Community Health Nursing
Mock Exam
Course Introduction
Community Health Nursing focuses on the promotion and protection of the health of populations using knowledge from nursing, public health, and social sciences. The course equips students with skills to assess community health needs, plan and implement health education, disease prevention, and intervention programs, and evaluate outcomes in diverse settings. Emphasis is placed on understanding the social determinants of health, cultural competence, and strategies for working collaboratively with community stakeholders. Through theoretical and practical experiences, students develop competencies in providing holistic care, advocating for vulnerable groups, and supporting public health initiatives to foster healthier communities.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 8th Edition by Linda E. McCuistion
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59 Chapters
928 Verified Questions
928 Flashcards
Source URL: https://quizplus.com/study-set/1831 Page 2
Chapter 1: Drug Action: Pharmaceutic, pharmacokinetic, and Pharmacodynamic Phases
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/36408
Sample Questions
Q1) A nurse is preparing to administer an oral drug that is best absorbed in an acidic environment.How will the nurse give the drug?
A)On an empty stomach
B)With a full glass of water
C)With food
D)With high-fat food
Answer: C
Q2) The nurse is preparing to administer a drug and learns that it binds to protein at a rate of 90%.The patient's serum albumin level is low.The nurse will observe the patient for A)decreased drug absorption.
B)decreased drug interactions.
C)decreased drug toxicity.
D)increased drug effects.
Answer: D
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Chapter 2: The Drug Approval Process
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36409
Sample Questions
Q1) The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial.Which nursing action is correct?
A)Ask another nurse to observe and cosign wasting the remaining drug from the vial.
B)Keep the remaining amount in the patient's drawer to give at the next dose.
C)Record the amount unused in the patient's medication record.
D)Dispose of the vial with the remaining drug into a locked collection box.
Answer: A
Q2) A patient is prescribed a medication and asks the nurse if the drug is available in a generic form.The nurse understands that a generic medication will have a name that
A)is a registered trademark.
B)is always capitalized.
C)describes the drug's chemical structure.
D)is non-proprietary.
Answer: D
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4
Chapter 3: Cultural and Pharmacogenetic Considerations
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The nurse is preparing to discuss long-term care needs with a patient newly diagnosed with a chronic disease.The patient is of Latin American descent.The nurse will plan to take which action when teaching this patient?
A)Discussing long-term outcomes associated with compliance of the prescribed regimen
B)Highlighting various traditional healing practices that will not be effective for this patient's care
C)Providing factual information and answering all questions as they arise
D)Providing teaching in increments,allowing periods of silence to allow assimilation of information
Answer: C
Q2) The nurse is caring for an African-American patient who is taking warfarin (Coumadin)to prevent blood clots.The nurse will monitor this patient carefully for which effect?
A)Decreased therapeutic effects
B)Heightened risk for hemorrhage
C)Increased risk of hypersensitivity
D)Potential risk of paradoxical effects
Answer: A
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Chapter
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36411
Sample Questions
Q1) A patient is taking phenytoin to prevent seizures.The nurse knows that phenytoin is highly protein-bound and has sedative side effects.The nurse reviews the patient's chart and notes a low serum albumin.The nurse will notify the provider and observe the patient for which effects?
A)Decreased sedative effects
B)Increased sedative effects
C)Increased seizures
D)No change in effects
Q2) A patient who takes warfarin (Coumadin)asks the nurse about taking a medication for headaches.The nurse will recommend which medication?
A)Acetaminophen
B)Aspirin
C)Ibuprofen
D)No medication
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6
Chapter 5: Drugs of Abuse
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What does the nurse understand must occur in order to produce withdrawal syndrome?
A)Addiction
B)Craving
C)Drug tolerance
D)Physical dependence
Q2) A patient is brought to the emergency department by a family member.The patient reports seeing colored lights and describes feeling bugs crawling under the skin.The nurse suspects that this patient is abusing which drug?
A)Alcohol
B)Cocaine
C)LSD
D)Methamphetamine
Q3) The nurse is discussing smoking cessation with a nurse colleague who smokes.Which statement indicates a readiness to quit smoking?
A)"I don't smoke around my children or inside the house."
B)"I want to stop smoking,but I will need help to do it."
C)"I will quit so my co-workers will stop harassing me about it."
D)"If I cut down gradually,I should be able to quit."
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Page 7
Chapter 6: Herbal Therapies
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe.The nurse will respond by saying that herbs
A)are classified as medications by the Dietary Supplement Health and Education Act of 1994.
B)are regulated by the government and are determined to be safe.
C)aren't usually effective but are generally harmless.
D)should be discussed with the patient's provider in conjunction with other medications.
Q2) The nurse is counseling a female patient who reports taking feverfew to treat premenstrual syndrome and migraines.Which statement by the patient indicates understanding of the teaching?
A)"I should experience immediate effects with this herb."
B)"I should not take feverfew if I get pregnant."
C)"I should take feverfew with nonsteroidal anti-inflammatory drugs (NSAIDs)to enhance its effects."
D)"If I develop gastrointestinal (GI)upset,I should stop taking feverfew immediately."
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Chapter 7: Pediatric Pharmacology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The provider has ordered that vitamin D drops be given to a newborn.Based on the knowledge of drug distribution in infants,the nurse understands that the infant may need
A)a higher dose.
B)a lower dose.
C)less frequent dosing.
D)more frequent dosing.
Q2) The nurse assumes care for an infant who is showing signs of drug toxicity to a drug given several hours prior.The nurse checks the dose and confirms that the dose is consistent with standard dosing guidelines.Which characteristic of the drug will likely explain this response in this patient?
A)It is acidic.
B)It is highly protein-bound.
C)It is not fat-soluble.
D)It is water-soluble.
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9
Chapter 8: Geriatric Pharmacology
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse is caring for an 80-year-old patient who is taking warfarin (Coumadin).Which action does the nurse understand is important when caring for this patient?
A)Encouraging the patient to rise slowly from a sitting position
B)Initiating a fall-risk protocol
C)Maintaining strict intake and output measures
D)Monitoring blood pressure frequently
Q2) A 75-year-old patient is readmitted to the hospital to treat recurrent pneumonia.The patient had been discharged home with a prescription for antibiotics 5 days prior.The nurse admitting this patient will take which initial action?
A)Ask the patient about over-the-counter drug use.
B)Ask the patient how many doses of the antibiotic have been taken.
