Medication Administration and Safety
Solved Exam Questions
Course Introduction
This course provides students with the foundational knowledge and practical skills necessary for safe and effective medication administration across diverse healthcare settings. Emphasizing the "five rights" of medication administration right patient, right medication, right dose, right route, and right time the course covers pharmacological principles, dosage calculations, preparation techniques, and the legal and ethical considerations in medication management. Students will also learn to identify, prevent, and respond to medication errors while gaining competency in documentation and patient education to promote safety and therapeutic outcomes.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 8th Edition by Kee
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59 Chapters
928 Verified Questions
928 Flashcards
Source URL: https://quizplus.com/study-set/679 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/13012
Sample Questions
Q1) The nurse understands that the length of time needed for a drug to reach the minimum effective concentration (MEC)is the
A)duration of action.
B)onset of action.
C)peak action time.
D)time response curve.
Answer: B
Q2) If a drug has a half-life of 12 hours and is given twice daily starting at 0800 on a Monday,when will a steady state be achieved?
A)0800 on Tuesday
B)0800 on Wednesday
C)0800 on Thursday
D)0800 on Friday
Answer: B
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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/13013
Sample Questions
Q1) The nurse is preparing to administer a combination drug containing acetaminophen and codeine.The nurse knows that this drug is classified as which drug schedule?
A)C-II
B)C-III
C)C-IV
D)C-V
Answer: B
Q2) The nurse is busy and neglects to give a drug to a patient resulting in the patient's death.What offense does this represent?
A)Malfeasance
B)Malpractice
C)Misfeasance
D)Nonfeasance
Answer: D
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Chapter 3: Cultural and Pharmacogenetic Considerations
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/13014
Sample Questions
Q1) A patient who is of Filipino descent is admitted to the hospital.The nurse goes to the room to start intravenous fluids and to perform an admission assessment and finds several family members in the room.Which action by the nurse is appropriate?
A)Ask the family to wait in the hallway until the admission tasks are completed.
B)Determine which family member is the family patriarch and address questions to him.
C)Invite family members to assist with appropriate tasks during the admission process.
D)Provide chairs for family members and ask them to stay seated during the admission.
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 4: Drug Interactions and Over-the-Counter Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13015
Sample Questions
Q1) A young adult female patient who takes a combination oral contraceptive (OCP)will begin taking an antibiotic.When teaching the patient about this medication,the nurse will
A)recommend using a backup method of contraception.
B)suggest that she switch to an injectable form of contraception.
C)tell her that the antibiotic is less effective if she is taking OCPs.
D)tell her the antibiotic has a greater risk for toxicity while taking OCPs.
Q2) The nurse is preparing to administer erythromycin to a patient who takes digoxin.The nurse will plan to monitor the patient for
A)digoxin toxicity.
B)decreased digoxin effects.
C)erythromycin toxicity.
D)decreased erythromycin effects.
Q3) A patient asks the nurse about using over-the-counter (OTC)medications.The nurse will tell the patient that OTC medications
A)are not as effective as prescription medications.
B)are not as safe as prescription medications.
C)have fewer side effects and drug interactions than prescription medications.
D)should be included when listing any medications taken by the patient.
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6
Chapter 5: Drugs of Abuse
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13016
Sample Questions
Q1) A patient is brought to the emergency department after ingesting an overdose of lorazepam (Ativan)several hours prior.The patient has a respiratory rate of 6 to 10 breaths per minute and is unconscious.The nurse will prepare to perform which action?
A)Administer activated charcoal.
B)Give flumazenil (Romazicon).
C)Give naloxone (Narcan).
D)Perform gastric lavage.
Q2) The nurse is teaching a patient who will be discharged home with naltrexone (ReVia)after treatment for opioid addiction.What information will the nurse include in the teaching for this patient?
A)"This drug will help control cravings."
B)"You may take this drug once weekly."
C)"ReVia blocks the pleasurable effects of opioids."
D)"If you discontinue this drug abruptly,you will have withdrawal symptoms."
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Chapter 6: Herbal Therapies
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13017
Sample Questions
Q1) A patient asks the nurse about an herbal supplement and reports that it has a USP seal of approval.The nurse explains that this indicates
A)identity,potency,purity,and labeling accuracy.
B)premarket testing for safety and efficacy.
C)structure and function claims may be made.
D)the supplement's ability to prevent and treat disease.
Q2) A patient asks the nurse about the safety of herbal products in general.Which response by the nurse is correct?
A)"Consumers should research products and their manufacturers before taking."
B)"Manufacturers are required to list interactions of herbs with drugs and food."
C)"Products manufactured for drug and grocery store chains are safe."
D)"Toxicological analysis is required of all commercial herbal products."
