Pharmacology Exam 2/immunization/inflammation etc
A patient wants to take the herb valerian to help himself rest at night. The nurse would be concerned about potential interactions if he is taking which drugs?
Sedatives
Which antigout medication is used to treat chronic tophaceous gout? a. Allopurinol (Zyloprim) b. Colchicine c. Probenecid (Benemid) d. Sulfinpyrazone (Anturane)
a
Which is an example of acquired passive immunity? a. Administration of IgG to an unimmunized person exposed to a disease b. Administration of an antigen via an immunization c. Inherent resistance to a disease antigen d. Immune response to an attenuated virus
a
A patient has been taking finasteride (proscar) for almost a year. The nurse knows that which is most important to evaluate at this time? a. complete blood count b. PSA levels c. blood pressure d. fluid retention
b
A patient will be taking oral iron supplements. The nurse should include which statements in the teaching plan for this patient? Select all that apply. A. Take the iron tablets with an antacid. B. Take the iron on an empty stomach 1 hour before meals. C. Take the iron with meals. D. Drink 8 ounces of mild with each iron dose. E. Taking iron supplements with orange juice enhances iron absorption. F. Stools may become loose and light in color. G. Stools may become black and tarry. H. Tablets may be crushed to enhance iron absorption.
ceg
3) A mother brings her toddler into the emergency department and tells the nurse that she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for which most common signs of salicylate intoxication in children? a. Photosensitivity and nervousness b. Tinnitus and hearing loss c. Acute gastrointestinal bleeding d. Hyperventilation and drowsiness
d
The nurse is discussing adverse effects of antitubercular drugs. Which potential adverse effect should the patient report to his or her prescriber? Choose one answer. a. Gastrointestinal upset b. Headache and nervousness c. Reddish-orange urine and stool d. Numbness and tingling of extremities
d
The nurse is teaching a session on eating foods to increase iron intake. Which food will enhance the absorption of oral iron forms? Choose one answer. a. Milk b. Yogurt c. Antacids d. Orange juice
d
2) A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect? a. Decreased uric acid levels b. Decreased prothrombin time c. Decreased white blood cell count d. Increased hemoglobin and hematocrit levels
a
A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks the nurse about the "new vaccine that prevents HPV." She wants to receive the papillomavirus vaccine (Gardasil). Which response by the nurse is most appropriate? A. "Unfortunately, this vaccine is recommended for women aged 13 to 26 years." B. "We will need to make sure you are not pregnant first." C. "There will be a total of three injections." D. "I will check with your doctor then get the first dose of the vaccine ready."
a
A 4-year-old child is receiving amoxicillin (Amoxil) to treat otitis media and is in the clinic for a well-child checkup on the last day of antibiotic therapy. The provider orders varicella (Varivax); mumps, measles, and rubella (MMR); inactivated polio (IPV); and diphtheria, tetanus, and acellular pertussis (DTaP) vaccines to be given. Which action by the nurse is correct? a. Administer the vaccines as ordered. b. Discuss giving the MMR vaccine in 4 weeks. c. Hold all vaccines until 2 weeks after antibiotic therapy. d. Recommend aspirin for fever and discomfort.
a
A 45-year-old man has received a series of equine-made immunizing drugs in preparation for a trip to a developing country. His wife brings him to the emergency department because he has developed edema of the face, tongue, and throat and is having trouble breathing. The nurse suspects that, based on his history and symptoms, he is experiencing which condition? A. Serum sickness B. Cross-sensitivity C. Thrombocytopenic purpura D. Adenopathy
a
A 72-year-old patient is to receive a pneumococcal vaccine, polyvalent (Pneumovax 23). The nurse recognizes that which statement about this vaccine is true? a) It is given by subcutaneous injection. b) It is given by deep intramuscular injection. c) The patient will have to return for a total of three injections. d) It is given yearly to provide immunization against current strains of pneumococcal bacteria.
