Pharm Final Drug Questions

A pt who is taking digoxin develops ECG changes and other manifestations that indicate severe digoxin toxicity. Which of the following drugs should the health care professional have available to treat this complication? 1. Acedote 2. Flumazenil 3. Digibind 4. Desferal

3

A nurse is caring for a client who is developing acute pulmonary edema. Furosemide (Lasix) 40 mg IV bolus is prescribed for this client. The nurse should 1. Give the medication undiluted over 1 to 2 min 2. Dilute the medication and administer over 30 min. 3. Give the medication in the afternoon 4. Encourage the client to drink additional fluids to avoid dehydration

1

A nurse is caring for a client who is receiving streptomycin. The nurse understands which medication, if taken with streptomycin, increases the risk for developing ototoxicity? 1. Furosemide (Lasix) 2. Cefoxitin (Mefoxin) 3. Naproxen (Naproxyn) 4. Amphotericin B (Amphotec)

1

A nurse is instructing a client regarding taking phenytoin (Dilantin). The nurse correctly states that if the client abruptly discontinues the medication, which of the following will occur? 1. Status epilepticus 2. Bleeding gums 3. Disorientation 4. Severe nausea

1

A client who is being treated with clopidogrel (Plavix) asks the nurse if it is acceptable to take Ginkgo biloba. Which of the following is an appropriate response by the nurse? 1. Ginkgo biloba inhibits platelet aggregation and could potentially increase the effects of clopidogrel 2. Ginkgo biloba is safe and would have little impact on the desired therapeutic effects of clopidogrel. 3. Ginkgo biloba may increase the risk of DVT in clients who are take clodpidogrel. 4. Ginkgo biloba, if take consistently, will help lower cholesterol and triglyceride blood levels.

1

A health care professional cautions a pt who is taking Mucinex about using combination OTC cold products because 1. They can also contain Mucinex 2. Serious interactions are possible 3. Rebound congestion is likely 4. Drug tolerance is likely

1

A health care professional is assessing a client who was administered Zofran IV 1 hr ago. Which of the following findings is an adverse effect of this drug? 1. Dizziness 2. Rash 3. Tardive dyskinesia 4. Abdominal cramping

1

A health care professional is caring for a patient who is about to begin taking Plavix to prevent stent stenosis. The health care professional should monitor the pt for which of the following adverse reactions? 1. Thrombocytopenia 2. Hyponatremia 3. Lymphocytopenia 4. Uricemia

1

A health care professional is caring for a pt who is about to begin taking Proscar to treat BPH. The health care professional should explain to the pt the need to monitor which of the following laboratory tests? 1. PSA 2. BUN 3. CPK 4. ALT

1

A health care professional is caring for a pt who is about to begin taking Tamoxifen to treat breat cancer. The health care professional should recognize the need for cautious use of the drug if the pt also has which of the following? 1. Cataracts 2. COPD 3. DM 4. Alcohol use disorder

1

A health care professional is caring for a pt who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the health care professional expect to administer? 1. Atrovent 2. Beconase AQ 3. Acedote 4. Astelin

1

A health care professional is reviewing the history of a patient who is about to begin Lasix therapy to treat hypertension. Which of the following drugs that the patient takes should alert the health care professional to take further action? 1. Lithium for bipolar disorder 2. Dilantin for a seizure disorder 3. Erythromycin for bronchitis 4. Warfarin to prevent blood clots

1

A health care professional is talking to a pt who is prescribed albuterol via inhaler and Advair via inhaler for asthma management. The health care professional should tell the pt to use the albuterol inhaler before using the Advair inhaler for which of the following reasons? 1. Albuterol will increase the absorption of Advair 2. Albuterol will decrease inflammation 3. Albuterol will reduce nasal secretions 4. Advair will reduce the adverse effects of albuterol

1

A health care professional should conclude that Lotronex therapy is effective when a patient who is taking it reports which of the following? 1. One formed stool per day 2. Urination without burning 3. No nausea or vomiting 4. Less GI reflux

1

A health care professional should question the use of Reglan for a patient who is taking which of the following drugs? 1. Digoxin 2. Warfarin 3. Fluvoxamine 4. Allopurinol

1

A health care professional should question the use of Yasmin by women who have renal disease for risk of which of the following? 1. Hyperkalemia 2. Hyponatremia 3. Hypoglycemia 4. Respiratory alkalosis