Q3) A woman reports using aloe vera to treat constipation.Which response by the nurse is correct?
A)"Aloe vera is for external use only."
B)"Please tell me if you are taking cardiac medications or diuretics."
C)"Side effects of aloe vera are common."
D)"You may experience a decrease in menstrual flow while taking aloe vera."
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8
Chapter 7: Pediatric Pharmacology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13018
Sample Questions
Q1) The nurse is teaching a 15-year-old female patient and her parents about an antibiotic the adolescent will begin taking.The drug is known to decrease the effectiveness of oral contraceptive pills (OCPs).The nurse will
A)ask the adolescent and her parents whether she is taking OCPs.
B)tell her parents privately that pregnancy may occur if she is taking OCPs.
C)tell her privately that the medication may decrease the effectiveness of OCPs.
D)warn her and her parents that she may get pregnant if she is relying on OCPs.
Q2) The nurse is preparing to administer an oral liquid medication to an 11-month-old child who is fussy and uncooperative.Which action will the nurse take to facilitate giving this medication?
A)Adding honey to the medication to improve the taste
B)Putting the medication in the infant's formula
C)Requesting an injectable form of the medication
D)Using a syringe and allowing the parent to give the medication
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9
Chapter 8: Geriatric Pharmacology
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/13019
Sample Questions
Q1) The nurse is caring for an older patient who is taking 25 mg per day of hydrochlorothiazide.The nurse will closely monitor which lab value in this patient?
A)Coagulation studies
B)White blood count
C)Liver function tests
D)Serum potassium
Q2) Which drug properties are problematic for older patients? (Select all that apply.)
A)Drugs with anticholinergic effects
B)Drugs that are highly protein-bound
C)Drugs with a short half-life
D)Drugs that undergo hepatic conjugation
E) Drugs with a narrow therapeutic range
Q3) An 80-year-old patient is being treated for an infection.An order for which type of antibiotic would cause concern for the nurse caring for this patient?
A)Aminoglycoside
B)Cephalosporin
C)Penicillin
D)Sulfonamide
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Chapter 9: Collaboration in Community Settings
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13020
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
Source URL: https://quizplus.com/quiz/13021
Sample Questions
Q1) The nurse is obtaining signatures on consent forms for participation in a clinical drug trial.One patient says,"I'm not sure I want to do this,but I need the cash." The nurse will take which action?
A)Ask the patient to clarify concerns.
B)Reinforce that cash is given to all subjects equally.
C)Report this statement to the party named on the consent.
D)Review the elements of the study and obtain consent.
Q2) 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.
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12
Chapter 11: The Nursing Process in Patient-Centered Pharmacotherapy
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/13022
Sample Questions
Q1) A patient who is hospitalized for chronic obstructive pulmonary disease wants to go home.The nurse and the patient discuss the patient's situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia.This is an example of which phase of the nursing process?
A)Assessment
B)Evaluation
C)Implementation
D)Planning
Q2) 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."
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Page 13
Chapter 12: Safety and Quality in Pharmacotherapy
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/13023
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) A health care provider calls a nursing unit to leave a telephone order for a PRN antipyretic medication for a child.The provider tells the nurse to "give PO acetaminophen for a fever greater than 101° F per protocol." What will the nurse do next?
A)Ask the provider to verify how many mg per kg per dose and how frequently to give the medication.
B)Look up the protocol in the unit manual and write the drug order for the provider to sign.
C)Provide the child's weight to the hospital pharmacist to write the order based on the protocol.
D)Transcribe the verbal order to the order sheet as "give PO acetaminophen for a fever greater than 101° F per protocol."
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Page 14
Chapter 13: Medication Administration
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13024
Sample Questions
Q1) The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication.The parent asks why the medication can't be given in a bottle of formula to make it taste better.How will the nurse respond?
A)"Adding a medication to the formula will cause the formula to curdle."
B)"Formula and medications can form toxic compounds if mixed together."
C)"The infant may not always take the entire bottle of formula."
D)"This may cause the infant to refuse formula in the future."
Q2) 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.
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/13025
Sample Questions
Q1) Order: midazolam (Versed)3 mg,IM,STAT
Available: Versed 10 mg/2 mL
How many mL will be given?
Q2) Order: erythromycin 350 mg,PO,q8h.
Available: erythromycin estolate 250 mg/5 mL
How many mL will be given per dose?
Q3) 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?
Q4) Order: digoxin (Lanoxin),PO,62.5 mcg,daily
Available: Lanoxin 0.125-mg tablets
How many mg will the patient receive per day?
Q5) Order: amoxicillin (Amoxil)300 mg,PO,b.i.d.
Available: Amoxil 400 mg/5 mL
How many mL will be given per dose?