a
A male patient wants to know if there are any drugs that can be used for baldness. The nurse knows that which drug, in low dosages, is used for androgenetic alopecia in men? a. finasteride (propecia) b. vardenafil (levitra) c. danazol (danocrine) d. oxandrolone (oxandrin)
a
A nursing student asks the nurse to explain the role of cyclooxygenase-2 (COX-2) and its role in inflammation. The nurse will explain that COX-2 a. converts arachidonic acid into a chemical mediator for inflammation. b. directly causes vasodilation and increased capillary permeability. c. irritates the gastric mucosa to cause gastrointestinal upset. d. releases prostaglandins, which cause inflammation and pain in tissues.
a
A patient is taking ibuprofen 400 mg every 4 hours to treat moderate arthritis pain and reports that it is less effective than before. What action will the nurse take? a. Counsel the patient to discuss a prescription NSAID with the provider. b. Recommend adding aspirin to increase the antiinflammatory effect. c. Suggest asking the provider about a short course of corticosteroids. d. Tell the patient to increase the dose to 800 mg every 4 hours.
a
A patient who has osteoarthritis with mild to moderate pain asks the nurse about taking over-the-counter ibuprofen (Motrin). What will the nurse tell this patient? a. "It may take several weeks to achieve therapeutic effects." b. "Unlike aspirin, there is no increased risk of bleeding with ibuprofen." c. "Take ibuprofen twice daily for maximum analgesic benefit." d. "Combine ibuprofen with acetaminophen for best effect."
a
A patient who is 7 months pregnant and who has arthritis asks the nurse if she can take aspirin for pain. The nurse will tell her not to take aspirin for which reason? a. It can result in adverse effects on her fetus. b. It causes an increased risk of Reye's syndrome. c. It increases hemorrhage risk. d. It will cause increased gastrointestinal distress.
a
A patient who takes high-dose aspirin to treat rheumatoid arthritis has a serum salicylate level of 35 mg/dL. The nurse will perform which action? a. Assess the patient for tinnitus. b. Monitor the patient for signs of Reye's syndrome. c. Notify the provider of severe aspirin toxicity. d. Request an order for an increased aspirin dose.
a
A patient will be receiving testosterone therapy for male hypgonadism and has a new precription for transdermal testosterone (testoderm). The nurse needs to include which teaching about the use of this medication? a. The patch should be applied only to the scrotum b. The patch should not be applied to the scrotum. c. If the adverse effects become bothersome, the patient should stop using the patch. d. The patch should be applied to a different area of the upper body each day.
a
During a counseling session for a group of teenage athletes, the use of androgenic steroids is discussed. The nurse will explain that which problem is a rare but devastating effect of androgenic steroid use? a. peliosis of the liver b. bradycardia c. kidney failure d. tachydysrhythmias
a
Folic acid is prescribed for a patient with pernicious anemia. The nurse review the patient's medical record and notes that a concern may exit if which drug or drug class is also ordered for this patient? A. phenytoin (Dilantin) B. vitamin C supplements C. Thyroid replacement hormones D. atenolol (Tenomin)
a
The nurse has provided patient education regarding therapy with the SERM raloxifene. Which statement from the patient relects a good understanding of the instruction? a. "when I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel." b. "I can continue this drug even when traveling as long as I take it with 8 oz of water each time." c. "After I take this drug I must sit upright for at least 30 minutes." d. "One advantage of this drug is that it will reduce my hot flashes."
a
The nurse is administering intravenous iron dextran for the first time to a patient with anemia. After giving a test dose, how long should the nurse wait before administering the remaining portion of the dose? A. 1 minute B. 30 minute C. 1 hour D. 3 hours
a
The nurse is assessing a patient who has gout who will begin taking allopurinol (Zyloprim). The nurse reviews the patient's medical record and will be concerned about which laboratory result? a. Elevated BUN and creatinine b. Increased serum uric acid c. Slight increase in the white blood count d. Increased serum glucose
a
The nurse is conducting a class on potential bioterrorism agents, and a participant asks, "Which one has three routes of exposure to humans?" Which agent will the nurse indicate? Choose one answer. a. Anthrax b. Smallpox c. Botulism d. Tularemia
a
The nurse is performing a health history on a patient who has arthritis. The patient reports tinnitus. Suspecting a drug adverse effect, the nurse will ask the patient about which medication? a. Aspirin (Bayer) b. Acetaminophen (Tylenol) c. Anakinra (Kineret) d. Prednisone (Deltasone)
a
The nurse is preparing to administer rotavirus vaccine to a 4-month-old infant. The nurse notes that the infant received Rotarix vaccine at 2 months of age. The nurse will plan to administer a. Rotarix today. b. Rotarix today and again at age 6 months. c. Rota Teq today. d. Rota Teq today and again at age 6 months.