1

A nurse is providing teaching for an older adult client who lives in an assisted-living facility about a new prescription for captopril (Capoten). Which of the following client statements should alert the nurse of the need for further teaching? 1. This medication may cause a sore throat which will go away after a few days 2. Ill call for help immediately if I develop swelling of the mouth or throat while taking this medication 3. Someone at assisted living will monitor my blood pressure after the first dose because it could make me really dizzy. 4. I know I shouldn't take aspirin or ibuprofen with my Capoten

1

A primary care provider prescribes captopril (Capoten) to treat a patient's hypertension and also help alleviate his heart failure. The provider should make sure the patient understands that he should not take which of the following over-the-counter drugs while taking captopril? 1. Ibuprofen (Motrin) 2. Acetaminophen (Tylenol) 3. Calcium carbonate (Tums) 4. Diphenhydramine (Benadryl)

1

At a visit to the provider's office, an older adult patient's partner reports that the patient has nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer's disease and is taking donepezil (Aricept). The provider should advise which of the following? 1. Take the drug with food. 2. Stop taking the drug right away. 3. Take a reduced dosage of the drug. 4. Undergo liver function tests right away.

1

Combination oral contraceptives, such as ethinyl estradiol and drospirenone (Yasmin), require cautious use with patients who have which of the following disorders? 1. Diabetes mellitus 2. Hypothyroidism 3. Thrombocytopenia 4. Osteoporosis

1

The health care professional is now assessing the patient. Which of the following findings can be an early indication of phenytoin (Dilantin) toxicity? 1. Nystagmus 2. Tachycardia 3. Tachypnea 4. Jaundice

1

The health care professional is talking with the patient, who is soon to be discharged to home, about the adverse effects of phenytoin (Dilantin). Which of the following instructions may help minimize the adverse effects of phenytoin? 1. Use good oral hygiene. 2. Take the drug on an empty stomach. 3. Use sun block when outdoors. 4. Decrease dietary fiber.

1

When advising a pt about taking prednisone for chronic asthma, a health care professional should include which of the following information? 1. Avoid taking NSAIDs 2. Rinse your mouth after taking the drug to prevent a yeast infection 3. Stop taking the drug if you become nauseated 4. Change positions slowly when standing up

1

Which of the following info should a health care professional include when talking to a pt about taking baclofen? 1. Avoid driving until the drug's effects are evident 2. Stop taking the drug immediately if headache occur 3. Take the drug as needed for spasticity 4. Take the drug with antacids to reduce gastric effects

1

While the patient is still receiving continuous IV heparin, the provider prescribes oral warfarin (Coumadin). This is because 1. warfarin takes 3 to 5 days to achieve therapeutic effects. 2. IV heparin alone becomes ineffective after the first 1 to 2 days. 3. abrupt cessation of heparin therapy increases the risk for thrombocytopenia. 4. warfarin reduces the risk for hemorrhage.

1

You are instructing a patient about using cromolyn via inhalation to treat exercise-induced asthma. You should advise the patient to take the drug 1. 15 min before exercising. 2. if needed to stop bronchospasm. 3. after strenuous activity. 4. once in the evening at bedtime.

1

You should instruct a patient who is taking tamoxifen (Soltamox) to treat breast cancer to watch for and report which of the following serious adverse effects of this drug? 1. Abnormal menstrual bleeding 2. Muscle pain and weakness 3. Yellowing of skin and eyes 4. Peripheral edema

1

You should recognize that codeine is contraindicated for patients who have which of the following? 1. Emphysema 2. Cataracts 3. Hyperthyroidism 4. Nonproductive cough

1

You are instructing a school-age child and his parent about the use of amphetamine-dextroamphetamine (Adderall) to manage the child's attention-deficit hyperactivity disorder. You should tell the child and parent to watch for which of the following? (Select all that apply.) 1. Weight loss 2. Insomnia 3. Hallucinations 4. Orthostatic hypotension 5. Flu-like symptoms

1,2,3

You should give the patient which of the following instructions about chemotherapy with doxorubicin (Adriamycin)? (Select all that apply.) 1. Report vaginal itching. 2. Expect red-tinged tears. 3. Use effective contraception. 4. Expect regrowth after hair loss. 5. Increase intake of calcium and vitamin D.

