Pharm 166 Exam 4

Isotretinoin

- It is used to treat severe acne - It an cause fetal malformations (need to use 2 BC methods) - An Ipledge must be signed by the patient -It can increase suicidal tendencies

Sulfa Antibiotics

- Most commonly used for UTI's -Must wear Sunscreen

Cephalosporins

1st Generation- Cephalexin 2nd Generation- Ceftin 3rd Generation- Ceftriaxone 4th Generation- Maxipome

C. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin." Aspirin is contraindicated in children with flulike symptoms because the use of this drug has been strongly associated with Reye's syndrome. This is an acute and potentially life-threatening condition involving progressive neurologic deficits that can lead to coma and may also involve liver damage.

A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse? A. "It's best to wait to see if the fever gets worse." B. "You can use the aspirin, but watch for worsening symptoms." C. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin." D. "You can use aspirin, but be sure to follow the instructions on the bottle."

D. Tendonitis and tendon rupture A black-box warning is required by the U.S. Food and Drug Administration for all quinolones because of the increased risk for tendonitis and tendon rupture with use of the drugs. This effect is more common in elderly patients, patients with renal failure, and those receiving concurrent glucocorticoid therapy (e.g., prednisone).

A 79-year-old patient is receiving ciprofloxin a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs? A. Neuralgia B. Double vision C. Hypotension D. Tendonitis and tendon rupture

A. Amoxicillin Amox is a systemic antibiotic that acts as the first line of treatment for conditions such as fever and otitis media, and will likely be prescribed by a health care provider to children with these issues.

A child has a fever and otitis media. Which drug does the nurse expect to act as the first line of treatment for the child? A. Amoxicillin B. Floxin C. Acetasol HC D. Debrox

A. on an empty stomach

A client has a new prescription to take bisacodyl. To enhance a rapid medication effect, the nurse instructs the client to take the medication in which way. A. on an empty stomach B. with plenty of fluids C. with meals D. at bedtime

A. This medication causes harmless brown color to the urine C. Monitor your urine for cloudiness or foul smell. D. Promptly report muscle weakness, tingling, or numbness to the presciber. E. Nausea can be a common side effect of this medication.

A client has been started on medication therapy with nitrofurantion as chronic suppressive therapy for urinary tract infection. What statements should the nurse include when teaching the cliet about this? Select all that apply. A. This medication causes harmless brown color to the urine B. You should greatly increase your daily fluid intake to about 3 liters/day. C. Monitor your urine for cloudiness or foul smell. D. Promptly report muscle weakness, tingling, or numbness to the presciber. E. Nausea can be a common side effect of this medication.

B. "I have been feeling rather down and lonely lately." There have been case reports of suicide and suicide attempts in patients receiving isotretinoin. Instruct patients to report immediately to their prescribers any signs of depression. Follow-up treatment may be needed, and simply stopping the drug may be insufficient.

A female patient has been taking isotretinoin (Amnesteem) for 3 months .As a nurse you know that there has been case reports of suicide and suicide attempts in patients taking isotretinoin (Amnesteem). During a follow-up appointment, which statement by the patient would be of highest concern to the nurse? A. "I am using two forms of contraception while on this drug." B. "I have been feeling rather down and lonely lately." C. "I wish I didn't have to be on this medication." D. "It's scary to know that this drug can cause birth defects."

A. "You will have to use two contraceptive methods while on this drug." It is now officially required that at least two contraceptive methods be used by sexually active women during and for 1 month after completion of therapy with isotretinoin.

A female patient will be starting therapy with oral isotretinoin (Amnesteem) as part of treatment for severe acne, and the nurse is providing teaching. Which teaching point will the nurse include in her teaching plan about isotretinoin? A. "You will have to use two contraceptive methods while on this drug." B. "You must avoid sexual activity while on this drug." C. "You will have to avoid pregnancy for 2 weeks after taking this drug." D. "If you are taking an oral contraceptive, you may take this drug."

A. Risk for drug dependence

A healthy adult client has been taking a laxative 3 days per week for 9 months. What primary risk should the nurse address in a teaching plan with this client? A. Risk for drug dependence B. Risk for electrolyte imbalance C. Risk for fluid imbalance D. Risk for inadequate nutritional status

C. Abdominal pain of unknown origin

A laxative has been ordered for a patient. The nurse checks the patient's medical history and would be concerned if which condition is present? A. High ammonia levels due to liver failure B. Diverticulosis C. Abdominal pain of unknown origin D. Chronic constipation

C. Decreased urethral obstruction D. Increased urine flow E. Decreased urinary frequency

A nurse administering tamsulosin to a client would expect to note which THERAPUTIC outcomes? Select all that apply. A. Hypotension B. Syncope C. Decreased urethral obstruction D. Increased urine flow E. Decreased urinary frequency

B. "Imodium does not cause physical dependence." Although the drug exhibits many characteristics of the opiate class, physical dependence on loperamide has not been reported. All antidiarrheal drugs are orally administered.