C)Discuss increasing the antibiotic dose with the provider.
D)Obtain an order for a creatinine clearance test.
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Chapter 9: Collaboration in Community Settings
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The parent of a school-age child tells the nurse that the child often misses the midday dose of a medication because the child forgets to take it to school.What will the nurse suggest?
A)Asking the pharmacist to divide the prescription into two labeled packages
B)Discussing a different medication with the child's provider
C)Putting the bottle of pills in the child's lunchbox
D)Requesting permission for the child to come home from school during the day
Q2) The school nurse happens to observe a child pulling a pill out of a backpack and preparing to take it.What action will the nurse take?
A)Ask the child to describe the medication,dose,and reason for taking it.
B)Ask the child to keep all pills in the nurse's office.
C)Call the child's provider for a telephone order to give the medication.
D)Contact the child's parent to request a properly labeled prescription.
Q3) A patient calls the clinic and tells the nurse that a newly prescribed medication isn't working.What is the nurse's next action?
A)Notify the provider and discuss increasing the dose.
B)Question the patient about compliance with the regimen.
C)Review the drug information with the patient.
D)Suggest the patient discuss changing medications with the provider.
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Page 11
Chapter 10: The Role of the Nurse in Drug Research
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is assisting with a clinical drug trial in which the side effects of two effective drugs are being compared.A patient who would benefit from either drug has elected to withdraw from the study,and the nurse assists with the paperwork to facilitate this.This is an example of
A)autonomy.
B)beneficence.
C)justice.
D)veracity.
Q2) Many drugs marketed in the 1980s may not be effective in a majority of the population.The nurse understands that this is because these drugs
A)did not pass through the appropriate phases of clinical trials.
B)did not require human subject protections and are invalid.
C)were not tested on women,minorities,or children.
D)were tested on healthy subjects only.
Q3) Which is characteristic of preclinical in vivo testing?
A)A comparison of experimental and control data in animals
B)A study conducted in a test tube in a laboratory
C)A study that determines the parameters of safe therapeutic doses
D)A study to assess the seriousness of the disease to be treated
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Page 12
Chapter 11: The Nursing Process in Patient-Centered
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/36418
Sample Questions
Q1) An adolescent patient who has acne is given a regimen of topical medications and an oral antibiotic that generally clears up lesions to fewer than 10 within 6 to 8 weeks.At a 2-month follow-up,the patient continues to have more than 25 lesions.The child's parent affirms that the child is using the medications as prescribed.Which evaluation statement is correct for this patient?
A)"Goal of fewer than 10 lesions in 6 to 8 weeks is not met."
B)"Goal that the medication will be effective is not met."
C)"Goal that the patient will take medications as prescribed is not met."
D)"Goal that the patient understands the medication regimen is not met."
Q2) The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension.Which nursing diagnosis is appropriate for this patient?
A)Deficient knowledge related to drug side effects
B)Ineffective health maintenance related to age
C)Readiness for enhanced knowledge related to medication side effects
D)Risk for injury related to side effects of the medication
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Chapter 12: Safety and Quality in Pharmacotherapy
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36419
Sample Questions
Q1) Which is a violation of a nurse's right when administering medications?
A)A hospital policy for off-label drug uses
B)A medication preparation area at the unit secretary's desk
C)A multiple-dose drug vial requiring the nurse to calculate and measure the dose
D)A new drug ordered that the nurse must look up in a drug manual
Q2) The nurse is preparing to administer a medication from a unit-dose system.The nurse verifies that the medication,dose,and time are correct and that the expiration date was the day prior.Which action is correct?
A)Administer the medication and observe for adequate drug effects.
B)Notify the pharmacist and provider of a medication error.
C)Return the medication to the pharmacy to be replaced.
D)Verify the right patient and administer the medication.
Q3) When the nurse practices the "5-plus-5" rights of medication administration,what does it ensure?
A)Adequate information is given
B)Cost-effective use of medications
C)Informed consent for drug administration
D)Safe administration of medications
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Page 14
Chapter 13: Medication Administration
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size.The nurse will perform which action?
A)Contact the provider to discuss an alternate form of the medication.
B)Crush the tablet and put it in applesauce to help the patient swallow it.
C)Cut the tablet in half so the patient can take it more easily.
D)Dissolve the tablet in liquid.
Q2) The nurse is teaching a parent to administer medications using a child's gastrostomy tube.The parent asks why it is necessary to give water after each medication.The nurse explains that the water is given for which purpose?
A)To decrease gastrointestinal upset
B)To dilute the medication and enhance absorption
C)To ensure that all medication is infused into the stomach
D)To improve overall hydration
Q3) When administering topical medications,which is an important nursing action?
A)Applying the medication liberally
B)Cleaning skin with alcohol before applying
C)Using sterile technique
D)Wearing gloves
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15
Chapter 14: Medications and Calculations
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36421
Sample Questions
Q1) Order: 1000 mL of lactated Ringer's (LR)solution to be administered in 6 hours
Available: 1 L LR Macrodrip set labeled 10 gtt/mL
a.How many mL of LR will be infused in 1 hour?
b.How many drops per minute (gtt/min)will the patient receive?
Q2) Order: cefuroxime axetil (Ceftin)200 mg,PO, b.i.d.
Available: Ceftin 250 mg/5 mL
How many mL will the patient receive per dose?
Q3) Order: digoxin (Lanoxin),PO,62.5 mcg,daily
Available: Lanoxin 0.125-mg tablets
How many mg will the patient receive per day?
Q4) Order: erythromycin 350 mg,PO,q8h.
Available: erythromycin estolate 250 mg/5 mL
How many mL will be given per dose?
Q5) Order: midazolam (Versed)3 mg,IM,STAT
Available: Versed 10 mg/2 mL
How many mL will be given?
Q6) Order: amoxicillin (Amoxil)300 mg,PO,b.i.d.
Available: Amoxil 400 mg/5 mL
How many mL will be given per dose?
Page 16
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Chapter 15: Vitamin and Mineral Replacement
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36422
Sample Questions
Q1) A child is brought to the emergency department after ingesting a grandparent's warfarin (Coumadin)tablets.The nurse will anticipate administering which form of vitamin K?
A)K? (phytonadione)
B)K? (menaquinone)
C)K? (menadione)
D)K? (menadiol)
Q2) A patient asks the nurse about whether it is necessary to take vitamin supplements.The patient is a 26-year-old female who is contemplating pregnancy.The nurse will recommend which supplement?