1,2,3,4

A health care professional is caring for a pt who is about to begin captopril therapy to treat HTN. When talking with the pt about taking the drug, the health care professional should tell her to report which of the following adverse effects because they can indicate a need to stop drug therapy? (Select All that apply) 1. Rash 2. Distorted taste 3. Swelling of the tongue 4. Photosensitivity 5. Dry cough

1,2,3,5

A health care professional is caring for a pt who is about to begin taking ferrous sulfate (Feosol) to treat iron-deficiency anemia. When talking with the pt about the drug, the health care professional should include which of the following instructions? (Select all that apply) 1. Eat iron-rich foods 2. Spread the dosage across each day 3. Take the drug on an empty stomach 4. Report dark green or black stools 5. Increase dietary fiber intake

1,2,3,5

1. Urine output 2. Blood pressure 3. Level of consciousness 4. Duration of contractions 5. Fetal heart rate

1,2,4,5

One month later, the patient tells the primary care provider that she has developed some adverse effects. Which of the following effects does clomiphene (Clomid) cause? (Select all that apply.) 1. Blurred vision 2. Hot flashes 3. Breast engorgement 4. Muscle pain 5. Nausea

1,2,4,5

You should monitor a patient throughout continuous heparin therapy for which of the following adverse reactions? (Select all that apply) 1. Thrombocytopenia 2. Hypotension 3. Hypokalemia 4. Deep-vein thrombosis 5. Fever

1,2,4,5

A patient is starting therapy with psyllium (Metamucil). You explain to the patient that psyllium will have which of the following therapeutic effects? (Select all that apply.) 1. Relieve constipation 2. Increase gastric pH 3. Reduce diarrhea 4. Decrease gastric acid secretion 5. Alleviate nausea

1,3

A health care professional is about to administer Fuzeon to a pt. The health care professional should perform which of the following actions? (Select all that apply) 1. Administer the drug subcutaneously 2. Discard unused portion 3. Roll the vial gently to reconstitute the solution 4. Inject the solution at room temperature 5. Expect a cloudy solution

1,3,4

A patient is about to start taking ritonavir (Norvir) to treat HIV-1 infection. Which of the following instructions should you include when talking with the patient about taking this drug? (Select all that apply.) 1. Expect periodic blood glucose testing. 2. Take it on an empty stomach. 3. Watch for and report jaundice. 4. Increase weight-bearing activity. 5. Expect periodic cholesterol testing.

1,3,4,5

A health care professional is about to administer Zofran to a pt who is receiving chemotherapy. Which of the following actions should the health care professional take? (Select all that apply) 1. Infuse the drug 30min prior to chemo 2. Administer the drug when the pt reports nausea 3. Infuse the drug slowly over 15 min 4. Administer the drug immediately following chemo 5. Repeat the dose 4 hours after chemo

1,3,5

Digoxin (Lanoxin) is effective in treating heart failure due to which of the following pharmacological actions? (Select all that apply.) 1. Exerts positive inotropic action 2. Decreases cardiac output 3. Decreases sympathetic tone 4. Increases vascular constriction 5. Increases myocardial contractility

1,3,5

You are caring for a patient who is about to begin taking clopidogrel (Plavix) to prevent transient ischemic attacks. You should tell the patient to report which of the following adverse effects? (Select all that apply.) 1. Petechiae 2. Tinnitus 3. Diaphoresis 4. Weakness 5. Vision changes

1,4,5

When explaining how a pt should use Atrovent, a health care professional should include which of the following instructions? 1. Do not drink anything for 30 min after using the drug 2. Wait 5 min between using the drug and another inhaled drug 3. This drug is used to thin respiratory secretions 4. Check pulse rate after inhaling the drug

2

A client who has been taking baclofen (Lioresal) PO for several weeks for back pain asks the nurse if it is appropriate to stop taking the medication because the pain is gone. Which of the following is the appropriate response by the nurse? 1. "You must continue the medication until all the pills are gone." 2. "You can stop taking the medication by decreasing the dosage gradually over 2 weeks." 3. "You can stop taking baclofen as long as you continue on opiate pain relievers." 4. "We will have to do follow-up x-rays before you can stop taking the medication."

