Pharm 3

A patient has purchased capsaicin over-the-counter cream to use for muscle aches and pains. What education is most important to give this patient? 1.Apply with a gloved hand only to the site of pain. 2.Apply the medication liberally above and below the site of pain. 3.Apply to areas of redness and irritation only. 4.Apply liberally with a bare hand to the affected limb.

1.Apply with a gloved hand only to the site of pain.

Cyclobenzaprine (Amrix, Flexeril) is prescribed for a patient with muscle spasms of the lower back. Appropriate nursing interventions would include which of the following? (Select all that apply.) 1.Assessing the heart rate for tachycardia 2.Assessing the home environment for patient safety concerns 3.Encouraging frequent ambulation 4.Providing oral suction for excessive oral secretions 5.Providing assistance with activities of daily living such as reading

1.Assessing the heart rate for tachycardia 2.Assessing the home environment for patient safety concerns 5.Providing assistance with activities of daily living such as reading

A patient is treated for psychosis with fluphenazine. What drug will the nurse anticipate may be given to prevent the development of acute dystonia? 1.Benztropine (Cogentin) 2.Diazepam (Valium) 3.Haloperidol (Haldol) 4.Lorazepam (Ativan)

1.Benztropine (Cogentin)

The nurse should immediately report the development of which of the following symptoms in a patient taking antipsychotic medication? 1.Fever, tachycardia, confusion, incontinence 2.Pacing, squirming, or difficulty with gait such as bradykinesia 3.Severe spasms of the muscles of the tongue, face, neck, or back 4.Sexual dysfunction or gynecomastia

1.Fever, tachycardia, confusion, incontinenceWhich of the following patient statements indicates that the levodopa/carbidopa (Sinemet) is effective?

The patient is prescribed timolol (Timoptic) for treatment of glaucoma. During the history and physical, the nurse assesses for which of the following medical disorders that may be a contraindication to the use of this drug? (Select all that apply.) 1.Heart block 2.Heart failure 3.Liver disease 4.Chronic obstructive pulmonary disease 5.Renal disease

1.Heart block 2.Heart failure 4.Chronic obstructive pulmonary disease

The nurse evaluates the patient's understanding of the procedure for application of triamcinolone (Kenalog, Aristocort) cream for acute contact dermatitis of the neck, secondary to a reaction to perfume. The patient asks why she can't just use up some fluocinonide (Lidex) cream she has left over from a poison ivy dermatitis last month. The nurse's response will be based on which of the following? 1.High-potency corticosteroid creams should be avoided on the neck or face because of the possibility of additional adverse effects 2.All creams should be discarded after the initial condition has resolved. 3.Fluocinonide cream is too low potency to use for contact dermatitis. 4.Contact dermatitis from perfume is harder to treat than poison ivy dermatitis.

1.High-potency corticosteroid creams should be avoided on the neck or face because of the possibility of additional adverse effects

The nurse is providing education for a 12-year-old patient with partial seizures currently prescribed valproic acid (Depakene). The nurse will teach the patient and the parents to immediately report which symptom? 1.Increasing or severe abdominal pain 2.Decreased or foul taste in the mouth 3.Pruritus and dry skin 4.Bone and joint pain

1.Increasing or severe abdominal pain

A 63-year-old patient with type 2 diabetes is admitted to the nursing unit with an infected foot ulcer. Despite previous good control on glyburide (Micronase), his blood glucose has been elevated the past several days and he requires sliding-scale insulin. What is the most likely reason for the elevated glucose levels? 1.It is a temporary condition related to the stress response with increased glucose release. 2.He is converting to a type 1 diabetic. 3.The oral antidiabetic drug is no longer working for him. 4.Patients with diabetes who are admitted to the hospital are switched to insulin for safety and tighter control

1.It is a temporary condition related to the stress response with increased glucose release.Which of the following teaching points will the nurse provide to a patient with a new prescription for alendronate (Fosamax)?

