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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Correct Answer is C

Explanation

Choice A reason: Osteoarthritis limits mobility; it doesn’t affect kidney function directly, so nephrotoxic drug clearance remains unchanged, not warranting a dose reduction.

Choice B reason: Diet impacts metabolism slightly; low protein may spare kidneys, but it doesn’t indicate impaired clearance requiring adjustment of nephrotoxic medication.

Choice C reason: Diabetic kidney disease with hypertension impairs filtration; reduced glomerular rate necessitates lower nephrotoxic doses to prevent further renal damage.

Choice D reason: Smoking affects lungs primarily; while it may indirectly harm kidneys, it’s less definitive than diabetic nephropathy for needing a reduced dose.

A. Call the client's name. B. Ask the client to fully state name, and check the client's identification armband with the medication administration record (MAR). C. Ask the family or visitors the client's name. D. Check the client's name on the door or bed.

Correct Answer is B

Explanation

Choice A reason: Calling the name relies on response accuracy; confused or hearing-impaired patients may not answer correctly, risking misidentification and medication errors.

Choice B reason: Verbal confirmation plus armband verification against the MAR ensures identity via two identifiers, aligning with safety protocols to prevent administration errors scientifically.

Choice C reason: Family or visitors may misidentify due to stress or error; this lacks direct patient verification, increasing risk of giving medication to the wrong individual.

Choice D reason: Bed or door labels can be outdated or misplaced; this indirect method fails to confirm identity actively, heightening the chance of medication misadministration.

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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

The nurse is to administer a nephrotoxic medication to the patient. Which assessment finding indicates to the nurse that the patient should receive a reduced dosage of the drug?

Correct Answer is C

Explanation

To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

Correct Answer is B

Explanation

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

Why does the nurse administer lorazepam intramuscularly (IM) to the patient rather than into the subcutaneous tissue?

In addition to the dorsogluteal and ventrogluteal muscles, which of these sites can safely be used for intramuscular injections?

Which of the following patients is most at risk for liver damage after taking acetaminophen regularly for arthritis pain?

When the nurse brings pills to the patient, the patient is unable to hold the paper cup with the medications. What should the nurse do?

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

An arthritic patient will be discharged home with a variety of medications. The best way for the home health nurse to assist the patient who lives alone in taking his medications is to:

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?