Pharm 1 Final
The nurse is completing a preoperative database on a client scheduled for back surgery the next day. Which question is most important to ask to possibly prevent an adverse patient outcome? "Have you or any family members ever suffered a reaction to anesthesia?" "Did you remember that you can take your blood pressure pill the morning of surgery?" "How long have you been suffering from back pain?" "When did you last eat?"
"Have you or any family members ever suffered a reaction to anesthesia?"
Which statement made by a patient indicates a need for further discharge instruction about baclofen [Lioresal]? "If I develop any difficulty urinating, I will call my physician." "I'm glad I can still have a glass or two of wine at dinner." "I'll contact my healthcare provider when I feel I no longer need the medication." "I'll need to check with my healthcare provider before taking my allergy medications."
"I'm glad I can still have a glass or two of wine at dinner."
A patient with chronic pain has a fentanyl patch applied to his right shoulder. The patient reports that his arm hurts and he requests a warm pack to apply to the area. Which statement by the nurse is correct? "Putting a warm pack on the area where the fentanyl patch is located could accelerate fentanyl release." "Your arm probably hurts because of the fentanyl patch." "I can remove your patch and reapply it after you are done with the warm pack." "The fentanyl patch is heat resistant, so I will get you a warm pack."
"Putting a warm pack on the area where the fentanyl patch is located could accelerate fentanyl release."
In reviewing the home medications of a patient who has been given a new prescription for orlistat [Xenical], the nurse notes that the patient takes levothyroxine. The nurse should provide which instruction? "Take the orlistat and the levothyroxine at least 4 hours apart." "Take the levothyroxine on a full stomach right before bedtime." "Take the orlistat and the levothyroxine 1 hour after your multivitamin." "Take the orlistat 30 minutes to 1 hour after the levothyroxine."
"Take the orlistat and the levothyroxine at least 4 hours apart."
The nurse is teaching a patient with cancer about a new prescription for a fentanyl [Sublimaze] patch, 25 mcg/hr, for chronic back pain. Which statement is the most appropriate to include in the teaching plan? "You will need to change this patch every day, regardless of your pain level." "This type of pain medication is not as likely to cause breathing problems." "With the first patch, it will take about 24 hours before you feel the full effects." "Use your heating pad for the back pain. It will also improve the patch's effectiveness."
"With the first patch, it will take about 24 hours before you feel the full effects."
The nurse is teaching a patient with a new prescription for ergotamine [Ergomar]. Which statement is most appropriate to include in the teaching plan? "You should not use this drug more than 1 or 2 days per week." "You should rise slowly from a sitting to a standing position." "Be sure to include bananas and melons in your diet to increase potassium." "You will need to return to the clinic for blood work monthly."
"You should not use this drug more than 1 or 2 days per week."
The healthcare provider orders diazepam [Valium] 5 mg IV every 8 hours. The medication available is diazepam [Valium] 5 mg/mL. How many mL will the nurse administer? 0.5 mL 1 mL 1.5 mL 2 mL
1 mL
The nurse performs the change-of-shift checks that include verifying pump setting for the ordered propofol infusion. The nurse notes that the order is for 2 mg/kg/hr. The most recent weight measurement for the patient was 64 kg. The nurse notes that the pump should be infusing how many mg per hour? 2 mg 32 mg 128 mg 281 mg
128 mg
The healthcare provider orders sumatriptan 50 mg PO every 12 hours PRN. The drug available is sumatriptan 25-mg tablets. How many tablets will the nurse administer? 0.5 1 2 4
2
The healthcare provider ordered thiamine solution 100 mg in 50 mL IV piggyback for a patient with a history of alcohol abuse. The dose is ordered to run at 100 mL/hr. The nurse knows that the infusion will require how much time? 15 minutes 30 minutes 50 minutes 60 minutes
30 minutes
The student nurse prepares to administer ketamine to a patient. The supervising nurse questions this administration for which patient? A 6-year-old boy with an allergy to lidocaine A 55-year-old female with a history of hypertension A 40-year-old male with a history of bipolar disorder A 12-month-old with a history of burns
A 40-year-old male with a history of bipolar disorder
Administration of dantrolene [Dantrium] for the treatment of muscle spasticity is contraindicated in which patient? A patient with a C6 spinal cord injury A patient with cerebral palsy A patient with multiple sclerosis and underlying cirrhosis A patient experiencing malignant hyperthermia
A patient with multiple sclerosis and underlying cirrhosis
Which factor in a patient's history is most likely related to the development of thiamine (vitamin B1) deficiency? Exposure to asbestos Heart transplant recipient Chronic alcohol abuse Gastric resection surgery
Chronic alcohol abuse
Characteristics unique to each patient can influence pharmacokinetic and pharmacodynamic processes. What characteristics may determine the patient's response to a drug? (Select all that apply.) Age Gender Weight Mood Genetics
Age Gender Weight Genetics
Which statements about medication administration would the nurse identify as true? (Select all that apply.) All drugs have the potential to produce undesired effects. Drug therapy often can be enhanced by nonpharmacologic measures. Patients taking two drugs are not likely to have a drug interaction. Nurses' knowledge of pharmacology is more important for standing orders than for PRN medications. Patient adherence is essential in achieving the therapeutic objective of medications.