A patient asks the nurse about the difference between diphenoxylate with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium). Which response by the nurse is correct? A. "Lomotil acts faster than Imodium." B. "Imodium does not cause physical dependence." C. "Lomotil is available in suppository form." D. "Imodium is a natural antidiarrheal drug."

True

A patient has TB and is taking INH. They should take Pyridoxine (Vit B6) to prevent peripheral neuropathy. True or False

C. Sulfonamides Sulfonamides achieve very high concentrations in the kidneys, through which they are eliminated. Therefore, they are often used in the treatment of urinary tract infections.

A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections? A. Macrolides B. Carbapenems C. Sulfonamides D. Tetracyclines

C. Acute hepatic necrosis Acetaminophen in large doses over a short period is extremely hepatotoxic. The long-term ingestion of large doses of acetaminophen is more likely to result in nephropathy.

A patient has been admitted after overdosing on acetaminophen (Tylenol), with a total ingested dose of 14 g over a period of 1 hour. The nurse plans to monitor this patient for development of which of the following signs and symptoms related to the overdose? A. Renal failure B. Kidney stones C. Acute hepatic necrosis D. Metabolic alkalosis

D. "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs." Cytotec inhibits gastric acid secretions and stimulates mucous secretions; it has proved successful in preventing the gastric ulcers that may occur in patients taking NSAIDs.

A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal antiinflammatory drug (NSAID) and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response? A. "Cytotec will also reduce the symptoms of your arthritis." B. "Cytotec helps the action of the NSAID so that it will work better." C. "Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation." D. "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."

D. flumazenil (Romazicon) Flumazenil is the antidote for benzodiazepine overdose. The other options are only effective against opioid effects.

A patient is admitted to the emergency department with a severe overdose of a benzodiazepine. The nurse immediately prepares to administer which antidote from the emergency drug cart? A. naloxone (Narcan) B. naltrexone (ReVia) C. nalmefene (Revex) D. flumazenil (Romazicon)

B. Bacterial infection Bacitracin is a polypeptide antibiotic that is applied topically for the treatment or prevention of local skin infections caused by susceptible aerobic and anaerobic gram-positive organisms such as staphylococci, streptococci, anaerobic cocci, corynebacteria, and clostridia.

A patient is prescribed bacitracin topical ointment. What does the nurse suspect as the possible diagnosis based on the medication prescribed? A. Fungal infection B. Bacterial infection C. Parasitic infection D. Viral infection

C. Nausea and vomiting Gastrointestinal effects include dyspepsia, heartburn, epigastric distress, nausea, vomiting, anorexia, abdominal pain, and others.

A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect? A. Tachycardia B. Nervousness C. Nausea and vomiting D. Dizziness

D. increasing fluid and fiber in the diet. Narcotic analgesics decrease intestinal motility, leading to constipation. Increasing fluid and fiber in the diet can prevent constipation.

A patient receiving narcotic analgesics for chronic pain can minimize the gastrointestinal (GI) side effects by A. taking Lomotil with each dose. B. eating foods high in lactobacilli. C. taking the medication on an empty stomach. D. increasing fluid and fiber in the diet.

C. Peripheral neuropathy Pyridoxine (vitamin B6) may be beneficial for isoniazid-induced peripheral neuropathy.

A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine(Vitamin B6). She is wondering why she needs this medication. The nurse explains that pyridoxine is often given concurrently with the isoniazid to prevent which condition? A. Hair loss B. Renal failure C. Peripheral neuropathy D. Heart failure

B. cephalexin Patients who are allergic to penicillins have a fourfold to sixfold increased risk of allergy to other beta-lactam antibiotics. The incidence of cross-reactivity between cephalosporins and penicillins is reported to be between 1% and 4%.

A patient who is allergic to penicillin is at increased risk for an allergy to which drug? A. tetracycline B. cephalexin C. gentamicin D. erythromycin

C. Prophylactic therapy Prophylactic antibiotic therapy is used to prevent infections in individuals who are at high risk of development of an infection during or after a procedure. The antibiotics are given before the procedure for prophylactic treatment.