2

A health care professional is caring for a patient who is about to begin alteplase (Activase) therapy to treat pulmonary embolism. Which of the following drugs should the health care professional have available in the event of a severe adverse reaction? 1. Vitamin K 2. Aminocaproic acid 3. Protamine 4. Deferoxamine (Desferal)

2

A health care professional is caring for a patient who is about to begin taking folic acid to treat megaloblastic anemia. The health care professional should monitor which of the following laboratory values? 1. Amylase level 2. Reticulocyte count 3. CRP 4. Creatinine clearance

2

A health care professional is caring for a pt who has BPH and is taking Flomax. The helth care professional should question the use of the drug if the pt also has which of the following? 1. A seizure disorder for which he takes carbamazepine 2. Erectile dysfunction for which he takes Viagra 3. DM for which he takes glyburide 4. Angle-closure glaucoma for which he takes pilocarpine

2

A health care professional is caring for a pt who has mild hemophilia A and is about to begin taking desmopressin to prevent bleeding. The health care professional should monitor for which of the following adverse reactions? 1. Weight loss 2. Edema 3. Polyuria 4. Tachycardia

2

A health care professional is caring for a pt who is about to begin altepase (Activase) therapy. The health care professional should monitor the pt for which of the following indications of a possible adverse effect? 1. Hives 2. Headache 3. Edema 4. Hypertension

2

A health care professional is caring for a pt who is about to begin taking Plavix to prevent thrombus formation. The health care professional should question the use of Plavix by a pt who has which of the following? 1. MI 2. Peptic ulcer disease 3. Pancreatitis 4. Myasthenia gravis

2

A health care professional is reviewing the medical record of a pt who has a newly diagnosed seizure disorder. The pt is to begin taking both valproic acid and Dilantin. The health care professional should recognize that which of the following can occur as a result of a drug interaction between valproic acid and Dilantin. 1. Hyperammonemia 2. Phenytoin toxicity 3. Hypertension 4. Peptic ulcer disease

2

A health care professional should explain to a pt who is prescribed diphenhydramine that the most common side effect associated with the drug is 1. Muscle tremors 2. Sedation 3. Anxiety 4. Insomnia

2

A health care professional should question the use of the combination oral contraceptive ethinyl estradiol and Yasmin by a pt who 1. Has a glass of wine each night 2. Smokes half a pack of cigarettes a day 3. Is a marathon runner 4. Drives a school bus

2

A provider prescribes IV heparin for this patient. Which of the following parameters should you monitor for in regard to determining if a therapeutic dose is being administered? 1. INR, two to three times the patient's baseline 2. aPTT, one and a half to two times the patient's baseline 3. Platelet count of 100,000 mm3 4. PT 11-12.5 sec

2

For relief of urinary obstruction due to prostatic enlargement, providers should prescribe which of the following drugs? 1. Bethanechol (Urecholine) 2. Tamsulosin (Flomax) 3. Leuprolide (Lupron) 4. Oxybutynin (Ditropan)

2

Next, the provider tells the patient that she will also take albuterol (Proventil) via a metered-dose inhaler (MDI). When instructing the patient about using the MDI, you should include which of the following information? 1. Take a short, quick breath prior to using the inhaler. 2. Wait at least 1 min before inhaling the second puff. 3. Hold down the canister of the inhaler while inhaling rapidly. 4. Block one nasal passage while inhaling.

2

When talking with a patient about beginning therapy with finasteride (Proscar) to treat benign prostatic hypertrophy, you should instruct the patient to do which of the following? 1. Avoid high-fat foods. 2. Expect improvement in six to 12 months. 3. Wear protective clothing and sunscreen. 4. Avoid activities that require alertness.

2

When talking with a pt about talking Viagra to treat erectile dysfunction, the health care professional should include which of the following instructions? 1. Take the drug with a glass of grapefruit juice 2. Do not take the drug with high-fat foods 3. Increase intake of foods rich in vitamin K 4. Avoid aged cheese and red wine

2

When talking with a pt who is about to begin methotrexate therapy to treat non-hodgkin lymphoma, the health care professional should include which of the following instructions? 1. Take echinacea supplements 2. Use a soft-bristled toothbrush 3. Take aspirin to reduce muscle pain 4. Urinate every 4 hr.