All drugs have the potential to produce undesired effects. Drug therapy often can be enhanced by nonpharmacologic measures. Patient adherence is essential in achieving the therapeutic objective of medications.
A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine? I don't have any pain." The nurse's response is based on the knowledge that codeine also has which effect? Immunostimulant Antitussive Expectorant Decongestant
Antitussive
A patient is receiving isoflurane [Forane]. Which physical assessment finding is the most likely to be a potential adverse effect of this drug? Blood glucose level of 180 mg/dL Blood urea nitrogen (BUN) level of 22 mg/dL Respiratory rate (RR) of 28 breaths per minute Blood pressure (BP) of 86/52 mm Hg
Blood pressure (BP) of 86/52 mm Hg
Which of the following measurements would prompt the nurse to hold the sumatriptan dose and contact the provider? Respiratory rate 20 Heart rate 59 Blood pressure 190/100 SpO2 90%
Blood pressure 190/100
A patient with multiple sclerosis (MS) is participating in a rehabilitation program. The patient has just been started on baclofen [Lioresal] 5 mg 3 times a day to help manage spasticity. How will the baclofen interfere with rehabilitation activities? By producing drowsiness, lethargy, and blurred vision By causing gastrointestinal distress By reducing sensation in the extremities By impairing coordinated movements
By producing drowsiness, lethargy, and blurred vision
A surgical intensive care unit patient has been on a propofol drip for an extended period of time related to multiple injuries and surgeries. The nurse knows to monitor for which signs of propofol infusion syndrome? (Select all that apply.) Metabolic alkalosis Cardiac failure Respiratory failure Renal failure Rhabdomyolysis
Cardiac failure Renal failure Rhabdomyolysis
N-acetyl-para-aminophenol is an example of which type of drug name? Proprietary Chemical Generic Trade
Chemical
The nurse teaches the patient to monitor for which adverse effect when taking phentermine? Sedation Depression Chest pain Weight gain
Chest pain
When studying the effects of drugs in humans, the nurse is learning about what? Pharmacology Clinical pharmacology Therapeutics Effectiveness
Clinical pharmacology
Which of the following statements about cocaine is true? Cocaine causes intense vasoconstriction. Cocaine has no medicinal applications. Cocaine is a poor local anesthetic. Cocaine has no CNS effects.
Cocaine causes intense vasoconstriction.
Why are trade names much easier to say and remember than generic names? The FDA assigns every drug's generic name. Trade names must be the same regardless of which drug company manufactures the drug. Companies have a marketing advantage when the trade name is easier to recognize. Trade names improve oral and written communication in the healthcare system.
Companies have a marketing advantage when the trade name is easier to recognize.