A patient with a known heart condition is scheduled to have dental surgery and is prescribed antibiotics before the dental surgery. What type of therapy is this considered? A. Empiric therapy B. Definitive therapy C. Prophylactic therapy D. Supportive therapy

A. Decreased uric acid levels

A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect? A. Decreased uric acid levels B. Decreased prothrombin time C. Decreased white blood cell count D. Increased hemoglobin and hematocrit levels

A. Discontinuing the medication

A patient with irritable bowel syndrome (IBS) receiving 0.5 mg alosetron (Lotronex) bid orally develops constipation. What is the appropriate treatment strategy in this situation? A. Discontinuing the medication B. Increasing the dose of medication C. Changing the route of administration D. Decreasing the frequency of administration

A. Use sunscreen or avoid exsposure to sunlight.

A teenage patient is taking tetracycline for severe acne.What education should be included? A. Use sunscreen or avoid exsposure to sunlight. B. Take this medication with food C. Stop this medication when the acne is better D. Take this medication with antacids

Floroquinolones (Floxin) ---- TMF

ANTIBACTERIAL Ciprofloxin, Levafloxin

Adult and Children >3- pull pinna back and UP Children <3- pull pinna DOWN and back

Administration of ear drops

B. Decreased urinary frequency

After administering oxybutynin (Ditropan) to a patient with spina bifida, the nurse is assessing the patient for therapeutic effects. What is the nurse assessing for in the patient? A.Decreased muscle twitches B. Decreased urinary frequency C. Increased bowel movements D. Increased heart rate

C. Neisseria gonorrhoeae Erythromycin eye ointment is indicated for the treatment of neonatal conjunctivitis caused by Chlamydia trachomatis and for the prevention of eye infections in newborns that may be caused by N. gonorrhoeae or other susceptible organisms.

At the time of birth, infants are often treated with erythromycin eye ointment as prophylactic treatment against what possible organism? A. Aspergillus fumigatus B. Candida albicans C. Neisseria gonorrhoeae D. Malassezia furfur

Macrolides (ROMYCIN) ----- TMF & TMS

Azithromycin, Erythromycin, Clarithromycin

YES!

Can you overdose on Actaminophen (Tylenol)?

A. large doses of antibiotics that kill normal flora. Normally occurring bacteria are killed during antibiotic therapy, allowing other flora to take over and resulting in superinfections.

During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by A. large doses of antibiotics that kill normal flora. B. the infection spreading from her lungs to the new site of infection. C. resistance of the pneumonia-causing bacteria to the drugs. D. an allergic reaction to the antibiotics.

D. "Drink a full glass of water with each dose." Oral doses should be given with at least 8 ounces of fluids and food to minimize gastrointestinal upset; however, antacids and dairy products will bind with the tetracycline and make it inactive.

During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and decreased appetite. Which statement is the nurse's best advice to the patient? A. "Take it with cheese and crackers or yogurt." B. "Take each dose with a glass of milk." C. "Take an antacid with each dose as needed." D. "Drink a full glass of water with each dose."

B. Cephalosporins

If someone is allergic to the drug class of Penicillins, they may also have a cross-sensitivity to the drug class of - A. Tetracyclines B. Cephalosporins C. Aminoglycosides D. Sulfamonides

C. Impaired gas exchange related to respiratory depression If a patient cannot oxygenate sufficiently, all of the other problems will not matter because the patient will not live to worry about them.

In developing a plan of care for a patient receiving morphine sulfate, which nursing diagnosis is a priority? A. Acute pain B. Risk for injury related to central nervous system side effects C. Impaired gas exchange related to respiratory depression D. Constipation related to gastrointestinal side effects

Antituberculosis agent Side effects: peripheral nuropathy, drug-induced hepatitis Implications: take on an empty stomach 1 hour before or 2 hours after meals, depletes vit B6 so supplements are needed, peripheral neuritis is themost common adverse effect, don't drink alcohol

Isoniazid (INH)

Hydrocodone- Schedule II drug

Lortab- combined with acetaminophen Vicodin- combined with acetaminophen Vicoprofen- combined with ibuprofen

- Avoid crowds - Antiemetics - Small meals - Wigs or hats

Name some nursing interventions for patients receiving chemotherapy.

