Pharmacology, Interdisciplinary Teams, and Nursing Practice

Every question here, with the answer

1. A hospitalized client has a newly ordered medication. Before administering it, which nursing action best reflects the nurse’s role in pharmacological care?

   1. Administer the medication because the health care provider ordered it.
   2. Wait for the pharmacist to complete all client assessment before giving the medication.
   3. Ask the social worker to verify the medication dose.
   4. Assess the client and determine whether the medication is safe for this client.

   Answer: Assess the client and determine whether the medication is safe for this client.

   The nurse’s role includes assessing the client, considering the medication’s potential effects, and determining safety before administration. A provider order and pharmacist verification are important, but they do not replace the nurse’s responsibility to assess before giving the drug.

2. A nurse is preparing to administer several prescribed medications to clients on a medical unit. Which actions are nursing responsibilities related to medication administration? Select all that apply.

   1. Incorporating assessment, planning, implementation, evaluation, and clinical judgment into medication administration.
   2. Monitoring for potential drug interactions.
   3. Assessing the client before administering the drug.
   4. Relying on the provider alone to determine all therapeutic and adverse effects after administration.
   5. Understanding why the client has been prescribed the drug.

   Answer: Incorporating assessment, planning, implementation, evaluation, and clinical judgment into medication administration., Monitoring for potential drug interactions., Assessing the client before administering the drug., Understanding why the client has been prescribed the drug.

   The section identifies the nursing process, knowledge of the drug’s indication, pre-administration assessment, and monitoring for drug interactions as nursing responsibilities. The nurse also assesses therapeutic and adverse effects, so this responsibility is not left only to the provider.

3. A client tells the nurse, “I probably won’t take this medication after discharge because I cannot afford it.” Which team member should the nurse anticipate involving?

   1. Pharmacology journal editor
   2. Historian of medicine
   3. Social worker
   4. Laboratory chemist

   Answer: Social worker

   The section states that a social worker may become involved when the client cannot afford the medication after discharge or when non-adherence is identified. The other options do not reflect the interdisciplinary roles described for this client-care problem.

4. A nurse is teaching a client about newly prescribed medications before discharge. Which approach best supports safe understanding?

   1. Speak clearly using simple language and ask the client to repeat the instructions back.
   2. Give brief instructions quickly because follow-up is not related to medication safety.
   3. Teach only the family caregiver because client teaching is completed by the pharmacist.
   4. Use medical jargon so the client becomes familiar with professional terminology.

   Answer: Speak clearly using simple language and ask the client to repeat the instructions back.

   The section emphasizes clear communication, simple language, avoiding jargon, and having the client repeat instructions to assess understanding. Teaching should not be rushed or limited only to the caregiver, and follow-up is described as critical to safety and well-being.

5. The nurse manager is reinforcing the value of interprofessional collaboration in medication-related care. Which outcomes or practices are supported by the section? Select all that apply.

   1. Improves the efficiency of client care.
   2. Improves client outcomes.
   3. Enhances the delivery of holistic care.
   4. Replaces the need for nurses to understand other team members’ roles.
   5. Helps lower costs to the client and the institution.

   Answer: Improves the efficiency of client care., Improves client outcomes., Enhances the delivery of holistic care., Helps lower costs to the client and the institution.

   The section states that interprofessional teamwork improves efficiency, lowers costs, improves client outcomes, and enhances holistic care. It also says health care providers should understand each other’s roles, so collaboration does not replace that need.

6. A nurse is determining whether a prescribed medication is safe for a specific client. Which client-related factors should the nurse consider according to the section? Select all that apply.

   1. Pathophysiology of the disease process.
   2. The year the first vaccine was developed.
   3. Nutritional status.
   4. Body weight.
   5. Life phase, such as pediatric, pregnancy, or geriatric populations.

   Answer: Pathophysiology of the disease process., Nutritional status., Body weight., Life phase, such as pediatric, pregnancy, or geriatric populations.

   The section lists life phase, body weight, nutritional status, and pathophysiology of the disease process as special considerations when determining medication safety. Historical dates may be important to pharmacology history, but they are not client-specific safety factors for administering a medication.