Which legislation sets rules for the manufacture and distribution of drugs considered to have the potential for abuse? Food, Drug, and Cosmetic Act of 1938 Harris-Kefauver Amendments of 1962 Controlled Substances Act of 1970 Food and Drug Administration Modernization Act of 1997
Controlled Substances Act of 1970
The nurse is assessing a patient receiving dihydroergotamine [Migranal] for potential side effects. Which symptom, if found, would indicate a side effect of this drug? Nausea and vomiting Diarrhea Physical dependence Constipation
Diarrhea
Which skeletal muscle relaxant is also the drug of choice for treating malignant hyperthermia? Baclofen [Lioresal] Dantrolene [Dantrium] Diazepam [Valium] Tizanidine [Zanaflex]
Dantrolene [Dantrium]
A patient has an international normalized ratio [INR] that is elevated to an unsafe level. A nurse administers vitamin K, expecting which therapeutic result? Increase in red blood cell [RBC] indices Decrease in pulse pressure Decrease in bleeding tendency Increase in mental alertness
Decrease in bleeding tendency
The nurse on an orthopedic unit routinely cares for patients receiving carisoprodol [Soma]. For which adverse effects should the nurse monitor these patients? (Select all that apply.) Drowsiness and sedation Decreased renal function Risk of dependence Decreased neutrophil count Unusual hair growth
Drowsiness and sedation Risk of dependence
The nurse teaches a patient not to consume alcohol with nitroglycerine, because the blood pressure often drops significantly when nitroglycerine is taken with alcohol. Which drug property does this illustrate? Chemical instability Drug interaction Reversible action Drug selectivity
Drug interaction
Which statement by a new nurse indicates that further study is indicated? Effectiveness is the most important property a drug can have. There is no such thing as a safe drug. Drugs are defined as illegal substances. There is no such thing as a selective drug; all medications cause side effects.
Drugs are defined as illegal substances.
Which aspect of drug therapy indicates to the nurse whether a drug is having a beneficial effect? Performing a preadministration assessment Evaluating therapeutic responses Minimizing adverse effects Managing toxicity
Evaluating therapeutic responses
The nurse should monitor for which central nervous system (CNS) adverse effect that can result when sufficient amounts of local anesthetics are absorbed systemically? Hallucinations and nightmares Tremors of the lower extremities Excitation followed by depression Vertigo and nausea/vomiting
Excitation followed by depression
A patient tells the nurse that she is thinking about becoming pregnant. The nurse teaches the patient that which vitamin should be her priority for supplementation before planning a pregnancy? Vitamin B12 Riboflavin Vitamin D Folic acid
Folic acid
The nurse is caring for a patient receiving dantrolene [Dantrium] for spasticity associated with MS. Which laboratory test will be important in monitoring for a potential adverse effect of this drug? Blood urea nitrogen (BUN) Albumin level Gamma-glutamyltransferase (GGTP) Complete blood count (CBC)
Gamma-glutamyltransferase (GGTP)
The patient is prescribed warfarin [Coumadin] to treat deep vein thrombosis. The nurse is teaching the patient about dietary supplements that have the potential to interfere with coumadin therapy. What herbs should the nurse include in the teaching? (Select all that apply.) Echinacea Garlic Ginger root Gingko biloba Valerian
Garlic Ginger root Gingko biloba
A patient asks the nurse for a supplement that can be used to prevent motion sickness during a vacation cruise. The nurse suggests which supplement? Ginger root (Zingiber officinale) Garlic (Allium sativum) Coenzyme Q-10 (CoQ-10) Feverfew (Tanacetum parthenium)
Ginger root (Zingiber officinale)
The nurse is completing an admission assessment for a patient who requires treatment of an anxiety disorder. The patient states "I take the dietary supplement kava every day to help my anxiety and stress." The nurse understands the patient is at risk for which serious adverse effect? Stroke Hepatoxicity Suicidal behavior Acute renal failure
Hepatoxicity
Which action should a nurse take when preparing to administer vitamin D to a patient diagnosed with hyperparathyroidism? Assess deep tendon reflexes. Give the vitamin with 8 ounces of milk. Hold the vitamin and consult the prescriber. Determine whether the patient takes nonsteroidal anti-inflammatory drugs (NSAIDs).
Hold the vitamin and consult the prescriber.