-Assess pain level -Cancer patient smay need dose adjustment. Tolerance can occur with long term use -Assess VS -Notify HCP if respirations are <12/min

Nursing Implications r/t Opioid/Narcotics

- Take with food to decrease GI upset - Avoid Alcohol - Do not crus enteric coated tablets - Do not take 1 week before surgical procedures

Nursing Implications/Education for NSAID use

GIVEN IV INFUSION - Monitor BP while infusing - Monitor renal labs, and Peak/Trough Levels - Stop infusion if Red man syndrome occurs: to reduce incidence of Redman Syndrome, give slowly through IV, and give antihistamine

Nursing Interventions for Vancomycin

Oxycodone - Schedule II drug

Percodan- Combined with aspirin Percocet- combined with acetaminophen Combunox- combined with ibuprofen OxyCotin- controlled release

A. Can cause Ototoxicity B. Can cause nephrotoxicity C. Nurses must monitor BUN, Creatinine, and assess for tinnitis

Select all that apply to the drug class of Aminoglycosides. A. Can cause Ototoxicity B. Can cause nephrotoxicity C. Nurses must monitor BUN, Creatinine, and assess for tinnitis D. Monitor for Redman Syndrome

A. Stains teeth of children under 8 years old B. Do not take at the same time as milk, iron, or antacids C. Should be taken on an empty stomach D. Must use sunscreen

Select all that apply to the drug class of Tetcyclines A. Stains teeth of children under 8 years old B. Do not take at the same time as milk, iron, or antacids C. Should be taken on an empty stomach D. Must use sunscreen

A. Stop medication if ALL over rash occurs B. Take medication with a full glass of water C. Increase fluid intake D. Monitor kidney and liver function

Select all that are true regarding Allopurinol. A. Stop medication if ALL over rash occurs B. Take medication with a full glass of water C. Increase fluid intake D. Monitor kidney and liver function

A. Low doses are used daily for antiplatelet aggregation B. Higher doses (as recommended) are used for pain and inflammation

Select the correct answer related to ASA. A. Low doses are used daily for antiplatelet aggregation B. Higher doses (as recommended) are used for pain and inflammation C. ASA can be used to kill bacteria D. ASA will cause stimulation of appetite

- Hypersensitivity reactions : rash, pruritus, fever - nausea, vomiting, diarrhea - can promote C-diff infection

Side effects of Cephalosporins

-Respiratory depression -Orthostatic hypotension -Confusion -Constipation

Side effects that could apply to Opioid/Narcotics

B. Reduce inflammation The purpose of a steroid included in otic drops is to assist in decreasing inflammation in the canal and the itching associated with the inflammation.

The health care provider has ordered ciprofloxacin/dexamethasone (Ciprodex) otic drops for a patient with otitis externa. The nurse knows the combination medication has both antibacterial medication and topical steroid medication. What is the purpose of the steroid in this medication? A. Relieve pain B. Reduce inflammation C. Treat infection D. Decrease the amount of earwax

A. Monitoring serum creatinine levels C. Warning the patient that a flushed feeling or facial itching may occur D. Instructing the patient to report dizziness or a feeling of fullness in the ears

The nurse is administering intravenous vancomycin (Vancocin) to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.) A. Monitoring serum creatinine levels B. Restricting fluids while the patient is on this medication C. Warning the patient that a flushed feeling or facial itching may occur D. Instructing the patient to report dizziness or a feeling of fullness in the ears

C. Risk to the fetus in pregnancy Isotretinoin is a pregnancy category X drug, which is proven to be a human teratogen. Female patients should be warned not to get pregnant while using this drug.

The nurse is caring for a patient who is on isotretenoin treatment. Which cautionary factor does the nurse warn the patient about while using this medication? A. Alteration in skin pigmentation B. Skin swelling C. Risk to the fetus in pregnancy D. Skin oiliness

A. "Hold the pinna down and back." When administering eardrops to adults, hold the pinna up and back. In children younger than 3 years of age, hold the pinna down and back.

The nurse is teaching the mother of a 1-year-old patient how to instill ear drops for OE. What instructions on instillation does the nurse provide to the mother? A. "Hold the pinna down and back." B. "Just put in as many drops as you can get into the ear." C. "Put a cotton ball in to keep the medication in the ear." D. "Keep the ear drops in cold place so they work better."

D. Isotretinoin There have been reports of suicide and suicide attempts in patients receiving isotretinoin (Amnesteem) treatment; therefore, the nurse should instruct the patient to report any signs and symptoms of depression to the health care provider.