The patient is scheduled to receive 5 units of Humalog and 25 units of NPH (Isophane) insulin prior to breakfast. Which nursing intervention is most appropriate for this patient? 1.Make sure the patient's breakfast is available to eat before administering this insulin. 2.Offer the patient a high-carbohydrate snack in 6 hours. 3.Hold the insulin if the blood glucose level is greater than 100 mg/dL. 4.Administer the medications in two separate syringes.

1.Make sure the patient's breakfast is available to eat before administering this insulin.

What patient education should the nurse provide to the patient with diabetes who is planning an exercise program? (Select all that apply.) 1.Monitor blood glucose levels before and after exercise. 2.Eat a complex carbohydrate prior to strenuous exercise. 3.Exercise may increase insulin needs. 4.Withhold insulin prior to engaging in strenuous exercise. 5.Take extra insulin prior to exercise.

1.Monitor blood glucose levels before and after exercise. 2.Eat a complex carbohydrate prior to strenuous exercise.

The nurse is monitoring the patient for early signs of lithium (Eskalith) toxicity. Which symptoms, if present, may indicate that toxicity is developing?(Select all that apply.) 1.Persistent gastrointestinal upset (e.g. nausea, vomiting) 2.Confusion 3.Increased urination 4.Convulsions 5.Ataxia

1.Persistent gastrointestinal upset (e.g. nausea, vomiting) 2.Confusion 3.Increased urination

Which of the following medications may be used to treat partial seizures? (Select all that apply.) 1.Phenytoin (Dilantin) 2.Valproic acid (Depakene) 3.Diazepam (Valium) 4.Carbamazepine (Tegretol) 5.Ethosuximide (Zarontin)

1.Phenytoin (Dilantin) 2.Valproic acid (Depakene) 4.Carbamazepine (Tegretol)

A 16-year-old patient has taken an overdosage of citalopram (Celexa) and is brought to the emergency department. What symptoms would the nurse expect to be present? 1.Seizures, hypertension, tachycardia, extreme anxiety 2.Hypotension, bradycardia, hypothermia, sedation 3.Miosis, respiratory depression, absent bowel sounds, hypoactive reflexes 4.Manic behavior, paranoia, delusions, tremors

1.Seizures, hypertension, tachycardia, extreme anxiety

After trying many other treatments, a 28-year-old female is started on isotretinoin for treatment of severe acne. While she is on this medication, what explicit instructions must be followed? (Select all that apply.) 1.She must use two forms of birth control and have pregnancy tests before beginning, during, and after she is on the therapy. 2.She must have vision checks performed every 6 months. 3.She must increase intake of vitamin A-rich foods. 4.She must return every 2 to 3 months for laboratory tests. 5.She must delay any future pregnancies for a period of 5 years.

1.She must use two forms of birth control and have pregnancy tests before beginning, during, and after she is on the therapy. 2.She must have vision checks performed every 6 months. 4.She must return every 2 to 3 months for laboratory tests.

Nursing implications of the administration of haloperidol (Haldol) to a patient exhibiting psychotic behavior include which of the following? (Select all that apply.) 1.Take 1 hour before or 2 hours after antacids. 2.The incidence of extrapyramidal symptoms is high. 3.It is therapeutic if ordered on an as-needed (prn) basis. 4.Haldol is contraindicated in Parkinson's disease, seizure disorders, alcoholism, and severe mental depression. 5.Crush the sustained-release form for easier swallowing.

1.Take 1 hour before or 2 hours after antacids. 2.The incidence of extrapyramidal symptoms is high. 4.Haldol is contraindicated in Parkinson's disease, seizure disorders, alcoholism, and severe mental depression.

Which of the following teaching points will the nurse provide to a patient with a new prescription for alendronate (Fosamax)? 1.Take the medication with a full glass of water 30 minutes before breakfast. 2.Take the medication with a small snack or meal containing dairy. 3.Take the medication immediately before bed. 4.Take the medication with a calcium supplement.