a
The nurse is reviewing principles of immunity. What type of immunity occurs when the body is exposed to a relatively harmless form of an antigen, which imprints this information on the body's memory bank and stimulates the body's defenses to resist any subsequent exposures? Choose one answer. a. Artificial active immunity b. Attenuating immunity c. Naturally acquired passive immunity d. Artificially acquired passive immunity
a
The patient is asking the nurse about current U.S. laws and regulations of herbal products. Which statement is true? Choose one answer. a. Medicinal herbs are viewed as dietary supplements. b. Herbal remedies are held to the same standards as drugs. c. Producers of herbal products must prove therapeutic efficacy. d. Herbal remedies are protected by patent laws.
a
The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox as a child. Which action will the nurse take? a. Administer the vaccine as ordered. b. Counsel the patient that the vaccine may cause a severe reaction because of previous exposure. c. Hold the vaccine and notify the provider of the patient's history. d. Request an order for a Varivax booster instead of the Zostavax.
a
When combination oral contraceptives are given to provide postcoital emergency contraception, the nurse should remember which fact? a. They are not effective if the woman is already pregnant. b. They should be taken within 12 hours of unprotected intercourse c. They are given in one dose d. They are intended to terminate pregnancy.
a
When reviewing the health history of a patient who wants to begin taking oral contraceptives, the nurse recalls that which conditions are contraindications to this drug therapy? (select all that apply) a. multiple sclerosis b. pregnancy c. thrombophlebitic disorders d. hypothyroidism e. abnormal vaginal bleeding
a
3) The nurse is reviewing the information about the herpes zoster vaccine (Zostavax) before administering the dose. Which statements about the vaccine are true? (Select all that apply.) a) It is a one-time vaccine. b) The vaccine is recommended for patients 50 years of age and older. c) The vaccine is given to children to prevent chickenpox. d) It is used to prevent postherpetic neuralgia. e) It is contraindicated in patients who have already had shingles. f) The vaccine is used to prevent reactivation of the zoster virus that causes shingles.
a,b,f
Which are characteristic signs of inflammation? (Select all that apply.) a. Edema b. Erythema c. Heat d. Numbness e. Pallor f. Paresthesia
abc
A patient calls the clinic because she realized she missed one dose of an oral contraceptive. Which statement from the nurse is appropriate? (select all that apply.) a. "Go ahead and take the missed dose now, along with today's dose." b. "Don't worry you are still protected from pregnancy." c. "Please come in to the clinic for a reevaluation of your therapy." d. "Wait 7 days, then start a new pack of pills." e. "You will need to use a backup form of contraception until the next cycle."
ae
1) A nurse is working in an immunization clinic. A new colleague asks, "When is the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP, Daptacel) given?" The nurse knows that this series is started at what age? a) At birth b) 6 weeks c) 3 months d) 1 year
b
1) An elderly patient tells the nurse that he uses aspirin for "anything that hurts." The nurse will assess for which most common signs of chronic salicylate intoxication in adults? a. Photosensitivity and nervousness b. Tinnitus and hearing loss c. Acute gastrointestinal bleeding and anorexia d. Hyperventilation and central nervous system (CNS) effects
b
5) When administering cyclosporine, the nurse notes that allopurinol is also ordered for the patient. What is a potential result of this drug interaction? a. Reduced adverse effects of the cyclosporine b. Increased levels of cyclosporine and toxicity c. Reduced uric acid levels d. Reduced nephrotoxic effects of cyclosporine
b
6) A nursing student asks how nonsteroidal antiinflammatory drugs (NSAIDs) work to suppress inflammation and reduce pain. The nurse will explain that NSAIDs a. exert direct actions to cause relaxation of smooth muscle. b. inhibit cyclooxygenase that is necessary for prostaglandin synthesis. c. interfere with neuronal pathways associated with prostaglandin action. d. suppress prostaglandin activity by blocking tissue receptor sites.