2

Which of the following drugs should a primary care provider prescribe to induce in a woman who is at 42 weeks of gestation? 1. Methylergonovine 2. Oxytocin 3. Lupron 4. Terbutaline

2

Which of the following information should you include when teaching a patient about using an albuterol (Proventil) inhaler for asthma? 1. Use it every 12 hr. 2. Use it periodically to prevent exercise-induced asthma. 3. Store the drug canister in the refrigerator. 4. Monitor for an oral yeast infection.

2

You are about to administer ondansetron (Zofran) to a patient to prevent anesthesia-induced nausea and vomiting. You prepare to monitor the patient for which of the following adverse effects of this drug 1. Bronchospasm 2. Dizziness 3. Hypertension 4. Anxiety

2

You are caring for a patient who is taking warfarin (Coumadin) to prevent venous thrombosis. You should explain that taking the drug requires daily blood samples to monitor of which of the following laboratory tests? 1. Fibrinogen 2. PT/INR 3. Platelets 4. aPTT

2

You are talking with a patient about beginning therapy with clomiphene (Clomid) to treat infertility. Which of the following should you instruct the patient to watch for and report? 1. Shortness of breath 2. Pelvic pain 3. Diarrhea 4. Fever

2

A health care professional is caring for a pt who is taking Atrovent. The health care professional should explain which of the following adverse effects to the pt? (Select all that apply) 1. Muscle tremors 2. Urinary retention 3. Dry mouth 4. Insomnia 5. Tachycardia

2,3

A health care professional is caring for a patient who is about to begin taking Imuran to treat inflammatory bowel disease. The health care professional should tell the pt to report which of the following adverse effects? 1. Impotence 2. Bruising 3. Jaundice 4. Sore throat 5. Nausea

2,3,4,5

You are talking to a patient who is about to begin taking liquid ferrous sulfate (Feosol) to treat iron-deficiency anemia. Which of the following instructions should you include about the drug? (Select all that apply.) 1. Swish it in your mouth before swallowing it. 2. Drink it through a straw. 3. Do not rinse your mouth after taking it. 4. Dilute it first with water. 5. Take it with food.

2,4

When talking with a pt about taking temazepam, which of the following instructions should the health care professional include? (Select all that apply) 1. Wear sunscreen and protective clothing 2. Avoid alcohol and other depressants 3. Increase fiber and fluid intake 4. Take the drug 30min before bedtime 5. Taper the drug slowly to prevent withdrawal symptoms

2,4,5

You are obtaining a health history from a patient who is to start using a new ipratropium (Atrovent) inhaler. Which of the following information from the patient's history should alert you to take further action? (Select all that apply.) 1. Seizure disorder 2. Peanut allergy 3. Depression treated with a monoamine oxidase inhibitor (MAOI) 4. Hypothyroidism treated with synthetic thyroid hormone 5. Glaucoma

2,5

A health care professional administers fentanyl to a pt to reduce pain. Which of the following drugs should she have available to reverse the effects of fentanyl? 1. Neostigmine 2. Succinylcholine 3. Naloxone 4. Dantrolene

3

A health care professional is advising a pt about the use of cromolyn sodium. Which of the following instructions should the health care professional include? 1. Reports signs of jaundice 2. Anticipate difficulty sleeping 3. Expect a bitter aftertaste 4. Increase calcium and vitamin D intake.

3

A health care professional is caring for a patient who is about to begin taking Lotronex to treat irritable bowel syndrome. The health care professional should tell the patient to report which of the following adverse effects? 1. Headache 2. Drowsiness 3. Abdominal pain 4. Sore throat

3

A health care professional is caring for a pt who is about to begin Clomid therapy to treat infertility. The health care professional should monitor the pt for which of the following adverse effects? 1. Breast cancer 2. DVT's 3. Ovarian hyperstimulation syndrome 4. Restless leg syndrome

3

A health care professional is caring for a pt who is about to begin taking Adderall. The health care professional should monitor the patient for which of the following adverse effects? 1. Hypotension 2. Tinnitus 3. Tachycardia 4. Bronchospasm

3

A health care professional is caring for a pt who is about to begin taking Premarin. The health care professional should tell the pt to report which of the following indications of a serious adverse reaction? 1. Hot flashes 2. Urinary tract infection 3. Vaginal bleeding 4. Bone pain