Q6) Order: trimethoprim-sulfamethoxazole (Bactrim)160/800 mg,PO,b.i.d.
Available: Bactrim 80/400-mg tablets
How many tablets 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/13026
Sample Questions
Q1) A patient reports wanting to take vitamin A to prevent blindness.Which response by the nurse is correct?
A)"Vitamin A can be taken prophylactically without serious adverse effects."
B)"Vitamin A does not have any effects on vision."
C)"Vitamin A is difficult to obtain through dietary intake alone."
D)"Vitamin A is stored in the liver for up to 2 years,and toxicity can occur."
Q2) 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
Q3) A patient is diagnosed with anemia and asks the nurse why the provider has ordered vitamin B<sub>12</sub> instead of iron.Which answer by the nurse is correct?
A)"Vitamin B<sub>12</sub> is given to improve your overall energy level."
B)"Vitamin B<sub>12</sub> is necessary for the development of red blood cells."
C)"Vitamin B<sub>12</sub> prevents excess iron loss to reduce demand."
D)"Vitamin B<sub>12</sub> will help you absorb iron more efficiently."
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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/13027
Sample Questions
Q1) 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?
Q2) The nurse is caring for a patient who is ordered to take nothing by mouth.The patient weighs 65 kg.What volume of intravenous fluid should this patient receive in 24 hours?
A)2225 mL
B)2400 mL
C)2520 mL
D)2640 mL
Q3) The nurse is caring for a newly admitted patient who has severe gastroenteritis.The patient's electrolytes reveal a serum sodium level of 140 mEq/L and a serum potassium level of 3.5 mEq/L.The nurse receives an order for intravenous 5% dextrose and normal saline with 20 mEq/L potassium chloride to infuse at 125 mL per hour.Which action is necessary prior to administering this fluid?
A)Evaluate the patient's urine output.
B)Contact the provider to order arterial blood gases.
C)Request an order for an initial potassium bolus.
D)Suggest a diet low in sodium and potassium.
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18
Chapter 17: Nutritional Support
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13028
Sample Questions
Q1) A patient receiving total parenteral nutrition (TPN)begins having cough and dyspnea.The nurse auscultates rales and notes neck vein engorgement and weight gain.The nurse suspects that the patient is experiencing which condition?
A)Air embolism
B)Fluid overload
C)Pneumonia
D)Pneumothorax
Q2) The nurse is preparing to administer enteral nutrition to a patient who has had a stroke and who cannot swallow.A family member asks why the patient isn't receiving intravenous nutrition.What information will the nurse provide to the family member?
A)Parenteral nutrition carries a higher risk of infection.
B)Parenteral nutrition does not provide sufficient calories.
C)Parenteral nutrition increases the risk of aspiration.
D)Parenteral nutrition is hyperosmolar and increases the risk of dehydration.
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Chapter 18: Adrenergic Agonists and Adrenergic Blockers
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13029
Sample Questions
Q1) 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
Q2) A patient is taking doxazosin mesylate (Cardura)1 mg per day to treat hypertension.The nurse notes a blood pressure of 110/72 mm Hg and a heart rate of 92 beats per minute.The nurse will contact the provider to discuss which change to the drug regimen?
A)Changing to a beta-adrenergic blocker
B)Decreasing the drug dose
C)Increasing the drug dose
D)Adding a diuretic
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Chapter 19: Cholinergic Agonists and Anticholinergics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13030
Sample Questions
Q1) The nurse is preparing to administer a drug and learns that it is an indirect-acting cholinergic agonist.The nurse understands that this drug
A)acts on muscarinic receptors.
B)acts on nicotinic receptors.
C)inhibits cholinesterase.
D)inhibits cholinergic receptors.
Q2) The nurse is preparing to administer benztropine (Cogentin)to a patient who has Parkinson's disease.When performing an assessment,which aspect of the patient's history would cause the nurse to hold the medication and notify the provider?
A)Asthma
B)Glaucoma
C)Irritable bowel syndrome
D)Motion sickness
Q3) 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)
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Page 21
Chapter 20: Central Nervous System Stimulants
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13031
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) The nurse is caring for a 7-year-old child who has difficulty concentrating and completing tasks and who cannot seem to sit still.Which diagnostic test may be ordered to assist with a diagnosis of attention deficit/hyperactivity disorder (ADHD)in this child?
A)Computerized tomography (CT) of the head
B)Electrocardiogram (ECG)
C)Electroencephalogram (EEG)
D)Magnetic resonance imaging (MRI) of the brain
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Chapter 21: Central Nervous System Depressants
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13032
Sample Questions
Q1) The nurse is caring for a patient in the post-anesthesia care unit who has received a spinal anesthetic.Which action will the nurse perform?
A)Ambulate the patient as soon as consciousness returns.