A)Calcium and vitamin D
B)Folic acid (folate)
C)Iron
D)Vitamin C
Q3) Supplementation with which fat-soluble vitamin should a patient discuss with a provider before having surgery?
A)Vitamin A
B)Vitamin D
C)Vitamin E
D)Vitamin K
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Chapter 16: Fluid and Electrolyte Replacement
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/36423
Sample Questions
Q1) The provider has ordered Kayexalate and sorbitol to be administered to a patient.The nurse caring for this patient would expect which serum electrolyte values prior to administration of this therapy?
A)Sodium 125 mEq/L and potassium 2.5 mEq/L
B)Sodium 150 mEq/L and potassium 3.6 mEq/L
C)Sodium 135 mEq/L and potassium 6.9 mEq/L
D)Sodium 148 mEq/L and potassium 5.5 mEq/L
Q2) A patient asks the nurse about taking calcium supplements to avoid hypocalcemia.The nurse will suggest that the patient follow which instruction?
A)Take a calcium and vitamin D combination supplement.
B)Take calcium along with phosphorus to improve absorption.
C)Take calcium with antacids to reduce stomach upset.
D)Use aspirin instead of acetaminophen when taking calcium.
Q3) A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?
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Chapter 17: Nutritional Support
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36424
Sample Questions
Q1) The nurse is preparing a patient who will receive intermittent enteral nutrition at home with a hyperosmolar solution.What information will the nurse include when teaching this patient?
A)How to perform the Valsalva maneuver
B)The need to consume extra fluids between feedings
C)The need to decrease dietary fiber
D)The need to remain supine during infusion of the enteral solution
Q2) The nurse is caring for a patient who is receiving total parenteral nutrition (TPN)and notes that the patient becomes dyspneic when transferring from the bed to a chair.The nurse auscultates rales in both lungs.Which action will the nurse take next?
A)Ask the patient to perform the Valsalva maneuver.
B)Decrease the TPN rate and request an order for a diuretic medication.
C)Obtain an order for a chest radiograph and an antibiotic.
D)Stop the TPN and request an order for intravenous isotonic dextrose.
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19
Chapter 18: Adrenergic Agonists and Adrenergic Blockers
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36425
Sample Questions
Q1) A patient who has Raynaud's disease will begin taking an alpha-adrenergic blocker.The patient asks the nurse how the drug works to treat symptoms.The nurse explains that alpha-adrenergic blockers treat Raynaud's disease by causing
A)decreased peripheral vascular resistance.
B)orthostatic hypotension.
C)reflex tachycardia.
D)vasodilation.
Q2) A patient who has asthma is diagnosed with hypertension.The nurse understands that which drug will be safe to give this patient?
A)Pindolol (Visken)
B)Metoprolol (Lopressor)
C)Nadolol (Corgard)
D)Propranolol (Inderal)
Q3) A patient will be discharged on beta blockers.Which skill is essential for the nurse to teach the patient's family?
A)How to prepare a low-sodium diet
B)Assessments to detect fluid retention
C)How to monitor heart rate and blood pressure
D)Early signs of changing level of consciousness
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Page 20
Chapter 19: Cholinergic Agonists and Anticholinergics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36426
Sample Questions
Q1) Which cholinesterase inhibitor would be prescribed for a patient who has Alzheimer's disease?
A)Ambenonium chloride (Myletase)
B)Benztropine (Cogentin)
C)Donepezil HCl (Aricept)
D)Neostigmine methylsulfate (Prostigmin)
Q2) The nurse is preparing to administer bethanechol (Urecholine)to a patient who is experiencing urinary retention.The nurse notes that the patient has a blood pressure of 90/60 mm Hg and a heart rate of 98 beats per minute.The nurse will perform which action?
A)Administer the drug and monitor urine output.
B)Administer the medication and monitor vital signs frequently.
C)Give the medication and notify the provider of the increased heart rate.
D)Hold the medication and notify the provider of the decreased blood pressure.
Q3) A patient who has irritable bowel syndrome would most likely receive which type of drug to treat this condition?
A)An anticholinergic
B)A cholinergic esterase inhibitor
C)A muscarinic agent
D)A nicotinic agent
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Chapter 20: Central Nervous System Stimulants
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36427
Sample Questions
Q1) The nurse is performing a medication history on a patient who reports using phentermine HCl (Suprenza)15 mg/day for the past 3 months as an appetite suppressant.The nurse will contact the patient's provider to discuss
A)changing the medication to phentermine-topiramate (Qsymia).
B)increasing the dose to 37.5 mg/day since tolerance has likely occurred.
C)initiating a slow taper of the phentermine.
D)stopping the drug immediately since long-term use is not recommended.
Q2) A patient reports difficulty staying awake during the daytime in spite of getting adequate sleep every night.Which medication will the nurse expect the provider to order for this patient?
A)Caffeine (NoDoz)
B)Methylphenidate (Ritalin)
C)Modafinil (Provigil)
D)Theophylline
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Chapter 21: Central Nervous System Depressants
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A patient who has been taking a benzodiazepine as a sleep aid for several months wishes to stop taking the medication.The nurse will suggest that the patient taper the dose gradually to avoid which effect?
A)Depression
B)Hangover
C)Hypnotic rebound
D)Withdrawal
Q2) An older adult patient reports frequent nighttime awakening because of arthritis pain and asks the nurse about taking an over-the-counter product to help with this problem.The nurse will recommend that the patient discuss which medication with the provider?
A)Ibuprofen (Motrin)
B)Nytol
C)Sominex
D)Tylenol PM
Q3) Children who experience nightmares have these during which stage of sleep?
A)Early morning sleep
B)Nonrapid eye movement sleep
C)Rapid eye movement sleep
D)Sleep induction
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Chapter 22: Anticonvulsants
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36429
Sample Questions
Q1) A 25 year-old female patient will begin taking phenytoin for epilepsy.The patient tells the nurse she is taking oral contraceptives (OCPs).Which response will the nurse give?
A)"Continue taking OCPs because phenytoin is not safe during pregnancy."
B)"You should use a backup method of contraception along with OCPs."
C)"You should stop taking OCPs because of drug-drug interactions with phenytoin."
D)"You should take low-dose aspirin while taking these medications to reduce your risk of stroke."