The nurse is caring for a postoperative patient who had spinal anesthesia with bupivacaine. The nurse knows to monitor for which possible adverse effects? (Select all that apply.) Hypotension Headache Nausea/vomiting Urinary retention Tachycardia
Hypotension Headache Urinary retention
The nurse is preparing to administer a dose of penicillin. Before administering the medication, the nurse assesses the patient's allergy history. Which aspect of drug therapy does this represent? Making PRN (as needed) decisions Evaluating therapeutic effects Ensuring proper dosage Identifying high-risk patients
Identifying high-risk patients
In assessing a patient with a vitamin A deficiency, the nurse should determine whether the patient has which manifestation? Tender, bleeding gums Impaired night vision Disturbed sleep patterns Excessive sweating
Impaired night vision
A nurse administers naloxone [Narcan] to a postoperative patient experiencing respiratory sedation. What undesirable effect would the nurse anticipate after giving this medication? Drowsiness Tics and tremors Increased pain Nausea and vomiting
Increased pain
The nurse is planning care for a patient receiving morphine sulfate [Duramorph] by means of a patient-controlled analgesia (PCA) pump. Which intervention may be required because of a potential adverse effect of this drug? Administering a cough suppressant Inserting a Foley catheter Administering an antidiarrheal Monitoring liver function tests
Inserting a Foley catheter
A patient is taking black cohosh (Cimicifuga racemosa) for relief of menopausal symptoms. The nurse should caution her about adverse interactive effects with which conventional medication? Docusate sodium [Colace] Insulin Furosemide [Lasix] Aspirin
Insulin
What is the ultimate concern for the nurse when administering a drug? Intensity of the response Dosage Route of administration Timing of administration
Intensity of the response
The nurse is reviewing the anesthetic record for a postoperative patient. The nurse notes that morphine sulfate, an opioid, was given during the operative procedure. What is the rationale for giving an opioid as part of balanced anesthesia? It promotes generalized muscle relaxation. It allows a lower dose of the general anesthetic. It reduces the adverse effects of surgery. It prevents postoperative respiratory depression.
It allows a lower dose of the general anesthetic.
Which statement about lorcaserin [Belviq] is correct? It can cause increased defecation and oily evacuation. It is approved for use in pregnancy. It is available over the counter. It is classified as a Schedule IV controlled substance.
It is classified as a Schedule IV controlled substance.
The nurse anticipates giving propofol [Diprivan] to a patient who is undergoing mechanical ventilation. Which is an expected outcome for this medication? Improved respiratory excursion and oxygenation Loss of consciousness and hypotension Decreased respiratory and gastric secretions Analgesia and muscle relaxation
Loss of consciousness and hypotension
The perioperative nurse is caring for a patient receiving Isoflurane [Forane]. The nurse understands that this medication will be excreted by the body through which organ system? Kidneys Liver Lungs Circulation
Lungs
Which product did the U.S. Food and Drug Administration (FDA) ban in the United States because of the serious adverse effects of myocardial infarction, stroke, and death? Ma huang (Ephedra) Valerian (Valeriana officinalis) St. John's wort (Hypericum perforatum) Saw palmetto (Serenoa repens)
Ma huang (Ephedra)
The nurse is caring for a female patient receiving sumatriptan [Imitrex]. Which concept guides the nursing care of this patient? Coronary vasospasm is a common problem with this drug. Many patients experience symptoms of chest pressure or heavy arms. Sumatriptan increases the risk of nausea and vomiting with migraines. Sumatriptan is considered safe to use during pregnancy.
Many patients experience symptoms of chest pressure or heavy arms.
