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Flashcards in (2) Therapeutics SLO Deck (16):
1

Andrew is caring for several patients. Which patient is he anticipating to have the least ability to metabolize drugs?
A. A 52-year old woman with hot flashes
B. A 22- year old pregnant female
C. A 32-year old man with kidney stones
D. A 50-year old man with hypertension
E. A 3-day old premature baby

3-day old premature baby

2

Cesar is getting the history of a diabetic patient who is taking several different medications. One of the drugs stimulates gastric peristalsis. Cesar recognizes that this drug may have which effect on the other oral medications this patient is taking?
A. Increased absorption and excretion
B. Decreased absorption & increased excretion
C. Increased metabolism
D. Decreased absorption and excretion
E. Increased absorption & decreased excretion

Decreased absorption & increased excretion

3

Cesar is teaching a patient how to self-administer an asthma medication using a fixed dose inhaler. Which statement made by the client indicates that Cesar has successfully communicated important information about this drug?
A. “I should only take this in the morning.”
B. “Inhaled medications are rapidly broken down by the liver.”
C. “I should expect to feel effects nearly instantly.”
D. “Inhaled medications represent a larger dose than oral forms of the same drug.”
E. “Its okay to share my medication with family members, but no one else."

“I should expect to feel effects nearly instantly.”

4

Esther knows that a drug with a high therapeutic index is:
A. Expensive
B. More effective than a low index drug
C. Probably safe
D. Risky for kids
E. Very dangerous

Probably safe

5

TRUE or FALSE: If someone is a fast metabolizer of a drug, they are genetically different than someone who is a slow, or poor, metabolizer.

True

6

Leslie is caring for several patients. Which patient is she anticipating to have problems with urinary retention?
A. A 65-year old man, with benign prostatic hypertrophy (BPH), taking diphenhydramine for an allergy
B A 25-year old woman, taking amitriptyline to treat major depressive disorder
C. A 55-year old Asian taking Sudafed to treat cold symptoms
D. A & B only
E. All the above (A, B and C)

A 65-year old man, with benign prostatic hypertrophy (BPH), taking diphenhydramine for an allergy, A 25-year old woman, taking amitriptyline to treat major depressive disorder, A 55-year old Asian taking Sudafed to treat cold symptoms. ***ALL***

7

Naleo, a nurse on a geriatrics floor, is administering a dose of digoxin to one of her patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. Naleo explains that as people get older, their kidneys and liver do not work as well as someone who is younger. If the dose was as high as her niece’s, the drug will tend to:
A. Have a shorter half life
B. Not be distributed as widely
C. Be absorbed better from the gastrointestinal tract
D. Accumulate
E. Be processed faster by the liver

Accumulate

8

Someone who is a fast metabolizer of a drug will require __?__ of it to get the same response as a poor metabolizer.
A. There is no way to tell
B. Double the amount
C. The same amount
D. More
E. Less

More

9

Someone who requires 1/3 of the normal dose of a drug to get a normal response, may be __?__
A. None of the listed answers can be correct
B. An intermediate metabolizer
C. A fast metabolizer
D. An ultra fast metabolizer
E. A poor metabolizer

A poor metabolizer

10

Which is a drug-induced disease related to the peripheral nervous system?
A. Bone marrow suppression
B. Kidney failure
C. Urinary retention
D. Weight gain
E. Allergy

Urinary retention

11

Which is NOT one of the six "rights?"
A. Client
B. Dose
C. Drug
D. Route
E. Clinician

Clinician

12

Which is NOT GENERALLY CONSIDERED to be a clinically significant type of drug interaction, but may potentially be, depending on the combination of drugs?
A. Competition for plasma protein binding
B. Alteration of renal clearance
C. Inhibition of metabolic enzymes
D. Inhibition of absorption
E. Induction of metabolic enzymes

Competition for plasma protein binding

13

Which should you know BEFORE you administer a medication?
A. Effect(s) caused by the drug
B. All the answers are correct
C. Purpose and use of the product
D. Onset and duration
E. Generic and Trade name of the product

Onset and duration
Effect(s) caused by the drug
Purpose and use of the product
Generic and Trade name of the product
***ALL***

14

Which client characteristics should the nurse consider important information because it (they) may affect the physiological response to various types of drug therapy?
A. 82-year old female
B. Obesity
C. Asian
D. Mother and brother with diabetes
E. All the above

82-year old female
Obesity
Asian
Mother and brother with diabetes
***ALL***

15

Which product is more likely to produce a local effect?
A. Capsule
B. IM injection
C. Topical
D. Oral Suspension
E. IV injection

Topical

16

Simone is monitoring the therapeutic drug level for a patient taking lithium and notes that the level is within the accepted range. What does Simone then know to be true?
A. Monitoring is no longer necessary.
B. The dose will not need to be changed for the duration of therapy
C. This drug is an effective treatment for the patient’s condition
D. The drug level is currently appropriate to have a therapeutic effect
E. The patient will not experience any side effects

The drug level is currently appropriate to have a therapeutic effect