HW #1

The patient is receiving a new prescription from the care provider. Which question is most important for the nurse to ask to ensure this medication is safe for this patient?

"Do you take any herbal supplements or alternative medications?"

A client reports to the nurse that she is experiencing vaginal itching. Which of the following statements would indicate this complaint could be related to a superinfection?

"I just completed a course of antibiotics prescribed by my dentist to treat a tooth abscess."

The nurse is administering an antibiotic with a 36-hour half-life. How often will this drug need to be administered to remain effective?

24 hours.

What therapeutic class are sulfonamides in?

Antibacterial

What is the priority teaching need for a patient being prescribed doxycycline?

Avoid sun exposure.

Why are tetracyclines contraindicated in children under 8 years of age?

Because of the drugs effects on teeth and bone

What is associated with liver toxicity?

Kava

The patient wants to know if it is safe for her to take St. John's wort for depression. What medications will the nurse ask specifically about?

Oral contraceptives

Which of the following is the nurse's responsibility before administering a drug to a patient?

Review the patient's subjective and objective data.

The nurse is aware that hydromorphone has a high abuse potential and is categorized as a:

Schedule II drug.

Clients are becoming more savvy about learning about medicine by watching commercials and looking them up on the internet. What challenge does this present to the health care providers? The challenge to:

Stay knowledgeable about drug therapy.

Blood work revealed that a patient's BUN and creatinine began elevating shortly after he started taking low-dose aspirin daily. What could have caused the elevation in these serum blood levels?

The man may be experiencing nephrotoxicity from the aspirin

Using the nursing process in medication therapy ensures that:

The patient receives their medications efficiently and effectively.

What does the nurse need to monitor in a patient taking phenytoin (Dilantin) to prevent toxic reactions?

The patient's blood level of the drug.

The nurse is caring for a client receiving gentamicin, an aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following is a sign that the client may be experiencing nephrotoxicity?

a decrease in urine output

To determine a patient's self-care ability, it is most important for the nurse to perform what step of the nursing process?

assessment

The pregnant patient is prescribed nifedipine (Procardia) and notes that the pregnancy category for this drug indicates that animal studies on the drug have shown adverse fetal effects, but there are no adequate studies in humans. Which category is this?

category C

Which classification of drugs does gamma-hydroxybutyrate (a frequently abused street drug) belong to?

depressant

The nurse asks the patient to demonstrate the skill they have just been taught. What step of the nursing process is the nurse performing?

evaluation

A patient who was receiving morphine 5mg IM is going home with a prescription for morphine 20mg PO. What should the nurse explain is the reason for the increased dosage for the oral dose?

first-pass effect

When reviewing patient drug lists and prescriptions, the nurse notes that physicians typically order drugs using which name:

generic name

Which condition would the nurse check for a client who recently started taking ginseng?

hypoglycemia

Which of the following is a nursing intervention that needs to be included for clients clients taking fluoroquinolones?

increase fluid intake.

Which classification of drug is heroin?

opioid

Which statement indicates that the parent needs further education on correct dosage administration to their child?

"I use a household teaspoon to administer the medication."

What is the priority instruction for the woman taking oral contraceptive pills who is being prescribed tetracycline?

"You should use alternative means of contraception while you are taking tetracycline."

What effect is decreased hepatic bloodflow likely to have on the pharmacokinetics and pharmacodynamics of an older adult?

Drug clearance is likely to be slower.

A client who reports a healthy lifestyle and who takes alternative therapies is being prescribed an antihypertensive agent. What would be the nurse's priority assessment for this patient?

If the client is taking herbal or botanical medications regularly.

What would be the priority nursing intervention for a client who has developed bone marrow suppression related to a drug's effects.

Monitor laboratory blood values.

Which of the following conditions should the nurse identify as contraindicated with cephalosporins?

Renal disease

Which of the following conditions should the nurse assess for the client being prescribed trimethoprim-sulfamethoxazole?

Renal impairment

Which of the following is an example of organ and tissue damage caused by a drug?

Stevens-Johnson syndrome

What is the priority education the nurse should give the patient who takes oral contraceptive pills and has been prescribed amoxicillin?

Use a type of barrier birth control while you are taking this antibiotic.

A client reports symptoms of exhibiting blurred vision, confusion, impaired breathing, muscle twitches, irregular heartbeat, and excessive sweating after taking multiple doses of "cough syrup". What cough syrup ingredient is causing the patient's symptoms?

dextromethorphan

What should the nurse warn the client that rifampin (Rifadin) may cause?

discolored body fluids.

What is the priority assessment information to obtain from a client diagnosed following substance abuse intoxication?

history of drug use.

What should the nurse do after the client informs them that he/she is taking a new herbal supplement that the nurse had not previously heard of?

learn as much about the herbal supplement as possible.

Why are older patients (65-years and older) more likely to experience adverse drug effects?

older patients have physiologic changes that affect their pharmacokinetic processes

The nurse should alert the provider if the client receiving gentamicin is given an order for other medications causing:

ototoxicity or nephrotoxicity.

Chemicals are being tested on laboratory animals to assess their effectiveness as potential drugs. What phase of drug development is this?

preclinical

Clients are now able to learn about medications in print, internet, and television ads. What do the nurse and healthcare provider need to know about these advertisements?

what clients are seeing about these drugs.