The nurse is caring for a patient after total hip replacement on postoperative day 1. The nurse notes that the patient's urine is dark brown. The nurse reviews the medication administration record for which medication? Methocarbamol [Robaxin] Carisoprodol [Soma] Baclofen [Lioresal] Cyclobenzaprine [Flexeril]
Methocarbamol [Robaxin]
A diabetic patient is taught the signs and symptoms of hypoglycemia with insulin use. The patient knows to eat fast-acting carbohydrates. This is an example of which goal? Minimizing adverse effects Promoting therapeutic effects Minimizing adverse interactions Managing toxicity
Minimizing adverse effects
The nurse is caring for a patient who is receiving lidocaine [Xylocaine] by epidural injection. Which nursing intervention is most important when caring for this patient? Keeping the patient in a supine position for about 12 hours Monitoring the patient's blood pressure throughout the epidural infusion Preparing a double tourniquet for use during the infusion Reducing the intravenous (IV) infusion rate to prevent hypertension
Monitoring the patient's blood pressure throughout the epidural infusion
Which agent is most likely to cause serious respiratory depression as a potential adverse reaction? Morphine [Duramorph] Pentazocine [Talwin] Hydrocodone [Lortab] Nalmefene [Revex]
Morphine [Duramorph]
A postoperative patient has an epidural infusion of morphine sulfate [Astramorph]. The patient's respiratory rate declines to 8 breaths per minute. Which medication would the nurse anticipate administering? Naloxone [Narcan] Acetylcysteine [Mucomyst] Methylprednisolone [Solu-Medrol] Protamine sulfate
Naloxone [Narcan]
A patient is scheduled to start taking vitamin C. The nurse should teach the patient to observe for which side effect? Delayed healing Bone and joint pain Loosening of the teeth Nausea and diarrhea
Nausea and diarrhea
When a surgical patient receives nitrous oxide at therapeutic concentrations as part of general anesthesia, which adverse effect is most likely to occur? Nausea and vomiting Slow emergence from anesthesia Hypotension and bradycardia Respiratory depression
Nausea and vomiting
What is a result of the Prescription Drug User Fee Act (PDUFA) of 1992? New drugs reach the market sooner than ever before. Controlled substances are categorized into schedules. Drugs for acquired immunodeficiency syndrome (AIDS) receive accelerated approval. More research is conducted on drug safety in children.
New drugs reach the market sooner than ever before.
The nurse is preparing to give ergotamine [Ergomar]. This agent is effective against headaches of which origin? Hypertension Hyperthyroidism Sinus pressure No identifiable cause
No identifiable cause
The nurse is preparing the discharge teaching plan for a patient who had a mechanical valve replacement and has been prescribed coumadin. The nurse reviews the patient's medication history and notes the patient is taking the herbal supplement glucosamine to treat osteoarthritis. Which instructions should the nurse give to this patient? Increase consumption of foods high in vitamin K. Do not take any dietary or herbal supplements. Notify the healthcare provider immediately if you experience any signs of bleeding. Research studies have shown there is no benefit in using herbs to treat medical conditions.
Notify the healthcare provider immediately if you experience any signs of bleeding.
An emergency department patient reports that she took frovatriptan 2.5 mg at home an hour ago but still has a migraine. Which action should the nurse take next? Give a second dose of frovatriptan. Notify the healthcare provider. Provide education about the use of frovatriptan. Administer a different migraine medication.
Notify the healthcare provider.
In a patient with a thiamine deficiency, which finding would indicate the development of Wernicke-Korsakoff syndrome? Pedal edema Nystagmus Angular stomatitis Peripheral neuritis
Nystagmus
A patient who takes orlistat [Xenical] is experiencing increased defecation and oily evacuation. The nurse should instruct the patient to take which supplement? Psyllium [Metamucil] Iron Potassium Calcium
Psyllium [Metamucil]
An adult patient presents to the emergency department and is diagnosed with a severe migraine headache. Which classes of medication would the nurse expect to be ordered for this patient? (Select all that apply.) Beta blocker Opioid analgesic Migraine-specific agent Antiemetic Aspirin-like agent
Opioid analgesic Migraine-specific agent Antiemetic
Which term is commonly used for nonprescription drugs? Legend Generic Over-the-counter Pharmaceutical
Over-the-counter
The nurse is explaining differential sensitivity to the nursing student with regard to the use of local anesthetics. The nurse explains that which perception is lost first? Pain Cold Warmth Touch
Pain
The nurse is managing the care of a group of patients with cancer who will be receiving chemotherapy. The nurse defines goals, sets priorities, identifies interventions, and establishes criteria for evaluating success. Which phase of the nursing process does this represent? Assessment Planning Implementation Evaluation
Planning
Which of these local anesthetic agents is most likely to cause an allergic response? Procaine [Novocain] Lidocaine [Xylocaine] Bupivacaine [Marcaine] Ropivacaine [Naropin]
Procaine [Novocain]
The nurse identifies which as the goal of drug therapy in the treatment of patients? Cure of the disease Follow-up with the prescriber Correct administration technique Production of maximum benefit with minimum harm
Production of maximum benefit with minimum harm
A nurse notices that one of the anesthesiologists returns from the staff lounge every day in a brief state of euphoria after her break. The nurse speaks to the unit manager, because she is concerned about abuse of which of these medications? Clonidine Propofol Midazolam Lorazepam
Propofol
The nurse is reviewing the patient's current medication list and recognizes that which medication is considered a first-line drug for migraine prevention? Topiramate [Topamax] Metoclopramide [Reglan] Propranolol [Inderal] Ergotamine [Ergomar]
Propranolol [Inderal]
The healthcare provider orders topical benzocaine spray for a 1-year-old child with a sunburn. Which action should the nurse take? Question the order for benzocaine. Question the order for further directions. Teach the parent about application of the spray. Apply the spray to the child.