1.Take the medication with a full glass of water 30 minutes before breakfast.

The nurse is planning health teaching for a patient who has been prescribed latanoprost (Xalatan) drops for open-angle glaucoma. The nurse should include which of the following in the teaching plan? 1.The drops may cause darkening and thickening of the eyelashes and upper lid and darkening of the iris color. 2.The drops may cause a temporary loss of eyelashes that will regrow once the drug is stopped. 3.The drops will cause dilation of pupils, and darkened glasses should be worn in bright light. 4.The drops will cause a permanent bluish tint to the conjunctiva that is harmless

1.The drops may cause darkening and thickening of the eyelashes and upper lid and darkening of the iris color.

The nurse is talking with the parents of a child who will receive somatropin (Nutropin) about the drug therapy. Which important detail will the nurse include in the teaching for these parents? 1.The drug must be given by injection. 2.The drug must be given regularly to prevent mental retardation. 3.If the drug therapy is given throughout adolescence, it could add 6 (15 cm) to 8 inches (20 cm) to the child's height. 4.Daily laboratory monitoring will be required during the first weeks of therapy

1.The drug must be given by injection.

A patient who has been prescribed baclofen (Lioresal) returns to the health care provider after a week of drug therapy, complaining of continued muscle spasms of the lower back. What further assessment data will the nurse gather? 1.Whether the patient has been taking the medication consistently or only when the pain is severe 2.Whether the patient has been consuming alcohol during this time 3.Whether the patient has increased the dosage without consulting the health care provider 4.Whether the patient's log of symptoms indicates that the patient is telling the truth

1.Whether the patient has been taking the medication consistently or only when the pain is severe

A 15-year-old patient started using topical benzoyl peroxide (Benzaclin, Fostex) 1 week ago for treatment of acne and is discouraged that her acne is still visible. What is the nurse's best response? 1."The cream should have started working by now. Check with your provider about switching to a different type." 2."Some improvement will be noticed quickly, but full effects may take several weeks to a month or longer." 3."Acne is very difficult to treat. It may be several months before you notice any effects." 4."If your acne is not gone by now, you may need an antibiotic too. Ask your provider

2."Some improvement will be noticed quickly, but full effects may take several weeks to a month or longer."

The patient asks what can be expected from the levodopa/carbidopa (Sinemet) he is taking for treatment of Parkinson's Disease. What is the best response by the nurse? 1."A cure can be expected within 6 months." 2."Symptoms can be reduced and the ability to perform ADLs can be improved." 3."Disease progression will be stopped." 4."Extrapyramidal symptoms will be prevented."

2."Symptoms can be reduced and the ability to perform ADLs can be improved."

A 20-year-old man is admitted to the psychiatric unit for treatment of acute schizophrenia and is started on risperidone (Risperdal). Which patient effects should the nurse assess for to determine whether the drug is having therapeutic effects? 1.Restful sleep, elevated mood, and coping abilities 2.Decreased delusional thinking and lessened auditory/visual hallucinations 3.Orthostatic hypotension, reflex tachycardia, and sedation 4.Relief of anxiety and improved sleep and dietary habits

2.Decreased delusional thinking and lessened auditory/visual hallucinations

The patient is scheduled to receive rimabotulinumtoxinB (Myobloc) for treatment of muscle spasticity. Which of the following will the nurse teach the patient to report immediately? 1.Fever, aches, or chills 2.Difficulty swallowing, ptosis, blurred vision 3.Continuous spasms and pain on the affected side 4.Moderate levels of muscle weakness on the affected side

2.Difficulty swallowing, ptosis, blurred vision

A nurse is preparing the teaching plan for a patient who will be discharged on methylprednisolone (Medrol Dosepak) after a significant response to poison ivy. The nurse will include instruction on reporting adverse effects to the health care provider. Which of the following should the patient report? (Select all that apply.) 1.Tinnitus 2.Edema 3.Eye pain or visual changes 4.Abdominal pain 5.Dizziness upon standing

