates that the drug was given at the following times over the past 4 days.Which times follow the "right time" of medication administration? (Select all that apply. )

A patient receives the usual dose of a medication for the first time and develops severe hypotension and bradycardia.The nurse reports this event as an __________ type of medication action.

The prescriber orders an IV antibiotic every 8 hours.The nurse administers the medication at 0900.The medication's onset of action is 5 minutes,peak action is 30 minutes,and duration is 6 to 24 hours.An order for peak and trough levels is written.The nurse will have the peak level drawn at _________.

A patient is receiving vancomycin IV every 8 hours at 0800,1600,and 2400.A serum peak and trough level is ordered after the third dose,which will be given at 1600.When should the nurse order the trough level?