Chapter 6 PrepU

After teaching a client about how to evaluate an Internet site for information about health care and drug, which statement indicates that the teaching was successful?

"A site that allows for feedback is more reputable than one that doesn't."

Clients who have diabetes and use antidiabetic agents and juniper berries are at risk for increased blood glucose levels.

False

St. John's wort is an alternative therapy that interacts with few drugs.

False

A client asks a nurse about using the Internet to obtain drugs at a cheaper price. The nurse should recommend the client access what site for additional information regarding this practice?

Food and Drug Administration

A woman comes to the emergency department reporting that she thinks she was date raped. She states that she cannot remember anything and is extremely sleepy. "I think someone put something in my drink." What drug should the nurse suspect was most likely to be put in her drink?

Gamma hydroxybutyrate

After reviewing the various frequently abused street drugs, a group of students demonstrates understanding of the information when they identify gamma-hydroxybutyrate as which class?

depressant

A client reports that taking St. John's wort. When reviewing the client's medication history, what would be a cause of concern?

digoxin

A nurse has admitted a client diagnosed with substance abuse intoxication to the unit. The nursing assessment will first be directed toward data regarding:

drug use.

A client being treated for schizophrenia with a traditional antipsychotic medication is taking an herbal preparation for arthritis. The client buys the herbal remedy at the local retail store. Which herbal medication should the nurse caution the client about taking for arthritic pain?

evening primrose

Which aspect of medical care is an overriding concern of a health maintenance organization (HMO)?

financial

A nurse is working in the emergency department and is assigned to a client brought in by family members. The family thinks that the client is on methamphetamine. The nurse should assess for:

hypertension

Clients who use garlic with co-administration of antidiabetic drugs may run into which serious problem?

hypoglycemia

Which practice has contributed to the problem of resistant bacteria?

Clients saving remaining antibiotics for the next time they feel sick

The nurse is caring for a client who is being treated for opioid withdrawal. The nurse notes that the physician has ordered which medication that is also used as an antihypertensive?

Clonidine

Ipecac was found to be ineffective for its intended use in 2003. What was previously an intended use of this drug?

Induce vomiting.

A nurse is giving an educational presentation on recreational drugs to a parents' group at the local middle school. What would the nurse indicate is a potential consequence of cocaine use?

life-threatening cardiac dysrhythmias

Heroin is classified as which type of street drug?

opioid

What is used as a date rape drug?

rohypnol

When caring for a client with alcohol dependence who is prescribed a benzodiazepine, which side effects is it most important that the nurse monitor for?

sedation

Off-label use refers to uses of a drug that are not part of the stated therapeutic indications for which the drug was approved by the FDA. When a nurse is using a medication for its off label use, the nurse should be very cognizant of certain factors in order to ensure patient safety. Select all that apply.

-Why the drug is being given -Clear about the intended use -Its potential for problems

Clients often do not mention the use of alternative therapies to the health care provider. Which is a likely reason they do not discuss alternative therapies? Select all that apply.

-Clients fear that the health care provider will not approve of any alternative therapies. -Clients think that if a product is "natural," including it in a list of medications does not make sense.

It is often necessary for the health care provider to choose a drug therapy based on the costs of the drugs available. Which factors may be considered by a health care provider when prescribing a drug? Select all that apply.

-Elderly clients may have a fixed income, so choosing a generic over a brand name drug for them may be ideal. -Teach clients not to cut drugs in half in order to save on costs.

What are accurate regarding herbal remedies? (Select all that apply.)

-Herbal remedies produce unexpected effects. -Clients often do not mention their use to health care providers. -Herbal remedies can interact with prescription drugs.

Access to information has become so broad over the last decade that consumers are often overwhelmed with details, facts, and choices that affect their health care. What factors have influenced how a client approaches the health care provider when it comes to prescriptions? Select all that apply.

-Internet -alternative therapy -media

Which of the following street drugs would be classified as a hallucinogen? Select all that apply.