2.Edema 3.Eye pain or visual changes 4.Abdominal pain

A female patient is prescribed dantrolene (Dantrium) for painful muscle spasms associated with multiple sclerosis. The nurse is writing the discharge plan for the patient and will include which of the following teaching points? (Select all that apply.) 1.If muscle spasms are severe, supplement the medication with hot baths or showers three times per day. 2.Inform the health care provider if she is taking estrogen products. 3.Sip water, ice, or hard candy to relieve dry mouth. 4.Return periodically for required laboratory work. 5.Obtain at least 20 minutes of sun exposure per day to boost vitamin D levels

2.Inform the health care provider if she is taking estrogen products. 3.Sip water, ice, or hard candy to relieve dry mouth. 4.Return periodically for required laboratory work.

The patient is treated for head lice with permethrin (Nix). Following treatment, the nurse will reinforce which of the following instructions? 1.Remain isolated for 48 hours. 2.Inspect the hair shafts, checking for nits daily for 1 week following treatment. 3.Shampoo with permethrin three times per day. 4.Wash linens with cold water and bleach.

2.Inspect the hair shafts, checking for nits daily for 1 week following treatment.

The nurse knows that which of the following are major disadvantages for the use of donepezil (Aricept) to treat the symptoms of early Alzheimer's disease? (Select all that apply.) 1.It must be administered four times per day. 2.It may causes significant weight loss. 3.It may cause potentially fatal cardiac dysrhythmias. 4.It may cause serious hepatic damage. 5.It results in only modest cognitive improvement and results do not last.

2.It may causes significant weight loss. 3.It may cause potentially fatal cardiac dysrhythmias. 4.It may cause serious hepatic damage. 5.It results in only modest cognitive improvement and results do not last.

The nurse is explaining to a student nurse the physiological principle for how colchicine (Colcrys) achieves its effect. What response will the nurse give to the student? 1.It decreases the deposits of uric acid in the joint spaces. 2.It reduces the pain associated with joint inflammation by uric acid crystals. 3.It increases renal excretion of uric acid. 4.It prevents the formation of uric acid in the liver.

2.It reduces the pain associated with joint inflammation by uric acid crystals.

The nurse discusses the disease process of multiple sclerosis with the patient and caregiver. The patient will begin taking glatiramer (Copaxone), and the nurse is teaching the patient about the drug. Which of the following points should be included? 1.Drink extra fluids while this drug is given. 2.Local injection site irritation is a common effect. 3.Take the drug with plenty of water and remain in an upright position for at least 30 minutes. 4.The drug causes a loss of vitamin C so include extra citrus and foods containing vitamin C in the diet.

2.Local injection site irritation is a common effect.

An 8-year-old boy is evaluated and diagnosed with absence seizures. He is started on ethosuximide Zarontin). Which information should the nurse provide the parents? 1.After-school sports activities will need to be stopped because they will increase the risk of seizures. 2.Monitor height and weight to assess that growth is progressing normally. 3.Fractures may occur, so increase the amount of vitamin D and calcium-rich foods in the diet. 4.Avoid dehydration with activities and increase fluid intake

2.Monitor height and weight to assess that growth is progressing normally.

Prior to discharge, the nurse plans for patient teaching related to side effects of phenothiazines to the patient, family, or caregiver. Which of the following should be included? 1.The patient may experience withdrawal and slowed activity. 2.Severe muscle spasms may occur early in therapy. 3.Tardive dyskinesia is likely early in therapy. 4.Medications should be taken as prescribed to prevent adverse effects.

2.Severe muscle spasms may occur early in therapy.

