PHARM CH.7 EAQ'S Over the counter

Which statement by the nursing student indicates a need for further teaching about over-the-counter (OTC) medications?

"OTC cold products are safe in children older than 1 year of age."

Which statement made by a parent indicates the need for further teaching?

"Over-the-counter (OTC) medications are always safe for children."

Which statement is accurate when discussing the use of herbal and over-the-counter medications with patients?

"Over-the-counter medications can, at times, be used in place of prescription drugs. It is important to discuss the use of these with your health care provider."

Which patients are at high risk of developing adverse effects from over-the-counter drugs? Select all that apply.

-A 1-year-old child -A young woman with anorexia A woman with diabetes mellitus A 75-year-old man in good health

Which criteria must be present for a medication to be allowed as over-the-counter? Select all that apply.

-Drug must be easy to use -Low potential for drug abuse -Minimal interactions with other drugs

How does a manufacturer obtain information about drugs and their side effects? Select all that apply.

-Researchers and clinical trials -Postmarketing safety surveillance data

A nurse is assessing a patient who has been taking over-the-counter antacids for more than 1 month. Which assessment would the nurse make?

Bowel sounds

A patient who takes medications prescribed by the health care provider as well as herbs from the local health food store uses which type of medicine?

Complementary medicine

Which herb or dietary supplement would the nurse teach a patient who had a lung transplant to avoid?

Echinacea

The Dietary Supplement and Health Education Act (DSHEA) of 1994 states "no proof of efficacy (capacity for beneficial change) is required for" which agents?

Dietary supplements

Which action by the patient indicates a positive use of information about complementary and alternative therapy?

Eliminates the use of painkillers and uses hot packs for the relief of acute pain

Which are the categories of complementary and alternative medicines according to the National Center for Complementary and Alternative Medicine? Select all that apply.

Energy therapies Mind-body intervention Biologically based therapies

The sale of which herbal medication was banned by the Food and Drug Administration (FDA) in April 2004 because of its cardiovascular side effects?

Ephedra

Which dietary supplements increase the risk of bleeding due to the interaction with anticoagulants? Select all that apply.

Ginkgo Chamomile

Which term is used for the over-the-counter products that are considered to be ineffective but not unsafe?

Grandfathered products

Which assessment will the nurse review for the patient who has been taking high doses of over-the-counter (OTC) acetaminophen for many years?

Liver enzymes

Which instruction is appropriate for a patient who will begin taking a medication to treat erectile dysfunction?

Restrict the intake of grapefruit.

Which term is used to describe when a patient abuses cough syrup containing dextromethorphan?

Robotripping

Which point would the nurse include in the teaching plan related to the use of herbal therapy for a patient prescribed an oral contraceptive?

Avoid taking saw palmetto with oral contraceptives.

Which statement indicates effective learning about herbal therapy?

Insurance plans offer reimbursement for alternative treatments.

Which information about the risk of over-the-counter (OTC) medications for cough and cold would the nurse include in patient teaching?

Interact with many prescription drugs

Which complication would the nurse discuss with a patient with arthritis who self-medicates with nonsteroidal antiinflammatory drugs (NSAIDs)?

Gastrointestinal ulcers

Which statement would the nurse make to parents who report they frequently give aspirin to their child for "fevers"?

"Aspirin should not be administered to children; try acetaminophen." (a rare but serious condition that causes swelling in the liver and brain.)

The nurse would caution a patient with which condition about the use of over-the-counter drugs because of the potential for increased adverse reactions or side effects?

A chronic illness

Which term means the use of herbal products and other nontraditional remedies for treating illness?

Alternative medicine

Which medications are the most commonly used over-the-counter (OTC) products? Select all that apply.

Analgesics Histamine blockers Topical medications

Which OTC medication produces the side effect of constipation related to long-term use?

Antacids

Which medication would not be used in children due to risk of Reye's syndrome?

Aspirin

Which herb or dietary supplement would the nurse teach a patient in acute renal failure to avoid?

Cranberry

The nurse learns that a patient with a history of gastrointestinal ulcers has been using over-the-counter ibuprofen for chronic pain relief. The nurse reports this to the health care provider and instructs the patient to discontinue the use of ibuprofen. Which action will the nurse take next?

Further assess the patient's pain.

Which point would the nurse teach about the consequences of using over-the-counter (OTC) drugs for long periods without medical consultation?

Ineffective management of chronic diseases

Which side effects are associated with the use of nonsteroidal antiinflammatory drugs (NSAIDs)? Select all that apply.

Myocardial infarction Cerebrovascular accident Gastrointestinal ulceration

Which medication can be manufactured as the street drug methamphetamine?

Pseudoephedrine

Which over-the-counter product is now controlled because it has been used to manufacture methamphetamine?

Pseudoephedrine

A patient with a cold and fever is taking acetaminophen. Which statement would the nurse teach the patient about over-the-counter cold medications?

Read the labels carefully.

A patient reports using an over-the-counter (OTC) nasal spray for nasal congestion; however, the symptoms appear again as soon as the spray is discontinued. What is the most probable reason for this?

Rebound effect

The nurse advises against the use of over-the-counter (OTC) drugs for patients with which condition(s)? Select all that apply.

Renal failure Liver disease Cardiac dysfunction

Which food would the nurse teach a patient being medically treated for menopause to avoid?

Sugar substitute on grapefruit

Who is responsible for submitting medication-related information to the Food and Drug Administration (FDA)?

The drug manufacturer

Which statement is a possible consequence of reclassifying prescription drugs as over-the-counter (OTC) medications?

The medications will be available at a higher cost to the patient.

A patient is admitted to the emergency department showing signs of liver toxicity. The patient relates no medication history. Which information is important for the nurse to ask the patient about?

Use of herbal therapy