Q2) A female patient who takes phenytoin for epilepsy becomes pregnant.The nurse will notify the patient's provider and will anticipate that the provider will take which action?
A)Add valproic acid (Depakote)for improved seizure control.
B)Change the medication to phenobarbital (Luminal).
C)Closely monitor this patient's serum phenytoin levels.
D)Discontinue all anticonvulsant medications.
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24
Chapter 23: Drugs for Neurological Disorders: Parkinsonism and Alzheimers
Disease
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36430
Sample Questions
Q1) The nurse is preparing to administer a first dose of benztropine (Cogentin)to a patient diagnosed with parkinsonism.The nurse would notify the patient's provider if the patient had a history of which condition?
A)Asthma
B)Glaucoma
C)Hypertension
D)Irritable bowel disease
Q2) An older patient exhibits a shuffling gait,lack of facial expression,and tremors at rest.The nurse will expect the provider to order which medication for this patient?
A)Carbidopa-levodopa (Sinemet)
B)Donepezil (Aricept)
C)Rivastigmine (Exelon)
D)Tacrine (Cognex)
Q3) Which antiviral medication improves symptoms of Parkinson's disease in some patients?
A)Acyclovir (Zovirax)
B)Amantadine HCl (Symmetrel)
C)Interferon (INF)
D)Zanamivir (Relenza)
Page 25
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Chapter 24: Drugs for Neuromuscular Disorders:
Myasthenia Gravis, multiple Sclerosis, and Muscle Spasms
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36431
Sample Questions
Q1) A patient has symptoms that are characteristic of multiple sclerosis (MS).Which diagnostic tests are likely to be ordered to aid in the diagnosis of this patient?
A)Cerebrospinal fluid (CSF)immunoglobulin G and magnetic resonance imaging (MRI)
B)CSF proteins and an angiography
C)Serum albumin and a computed tomography (CT)scan
D)Serum anti-acetylcholine antibodies and x-rays
Q2) The nurse is caring for a patient who has multiple sclerosis.The patient is experiencing an acute attack.Which drug does the nurse anticipate the provider will order?
A)Adrenocorticotropic hormone (ACTH)
B)Cyclophosphamide (Cytoxan)
C)Glatiramer acetate (Copaxone)
D)Interferon-B (IFN-B)
Q3) The nurse is preparing to care for a patient who has myasthenia gravis.The nurse will be alert to symptoms affecting which body system in this patient?
A)Cardiovascular system and postural muscles
B)Central nervous system (CNS),memory,and cognition
C)Gastrointestinal system (GI)and lower extremity muscles
D)Respiratory system and facial muscles
Page 26
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Chapter 25: Antiinflammatory Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36432
Sample Questions
Q1) 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.
Q2) 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."
Q3) 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."
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27
Chapter 26: Nonopioid and Opioid Analgesics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36433
Sample Questions
Q1) The nurse administers nalbuphine (Nubain)to a patient who is experiencing severe pain.Which statement by the patient indicates a need for further teaching about this drug?
A)"I may experience unusual dreams while taking this medication."
B)"I may need to use a laxative when taking this drug."
C)"I should ask for assistance when I get out of bed."
D)"I should expect to have more frequent urination."
Q2) The nurse is performing an admission assessment on an adolescent who reports taking extra-strength acetaminophen (Tylenol)regularly to treat daily headaches.The nurse will notify the patient's provider and discuss an order for
A)a selective serotonin receptor agonist (SSRA).
B)hydrocodone with acetaminophen for headache pain.
C)liver enzyme tests.
D)serum glucose testing.
Q3) Which patient may require a higher than expected dose of an opioid analgesic?
A)A patient with cancer
B)A patient with a concussion
C)A patient with hypotension
D)A patient 3 days after surgery
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Page 28
Chapter 27: Antipsychotics and Anxiolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36434
Sample Questions
Q1) A family member of a patient who has been taking fluphenazine (Prolixin)for 3 months calls to report that the patient is exhibiting agitation and restlessness.The nurse learns that the patient's delusional thinking and hallucinations have stopped since taking the medication.The nurse will perform which action?
A)Reassure the family member that tolerance to these side effects will subside over time.
B)Remind the family member that complete drug effects may not occur for several more weeks.
C)Suggest that the family member contact the provider to discuss an order for a benzodiazepine.
D)Tell the family member to withhold the medication and notify the patient's provider.
Q2) A patient has begun taking buspirone hydrochloride (BuSpar)7.5 mg twice daily to treat acute anxiety and calls 1 week later to report little change in symptoms.What will the nurse tell the patient?
A)"Therapeutic effects may not be evident for another week."
B)"The provider may need to increase the dose to 15 mg twice daily."
C)"Notify the provider and request an order for another anxiolytic."
D)"Stop taking the drug and notify the provider that it doesn't work."
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Chapter 28: Antidepressants and Mood Stabilizers
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36435
Sample Questions
Q1) A patient who takes a monoamine oxidase (MAO)inhibitor asks the nurse about taking over-the-counter medications to treat cold symptoms.Which medication will the nurse counsel the patient to avoid while taking an MAO inhibitor?
A)Diphenhydramine
B)Guaifenesin
C)Pseudoephedrine
D)Saline nasal spray
Q2) A patient who has had a loss of interest in most activities,weight loss,and insomnia is diagnosed with a major depressive disorder and will begin taking fluoxetine (Prozac)daily.The patient asks about the weekly dosing that a family member follows.What will the nurse tell the patient about a weekly dosing regimen?
A)It can be used after daily maintenance dosing proves effective and safe.
B)It is used after a trial of tricyclic antidepressant medication fails.
C)It is not effective for this type of depression and its symptoms.
D)It will cause more adverse effects than daily dosing regimens.
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Chapter 29: Penicillins and Cephalosporins
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36436
Sample Questions
Q1) The nurse is teaching a patient who will be discharged home from the hospital to take amoxicillin (Amoxil)twice daily for 10 days.Which statement by the nurse is correct?
A)"Discontinue the antibiotic when your temperature returns to normal and your symptoms have improved."
B)"If diarrhea occurs,stop taking the drug immediately and contact your provider."
C)"Stop taking the drug and notify your provider if you develop a rash while taking this drug."
D)"You may save any unused antibiotic to use if your symptoms recur."