-LSD -Ecstasy -Angel dust

Off-label use refers to uses of a drug that are not part of the stated therapeutic indications for which the drug was approved by the Food and Drug Administration. With the liability issues surrounding many of these drugs, the nurse should be aware of certain factors in order to ensure patient safety. Select all that apply.

-Which potential problems may arise after taking this drug -For what purpose is the drug being given -Why the patient is taking this drug

Access to information has become so broad over the last decade that consumers are often overwhelmed with details, facts, and choices that affect their health care. Which of the following have influenced how a patient approaches the health care provider when it comes to prescriptions? Select all that apply.

-Wikipedia -Herbalism -Dr. Oz

A nurse is watching television and sees an ad for a drug. The drug's indication is mentioned in the ad. Which would the nurse identify as also being required to include in the ad? (Select all that apply.)

-adverse effects -precautions -contraindications

Which data would be helpful in determining the accuracy of information found on the Internet? (Select all that apply.)

-navigation -contributors -reliability -dates

The client explains to the nurse that the client prefers to use alternative therapies in addition to the traditional Western therapy. What does the nurse understand is included in alternative therapy? (Select all that apply.)

-supplements of basic food elements -vitamins -minerals -herbs and botanicals

Which website extension represents a professional group?

.org

Assessment of a client who comes to the emergency department reveals tachycardia, hypotension, restlessness, and vertigo. The nurse suspects that the client may have abused what street drug?

Amyl nitrate

A group of students asks an instructor about where to find the most up-to-date information on biological weapons. What would the instructor recommend?

Centers for Disease Control

Which of the following statements about today's health care consumers would the nurse recognize as false?

Consumers are reluctant to use over-the-counter and alternative therapies.

A nurse is reviewing the influence of the media on drug therapy. What phenomenon should the nurse identify?

Medical segments on talk shows often share little information, and it is often presented out of context.

Which information would a nurse include when teaching a client about proper drug disposal?

Mix leftover prescription drugs with coffee grounds in a sealable bag.

A client is admitted to the emergency department after having taken several barbiturates and drinking a pint of vodka. What is important for the nurse to continuously monitor for this client?

Monitor for respiratory depression.

The nurse is preparing a presentation for a local community group about the health care system and drug therapy. What principle should guide the nurse's preparation?

Most consumers are open to a wide range of over-the-counter and alternative therapies.

Which drug would be classified as a hallucinogen?

PCP

A 70-year-old with a history of atrial fibrillation has been admitted with a lower gastrointestinal bleed. During the nurse's admission assessment, the nurse realizes that the client has been taking ginkgo biloba supplements in addition to prescribed warfarin, a combination that has resulted in bleeding. What nursing diagnosis should the nurse identify when planning this client's care?

Risk for Injury related to drug interactions of vitamins, herbs, or food intake with prescribed drug therapy

Which entity or act classifies herbal products, vitamins, and minerals as "dietary supplements"?

The Dietary Supplement Health and Education Act of 1994

While watching television, a nurse sees an advertisement for a drug that specifically claims to lower serum cholesterol levels. According to the nurse's understanding of federal guidelines, what else would need to be included in the ad?

The drug's contraindications

When discussing the various reasons why clients may order drugs via the Internet from other countries, which would be least likely?

The drugs are the same as those the client would get at home.

Patients often do not mention the use of alternative therapies to health care providers. Which of the following is likely why they do not discuss alternative therapies?

The health care provider will not approve of mega-dose vitamins.

Which of the following teaching points about herbal therapies is inaccurate?

The results of available testing involve large groups of people.

What should the nurse include when teaching a client about herbal therapies?

The results of available testing often involve only a small number of people.

What would be most appropriate to teach a client about OTC drugs?

They are safe when you use them as directed.

Clients failing to complete the full course of antibiotic therapy and saving the drugs for future infections has contributed to the increase in the problem of resistant bacteria.

True

St. John's wort is an herbal remedy with a large number of interactions with other drugs.

True

When describing the characteristics of the client who comes into the health care system today, which would most likely apply?

the use of a complex array of OTC and alternative therapies