The distribution of a drug in the body is affected by
a. Dehydration
b. Decreased plasma protein levels
c. Decreased blood flow
d. All of the above
Question 2Mr. Martin has been admitted to your medical-surgical unit as newly diagnosed with diabetes. He and his wife have a lot of questions regarding diet, insulin, and exercise. You should
a. Tell them that there is no rush; you will set up appointments for them in the coming days with all the disciplines
b. Begin to talk to them in generalities about diabetes and some life changes
c. Tell them that all this will be covered on discharge
d. Tell them that they should ask the physician
Question 3Enteric-coated medications
a. Should be crushed to be most effective
b. Dissolve in the stomach
c. Are liquids
d. Are injectables
Question 4Mr. Ray is scheduled to receive his tetanus booster today. You will
a. Give it in the deltoid muscle
b. Give it in his abdomen
c. Give it in his dorsogluteal muscle
d. Teach him to give it to himself
Question 5Nursing assessments must include questions regarding alcohol consumption because
a. It is a social problem that the LPN must ad-dress
b. It can potentiate or decrease the effects of many other drugs
c. It may be necessary for the LPN to plan on assisting the patient through alcohol with-drawal
d. None of the above
Question 6Mrs. Iris, a 70-year-old woman, complains of diffuse stomach pains, vomiting with some bright red color, and diarrhea. You suspect she may have an ulcer. She is taking many medications. Which medication might you highlight for the physician?
a. Compazine, Tagamet
b. Mylanta, colchicine
c. Aspirin, iron supplement, potassium supplement
d. Erythromycin, Ventolin
Question 7Mr. David, an 83-year-old man, is admitted to your unit after an emergency cholecystectomy (gallbladder removal) under general anesthesia. It has been 12 hours since surgery, and although arousable, Mr. David is still very groggy and sedated.
His family is concerned and thinks there is something wrong. As the LPN in charge, you
a. Call the physician immediately; the family is right, he should not be groggy 12 hours after surgery
b. Decide you will refuse to medicate him for pain if he asks because he is still heavily sedated
c. Increase his IV rate
d. Explain to the family that because of normal age-related changes, it takes longer for the effects of anesthesia to wear off
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