A 62-year-old female has received a prescription for alendronate (Fosamax) for treatment of osteoporosis. The nurse would be concerned about this order if the patient reported which condition? (Select all that apply.) 1.She enjoys milk, yogurt, and other dairy products and tries to consume some with each meal. 2.She is unable to sit upright for prolonged periods because of severe back pain. 3.She is lactose intolerant and rarely consumes dairy products. 4.She has had trouble swallowing and has been told she has "problems with her esophagus." 5.She has a cup of green tea every night before bed.

2.She is unable to sit upright for prolonged periods because of severe back pain. 3.She is lactose intolerant and rarely consumes dairy products. 4.She has had trouble swallowing and has been told she has "problems with her esophagus."

A 17-year-old patient has been prescribed escitalopram (Lexapro) for increasing anxiety uncontrolled by other treatment measures. Because of this patient's age, the nurse will ensure that the patient and parents are taught what important information? 1.Cigarette smoking will counteract the effects of the drug. 2.Signs of increasing depression or thoughts of suicide should be reported immediately. 3.The drug causes dizziness and alternative schooling arrangements may be needed for the first two months of use. 4.Anxiety and excitability may increase during the first two weeks of use but then will have significant improvement.

2.Signs of increasing depression or thoughts of suicide should be reported immediately.

A patient has been taking phenytoin (Dilantin) for control of generalized seizures, tonic-clonic type. The patient is admitted to the medical unit with symptoms of nystagmus, confusion, and ataxia. What change in the phenytoin dosage does the nurse anticipate will be made based on these symptoms? 1.The dosage will be increased. 2.The dosage will be decreased. 3.The dosage will remain unchanged; these are symptoms unrelated to the phenytoin. 4.The dosage will remain unchanged but an additional antiseizure medication may be added

2.The dosage will be decreased.

The teaching plan for a 24-year-old female who is receiving tretinoin (Avita, Retin-A, Trentin-X) for treatment of acne should include which of the following instructions? (Select all that apply.) 1.Obtain 20 to 30 minutes of sun exposure per day to help dry the skin and prevent breakouts. 2.Wash the face with a mild soap, avoiding scrubbing, twice a day. 3.Use oil-free sunscreens, sun hats, and protective clothing to avoid sun exposure. 4.Expect some dryness, redness, and peeling while on the drug but report severe skin irritation. 5.Cover the area with a light dressing covered in plastic wrap to prevent the cream from rubbing off

2.Wash the face with a mild soap, avoiding scrubbing, twice a day. 3.Use oil-free sunscreens, sun hats, and protective clothing to avoid sun exposure. 4.Expect some dryness, redness, and peeling while on the drug but report severe skin irritation.

The nurse is initiating discharge teaching with the newly diagnosed patient with diabetes. Which of the following statements indicates that the patient needs additional teaching? 1."If I am experiencing hypoglycemia, I should drink 1/2 cup of apple juice." 2."My insulin needs may increase when I have an infection." 3."I must draw the NPH insulin first if I am mixing it with regular insulin." 4."If my blood glucose levels are less than 60 mg/dL, I should notify my health care provider."

3."I must draw the NPH insulin first if I am mixing it with regular insulin."

Which of the following patient statements indicates that the levodopa/carbidopa (Sinemet) is effective? 1."I'm sleeping a lot more, especially during the day." 2."My appetite has improved." 3."I'm able to shower by myself." 4."My skin doesn't itch anymore."

3."I'm able to shower by myself."

The nurse determines that the teaching plan for a patient prescribed sertraline (Zoloft) has been effective when the patient makes which statement? 1."I should not decrease my sodium or water intake." 2."The drug can be taken concurrently with the phenelzine (Nardil) that I'm taking." 3."It may take up to a month for the drug to reach full therapeutic effects and I'm feeling better." 4."There are no other drugs I need to worry about; Zoloft doesn't react with them.

3."It may take up to a month for the drug to reach full therapeutic effects and I'm feeling better."