Q2) The nurse is caring for a patient who has recurrent urinary tract infections.The patient's current infection is not responding to an antibiotic that has been used successfully several times in the past.The nurse understands that this is most likely due to
A)acquired bacterial resistance.
B)cross-resistance.
C)inherent bacterial resistance.
D)transferred resistance.
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Fluoroquinolones
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36437
Sample Questions
Q1) The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection.The patient is also taking acetaminophen for pain.The nurse should expect to review which lab values when monitoring for this drug's side effects?
A)Complete blood counts
B)Electrolytes
C)Liver enzymes
D)Urinalysis
Q2) The nurse is reviewing a patient's chart prior to administering gentamycin (Garamycin)and notes that the last serum peak drug level was 9 mcg/mL and the last trough level was 2 mcg/mL.What action will the nurse take?
A)Administer the next dose as ordered.
B)Obtain repeat peak and trough levels before giving the next dose.
C)Report possible drug toxicity to the patient's provider.
D)Report a decreased drug therapeutic level to the patient's provider.
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Chapter 31: Sulfonamides
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36438
Sample Questions
Q1) A patient who will begin taking trimethoprim-sulfamethoxazole (TMP-SMX)asks the nurse why the combination drug is necessary.The nurse will explain that the combination is used to
A)broaden the antibacterial spectrum.
B)decrease bacterial resistance.
C)improve the taste.
D)minimize toxic effects.
Q2) A patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX)calls to report developing an all-over rash.The nurse will instruct the patient to perform which action?
A)Increase fluid intake.
B)Take diphenhydramine.
C)Stop taking TMP-SMX immediately.
D)Continue taking the medication.
Q3) Which is a characteristic that distinguishes sulfonamides from other drugs used to treat bacterial infection?
A)Sulfonamides are bactericidal.
B)Sulfonamides are derived from biologic substances.
C)Sulfonamides have antifungal and antiviral properties.
D)Sulfonamides increase bacterial synthesis of folic acid.
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Page 33
Metronidazole
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36439
Sample Questions
Q1) The nurse is teaching a patient about rifampin.Which statement by the patient indicates understanding of the teaching?
A)"I should not wear soft contact lenses while taking rifampin."
B)"I will need regular eye examinations while taking this drug."
C)"I will report orange urine to my provider immediately."
D)"I understand that renal toxicity is a common adverse effect."
Q2) A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis.Before administering this medication,the nurse will review which laboratory values in the patient's medical record?
A)Complete blood count (CBC)with differential white cell count
B)Blood urea nitrogen (BUN)and creatinine
C)Potassium and magnesium levels
D)Serum fasting glucose
Q3) A patient is diagnosed with tinea capitis.The provider will order which systemic antifungal medication for this patient?
A)Anidulafungin (Eraxis)
B)Fluconazole (Diflucan)
C)Griseofulvin (Fulvicin)
D)Ketoconazole (Nizoral)
Page 34
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Chapter 33: Antivirals, antimalarials, and Anthelmintics
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36440
Sample Questions
Q1) The patient has been ordered treatment with rimantadine (Flumadine).The patient has renal impairment.The nurse anticipates what change to the dose of medication?
A)Increased
B)Decreased
C)Unchanged
D)Held
Q2) A patient is diagnosed with influenza and will begin taking a neuraminidase inhibitor.The nurse knows that this drug is effective when taken within how many hours of onset of flu symptoms?
A)12 hours
B)24 hours
C)48 hours
D)72 hours
Q3) Which diseases are caused by herpes viruses? (Select all that apply. )
A)Chicken pox
B)Hepatitis
C)Influenza
D)Mononucleosis
E)Shingles
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Chapter 34: Drugs for Urinary Tract Disorders
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36441
Sample Questions
Q1) The nurse is caring for a patient who is diagnosed with a urinary tract infection.The patient reports always having difficulty remembering to take medications.Which drug will the nurse expect the provider to select when treating this patient?
A)Fosfomycin tromethamine (Monurol)
B)Nalidixic acid (NegGram)
C)Nitrofurantoin (Macrodantin)
D)Trimethoprim-sulfamethoxazole (Bactrim)
Q2) The nurse is preparing to administer methenamine (Hiprex)to a patient who is diagnosed with a urinary tract infection.The nurse reviews the patient's chart and notes a urinary pH of 6.0.Which action will the nurse take?
A)Administer the drug as ordered.
B)Obtain an order for 8 ounces of cranberry juice 3 times daily.
C)Request an order for an increased dose.
D)Restrict fluids to concentrate the patient's urine.
Q3) Which side effects are common to most urinary antiseptics?
A)Dyspnea and chest pain
B)Nausea and vomiting
C)Peripheral neuritis
D)Visual disturbances
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Page 36
Chapter 35: Hiv- and Aids-Related Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36442
Sample Questions
Q1) A pregnant patient is HIV-positive.Which antiretroviral agent will the nurse expect the patient's provider to order?
A)Abacavir/lamivudine/zidovudine (Trizivir)
B)Efavirenz/emtricitabine/tenofovir (Atripla)
C)Lamivudine/zidovudine (Combivir)
D)Rilpivirine/emtricitabine/tenofovir (Complera)
Q2) A patient who has recently begun antiretroviral therapy with a combination drug develops immune reconstitution inflammatory syndrome (IRIS)with mild symptoms.What does the nurse expect that the provider will order?
A)Administration of a high dose of corticosteroids
B)Changing the regimen to a single antiretroviral drug
C)Temporarily discontinuing the antiretroviral therapy
D)Treating an underlying opportunistic infection
Q3) The nurse is caring for a 55-year-old patient who has been HIV-infected for 15 years.The nurse understands that this patient
A)has an increased risk of transmitting the HIV infection.
B)is less likely to develop AIDS than younger persons with HIV infection.
C)is less likely to respond to antiretroviral agents.
D)may have comorbid illnesses that can complicate HIV.
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Page 37
Chapter 36: Vaccines
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36443
Sample Questions
Q1) 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.
Q2) 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.
Q3) 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
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Page 38
Chapter 37: Anticancer Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36444
Sample Questions
Q1) A patient is receiving the antitumor antibiotic doxorubicin (Adriamycin)to treat lung cancer.The patient is experiencing shortness of breath and palpitations.The nurse is concerned that the patient has developed which condition?