b
A 73-year-old man is asking for a prescription for sildenafil (Viagra). He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate? Choose one answer. a. Significant increase in blood pressure b. Significant decrease in blood pressure c. Significant increase in bleeding tendencies d. Reduction in the effectiveness of the sildenafil
b
A nurse is giving instructions to a patient who will be receiving oral iron supplement. Which instructions should be included in the teaching plan? A. Take the iron tablets with milk or antacids. B. Take the iron tablets with meals if gastrointestinal distress occurs. C. Crush the pills as needed to help swallowing. D.If black tarry stools occur, report it to the doctor immediately.
b
A nursing student asks how nonsteroidal antiinflammatory drugs (NSAIDs) work to suppress inflammation and reduce pain. The nurse will explain that NSAIDs a. exert direct actions to cause relaxation of smooth muscle. b. inhibit cyclooxygenase that is necessary for prostaglandin synthesis. c. interfere with neuronal pathways associated with prostaglandin action. d. suppress prostaglandin activity by blocking tissue receptor sites.
b
A patient has been taking iron supplement for anemia for 4 weeks. The nurse will observe for which therapeutic response? A. Decreased weight B. Absence of fatigue C. Decreased palpitations D. Decreased visual disturbances
b
A patient is in the urgent care center after experiencing a black widow spider bite. The nurse expects which to be used to treat this injury? Choose one answer. a. Live vaccine b. Antivenin or antisera c. Tetanus immune globulin d. Active immunizing drug
b
A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse should tell him that a possible effect of this medication is Choose one answer. a. alopecia. b. increased hair growth. c. urinary retention. d. increased prostate size.
b
A pregnant woman is experiencing contractions. The nurse remembers that drugs such as terbutaline are used to prevent contractions during which timeframe? a. Before the 20th week of gestation b. Between the 20th and 37th weeks c. after the 37th week d. at any time during the pregnancy if delvery is not desired
b
A provider has ordered Gardasil to be given to a prepubertal 9-year-old female. The parent asks the nurse if this vaccine can be postponed until the child is in high school. The nurse will tell the parent that Gardasil a. is less effective in older adolescents. b. is more effective if given before sexual activity begins. c. is more effective if given prior to the hormonal changes of puberty. d. is not effective if given after the onset of menses.
b
A woman who is pregnant tells the nurse she has not had any vaccines but wants to begin so she can protect her unborn child. Which vaccine(s) may be administered to this patient? a. Gardasil vaccine b. Trivalent influenza vaccine c. MMR vaccine d. Varivax vaccine
b
An oral iron supplement is prescribed for a patient. The nurse would question this order if the patient's medical history includes which condition? A. Decreased nutrition state B. Hemolytic anemia C. Weakness D. Decreased hemoglobin
b
The nurse is administering liquid oral iron supplements. What is important to remember when administering this liquid form of iron? A. Follow the dose with Milk B. Taking it through a plastic straw C. Mixing with juice and sipping slowly D. Drinking the medication undiluted from a measured medicine cup
b
The nurse is administering medications to a patient with new diagnosis of anemia. Which statement about treatment with folic acid is true? A. Folic acid is used to treat any type of anemia. B. The cause of the anemia should be determined before treatment. C. Folic acid is used to treat pernicious anemia. D. Folic acid is used to treat iron deficient anemia.
b
The nurse is caring for a patient who has been taking an NSAID for 4 weeks for osteoarthritis. The patient reports decreased pain, but the nurse notes continued swelling of the affected joints. The nurse will perform which action? a. Assess the patient for drug-seeking behaviors. b. Notify the provider that the drug is not effective. c. Reassure the patient that swelling will decrease eventually. d. Remind the patient that this drug is given for pain only.