3

A health care professional is caring for a pt who is taking codeine. Which of the following is the most important assessment following administration of the drug? 1. Blood pressure 2. Apical HR 3. Reparations 4. LOC

3

A health care professional should understand that Fuzeon is an appropriate choice for patients who have which of the following? 1. Advanced prostate cancer 2. Primary brain tumors 3. Advanced HIV disease 4. Metastatic ovarian cancer

3

A nurse is instructing a client who has chronic bronchitis on how to use acetylcysteine (Mucomyst) administered by a hand-held nebulizer (HHN). The nurse should evaluate the teaching as effective if the client states which of the following 1. "I can prepare and store a diluted solution of the medication for 48 hours." 2. "The best time to use the HHN is right after meals to prevent nausea" 3. "I should try to cough productively just before I begin the treatment" 4. " If the medicine become discolored, I should throw it out and get a new supply."

3

During IV administration of doxorubicin (Adriamycin), the infusion site becomes swollen, red, and painful. Which of the following actions should you take? 1. Slow the infusion rate. 2. Apply pressure to the site. 3. Stop the IV infusion. 4. Apply ice and continue the infusion.

3

For which of the following should a health care professional monitor a patient who is taking Aricept for Alzheimer's disease? 1. Confusion 2. Dry mouth 3. Nausea 4. Double vision

3

Recognizing the potential for a drug interaction between the diuretic, furosemide (Lasix), and the cardiac glycoside, digoxin (Lanoxin), the provider should plan to monitor the patient for which of the following? 1. Hyperkalemia 2. Ototoxicity 3. Digoxin toxicity 4. Hypoglycemia

3

The primary care provider talks with the couple about clomiphene (Clomid) therapy. Which of the following instructions should the primary care provider include? 1. Take it once a day until they can confirm pregnancy. 2. Begin taking it on the first day and stop on the last day of menstruation. 3. Begin 5 days after menstruation begins and take it every day for next 5 days. 4. Take it once, 17 to 19 days after the onset of menstruation.

3

When talking with a pt about taking Reglan to treat GERD, the health care professional should include which of the following instructions? 1. Take the drug once a day in the morning 2. Stop taking the drug if drowsiness develops 3. Chew gum or suck on hard candy 4. Take acetaminophen for headaches

3

While instructing a patient about using isosorbide (Isordil) to treat angina, you should advise the patient to avoid 1. milk. 2. caffeine. 3. alcohol 4. grapefruit juice.

3

While obtaining a patient's medical history, you find that the patient is taking levodopa/carbidopa (Sinemet) for Parkinson's disease. Which of the following information in the patient's health history alerts you to take further action? 1. Bradycardia 2. Pancreatic disease 3. Glaucoma 4. Impaired hearing

3

While talking with a patient who is taking captopril (Capoten) to treat hypertension, which of the following instructions should you include to help her manage the drug's adverse effects? 1. Check your heart rate prior to taking the drug. 2. Wear sunscreen and protective clothing while outdoors. 3. Do not use salt substitutes to season your food. 4. Take the drug on an empty stomach.

3

When talking with a pt about taking Metamucil to treat constipation, the health care professional should include which of the following instructions? (Select all that apply) 1. Expect results in 6-12hrs 2. Urinate every 4 hrs 3. Take drug with at least 8oz of fluid 4. Avoid activities that require alertness 5. Increase fluid and fiber intake

3,5

A client is discharged with a prescription for an oral opioid analgesic with codeine. The nurse instructs the client to increase dietary intake of fiber. Which of the following is the rationale for this instruction? 1. Binds with the medication to relieve pain 2. Prevents nausea caused by opioids 3. Aids in the absorption of opioids 4. Helps prevent constipation

4

A health care professional is advising a pt about the use of cromolyn sodium to prevent bronchospasm. The health care professional should explain that the drug prevents bronchospasm because it performs which of the following actions? 1. Increases leukocyte activity 2. Blocks muscarinic receptors 3. Causes bronchodilation 4. Reduces inflammation

4

A health care professional is caring for a patient who is about to begin taking alteplase (Activase) to treat acute MI. The health care professional should understand the drug is most effective when the patient receives it 1. 24 hours after clot formation 2. After initiation of anticoagulation 3. Prior to clot formation 4. Within 3hr of symptom onset