B)Elevate the head of the bed to a semi-Fowler's position.
C)Have the patient lay flat for 6 to 8 hours after the surgery.
D)Turn the patient from side to side every 15 minutes.
Q2) The nurse is caring for a patient who reports being able to fall asleep but has difficulty staying asleep.The nurse will contact the provider to obtain an order for which medication?
A)Butabarbital (Butisol)
B)Flurazepam (Dalmane)
C)Secobarbital (Seconal)
D)Temazepam (Restoril)
Q3) An older adult has difficulty falling asleep.The nurse understands that which sedative hypnotic is appropriate for this patient?
A)Butabarbital (Butisol)
B)Flurazepam (Dalmane)
C)Secobarbital (Seconal)
D)Temazepam (Restoril)
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Page 23
Chapter 22: Anticonvulsants
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13033
Sample Questions
Q1) The nurse is providing teaching to the parents of a 5-year-old child who will begin taking phenytoin (Dilantin).What information will the nurse include when teaching these parents about their child's medication?
A)"Drug interactions are uncommon with phenytoin."
B)"There are very few side effects associated with this drug."
C)"The therapeutic range of phenytoin is between 15 and 30 mcg/mL."
D)"Your child may need a higher dose than expected."
Q2) The nurse is preparing to administer phenytoin (Dilantin)to a patient who has a seizure disorder.The patient appears drowsy,and the nurse notes that the last random serum drug level was 18 mcg/mL.What action will the nurse take?
A)Administer the dose since the patient is not toxic.
B)Contact the provider to discuss decreasing the phenytoin dose.
C)Give the drug and monitor closely for adverse effects.
D)Report drug toxicity to the providers.
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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/13034
Sample Questions
Q1) A nursing student asks the nurse why patients who have parkinsonism receive a combination of carbidopa and levodopa.The nurse will explain that the combination product
A)allows larger doses of levodopa to be given without causing increased adverse reactions.
B)causes more levodopa to be converted to dopamine before crossing the blood-brain barrier.
C)eliminates almost all drug side effects of both levodopa and carbidopa.
D)reduces peripheral side effects by inhibiting decarboxylase in the peripheral nervous system.
Q2) The nurse is helping to develop a plan of care for a patient who has advanced Alzheimer's disease.The patient will be taking a new medication.Which is a realistic goal for this patient?
A)Demonstrate improved cognitive function.
B)Exhibit improved ability to provide self-care.
C)Receive appropriate assistance for care needs.
D)Show improved memory for recent events.
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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/13035
Sample Questions
Q1) The nurse is performing an admission assessment on a patient who has been taking carisoprodol (Soma)for 3 weeks to treat muscle spasms.The patient reports that the muscle spasms have resolved.The nurse will contact the provider to discuss
A)changing to cyclobenzaprine (Flexeril).
B)continuing the carisoprodol for 1 more week.
C)discontinuing the carisoprodol now.
D)ordering a taper of the carisoprodol.
Q2) The nurse is preparing to care for a patient who has multiple sclerosis (MS).The nurse learns that the patient receives cyclophosphamide (Cytoxan).The nurse knows that this patient is in which stage of MS?
A)Acute attack phase
B)Chronic,progressive phase
C)End-stage phase
D)Remission-exacerbation phase
Q3) Which muscle relaxant is used in surgery as a skeletal muscle relaxant?
A)Baclofen (Lioresal)
B)Chlorzoxazone (Parafon forte)
C)Pancuronium bromide (Pavulon)
D)Methocarbamol (Robaxin)
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/13036
Sample Questions
Q1) 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.
Q2) 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)
Q3) Which antigout medication is used to treat chronic tophaceous gout?
A)Allopurinol (Zyloprim)
B)Colchicine
C)Probenecid (Benemid)
D)Sulfinpyrazone (Anturane)
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Page 27
Chapter 26: Nonopioid and Opioid Analgesics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13037
Sample Questions
Q1) The nurse assumes care of a patient in the post-anesthesia care unit (PACU).The patient had abdominal surgery and is receiving intravenous morphine sulfate for pain.The patient is asleep and has not voided since prior to surgery.The nurse assesses a respiratory rate of 10 breaths per minute and notes hypoactive bowel sounds.The nurse will contact the surgeon to report which condition?
A)Paralytic ileus
B)Respiratory depression
C)Somnolence
D)Urinary retention
Q2) The nurse is caring for a 6-year-old child who had surgery that morning.The child is awake and lying very still in bed and won't respond when the nurse asks about pain.The nurse will perform which action?
A)Ask the child to rate the pain on a scale of 1 to 10.
B)Encourage the child to request pain medication when needed.
C)Evaluate the child's pain using an "ouch" scale.