b
The nurse is caring for a patient who has rheumatoid arthritis and who is receiving infliximab (Remicade) IV every 8 weeks. Which laboratory test will the nurse anticipate that this patient will need? a. Calcium level b. Complete blood count c. Electrolytes d. Potassium
b
The nurse is discussing celecoxib (Celebrex) with a patient who will use the drug to treat dysmenorrhea. What information will the nurse include in teaching? a. "Do not take the medication during the first 2 days of your period." b. "The initial dose will be twice the amount of subsequent doses." c. "Take this medication with food to minimize gastrointestinal upset." d. "Take the drug on a regular basis to prevent dysmenorrhea."
b
The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the DTaP vaccine. The mother, who is pregnant, tells the nurse that she does not want her child to receive the pertussis vaccine because she has heard that the disease is "not that serious" in older children. What information will the nurse include when discussing this with the mother? a. If she gets the vaccine, both she and her 4 year-old child will be protected. b. If the 4-year-old child contracts pertussis, it can be passed on to her newborn. c. The vaccine will not be given to her child while she is pregnant. d. Vaccinating the 4-year-old will provide passive immunity for her unborn child.
b
The nurse is reviewing the medication history of a patient who will be taking an antibiotic. During antibiotic therapy, a significant drug interaction may occur with which drug group? Choose one answer. a. Opioids b. Oral contraceptives c. Anti-hypertensives d. Antihistamines
b
The nurse is teaching a patient about using high-dose aspirin to treat arthritis. What information will the nurse include when teaching this patient? a. "A normal serum aspirin level is between 30 and 40 mg/dL." b. "You may need to stop taking this drug a week prior to surgery." c. "You will need to monitor aspirin levels if you are also taking warfarin." d. "Your stools may become dark, but this is a harmless side effect."
b
The nurse provides teaching for a patient who will begin taking allopurinol. Which statement by the patient indicates understanding of the teaching? a. "I should increase my vitamin C intake." b. "I will get yearly eye exams." c. "I will increase my protein intake." d. "I will limit fluids to prevent edema."
b
The nurse provides teaching for a patient who will begin taking indomethacin (Inderal) to treat rheumatoid arthritis. Which statement by the patient indicates a need for further teaching? a. "I should limit sodium intake while taking this drug." b. "I should take indomethacin on an empty stomach." c. "I will need to check my blood pressure frequently." d. "I will take the medication twice daily."
b
The parent of a 12-month-old child who has received the MMR, Varivax, and hepatitis A vaccines calls the clinic to report redness and swelling at the vaccine injection sites and a temperature of 100.3° F. The nurse will perform which action? a. Recommend aspirin or an NSAID for pain and fever. b. Recommend acetaminophen and cold compresses. c. Report these adverse effects to the Vaccine Adverse Event Reporting System (VAERS). d. Schedule an appointment in clinic so the provider can evaluate the child.
b
When reviewing an order for dinoprostone cervical gel (prepidil), the nurse recalls that this drug is used for which purpose? a. To induce abortion druing the third trimester b. To improve cervical inducibility ("ribpening") near term for labor induction c. To soften the cervix in women who are experiencing infertility problems d. To reduce postpartum uterine atony and hemorrhage
b
When teaching a patient who is taking oral contraceptive therapy for the first time, the nurse relates that adverse effects may include which of the following? a. dizziness b. nausea c. tingling in the extremeties d. polyuria
b
A patient wants to take the herb valerian to help himself rest at night. The nurse would be concerned about potential interactions if he is taking which drugs? Choose at least one answer. a. Digitalis b. Anticoagulants c. Sedatives d. Immunosuppressants
bcd
When reviewing the health history of a patient who wants to begin taking oral contraceptives, the nurse recalls that which conditions are contraindications to this drug therapy? (select all that apply) a. multiple sclerosis b. pregnancy c. thrombophlebitic disorders d. hypothyroidism e. abnormal vaginal bleeding
bce
When the testoderm form of testosterone is ordered to treat hypogonadism in a teenaged boy, which instructions by the nurse are correct? (select all that apply) a. Place the patch on clean, dry skin on the back, upper arms, abdomen, or thighs. b. Place the patch on clean, dry scrotal skin that has been shaved. c. Place the patch on clean, dry scrotal skin, but do not shave the skin first. d. Replace the patch every 7 days. e. Replace the patch every 22-24 hours
be
A 12-month-old infant has received an MMR II (measles, mumps, and rubella virus vaccine), and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What should the nurse suggest? Choose one answer. a. Apply an ice pack to the injection site. b. Give the infant baby aspirin for the pain. c. Apply warm compresses to the injection site. d. Observe the site for further swelling and redness.