4

A health care professional is caring for a patient who is about to begin taking warfarin. The health care professional should caution the pt about taking which of the following OTC drugs? 1. Diphenhydramine 2. Dimenhydrinate (Dramamine) 3. Calcium carbonate (Tums) 4. Ibuprofen (Motrin)

4

A health care professional is caring for a pt who has recently had an MI and is about to begin taking Colace. The health care professional should explain that Colace will have which of the following therapeutic effects? 1. Reduces inflammation 2. Reduces gastric acid 3. Prevents diarrhea 4. Prevents straining

4

A health care professional is caring for a pt who is about to start Norvir and Retrovir therapy to treat HIV-1. The health care professional should explain that the pt will receive Norvir along with at least one reverse transcriptase inhibitor to 1. Prevent an infusion reaction 2. Increase platelet production 3. Protect healthy cells from the toxic effects of Norvir 4. Prevent drug resistance

4

A health care professional is caring for a pt who is taking combination oral contraceptive Yasmin and is about to begin taking rifampin to treat tuberculosis. Because of a likely drug interaction, the health care professional should tell the pt to 1. Increase the rifampin dose 2. Increase the oral contraceptive dose 3. Allow 2 hr between taking each drug 4. Use additional birth control

4

A health care professional is talking to a pt who is newly diagnosed with parkinsons disease about how levodopa/carbidopa (Sinemet) will help control her symptoms. Which of the following mechanisms is the drug effective in treating the disorder? 1. Increases available acetylcholine in the brain 2. Inhibits norepinephrine metabolism in the brain 3. Inhibits serotonin metabolism in the brain 4. Increases available dopamine in the brain

4

A health care professional should tell a pt who is taking albuterol to report which of the following possible indications of a serious adverse effect? 1. Fever 2. Bruising 3. Polyuria 4. Palpitations

4

A patient who began drug therapy reports palpitations the following day. His ECG indicates frequent premature ventricular contractions. The provider prescribes a stat dose of lidocaine (Xylocaine) 50 mg via IV bolus. You should monitor the patient for which of the following adverse reactions? 1. Metabolic alkalosis 2. Hypertension 3. Tachycardia 4. Paresthesia

4

A pt who is taking ferrous sulfate (feosol) to treat iron-deficiency anemia develops severe nausea and vomiting due to iron toxicity. Which of the following drugs should the health care professional use to treat this complication? 1. Flumazenil 2. Acetadote 3. Naloxone 4. Deferoxamine (desferal)

4

A pt who is taking warfarin arrives at the emergency department and reports rectal bleeding. Which of the following drugs should the health care professional have available? 1. Neupogen 2. Desferal 3. Protamine 4. Vitamin K

4

Before administering IV folic acid, you should explain to the patient that the drug can cause which of the following adverse effects? 1. Headache 2. Nausea 3. Dizziness 4. Flushing

4

The health care professional is about to administer a loading dose of phenytoin (Dilantin) IV. Which of the following is essential for the health care professional to do before administering phenytoin IV? 1. Protect the phenytoin solution from light. 2. Make sure the phenytoin solution is cloudy. 3. Mix phenytoin with a dextrose solution. 4. Infuse phenytoin slowly.

4

When talking with the patient about chemotherapy with doxorubicin (Adriamycin), you explain the need for periodic diagnostic tests. The result of which of the following diagnostic tests or procedures requires monitoring? 1. Lumbar puncture 2. IV pyelogram 3. Bone density scan 4. ECG

4

Which of the following drugs has protocols that require patients to meet specific risk-management criteria and sign a treatment agreement before the health care professional can administer the drug? 1. Lubiprostone (Amitiza) 2. Azathioprine (Imuran) 3. Sulfasalazine (Azulfidine) 4. Alosetron (Lotronex)

4

Which of the following drugs should you have ready in case of heparin overdose? 1. Aminocaproic acid (Amicar) 2. Deferoxamine (Desferal) 3. Vitamin K 4. Protamine

4

You are instructing a patient who is taking cetirizine (Zyrtec) how to treat allergic rhinitis. Which of the following information should the provider include? 1. Restrict fluids to minimize the drug's adverse effects. 2. Take the drug in the morning to reduce adverse effects. 3. Take the drug on an empty stomach to increase absorption. 4. Administer the drug prophylactically during allergy seasons.

4