A)Anemia
B)Cardiotoxicity
C)Hypersensitivity
D)Pulmonary infection
Q2) A patient who has cancer is about to begin chemotherapy.The patient asks the nurse why two chemotherapeutic agents are being used instead of just one.Which response by the nurse is correct?
A)"The drugs may be given in less toxic doses if two drugs are used."
B)"Two agents used together can have synergistic effects."
C)"Use of two drugs will increase tumorcidal activity in the G0 phase of the cell."
D)"Using two agents will shorten the length of time chemotherapy is needed."
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Chapter 38: Targeted Therapies to Treat Cancer
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/36445
Sample Questions
Q1) A patient who has breast cancer tells the nurse that a cousin who had breast cancer received trastuzamab (Herceptin)and wonders why this drug is not given to her.The nurse will explain that her cancer cells do not have
A)significant HER2 receptors.
B)epidermal growth factor receptor-tyrosine kinase.
C)the BRCA1 suppressor gene.
D)VGEF proteins.
Q2) The nurse is teaching a patient who will begin receiving targeted therapy for cancer.The patient asks how targeted therapy differs from other types of chemotherapies.The nurse will explain that targeted therapy
A)damages cancer cell DNA to prevent cell replication.
B)directly kills or damages cancerous cells.
C)interferes with specific molecules in cancer cells.
D)prevents metastasis of cancer cells.
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Chapter 39: Biologic Response Modifiers
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36446
Sample Questions
Q1) The nurse is teaching a young adult patient who will begin receiving interferon.Which statement by the patient indicates understanding of the teaching?
A)"I may have a low-grade fever while taking this medication."
B)"I may have serious cardiovascular side effects because of this drug."
C)"I should take antiemetics prior to each dose of this medication.
D)"I may need to avoid people who are sick while I'm taking this drug."
Q2) A patient receiving interferon experiences confusion,somnolence,and aphasia.The nurse will perform which action?
A)Discontinue the medication immediately.
B)Inform the family that these symptoms may persist for years.
C)Reassure the patient that these side effects are reversible.
D)Request an order for lorazepam.
Q3) A patient who has cancer will begin treatment with a colony-stimulating factor.The patient verbalizes understanding of this drug's action with which statement?
A)"This drug allows higher doses of chemotherapy."
B)"This drug has antitumor activity."
C)"This drug has cytotoxic effects."
D)"This drug has antiviral effects."
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Chapter 40: Drugs for Upper Respiratory Disorders
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36447
Sample Questions
Q1) A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions.When teaching this patient about the medication,the nurse will provide which instruction?
A)"Avoid driving or using heavy machinery."
B)"Drink extra water while taking the medication."
C)"Monitor urine output closely."
D)"Take with an oral antihistamine for better effects."
Q2) A patient who has seasonal allergies with a runny nose during the daytime reports increasing nighttime symptoms of coughing and sneezing that are interfering with sleep.The provider recommends diphenhydramine (Benadryl)at bedtime.What information will the nurse include when teaching the patient about this medication?
A)"Avoid fluids at bedtime to prevent urinary retention."
B)"This will help clear your daytime symptoms,too."
C)"You should be able to sleep better when you take this medication."
D)"You should take this medication on an empty stomach."
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Chapter 41: Drugs for Lower Respiratory Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36448
Sample Questions
Q1) The nurse provides teaching for patient who will begin taking montelukast sodium (Singulair).The patient reports sensitivity to aspirin.Which statement by the patient indicates a need for further teaching?
A)"I will need to have periodic laboratory tests while taking this medication."
B)"I will not take ibuprofen for pain or fever while taking this drug."
C)"I will take one tablet daily at bedtime."
D)"I will use this as needed for acute symptoms."
Q2) The nurse is caring for a patient who is receiving intravenous theophylline.The patient complains of headache and nausea.The nurse will contact the provider to
A)change the medication to an oral theophylline.
B)obtain an order for a serum theophylline level.
C)request an order for an analgesic medication.
D)suggest an alternative methylxanthine medication.
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Chapter 42: Cardiac Glycosides, Antianginals, and Antidysrhythmics
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36449
Sample Questions
Q1) The nurse is teaching a patient about the use of a transdermal nitroglycerin patch.Which statement by the patient indicates understanding of the teaching?
A)"I will apply the patch as needed when I experience anginal pain."
B)"I will remove the old patch and replace it with a new one at bedtime each day."
C)"I should rotate sites when changing the patch to prevent skin irritation."
D)"When I am symptom-free,I may stop using the patch on a regular basis."
Q2) A patient who uses transdermal nitroglycerin reports having headaches.The nurse will counsel the patient to perform which action?
A)Call 911 when this occurs.
B)Notify the provider.
C)Reapply the patch three times daily.
D)Take acetaminophen as needed.
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44
Chapter 43: Diuretics
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36450
Sample Questions
Q1) A patient has begun taking spironolactone (Aldactone)in addition to a thiazide diuretic.With the addition of the spironolactone,the nurse will counsel this patient to A)continue taking a potassium supplement daily. B)recognize that abdominal cramping is a transient side effect. C)report decreased urine output to the provider.
D)take these medications at bedtime.
Q2) The nurse is caring for a patient who is taking hydrochlorothiazide (HydroDIURIL)and digoxin (Lanoxin).Which potential electrolyte imbalance will the nurse monitor for in this patient?
A)Hypermagnesemia
B)Hypernatremia
C)Hypocalcemia
D)Hypokalemia
Q3) A patient has been taking spironolactone (Aldactone)to treat heart failure.The nurse will monitor for A)hyperkalemia. B)hypermagnesemia.
C)hypocalcemia.
D)hypoglycemia.
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Page 45
Chapter 44: Antihypertensives
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36451
Sample Questions
Q1) The nurse understands that a medication such as carvedilol (Coreg)may not be effective in an African-American patient because of its effects on A)cardiac contractility.
B)heart rate.
C)renin release.
D)vascular resistance.
Q2) The nurse is admitting a patient who has been taking minoxidil (Loniten)to treat hypertension.Prior to beginning therapy with this medication,the patient had a blood pressure of 170/95 mm Hg and a heart rate of 72 beats per minute.The nurse assesses the patient and notes a blood pressure of 130/72 mm Hg and a heart rate of 78 beats per minute,and also notes a 2.2-kg weight gain since the previous hospitalization and edema of the hands and feet.The nurse will contact the provider to discuss which intervention?
