Mr. Svilla's Study Guide and practice q's (convenient format)

1. The 5 components to the Nursing Process and how it relates to medication administration

2. The 6 rights to medication administration

3. The 3 safety checks before giving a medication

4. Pharmakokinetic and Pharmakodynamic principles and terminology

5. Defining terms from your drug guide (mechanism of action, indication, etc)
Here are some sample questions...I'll post the answers by Sunday

1. A patient is in severe pain. Which of the following routes of administration would be the most expeditious?
a. Oral
b. Intramuscular
c. Intravenous
d. Transdermal

2. Therapeutic index is the ratio of a drugs LD50 to its ED50. A large therapeutic index means that:
a. a drug is relatively safe.
b. the drug is not safe
c. there is overlap between the therapeutic dose and the lethal dose.
d. the drug is too toxic for 50% of the population.

3. A drug with a strong attraction to albumin would have a distribution that is:
a. higher than the distribution of a drug with a weaker attraction.
b. no different than the distribution of a drug with a weaker attraction.
c. lower than the distribution of a drug with a weaker attraction
d. decreased by the presence of a drug that displaces the drug from the albumin.

4. On Monday a patient begins taking a daily dose of a drug with a half-life of 1 day. If he takes the same dose every day, on what day will his plasma drug levels reach plateau?
a. Wednesday
b. Thursday
c. Friday
d. Saturday

5. The binding of a drug to its receptor is ____ reversible.
a. never
b. rarely
c. usually
d. always

6. A patient is receiving warfarin, a drug with a strong attraction to albumin. While taking the warfarin, the patient begins to take a second drug that also has a strong attraction to albumin. The nurse would assess for:
a. decreased effects of the warfarin
b. therapeutic effects of the warfarin.
c. subtherapeutic levels of warfarin.
d. toxic levels of warfarin.

7. When one drug alters the absorption of a second drug taken at the same time, the drug interaction would be classified as:
a. a direct chemical reaction.
b. pharmacodynamic.
c. pharmacokinetic.
d. combined toxicity.

8. Your patient is taking a drug that has been determined highly hepatotoxic. You should counsel him to:
a. avoid alcohol and acetaminophen.
b. come in for a liver biopsy on a monthly schedule.
c. avoid strenuous activity and contact sports.
d. notify you immediately if his appetite increases.

9. The ED50 indicates the dose required to produce a:
a. minimal response in half of the population.
b. toxic response in half of the population.
c. therapeutic response in half of the population.
d. sustained response in half of the patients.

10. Which of the following statements is most correct in regards to the placebo effect?
a. It is caused by psychologic factors rather than physiologic ones
b. When it occurs, indicates that the patient is malingering
c. It is a rare effect, only seen with psychotropic medications
d. It always serves a beneficial purpose