Question the order for benzocaine.
The healthcare provider orders lidocaine injection SC before a skin biopsy. Which action should the nurse take? Question the order for further instructions. Administer the lidocaine. Refuse to administer the lidocaine. Suggest the use of procaine.
Question the order for further instructions.
Which is a true statement about new drug development in the United States? Development and testing of new drugs take about 3 to 5 years. About 50% of drugs undergoing clinical trials gain approval. Randomized controlled trials are the best way to assess drug therapy. The cost of developing a new drug is usually around $1 million.
Randomized controlled trials are the best way to assess drug therapy.
A nurse is preparing to give an oral dose of drug X to treat a patient's high blood pressure. After giving the drug, the nurse finds that it not only reduces the blood pressure without serious harmful effects, but it also causes the patient to have nausea and headache. Based on this information, which property of an ideal drug is this drug lacking? Effectiveness Safety Selectivity Ease of administration
Selectivity
A patient is given a prescription for lorcaserin [Belviq]. Which of the following medications on the patient's current medication list would indicate the need for further teaching? Sertraline [Zoloft] Omeprazole [Prilosec] Vitamin D Meloxicam
Sertraline [Zoloft]
A patient who has pellagra is taking niacin. Which outcome would be most appropriate for a nurse to establish with the patient? Smooth, intact skin in sun-exposed areas Regulation of heart rate and rhythm Increased dexterity of fine motor skills Improvement in coordination and gait stability
Smooth, intact skin in sun-exposed areas
The nurse knows that local anesthetics stop axonal conduction by blocking what? Potassium channels in the axonal membrane Sodium channels in the axonal membrane Calcium channels in the axonal membrane Protein channels in the axonal membrane
Sodium channels in the axonal membrane
Which information on the product label of an herbal supplement would comply with the regulations established by the Dietary Supplement Health and Education Act (DSHEA)? Lowers cholesterol Relieves menopausal hot flashes Supports the immune system Reduces pain of arthritis
Supports the immune system
In theory, drugs can promote weight loss in which of the following ways? (Select all that apply.) Suppress appetite. Reduce absorption of fats. Increase muscle mass. Increase metabolic rate. Cause fat cells to shrink.
Suppress appetite. Reduce absorption of fats. Increase metabolic rate.
The nurse is reviewing the medication orders for a patient on sumatriptan and sertraline [Zoloft]. The nurse notes which of the following possible interactions between these medications? Both medications can cause hypotension. The combined medications can cause severe sedation. The combined medications can cause serotonin syndrome. Both medications treat migraines and can be used together.
The combined medications can cause serotonin syndrome.
The nurse is working on a postoperative unit in which pain management is part of routine care. Which statement is the most helpful in guiding clinical practice in this setting? At least 30% of the U.S. population is prone to drug addiction and abuse. The development of opioid dependence is rare when opioids are used for acute pain. Morphine is a common drug of abuse in the general population. The use of PRN (as needed) dosing provides the most consistent pain relief without risk of addiction.