D)Plan to administer pain medication if the child begins to cry.
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Chapter 27: Antipsychotics and Anxiolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13038
Sample Questions
Q1) A patient arrives in the emergency department with dehydration.The patient reports taking fluphenazine (Prolixin)to treat schizophrenia.The nurse notes rigid muscles and an altered mental status.The patient has a temperature of 103.6° F,a heart rate of 98 beats per minute,and a blood pressure of 90/58 mm Hg.The nurse will anticipate administering which medication?
A)Dantrolene (Dantrium)
B)Haloperidol (Haldol)
C)Propranolol (Inderal)
D)Tetrabenazine (Xenazine)
Q2) The nurse is teaching a patient about taking an anxiolytic agent to treat grief-related anxiety.Which statement by the patient indicates understanding of the teaching?
A)"I may have wine with dinner to help with relaxation."
B)"I may need to take this medication for up to a year."
C)"I may stop taking the medication when my symptoms go away."
D)"I should try psychotherapy or a support group in addition to the medication."
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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/13039
Sample Questions
Q1) The nurse provides teaching for a patient who will begin taking lithium (Lithibid).Which statement by the patient indicates understanding of the teaching?
A)"I may drink tea or cola but not coffee."
B)"I may stop taking the drug when mania symptoms subside."
C)"I should consume a sodium-restricted diet."
D)"I should drink 2 to 3 liters of fluid each day."
Q2) A patient who has recently begun taking lithium (Lithibid)calls the clinic to report nausea,vomiting,anorexia,and drowsiness.What will the nurse do next?
A)Contact the provider to obtain an order for a serum lithium level.
B)Reassure the patient that these symptoms are common and transient.
C)Tell the patient that the lithium dose is probably too low.
D)Tell the patient to stop taking the medication immediately.
Q3) The nurse assesses a patient who is taking lithium (Lithibid)and notes a large output of clear,dilute urine.The nurse suspects which cause for this finding?
A)Cardiovascular complications
B)Expected lithium side effects
C)Increased mania
D)Lithium toxicity
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Chapter 29: Penicillins and Cephalosporins
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13040
Sample Questions
Q1) The nurse is providing teaching to a patient who will begin taking a cephalosporin to treat an infection.Which statement by the patient indicates a need for further teaching?
A)"I may stop taking the medication if my symptoms clear up."
B)"I should eat yogurt while taking this medication."
C)"I should stop taking the drug and call my provider if I develop a rash."
D)"I will not consume alcohol while taking this medication."
Q2) The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication.The patient will begin taking cefaclor for treatment of an acute infection.The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect?
A)Decreased effectiveness of cefaclor.
B)Increased effectiveness of cefaclor.
C)Decreased effectiveness of erythromycin.
D)Increased effectiveness of erythromycin.
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Chapter 30: Macrolides, Tetracyclines, Aminoglycosides, and
Fluoroquinolones
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13041
Sample Questions
Q1) The nurse is preparing to begin a medication regimen for a patient who will receive intravenous ampicillin and gentamicin.Which is an important nursing action?
A)Administer each antibiotic to infuse over 15 to 20 minutes.
B)Order serum peak and trough levels of ampicillin.
C)Prepare the schedule so that the drugs are given at the same time.
D)Set up separate tubing sets for each drug labeled with the drug name and date.
Q2) A patient is diagnosed with mycoplasma pneumonia.Which antibiotic will the nurse expect the provider to order to treat this infection?
A)Azithromycin (Zithromax)
B)Clarithromycin (Biaxin)
C)Erythromycin (E-Mycin)
D)Fidaxomicin (Dificid)
Q3) A female patient will receive doxycycline to treat a sexually transmitted illness (STI).What information will the nurse include when teaching this patient about this medication?
A)Nausea and vomiting are uncommon adverse effects.
B)The drug may cause possible teratogenic effects.
C)Increase intake of dairy products with each dose of this medication.
D)Use a backup method of contraception if taking oral contraceptives.
Page 32
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Chapter 31: Sulfonamides
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/13042
Sample Questions
Q1) The nurse is caring for a patient who is ordered to receive PO trimethoprim-sulfamethoxazole (TMP-SMX)160/800 QID to treat a urinary tract infection caused by E.coli.The nurse will contact the provider to clarify the correct A)dose.
B)drug.
C)frequency.
D)route.
Q2) The nurse is caring for a patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX).The nurse learns that the patient takes an angiotension-converting enzyme (ACE)inhibitor.To monitor for drug interactions,the nurse will request an order for which laboratory test(s)?
A)A complete blood count
B)BUN and creatinine
C)Electrolytes
D)Glucose
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Chapter 32: Antituberculars, Antifungals, Peptides, and
Metronidazole
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13043
Sample Questions
Q1) The nurse is teaching a nursing student about the antifungal drug amphotericin
B.Which statement by the student indicates a need for further teaching?
