Chapter 6 prepU Pharm

A client has been diagnosed with heart failure and has been prescribed a calcium channel blocker. The client tells that nurse that it will be a major challenge to afford the medication and states, "I might see if I can find the pills cheaper from an online pharmacy in another country." What is the nurse's most appropriate action? -Contact the drug manufacturer to determine if subsidies are available for clients who cannot afford the medication. -Inform the client that this practice is illegal and could lead to serious criminal charges. -Educate the client about the potential risks involved in buying medications online. -Refer the client to a pharmacy that will identify and corroborate any medications the client has ordered online.

Educate the client about the potential risks involved in buying medications online.

The clinic nurse is assessing a client who reports taking ginseng recently. Which condition would the nurse take special care to check for in this client? -liver toxicity -atherosclerosis -hypoglycemia -depression

hypoglycemia

When caring for a client with alcohol dependence who is prescribed a benzodiazepine, which side effects is it most important that the nurse monitor for? -increased thirst -insomnia -anxiety -sedation

sedation

The nurse is providing education to the family of a client recently admitted for treatment of a substance use disorder. How should the nurse best explain the etiology of this disorder? -"Substance abuse is a complex phenomenon, and science has not yet begun to truly understand the phenomenon." -"Substance abuse is primarily a cultural concept, since definitions vary widely across time and place." -"Substance abuse is multifactorial and involves genetics, personality, and culture." -"Many different factors contribute to substance abuse, but the primary ones are lack of willpower and impaired coping."

"Substance abuse is multifactorial and involves genetics, personality, and culture."

Which website extension represents a professional group? .org .com .edu .gov

.org

The emergency department nurse is admitting a young adult client who denies the use of prescription or over-the-counter medications, but who admits to using cocaine and ecstasy. How should the nurse best follow up this assessment finding? -Educate the client about the dangers of recreational drug use. -Assess the frequency of use and document the findings. -Dialogue with the client about drug use but avoid documenting in order to maintain confidentiality. -Inform law enforcement authorities using the facility's protocol.

Assess the frequency of use and document the findings.

A client reports that, "The alcohol treatment programs I've tried in the past have only helped for a little and then I start drinking again." This statement best describes which type of alcohol-related behavior? -Physical dependence -Tolerance -Psychological dependence -Withdrawal

Psychological dependence

What action should the nurse take when identifying that a client regularly self-medicates with herbal supplements? -Notify the healthcare provider of the client's use of herbs. -Discontinue them if the client is taking prescription medications. -Research them for possible interactions with other medications. -Make sure that the client takes them one hour before prescription medications.

Notify the healthcare provider of the client's use of herbs.

When describing off-label use, what would the nurse need to keep in mind? -Off-label drug use often involves drugs for treating heart disease. -Off-label drug use may lead to the discovery of a new use for the drug. -Liability related to off-label use is clearly defined. -Off-label use indicates that the drug is awaiting FDA approval.

Off-label drug use may lead to the discovery of a new use for the drug.

What should the nurse include when teaching a client about herbal therapies? -Since 2010, these therapies are closely regulated by the Food and Drug Administration. -A client taking prescription medications should stop taking all herbal supplements. -The amount of the active component is standardized for preparations of the same substance. -The results of available testing often involve only a small number of people.

The results of available testing often involve only a small number of people.