The nurse tells a patient who is being treated for acne to report if any signs of depression occur. Which drug is part of the patient's prescription? A. Tretinoin B. Clindamycin C. Clotrimazole D. Isotretinoin

C. 8 Bulk-forming laxatives such as psyllium must be given with at least 8 ounces of liquid plus additional liquid each day to avoid intestinal impaction.

To avoid fecal impaction, psyllium (Metamucil) should be administered with at least how many ounces of fluid? A. 4 B. 6 C. 8 D. 10

True

True or False A patient may use an NSAID such as Naproxen or Ibuprofen during a gout attack to decrease pain?

True

True or False Antibiotics cause superinfections; (yeast infections and C-diff) because they kill the bad bacteria AND normal flora

True

True or False Azithromycin is in the drug class of Macrolides and should be taken on an empty stomach.

True

True or False Health care providers (HCP) are now allowed to prescribe Naloxone and Narcotics at the same time to prevent overdose?

True

True or False Hydrocodone, Oxycodone, and Codiene are all Schedule II drugs.

False

True or False It is not necessary to obtain blood and urine cultures before antibiotics are started.

False

True or False It is ok to drink alcohol while taking Metronidazole

True

True or False Redman Syndrome, otto toxicity and nephrotoxicity are all side effects of Vancomycin

True

True or False The nurse should provide information about the importance of using sunscreen when the patient is taking Doxycycline.

B. Tendon Rupture C. Prolongation of QT Interval

What are TWO "hallmark" side effects of fluoroquinolones such as Ciprofloxin? A. Redman syndrome B. Tendon Rupture C. Prolongation of QT Interval D. Nephrotoxicity

A. History of GI bleed or ulcers B. Pregnancy D. Renal Insufficiency

What are contraindications for NSAID use? Select all that apply. A. History of GI bleed or ulcers B. Pregnancy C. Hyperthyroidism D. Renal Insufficiency

B. Vicoprofen (combined with ibuprofen) C. Lortab (combined with acetaminophen) D. Vicodin (combined with acetaminophen)

What are some medications that are combination Hydrocodone drugs? Select all that apply. A. Percodan (combined with ibuprofen) B. Vicoprofen (combined with ibuprofen) C. Lortab (combined with acetaminophen) D. Vicodin (combined with acetaminophen)

A. Percodan (combined with ibuprofen) D. Percocet (combined with acetaminophen)

What are some medications that are combination Oxycodone drugs? Select all that apply. A. Percodan (combined with ibuprofen) B. Vicoprofen (combined with ibuprofen) C. Lortab (combined with acetaminophen) D. Percocet (combined with acetaminophen)

A. IM B. PO C. SubQ D. IV

What are the routes of administration for Codeine? Select all that apply. A. IM B. PO C. SubQ D. IV

B. PO

What are the routes of administration for Hydrocodone? Select all that apply A. IM B. PO C. SubQ D. IV

C. PO

What are the routes of administration for Oxycodone? Select all that apply. A. IM B. SubQ C. PO D. IV

Too Much Food

What does TMF stand for in relation to antibiotics?

Too Much Sun

What does TMS stand for in relation to antibiotics?

A. Tetracyclines B. Fluoroquinolones C. Macrolides

What drug classes does TMF stand for? Select all that apply A. Tetracyclines B. Fluoroquinolones C. Macrolides D. Mucinex

Acetylcysteine (Mucymist)

What is the antidote for Acetaminophen overdose? A. Benadryl B. Naloxone C. Acetylcysteine (Mucymist) D. Ibuprofen

Naloxone

What is the antidote for narcotic overdose?

3,000 mg

What is the maximum daily dose of Tylenol?

A. nystatin (Mycostatin) Nystatin is an antifungal ointment that is used for a variety of candidal infections. It is applied topically as a cream, ointment, or powder. It is also available as a troche and an oral liquid or tablet.

What is the most common drug used to treat oropharyngeal candidiasis? A. nystatin (Mycostatin) B. oseltamivir (Tamiflu) C. amantadine (Symmetrel) D. griseofulvin (Fulvicin P/G)

D. Gabapentin

What is the most commonly used medication for neuropathic pain? A. Ibuprofen B. Oxycotin C. Tylenol D. Gabapentin

B. The peak is drawn 30 minutes to 1 hour after a medication is given C. The trough is drawn 30 minutes before the next dose is given D. If the trough level is too high, toxicity can occur

What is true about Peak and Trough? Select all that apply. A. The nurse would give a medication even if the trough is too high B. The peak is drawn 30 minutes to 1 hour after a medication is given C. The trough is drawn 30 minutes before the next dose is given D. If the trough level is too high, toxicity can occur

Tinnitus

What is usually the first sign of ASA toxicity?