A)"Amphotericin B may be given intravenously or by mouth."
B)"Patients who take this drug should have potassium and magnesium levels assessed."
C)"Patients with renal disease should not take amphotericin B."
D)"This drug is used for severe systemic infections."
Q2) 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)
Q3) 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."
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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/13044
Sample Questions
Q1) A patient is preparing to travel to a country with prevalent malaria.To prevent contracting the disease,the provider has ordered chloroquine HCl (Aralen).The nurse will instruct the patient to take this drug according to which schedule?
A)500 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
B)1000 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
C)500 mg once followed by 500 mg per dose in 6 hours,24 hours,and 48 hours
D)1000 mg once followed by 500 mg per dose in 6 hours,24 hours,and 48 hours
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
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Chapter 34: Drugs for Urinary Tract Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13045
Sample Questions
Q1) A patient who has pain with urination associated with cystitis will be discharged home with a prescription for phenazopyridine (Pyridium).What instruction will the nurse include when teaching the patient about this drug?
A)"Do not take this drug concurrently with an antibiotic."
B)"Report reddish-brown urine to the provider immediately."
C)"This drug has antiseptic and analgesic properties."
D)"The drug provides symptomatic relief of pain."
Q2) Which side effects are common to most urinary antiseptics?
A)Dyspnea and chest pain
B)Nausea and vomiting
C)Peripheral neuritis
D)Visual disturbances
Q3) 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.
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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/13046
Sample Questions
Q1) A patient who is HIV-positive begins therapy with the fixed-dose combination nucleoside reverse transcriptase inhibitor (NRTI)Combivir (lamivudine/zidovudine)twice daily.The patient is in the clinic for follow-up 1 week after initiation of therapy and reports having nausea.The patient's creatinine clearance is 40 mL/minute.Based on these findings,the nurse will perform which action?
A)Instruct the patient to take the medication 60 minutes prior to meals.
B)Notify the provider to discuss single-dose NRTI products.
C)Request an order for once-daily dosing of this medication.
D)Suggest that the patient increase fluid intake.
Q2) The nurse is caring for a patient who is HIV-positive and has been receiving antiretroviral therapy for several months.The nurse experiences a needlestick injury resulting in exposure to the patient's blood.The nurse asks the Occupational Health nurse if treatment is necessary.How will the Occupational Health nurse respond?
A)"No treatment is necessary since the patient is receiving antiretroviral therapy."
B)"We will treat you if the patient's VL is > 20 copies/mL."
C)"You will require 4 weeks of antiretroviral therapy."
D)"You will undergo HIV testing and will be treated if you are positive."
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Chapter 36: Vaccines
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13047
Sample Questions
Q1) 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.
Q2) 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.
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Chapter 37: Anticancer Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13048
Sample Questions
Q1) A patient is receiving bleomycin (Blenoxane)as part of a chemotherapeutic regimen to treat leukemia.During intravenous administration of this drug,what will the nurse observe the patient closely for?
A)Hypotension and visual disturbances
B)Pain and blistering at the IV site
C)Pink to red urine
D)Shortness of breath and wheezing
Q2) The nurse is caring for a patient who is receiving vincristine (Oncovin),a plant alkaloid chemotherapeutic agent,to treat non-Hodgkin's lymphoma.The nurse observes that the patient has difficulty walking.What action will the nurse take?
A)Ask about numbness or tingling in the fingers and toes.
B)Assess heart rate and blood pressure to evaluate for orthostatic hypotension.
C)Assess the temperature to evaluate for infection.
D)Request an order for a complete blood count and electrolytes.
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Chapter 38: Targeted Therapies to Treat Cancer
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/13049
Sample Questions
Q1) The nurse is preparing to administer intravenous temsirolimus (Torisel).To prevent a common adverse drug effect,the nurse will expect to administer which type of drug?
A)An antibiotic
B)An anticoagulant
C)An antiemetic
D)An antihistamine
Q2) The nurse is performing a history on a patient who will begin taking bevacizumab (Avastin).Which aspect of the patient's history should be reported to the oncologist treating this patient?
A)History of hepatitis
B)Hypertension
C)Recent surgical history
D)Weight loss
Q3) The patient asks the nurse what apoptosis means.The nurse will explain that apoptosis refers to
A)alteration of cellular functions.
B)inhibition of cell division.
C)prevention of cell phase progression.
D)slow,planned cellular death.
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Chapter 39: Biologic Response Modifiers
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13050
Sample Questions
Q1) The nurse is preparing to administer interleukin-2 to a patient who has cancer.The patient reports shortness of breath.The nurse assesses clear breath sounds,a respiratory rate of 22 breaths per minute,a heart rate of 80 beats per minute,an oxygen saturation of 93% on room air,and a blood pressure of 92/68 mm Hg.The nurse will perform which action?