c
A 72-year-old patient is to receive a pneumococcal vaccine, polyvalent (Pneumovax 23). The nurse recognizes that which of the following statements about this vaccine is true? A. It is given yearly to provide immunization against current strains of pneumococcal bacteria. B. It is given by deep intramuscular injection. C. It is given by subcutaneous injection. D. The patient will have to return for a total of three injections.
c
A housekeeper has experienced a needlestick by a contaminated needle that was placed in a trash can. The nurse expects that which drug will be used to provide passive immunity to hepatitis B infection for this housekeeper? A. Hib vaccine B. Varicella virus vaccine (Varivax) C. Hepatitis B immunoglobulin D. Recombivax HB
c
A patient calls the clinic to ask about taking cranberry dietary supplement capsules because a friend recommended them. the nurse will discuss which possible concern when a patient is taking cranberry supplements? A. it may increase the risk for bleeding if the patient is taking anticoagulants. B. it may increase the risk of toxicity of some psychotherapeutic drugs. C. It may reduce elimination of drugs that are excreted by the kidneys D. Cranberry may increase the intensity and duration of effects of caffeine.
c
A patient is asking about the use of saw palmetto for prostate health. The nurse tells him that drugs that interact with saw palmetto include: a. acetaminophen b. nitrates c. Nonsteroidal antiinflammatory drugs d. antihypertensive drugs
c
A patient is taking aspirin to help prevent myocardial infarction and is experiencing moderate gastrointestinal upset. The nurse will contact the patient's provider to discuss changing from aspirin to which drug? a. A COX-2 inhibitor b. Celecoxib (Celebrex) c. Enteric-coated aspirin d. Nabumetone (Relafen)
c
A patient is taking finasteride (proscar) for the treatment of benign prostatic hyperplasia. His wife, who is 3 months pregnant, is worried about the adverse effects that may occur with this drug. Which statement by the nurse is the most important at this time? a. "Gastric upset may be reduced if he takes this drug on an empty stomach." b. " He should notice therapeutic effects of increased libido and erection within 1 month." c. " This medication should not even be handled by pregnant women because it may harm the fetus." d. "He may experience transient hair loss while taking this medication."
c
A patient is to receive iron dextran injections. Which technique will the nurse use to administer this medication safely? Choose one answer. a. Intravenous administration mixed with 5% dextrose b. Intramuscular injection in the upper arm c. Intramuscular injection using the Z-track method d. Subcutaneous injection into the abdomen
c
A patient is to receive testosterone therapy via a transdermal patch. He asks the nurse, "Why am I getting a patch? Can't I just take a pill?" What is the nurse's best response? Choose one answer. a. "The patch allows for blood levels to increase quickly." b. "If you don't take the patch, you will have to have injections instead." c. "Oral forms are not absorbed well by the body. The patch allows for better absorption of the medication." d. "You will only have to wear the patch weekly."
c
A patient who has started drug therapy for tuberculosis wants to know how long he will be on the medications. What is the nurse's best response? Choose one answer. a. "Drug therapy will last until the symptoms have stopped." b. "Drug therapy will continue until the tuberculosis develops resistance." c. "You should expect to take these drugs for as long as 24 months." d. "You will be on antituberculosis drug therapy for the rest of your life."
c
A patient who is taking aspirin for arthritis pain asks the nurse why it also causes gastrointestinal upset. The nurse understands that this is because aspirin a. increases gastrointestinal secretions. b. increases hypersensitivity reactions. c. inhibits both COX-1 and COX-2. d. is an acidic compound.
c
The nurse has provided patient education regarding therapy with the SERM raloxifene. Which statement from the patient relects a good understanding of the instruction? a. "when I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel." b. "I can continue this drug even when traveling as long as I take it with 8 oz of water each time." c. "After I take this drug I must sit upright for at least 30 minutes." d. "One advantage of this drug is that it will reduce my hot flashes."