-SGOT/AST -SGPT/ALT

What labs should be evaluated with prolonged Tylenol use or Tylenol overdose?

A. Liver

What organ is most affected by Tylenol overuse? A. Liver B. Pancreas C. Lungs D. Stomach

- Blurred vision - Eye problems - Visual disturbances - Loss of vision

What would the nurse be looking for during an eye exam on someone who is taking anti-malarial medications?

A. Respiratory rate The most serious side effect of narcotic analgesics is respiratory depression.

When assessing for the most serious adverse reaction to a narcotic analgesic, what does the nurse monitor for in the patient? A. Respiratory rate B. Heart rate C. Blood pressure D. Mental status

D. fluconazole (Diflucan) Fluconazole is an antifungal drug that does not cause the severe side effects of amphotericin when given intravenously. It also has almost 100% bioavailability and therefore a single dose is often sufficient to treat vaginal yeast infections.

Which antifungal drug can be given intravenously to treat severe yeast infections as well as a one-time oral dose to treat vaginal yeast infections? A. nystatin (Mycostatin) B. caspofungin (Cancidas) C. voriconazole (Vfend) D. fluconazole (Diflucan)

C. Fluorescein

Which drug is used to identify corneal defects? A. Atropine sulfate B. Cromolyn sodium C. Fluorescein D. Cyclopentolate solution

A. naloxone (Narcan) Naloxone is the narcotic antagonist that will reverse the effects, both adverse and therapeutic, of opioid narcotic analgesics.

Which medication is used to treat a patient suffering from severe adverse effects of a narcotic analgesic? A. naloxone (Narcan) B. acetylcysteine (Mucomyst) C. methylprednisolone (Solu-Medrol) D. flumazenil (Romazicon)

C. "I don't need to use condoms as long as I take my medication as prescribed." Antiretroviral drugs do not stop the transmission of HIV, and patients need to continue standard precautions.

Which statement, if made by a patient with HIV infection, demonstrates a need for continued patient teaching? A. "I will change my position slowly to prevent dizziness and potential injury." B. "I must take these medications exactly as prescribed for the rest of my life." C. "I don't need to use condoms as long as I take my medication as prescribed." D. "I should remain upright for 30 minutes after taking my zidovudine."

C. "I will rinse the eyedropper with tap water after each use." It is important to maintain sterility of the eyedrop container, and therefore it should not be rinsed; the cap should be put immediately back on the container.

Which statement, made by a patient, indicates the need for further patient teaching regarding proper administration of eyedrops? A. "I will put pressure on the inside corner of my eye after I administer the drops." B. "I will be careful not to touch my eye with the dropper." C. "I will rinse the eyedropper with tap water after each use." D. "I will turn my head slightly toward the outside of the eye I am putting the drops in."

D. Colchicine

Which uric acid reducer is used during a gout attack? A. Allopurinol B. Amoxicillin C. Atenolol D. Colchicine

A. Allopurinol

Which uric acid reducer is used to prevent gout? A. Allopurinol B. Amoxicillin C. Atenolol D. Colchicine

C. Long-term use of laxatives often results in decreased bowel tone and may lead to dependency.

While recovering from surgery, a 74-year-old woman started taking a stimulant laxative, senna (Senokot), to relieve constipation caused by the pain medications. Two weeks later, at her follow-up appointment, she tells the nurse that she likes how "regular" her bowel movements are now that she is taking the laxative. Which teaching principle is appropriate for this patient? A. She needs to be sure to take this medication with plenty of fluids. B. It is important to have a daily bowel movement to promote bowel health. C. Long-term use of laxatives often results in decreased bowel tone and may lead to dependency. D. She needs to switch to glycerin suppositories to continue having daily bowel movements.

Gout

condition that results from inappropriate uric acid metabolism

Naloxone (Narcan)

used to treat opioid overdose

B. Thrombocytopenia C. Alopecia Bone marrow suppression (leukopenia, thrombocytopenia, and anemia) and alopecia are common adverse reactions to antineoplastic drugs.

which are general adverse effects of chemotherapy? (Select all that apply.) A. Leukocytosis B. Thrombocytopenia C. Alopecia D. Urinary retention E. Hypertension