A)Administer the dose as ordered.
B)Administer oxygen while giving the dose.
C)Discuss permanently discontinuing this treatment with the provider.
D)Hold the dose and notify the provider.
Q2) A patient is receiving interferon alpha (Roferon-A)subcutaneously.The patient experiences chills,fatigue,and malaise,and the nurse assesses a temperature of 102°
F.The nurse will notify the provider of the temperature and will anticipate which order?
A)Administer acetaminophen (Tylenol).
B)Change to intravenous interferon alpha.
C)Give diphenhydramine (Benadryl).
D)Obtain a serum BUN and creatinine level.
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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/13051
Sample Questions
Q1) A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose.The nurse will suggest the patient talk to the provider about which medication?
A)Azelastine (Astelin)
B)Cetirizine (Zyrtec)
C)Chlorpheniramine maleate (Chlor-Trimeton)
D)Diphenhydramine (Benadryl)
Q2) The nurse is caring for a patient who is hospitalized for an asthma exacerbation.The patient reports taking diphenhydramine at home at night to help with symptoms of allergic rhinitis and cough.The nurse will contact the patient's provider to request an order for which medication?
A)Benzonatate (Tessalon Perles)
B)Cetirizine (Zyrtec)
C)Dextromethorphan hydrobromide (Benylin DM)
D)Diphenhydramine (Benadryl)
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42
Chapter 41: Drugs for Lower Respiratory Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13052
Sample Questions
Q1) The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and medications for treatment.Which statement by the patient indicates understanding of the medication regimen?
A)"I should use albuterol when my symptoms worsen."
B)"I will need to take oral prednisone on a daily basis."
C)"My provider will prescribe prophylactic antibiotics."
D)"My symptoms are reversible with proper medications."
Q2) The nurse is teaching a patient who will begin taking oral theophylline (Theo-Dur)when discharged home from the hospital.What information will the nurse include when teaching the patient about this drug?
A)An extra dose should be taken when symptoms worsen.
B)Anorexia and gastrointestinal upset are unexpected side effects.
C)Avoid caffeine while taking this medication.
D)Food will decrease the amount of drug absorbed.
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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/13053
Sample Questions
Q1) A patient is diagnosed with heart failure,and the prescriber has ordered digoxin.The patient asks what lifestyle changes will help in the management of this condition.The nurse will recommend which changes?
A)Aerobic exercise and weight lifting 2 or 3 times weekly
B)Changing from cigarette smoking to pipe smoking
C)Consuming 2 teaspoons or less of salt every day
D)Having no more than one alcoholic beverage per day
Q2) The nurse provides teaching for a patient who has a ventricular dysrhythmia who is prescribed acebutolol (Spectral)200 mg twice daily.Which statement by the patient indicates understanding of the teaching?
A)"Diuretics may decrease the effectiveness of this drug."
B)"Dizziness,nausea,and vomiting indicate a severe reaction."
C)"I should eat fruits and vegetables to increase potassium intake."
D)"I should not stop taking this drug abruptly to avoid palpitations."
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Chapter 43: Diuretics
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13054
Sample Questions
Q1) The nurse is teaching a patient who will begin taking furosemide.The nurse learns that the patient has just begun a 2-week course of a steroid medication.What will the nurse recommend?
A)Consume licorice to prevent excess potassium loss.
B)Report a urine output greater than 600 mL/24 hours.
C)Obtain an order for a potassium supplement.
D)Take the furosemide at bedtime.
Q2) The nurse is teaching a patient about taking hydrochlorothiazide.Which statement by the patient indicates a need for further teaching?
A)"I may need extra sodium and calcium while taking this drug."
B)"I should eat plenty of fruits and vegetables while taking this medication."
C)"I should take care when rising from a bed or chair when I'm on this medication."
D)"I will take the medication in the morning to minimize certain side effects."
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Chapter 44: Antihypertensives
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13055
Sample Questions
Q1) A patient has a blood pressure of 155/95 mm Hg.The nurse understands that this patient's risk of cardiovascular disease is _____ greater than normal.
A)two times
B)three times
C)four times
D)six times
Q2) A patient who has recently begun taking captopril (Capoten)to treat hypertension calls a clinic to report a persistent cough.The nurse will perform which action?
A)Instruct the patient to go to an emergency department because this is a hypersensitivity reaction.
B)Reassure the patient that this side effect is nothing to worry about and will diminish over time.
C)Schedule an appointment with the provider to discuss changing to an angiotensin II receptor blocker (ARB).