The development of opioid dependence is rare when opioids are used for acute pain.
A new medication becomes available for treatment of a debilitating neurologic disease. What would the nurse expect about the safety of the drug? The drug is safe for administration to children. The drug has been tested in pregnant women. All possible adverse effects have been identified by animal testing. The drug has passed the FDA approval process.
The drug has passed the FDA approval process.
The nurse is preparing to give a drug with certain properties. Which property of the drug is the most compelling indication that it should not be given? The drug produces an unwanted side effect. The drug is difficult to administer. The drug's effects are reversible. The drug is not effective for its intended purpose.
The drug is not effective for its intended purpose.
When studying the impact a drug has on the body, the nurse is reviewing what? The drug's pharmacokinetics The drug's selectivity The drug's pharmacodynamics The drug's predictability
The drug's pharmacodynamics
A patient takes oxycodone [OxyContin] 40 mg PO twice daily for the management of chronic pain. Which intervention should be added to the plan of care to minimize the gastrointestinal adverse effects? The patient should take an antacid with each dose. The patient should eat foods high in lactobacilli. The patient should take the medication on an empty stomach. The patient should increase fluid and fiber in the diet.
The patient should increase fluid and fiber in the diet.
When questioning a patient about his or her allergic reaction to a drug, the nurse should ask for which additional information? The dose taken The type of reaction Who gave the drug What was eaten with the drug
The type of reaction
Which medication acts as an agonist at the presynaptic alpha-2 receptor site? Baclofen [Lioresal] Dantrolene [Dantrium] Diazepam [Valium] Tizanidine [Zanaflex]
Tizanidine [Zanaflex]
The nurse is caring for a patient who is to receive a local anesthetic with lidocaine and epinephrine. What is the primary purpose of the epinephrine? To reduce the risk of an allergic reaction To improve transport of anesthetic into the axon To delay systemic absorption of the anesthetic To suppress excitability of the myocardium
To delay systemic absorption of the anesthetic
What is the objective of drug therapy? To provide maximum benefit with minimal harm. To provide minimum benefit with maximum harm To provide total relief of symptoms regardless of harm To provide as much benefit as possible
To provide maximum benefit with minimal harm.
The nurse recognizes that the supplement echinacea (Echinacea angustifolia) should not be taken as prolonged therapy for patients with which condition? Peptic ulcer disease Diabetes Glaucoma Tuberculosis
Tuberculosis
The nurse is obtaining a drug history for a patient admitted to the unit. The nurse obtains information about past and present health histories, currently used prescription drugs, behavioral factors, and use of over-the-counter (OTC) drugs. What other information does the nurse need to obtain? (Select all that apply.) Use of recreational drugs and substances Usual sleep patterns and disturbances Highest level of education completed Use of herbal remedies Self-treatment with complementary and alternative drugs
Use of recreational drugs and substances Use of herbal remedies Self-treatment with complementary and alternative drugs
The nurse is preparing to administer a medication with the following order: "Aldomet 250 mg daily." What should the nurse do? Administer the medication as it was given last time. Administer the medication by mouth. Verify the order with the prescriber. Ask the patient how this medication is usually given.
Verify the order with the prescriber.
A patient with a malabsorption disease is at risk for low levels of fat-soluble vitamins. The nurse is aware that which vitamins are fat soluble? (Select all that apply.) Vitamin A Vitamin B12 Vitamin C Vitamin D Vitamin E
Vitamin A Vitamin D Vitamin E
When educating patients about their medications, the nurse includes information about which topics? (Select all that apply.) What to do if a dose is missed The duration of treatment Prescription of drug coverage The method of drug storage Symptoms of adverse effects
What to do if a dose is missed The duration of treatment The method of drug storage Symptoms of adverse effects
A female patient is given a prescription for lorcaserin [Belviq]. The nurse ensures that the patient schedules an appointment with which healthcare provider? Women's health or gynecology Gastroenterology Dermatology Oncology
Women's health or gynecology
Why is it important for drugs to have ease of administration? Fewer administration errors Less risk of side effects Greater chemical stability Greater likelihood of reversibility
fewer administration errors