A)Adding hydrochlorothiazide to help increase urine output
B)Adding metoprolol (Lopressor)to help decrease the heart rate
C)Increasing the dose of minoxidil to lower the blood pressure
D)Restricting fluids to help with weight reduction
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Page 46
Chapter 45: Anticoagulants, Antiplatelets, and Thrombolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36452
Sample Questions
Q1) A patient has been receiving intravenous heparin.When laboratory tests are drawn,the nurse has difficulty stopping bleeding at the puncture site.The patient has bloody stools and is reporting abdominal pain.The nurse notes elevated partial thromboplastin time (PTT)and activated partial thromboplastin time (aPTT).Which action will the nurse perform?
A)Ask for an order for oral warfarin (Coumadin).
B)Obtain an order for protamine sulfate.
C)Request an order for vitamin K.
D)Suggest that the patient receive subcutaneous heparin.
Q2) The nurse is caring for a patient who is receiving warfarin (Coumadin)and notes bruising and petechiae on the patient's extremities.The nurse will request an order for which laboratory test?
A)International normalized ratio (INR)
B)Platelet level
C)Partial thromboplastin time (PTT)and activated partial thromboplastin time (aPTT)
D)Vitamin K level
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47
Chapter 46: Antihyperlipidemics and Peripheral
Vasodilators
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36453
Sample Questions
Q1) A patient has been taking cholestyramine (Questran)to treat hyperlipidemia type II.The patient reports abdominal cramping and constipation.The patient's serum lowdensity lipoprotein (LDL)has decreased from 170 mg/dL to 110 mg/dL,and triglycerides have not changed from 150 mg/dL since beginning the medication.The provider changes the medication to colesevelam HCl (Welchol).The patient asks the nurse why the medication was changed,and the nurse will explain that colesevelam HCl is ordered for which reason?
A)It has fewer side effects.
B)It has more convenient dosing.
C)It provides greater LDL reduction.
D)It provides greater triglyceride reduction.
Q2) A patient will begin taking rosuvastatin calcium (Crestor)to treat hyperlipidemia.The patient asks the nurse how to take the medication for best effect.Which statement by the nurse is correct?
A)"Increase your fluid intake while taking this medication."
B)"Stop taking the medication if you develop muscle aches."
C)"Take the medication with food to improve absorption."
D)"You may increase dietary fat while taking this medication."
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Chapter 47: Drugs for Gastrointestinal Tract Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36454
Sample Questions
Q1) The nurse is caring for a patient who has postoperative nausea and vomiting.The surgeon has ordered promethazine HCl (Phenergan).Which aspect of this patient's health history would be of concern?
A)Asthma
B)Diabetes
C)GERD
D)Glaucoma
Q2) An appropriate goal when teaching a patient who has diarrhea is that the patient
A)will have less frequent,more formed stools.
B)will not have a stool for 1 to 2 days.
C)will receive adequate intravenous fluids.
D)will receive appropriate antibiotic therapy.
Q3) A patient who is receiving chemotherapy will be given dronabinol (Marinol)to prevent nausea and vomiting.The nurse will tell the patient that this drug will be given at which time?
A)Before and after the chemotherapy
B)During chemotherapy
C)Immediately prior to chemotherapy
D)24 hours prior to chemotherapy
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Page 49
Chapter 48: Antiulcer Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36455
Sample Questions
Q1) The nurse is caring for a patient who has Zollinger-Ellison syndrome.Which medication order would the nurse question for this patient?
A)Cimetadine (Tagamet)
B)Pantoprazole (Protonix)
C)Rabeprazole (Aciphex)
D)Ranitidine (Zantac)
Q2) A patient reports experiencing flatulence and abdominal distension to the nurse.Which over-the-counter medication will the nurse recommend?
A)Alka-Seltzer
B)Maalox
C)Mylicon
D)Tums
Q3) An elderly patient reports using Maalox frequently to treat acid reflux.The nurse should notify the patient's provider to request an order for which laboratory tests?
A)Liver enzymes and serum calcium
B)Liver enzymes and serum magnesium
C)Renal function tests and serum calcium
D)Renal function tests and serum magnesium
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Chapter 49: Drugs for Eye and Ear Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36456
Sample Questions
Q1) The nurse is caring for an African-American patient who has been diagnosed with glaucoma.The nurse anticipates that which medication will be most effective for this client?
A)Bimatoprost (Lumigan)
B)Latanoprost (Xalatan)
C)Travoprost (Travatan Z)
D)Unoprostone (Rescula)
Q2) The nurse is preparing to administer dipivefrin (Propine)drops as a mydriatic agent.Which assessment would cause the nurse to withhold the drug and notify the provider?
A)Blood pressure of 140/90 mm Hg
B)Heart rate of 60 beats per minute
C)Respiratory rate of 12 breaths per minute
D)Temperature of 37.9° C
Q3) The parent of a toddler asks the nurse what can be done to prevent otitis media.What will the nurse recommend?
A)Administer diphenhydramine when the child has a runny nose.
B)Give phenylephrine (Neo-Synephrine Ophthalmic)to prevent congestion.
C)Keep the child's immunizations up to date.
D)Remove cerumen with carbamide peroxide (Auro Ear Drops).
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Chapter 50: Drugs for Dermatologic Disorders
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36457
Sample Questions
Q1) A patient who works outdoors has frequent contact dermatitis flares secondary to exposure to plant irritants.The patient asks the nurse how to minimize these episodes.The nurse will counsel this patient to perform which action?
A)Apply topical glucocorticoid medication prior to exposure.
B)Cleanse the skin immediately after any contact with plants.
C)Take systemic diphenhydramine (Benadryl)after being outdoors.
D)Use calamine lotion prior to working outdoors.
Q2) The nurse is teaching a group of adolescents about sun protection.What information will the nurse include when teaching this group?
A)Effective sunscreens guard against melanoma and basal cell carcinoma.
B)SPF numbers indicate UVB protection,and UVA protection is assumed for all products.
C)SPF ratings are proportional to the amount of UVB radiation that they block.
D)Sunscreen products of all SPF ratings will protect for 2 hours if not exposed to moisture.
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Chapter 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and
Adrenal Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36458
Sample Questions
Q1) A patient who takes the oral antidiabetic agent metformin (Glucophage)will begin taking levothyroxine (Synthroid).The nurse will teach this patient to monitor for
A)hyperglycemia.
B)hypoglycemia.
C)hyperkalemia.