Which of the following assessment findings would cause the nurse to withhold the patient's regularly scheduled dose of levothyroxine (Synthroid)? 1.A 1-kg (2-lb) weight gain 2.A blood pressure reading of 90/62 mmHg 3.A heart rate of 110 beats/minute 4.A temperature of 37.9 degrees Celsius (100.2 degrees Fahrenheit)

3.A heart rate of 110 beats/minute

A patient has been prescribed clonazepam (Klonopin) for muscle spasms and stiffness secondary to an automobile accident. While the patient is taking this drug, what is the nurse's primary concern? 1.Monitoring hepatic laboratory work 2.Encouraging fluid intake to prevent dehydration 3.Assessing for drowsiness and implementing safety measures 4.Providing social services referral for patient concerns about the cost of the drug

3.Assessing for drowsiness and implementing safety measures

A patient has been taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis. Which of the following symptoms may alert the nurse to a possible toxic effect? 1.Cardiac dysrhythmias 2.Joint stiffness or effusions 3.Blurred vision or diminished ability to read 4.Decreased muscle strength

3.Blurred vision or diminished ability to read

Which assessment findings in a patient who is receiving calcitriol (Calcijex, Rocaltrol) should the nurse immediately report to the health care provider? 1.Muscle aches, fever, dry mouth 2.Tremor, abdominal cramping, hyperactive bowel sounds 3.Bone pain, lethargy, anorexia 4.Muscle twitching, numbness, and tingling of the extremities

3.Bone pain, lethargy, anorexia

A 77-year-old female patient is diagnosed with depression and anxiety and is started on imipramine. Because of this patient's age, which adverse effects would take priority when planning care? 1.Dry mouth and photosensitivity 2.Anxiety, headaches, insomnia 3.Drowsiness and sedation 4.Urinary frequency

3.Drowsiness and sedation

A 32-year-old female patient has been taking lorazepam (Ativan) for her anxiety and is brought into the emergency department after taking 30 days' worth at one time. What antagonist for benzodiazepines may be used in this case? 1.Epinephrine 2.Atropine 3.Flumazenil 4.Naloxone

3.Flumazenil

Timolol (Timoptic) drops have been ordered to treat glaucoma. Because of the possibility of systemic adverse effects, what essential instruction should the patient receive? 1.Monitor urine output and daily weight. Promptly report any edema. 2.Monitor blood glucose and alert the health car provider to any significant changes. 3.Hold slight pressure on the inner canthus of the eye for 1 minute after instilling the drop. 4.Monitor respiratory rate and for signs and symptoms of upper respiratory infection

3.Hold slight pressure on the inner canthus of the eye for 1 minute after instilling the drop.

The patient who is receiving allopurinol (Lopurin) for treatment of gout asks why he should avoid the consumption of alcohol. The nurse's response is based on the knowledge that the use of alcohol along with allopurinol may result in which of the following? 1.It significantly increases the drug levels of allopurinol. 2.It interferes with the absorption of antigout medications. 3.It raises uric acid levels. 4.It causes the urine to become more alkaline

3.It raises uric acid levels.

A patient with a history of glaucoma who has been taking latanoprost (Xalatan) eyedrops complains of severe pain in the eye, severe headache, and blurred vision. What should be the nurse's first response? 1.Document the occurrence; this symptom is expected. 2.Medicate the patient with a narcotic analgesic. 3.Medicate the patient with a narcotic analgesic. 4.Place the patient in a quiet darkened environment.

3.Medicate the patient with a narcotic analgesic.

A patient will be started on desmospressin (DDAVP) for treatment of diabetes insipidus. Which instruction should the nurse include in the teaching plan? 1.Drink plenty of fluids, especially those high in calcium. 2.Avoid close contact with children or pregnant women for 1 week after administration of the drug. 3.Obtain and record your weight daily. 4.Wear a mask if around children and pregnant women.

3.Obtain and record your weight daily.