c
The nurse is assessing a patient who is to receive dinoprostone. Which condition would be a contraindication to the use of this drug? a. pregnancy at 15 weeks' gestation b. GI upset or ulcer disease c. ectopic pregnancy d. incomplete abortion
c
The nurse is caring for a postpartum woman who is refusing opioid analgesics but is rating her pain as a 7 or 8 on a 10-point pain scale. The nurse will contact the provider to request an order for which analgesic medication? a. Diclofenac sodium (Voltaren) b. Ketoprofen (Orudis) c. Ketorolac (Toradol) d. Naproxyn (Naprosyn)
c
The nurse is counseling a woman who will be starting rifampin. The patient is on oral contraceptives. Which statement is true regarding rifampin therapy for this patient? Choose one answer. a. Women have a high risk for thrombophlebitis while on this drug. b. A higher dose of rifampin will be necessary because of the contraceptive. c. Oral contraceptives are less effective while the patient is taking rifampin. d. The incidence of adverse effects is greater if the two drugs are taken together.
c
The nurse is performing an assessment of a patient who is asking for a prescription for sildenafil (viagra). Which finding would be a contraindication to its use? a. Age of 65 years b. history of hypertension c. medication list that includes nitrates d. medication list that includes saw palmetto
c
The nurse is teaching a patient about taking colchicine to treat gout. What information will the nurse include when teaching this patient about this drug? a. Avoid all alcohol except beer. b. Include salmon in the diet. c. Increase fluid intake. d. Take on an empty stomach.
c
The nurse should teach a patient who is receiving oral iron supplements to watch for which expected side effect? Choose one answer. a. Palpitations b. Dizziness and syncope c. black, tarry stools d. Red discoloration of the urine
c
When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle? Choose one answer. a. Monophasic b. Biphasic c. Triphasic d. Long-acting
c
When patient teaching is appropriate for a patient taking alendronate (fosamax)? (select all that apply) a. Take on an empty stomach. b. take at night just before going to bed. c. take with an 8 oz glass of water d. take with a sip of water e. take first thing in the morning upon arising f. do not lie down for at least 30 minutes after taking.
cef
4) A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal antiinflammatory drug (NSAID) and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response? a. "Cytotec will also reduce the symptoms of your arthritis." b. "Cytotec helps the action of the NSAID so that it will work better." c. "Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation. d. "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."
d
4) A young adult patient is in the clinic to receive a tetanus vaccine after sustaining a laceration injury. The nurse learns that the patient, who works in a day care center, has not had any vaccines for more than 10 years. Which vaccine will the nurse expect to administer? a) DT b) DTaP c) Td d) Tdap
d
A 25-year-old woman is visiting the prenatal clinic today and shares with the nurse her desire to go "natural" with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can "avoid taking any drugs." Which statement by the nurse is correct? Choose one answer. a. "Most herbal remedies are nontoxic and safe for use during pregnancy." b. "Please read the labels carefully before use to check for cautionary warnings." c. "Keep in mind that products from different manufacturers are required to contain consistent amounts of the herbal products." d. "It's important to remember that herbal remedies do not have proven safety ratings for pregnant women."
d
A 48-month-old child is scheduled to receive the following vaccines: MMR, Varivax, IPV, and DTaP. The child's parents want the child to receive two vaccines today and the other two in 1 week. To accommodate the parents' wishes, the nurse will administer a. the DTaP and Varivax today and the MMR and IPV in 1 week. b. the IPV and MMR today and the Varivax and DTaP in 1 week. c. the MMR and DTaP today and the Varivax and IPV in 1 week. d. the MMR and Varivax today and the DTaP and IPV in 1 week.
d
A patient has been taking an over-the-counter (OTC) acid-reducing drug because he has had "stomach problems" for several months. He tells the nurse that the medicine helps as long as he takes it, but once he stops it, the symptoms return. Which statement by the nurse is the best advice for this patient? Choose one answer. a. "The over-the-counter drug has helped you, so you should continue to take it." b. "The over-the-counter dosage may not be strong enough. You should be taking prescription-strength for best effects." c. "For best results, you need to watch what you eat in addition to taking this drug." d. "Using this drug may relieve your symptoms, but it does not address the cause. You should be seen by your health care provider."