D)hypokalemia.
Q2) The nurse administers intravenous corticotropin (Acthar)to a patient.A serum cortisol level drawn 60 minutes later shows no change in serum cortisol levels from prior to the dose.What is the nurse's first action?
A)Notify the provider to discuss a possible non-functioning adrenal gland.
B)Recognize the need for an increased dose to treat pituitary insufficiency.
C)Request an order for a second dose of corticotropin to treat cortisone deficiency.
D)Request an order to repeat the serum cortisol level in 1 to 2 hours.
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53
Chapter 30: Macrolides, Tetracyclines, Aminoglycosides, and
Fluoroquinolones
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36459
Sample Questions
Q1) A patient is ordered to receive insulin lispro at mealtimes.The nurse will instruct this patient to administer the medication at which time?
A)5 minutes before eating
B)15 minutes after eating
C)30 minutes before eating
D)10 minutes after eating
Q2) A patient who has type 1 diabetes mellitus asks the nurse about using a combination insulin product such as Humalog 75/25.The nurse will tell the patient that use of this product
A)depends on individual insulin needs.
B)is useful for patient with insulin resistance.
C)means less rotation of injection sites.
D)requires refrigeration at all times.
Q3) Which statement by a patient who will begin using an external insulin pump indicates understanding of this device?
A)"I will have an increased risk for hypoglycemia."
B)"I will leave this on when bathing or swimming."
C)"I will not need to count carbohydrates anymore."
D)"I will still need to monitor serum glucose."
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Chapter 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36460
Sample Questions
Q1) Which are physiologic changes during pregnancy that affect drug absorption,metabolism,distribution,and excretion? (Select all that apply. )
A)Circulating steroid hormones
B)Decreased gastrointestinal motility
C)Decreased renal perfusion
D)Increased maternal circulatory blood volume
E)Poor sleep and fatigue
F)Rapid respiratory rate
Q2) A young woman who is contemplating pregnancy asks the nurse what she can do to get healthy in preparation for pregnancy.The nurse will recommend which dietary supplement?
A)60 mg of elemental iron per day
B)400 mg of folic acid per day
C)400 IU of vitamin D per day
D)1200 mg of calcium per day
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Chapter 54: Female Reproductive Cycle II: Labor, delivery, and Preterm Neonatal Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36461
Sample Questions
Q1) The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a poor sucking response.The nurse reviews the delivery record and will likely note that which drug was given to the mother during labor?
A)Butorphanol tartrate (Stadol)
B)Fentanyl (Sublimaze)
C)Nalbuphine (Nubain)
D)Secobarbital (Seconal)
Q2) The nurse is caring for a woman who is in labor.The woman is anxious and reports increasing nausea after receiving an opioid analgesic medication.The nurse will contact the provider and request an order for which intravenous medication?
A)Hydroxyzine HCl (Vistaril)
B)Pentobarbital sodium (Nembutal)
C)Promethazine (Phenergan)
D)Secobarbital sodium (Seconal)
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Chapter 55: Postpartum and Newborn Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36462
Sample Questions
Q1) The nurse is instructing a nursing student who will administer erythromycin ophthalmic ointment and phytonadione (vitamin K)injection to a newborn infant.The nurse will instruct the student to perform which action?
A)Administer the ointment after giving the injection.
B)Apply a 1-cm ribbon of ointment to the infant's eyes.
C)Apply the ointment along the lower border of the upper eyelids.
D)Warm the ointment in a warmer before applying.
Q2) The nurse is caring for a postpartum woman who has chosen not to breastfeed her infant.She asks why she cannot use drugs to suppress lactation.Which response by the nurse is correct?
A)"Hormonal drugs are not as effective as complementary therapies."
B)"Hormonal drugs cause increased constipation."
C)"Hormonal drugs increase the risk of blood clots."
D)"Hormonal drugs promote uterine atony."
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Chapter 56: Drugs for Womens Reproductive Health and Menopause
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36463
Sample Questions
Q1) A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep.The nurse reviews information about hormone replacement therapy and tells this woman that hormone therapy
A)is very safe and may be used freely to treat menopausal symptoms.
B)may be used indefinitely to treat menopausal symptoms.
C)should be used at the lowest dose possible for less than 5 years.
D)will be necessary to prevent osteoporosis caused by estrogen depletion.
Q2) The nurse is caring for a woman who will begin taking ibuprofen to treat arthritis.The woman tells the nurse that she takes Yasmin for contraception.The nurse will perform which action?
A)Counsel the patient to use a backup method of contraception while taking ibuprofen.
B)Notify the provider to discuss an alternate combination oral contraceptive.
C)Suggest a COX-2 inhibitor instead of ibuprofen for arthritis pain.
D)Tell the patient to use a lower dose of ibuprofen to prevent adverse effects.
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Page 58
Chapter 57: Drugs for Mens Health and Reproductive Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36464
Sample Questions
Q1) A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a pregnancy.The nurse will tell this patient that
A)androgen therapy will not harm the fetus.
B)he will need to increase his dose of testosterone to increase his sperm count.
C)it may take 3 months after cessation of androgen therapy to conceive.
D)there should be no problems conceiving while using androgen therapy.
Q2) A patient will begin using sildenafil citrate (Viagra)to treat erectile dysfunction.The nurse will instruct the patient to take the medication
A)daily in the morning.
B)just prior to sexual activity.
C)30 minutes to 4 hours before sexual activity.
D)twice daily.
Q3) The oral antiandrogen drug flutamide (Eulexin)is used to treat which condition?
A)Benign prostatic hypertrophy (BPH)
B)Breast cancer
C)Male-pattern baldness
D)Metastatic prostate cancer
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Page 59
Chapter 58: Drugs for Disorders in Womens Health,
and Sexually Transmitted Infections
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36465
Sample Questions
Q1) A woman is diagnosed with polycystic ovarian disease (PCOS)after being unable to conceive.Her provider has ordered metformin (Glucophage)and clomiphene citrate (Clomid).The nurse will explain that metformin is given for which purpose?
A)To increase androgen levels
B)To induce ovulation
C)To promote a dominant follicle
D)To regulate menstrual periods
Q2) A young woman reports not having a period for 7 months.Which test will the provider likely order first to evaluate the cause of amenorrhea in this patient?
A)Pelvic ultrasound
B)Pregnancy test
C)Progestational challenge test
D)Serum insulin levels
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