Which of the following would be a priority component of the teaching plan for a patient prescribed phenelzine (Nardil) for treatment of depression? ]1.Headaches may occur. Over-the-counter medications will usually be effective. 2.Hyperglycemia may occur and any unusual thirst, hunger, or urination should be reported. 3.Read labels of food and over-the-counter drugs to avoid those with substances that should be avoided as directed. 4.Monitor blood pressure for hypotension and report any blood pressure below 90/60.

3.Read labels of food and over-the-counter drugs to avoid those with substances that should be avoided as directed.

A patient is being treated with propylthiouracil (PTU) for hyperthyroidism, pending thyroidectomy. While the patient is taking this drug, what symptoms will the nurse teach the patient to report to the health care provider? 1.Tinnitus, altered taste, thickened saliva 2.Insomnia, nightmares, night sweats 3.Sore throat, chills, low-grade fever 4.Dry eyes, decreased blinking, reddened conjunctiva

3.Sore throat, chills, low-grade fever

An early sign(s) of levodopa toxicity is (are) which of the following? 1.Orthostatic hypotension 2.Drooling 3.Spasmodic eye winking and muscle 4.Nausea, vomiting, and diarrhea

3.Spasmodic eye winking and muscle

Zolpidem (Ambien, Edluar, Intermezzo) has been ordered for a patient for the treatment of insomnia. What information will the nurse provide for this patient? (Select all that apply.) 1.Be cautious when performing morning activities because it may cause a significant "hangover" effect with drowsiness and dizziness. 2.Take the drug with food; this enhances the absorption for quicker effects. 3.Take the drug immediately before going to bed; it has a quick onset of action. 4.If the insomnia is long-lasting, this drug may safely be used for up to one year. 5.Alcohol and other drugs that cause CNS depression (e.g., antihistamines) should be avoided while taking this drug.

3.Take the drug immediately before going to bed; it has a quick onset of action. 5.Alcohol and other drugs that cause CNS depression (e.g., antihistamines) should be avoided while taking this drug

Levodopa is prescribed for a patient with Parkinson's disease. At discharge, which of the following teaching points should the nurse include? 1.Monitor blood pressure every 2 hours for the first 2 weeks. 2.Report the development of diarrhea. 3.Take the pill on an empty stomach or 2 hours after a meal containing protein. 4.If tremors seem to worsen, take a double dose for two doses and call the provider.

3.Take the pill on an empty stomach or 2 hours after a meal containing protein.

The parents of a young patient receiving methylphenidate (Ritalin) express concern that the health care provider has suggested the child have a "holiday" from the drug. What is the purpose of a drug-free period? 1.To reduce or eliminate the risk of drug toxicity 2.To allow the child's "normal" behavior to return 3.To decrease drug dependence and assess the patient's status 4.To prevent the occurrence of a hypertensive crisis

3.To decrease drug dependence and assess the patient's status

The nurse emphasizes to the patient with glaucoma the importance of notifying the health care provider performing an eye examination of a glaucoma diagnosis because of potential adverse reactions to which of the following drugs? 1.Antibiotic drops 2.Cycloplegic drops 3.Anti-inflammatory drops 4.Anticholinergic mydriatic drops

4.Anticholinergic mydriatic drops

Teaching for a patient receiving carbamazepine (Tegretol) should include instructions that the patient should immediately report which symptom? 1.Leg cramping 2.Blurred vision 3.Lethargy 4.Blister-like rash

4.Blister-like rash

The nurse is planning teaching for a patient prescribed desoximetasone (Topicort) for atopic dermatitis. The nurse will teach the patient to anticipate which possible adverse effects? 1.Localized pruritis and hives 2.Hair loss in the application area 3.Worsening of acne 4.Burning and stinging of the skin in the affected area

4.Burning and stinging of the skin in the affected area

The nurse is assisting a patient with chronic adrenal insufficiency to plan for medication consistency while on a family vacation trip. He is taking hydrocortisone (Cortef) and fludrocortisones (Florinef) as replacement therapy. What essential detail does this patient need to remember to do? 1.Take his blood pressure once or twice daily. 2.Avoid crowded indoor areas to avoid infections. 3.Have his vision checked before he leaves. 4.Carry an oral and injectable form of both drugs with him on his trip