d
A patient has been taking antitubercular therapy for 3 months. The nurse notes a therapeutic response to these drugs with which assessment findings? Choose one answer. a. The chronic cough is gone. b. There are two consecutive negative purified protein derivative (PPD) results over 2 months. c. There is increased tolerance to the medication therapy and there are fewer reports of adverse effects. d. There is a decrease in symptoms of tuberculosis along with improved chest x-rays and sputum cultures.
d
A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive typhoid vaccines. Which vaccines will be given to the parent and child? a. Four capsules of live, oral vaccine to both patients b. Four capsules of live, oral vaccine for the parent and the IM polysaccharide vaccine for the child c. Four capsules of live, oral vaccine for the child and the IM polysaccharide vaccine for the parent d. IM polysaccharide for both patients
d
A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine. She is wondering why she needs this medication. The nurse explains that pyridoxine (Vit B6) is given concurrently with the isoniazid to prevent Choose one answer. a. hair loss. b. renal failure. c. peripheral neuropathy. d. heart failure.
d
A physically and medically neglected 15-month-old child has been placed in foster care. The foster parents bring the child to the clinic for immunization updates. They have no idea what, if any, vaccines the child has previously received. The nurse anticipates administering which vaccines? a) No vaccines; assume the child is up to date b) DTaP #4, Hib #4, and MMR #1 c) MMR, IPV, PCV, hepatitis B, and varicella d) DTaP, Hib, hepatitis B, MMR, IPV, PCV, and varicella
d
A woman who is planning to become pregnant should ensure that she receives adequate levels of which vitamin to reduce the risk for fetal neural tube defects? A. Vitamin B12 B. Vitamin C C. Iron D. Folic Acid
d
Before a patient begins therapy with finasteride (proscar), the nurse should make sure that which laboratory test has been performed? a. Blood glucose level b. complete blood count c. urinalysis d. prostate specific antigen (PSA) level
d
The nurse has an order to administer an IM immunization to a 2-month-old child. Which site is the best choice for this injection? Choose one answer. a. Deltoid b. Dorsogluteal c. Ventrogluteal d. Vastus lateralis
d
The nurse is reviewing the medical record of a patient who has a new order for iron sucrose (Venofer). Which intervention regarding the administration of iron sucrose is correct? A. This medication should be given with food to reduce gastric distress. B. It is contraindicated if the patient has renal disease. C. A test dose should be administered before the full dose is given. D. The nurse should monitor for hypotension during the infusion.
d
The nurse is reviewing the use of obstetric drugs. Which situation is an indication for an oxytocin (pitocin) infusion? a. termination of a pregnancy at 12 weeks b. hypertonic uterus c. cervical stenosis in a patient who is in labor d. induction of labor at full term
d
The nurse is teaching a patient about the possible adverse effects of erectile dysfunction drugs. The patient should know that if he experiences priapism, or an erection that lasts longer than 4 hours, the most important action is to a. stay in bed until the erection ceases b. apply an ice pack for 30 minutes c. turn on his left side and rest d. seek medical attention immediately
d
The nurse recognizes that use of estrogen drugs is contraindicated in which of the following patients? Choose one answer. a. A patient who has atrophic vaginitis b. A patient who has inoperable prostate cancer c. A woman who has just given birth and wants to prevent postpartum lactation d. A woman with a history of thrombophlebitis
d
Two patients arrive in the clinic; one is a young boy with sickle cell anemia, another is a 57-year-old woman with early stages of Hodgkin's disease. The nurse notices that both patients need the same vaccine. What vaccine would that be? A. Varicella virus vaccine B. Tetanus, diphtheria, and pertussis C. Hepatitis B virus vaccine, inactivated D. Haemophilus influenzae type b conjugate vaccine
d
When assessing patients who are to receive antitubercular therapy, the nurse should assess for which potential contraindication? Choose one answer. a. Glaucoma b. Anemia c. Heart failure d. Hepatic impairment
d