4.Carry an oral and injectable form of both drugs with him on his trip

A patient with type 2 diabetes has been nothing by mouth (NPO) since midnight for surgery in the morning. He has been on a combination of oral type 2 antidiabetic drugs. What would be the best action for the nurse to take concerning the administration of his medications? 1.Hold all medications as per the NPO order. 2.Give him the medications with a sip of water. 3.Give him half the original dose. 4.Contact the health care provider for further orders.

4.Contact the health care provider for further orders.

Appropriate administration is key for patients who are taking eyedrops for the treatment of glaucoma to optimize therapeutic effects and reduce adverse effects. The nurse would be concerned if the patient reports administering the drops in which of the following manners? 1.Into the conjunctival sac 2.Holding slight pressure on the tear duct (lacrimal duct) for 1 minute after instilling the eyedrops 3.Avoiding direct contact with the eye dropper tip and the eye 4.Leaving contact lenses in to be sure the eyedrop is maintained in the eye

4.Leaving contact lenses in to be sure the eyedrop is maintained in the eye

Education given to patients about the use of all drugs to treat insomnia should include an emphasis on what important issue? 1.They will be required long-term to achieve lasting effects. 2.They require frequent blood counts to avoid adverse effects. 3.They are among the safest drugs available and have few adverse effects. 4.Long-term use may increase the risk of adverse effects, create a "sleep debt," and cause rebound insomnia when stopped

4.Long-term use may increase the risk of adverse effects, create a "sleep debt," and cause rebound insomnia when stopped

The nurse is caring for a 72-year-old patient taking gabapentin (Gralise, Horizant, Neurontin) for a seizure disorder. Because of this patient's age, the nurse would establish which nursing diagnosis related to the drug's common adverse effects? 1.Risk for Deficient Fluid Volume 2.Risk for Impaired Verbal Communication 3.Risk for Constipation 4.Risk for Falls

4.Risk for Falls

The patient states that he has not taken his antipsychotic drug for the past 2 weeks because it was causing sexual dysfunction. What is the nurse's primary concern at this time? 1.A hypertensive crisis may occur with such abrupt withdrawal of the drug. 2.Significant muscle twitching may occur, increasing fall risk. 3.Extrapyramidal symptoms such as secondary parkinsonism are likely to occur. 4.Symptoms of psychosis are likely to return.

4.Symptoms of psychosis are likely to return.Prior to discharge, the nurse plans for patient teaching related to side effects of phenothiazines to the patient, family, or caregiver. Which of the following should be included?

A patient receives NPH and regular insulin every morning. The nurse is verifying that the patient understands that there are two different peak times to be aware of for this insulin regimen. Why is this an important concept for the nurse to stress? 1.The patient needs to plan the next insulin injection around the peak times. 2.Additional insulin may be needed at peak times to avoid hyperglycemia. 3.It is best to plan exercise or other activities around peak insulin activity. 4.The risk for hypoglycemia is greatest around the peak of insulin activity

4.The risk for hypoglycemia is greatest around the peak of insulin activity

A patient is receiving temazepam (Restoril). Which of these responses should a nurse expect the patient to have if the medication is achieving the desired effect? The patient sleeps in 3-hour intervals, awakens for a short time, and then falls back to sleep. 2.The patient reports feeling less anxiety during activities of daily living. 3.The patient reports having fewer episodes of panic attacks when stressed. 4.The patient reports sleeping 7 hours without awakening.

The patient reports sleeping 7 hours without awakening.

the nurse should assess a patient who is taking lorazepam (Ativan) for the development of which of these adverse effects? Tachypnea 2.Astigmatism 3.Ataxia 4.Euphoria

ataxia

medical term for redness

erythema

medical term for itching of the skin

pruritus

Medical term for hives

urticaria