D)Tell the patient to stop taking the drug immediately since this is a serious side effect of this drug.
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Chapter 45: Anticoagulants, Antiplatelets, and Thrombolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13056
Sample Questions
Q1) A patient experiences a blood clot in one leg,and the provider has ordered a thrombolytic medication.The patient learns that the medication is expensive and asks the nurse if it is necessary.Which response by the nurse is correct?
A)"The drug will decrease the likelihood of permanent tissue damage."
B)"This medication also acts to prevent future blood clots from forming."
C)"You could take aspirin instead of this drug to achieve the same effect."
D)"Your body will break down the clot,so the drug is not necessary."
Q2) A patient who is taking clopidogrel (Plavix)and aspirin is preparing for orthopedic surgery.The nurse will consult with the surgeon and provide which instruction to the patient?
A)Continue taking aspirin and stop taking clopidogrel 2 weeks prior to surgery.
B)Continue taking clopidogrel and stop taking aspirin 5 days prior to surgery.
C)Continue both medications to prevent thromboembolic events during surgery.
D)Stop taking both medications 7 days prior to surgery.
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Chapter 46: Antihyperlipidemics and Peripheral
Vasodilators
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13057
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 simvastatin (Zocor)to decrease serum cholesterol.When teaching the patient about this medication,the nurse will counsel the patient to take which action?
A)Return to the clinic annually for laboratory testing.
B)Take care when rising from a sitting to standing position.
C)Take the medication in the evening for best effect.
D)Use ibuprofen as needed for muscle aches and pain.
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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/13058
Sample Questions
Q1) The parent of an 18-month-old toddler calls the clinic to report that the child has vomited 5 times that day.The nurse determines that the child has had three wet diapers in the past 6 hours.What will the nurse recommend for this child?
A)Administering an OTC antiemetic medication such as diphenhydramine
B)Giving frequent,small amounts of Pedialyte
C)Keeping the child NPO until vomiting subsides
D)Taking the child to the emergency department for IV fluids
Q2) The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide (Reglan)is not being used to suppress vomiting.The nurse will explain that,in children,this drug is more likely to cause which effect?
A)Excess sedation
B)Extrapyramidal symptoms
C)Paralytic ileus
D)Vertigo
Q3) 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.
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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/13059
Sample Questions
Q1) A patient who recently began having mild symptoms of GERD is reluctant to take medication.What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)
A)Avoiding hot,spicy foods
B)Avoiding tobacco products
C)Drinking a glass of red wine with dinner
D)Eating a snack before bedtime
E) Taking ibuprofen with food
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) Which antacid is likely to cause acid rebound?
A)Aluminum hydroxide
B)Calcium carbonate
C)Magnesium hydroxide
D)Magnesium trisilicate
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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/13060
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 administers proparacaine HCl (Ophthaine)drops to a patient prior to an eye examination.What sign will the nurse look for to determine when the examination can begin?
A)Absence of the blink reflex
B)Blurred vision
C)Drying of the corneal epithelium
D)Photophobia
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/13061
Sample Questions
Q1) The nurse is teaching a female patient who will begin taking isotretinoin (Amnesteem)to treat severe cystic acne.Which statement by the patient indicates understanding of the teaching?
A)"I may get a 3-month supply of the medication with each refill."
B)"I must abstain from intercourse while taking this drug."
C)"I should avoid strenuous exercise when I am taking this medication."
D)"I should take a vitamin A supplement while I am taking the medication."
Q2) A patient reports localized itching after contact with a new brand of laundry detergent.The nurse will suggest that the patient contact the provider to discuss treatment with which product?
A)Calamine lotion
B)Systemic glucocorticoid
C)Topical diphenhydramine
D)Topical glucocorticoid
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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/13062
Sample Questions
Q1) The nurse is caring for a patient who is receiving desmopressin acetate (DDAVP).Which assessments are important while caring for this patient?
A)Blood pressure and serum potassium
B)Heart rate and serum calcium
C)Lung sounds and serum magnesium
D)Urine output and serum sodium
Q2) A patient is admitted to the hospital to treat hypothyroidism.For rapid improvement in symptoms,the nurse will expect to administer which medication?
A)Levothyroxine sodium (Synthroid)
B)Liothyronine (Cytomel)
C)Liotrix (Thyrolar)
D)Thyroid desiccated (Armour Thyroid)
Q3) A patient has hypocalcemia caused by parathyroid hormone deficiency.Which medication will the nurse anticipate giving to this patient?
A)Calcitonin
B)Calcitriol
C)Calcium
D)Vitamin D
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Chapter 52: Antidiabetics
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/13063
Sample Questions
Q1) A 45-year-old patient who is overweight has had a diagnosis of type 2 diabetes for 2 years.The patient uses 20 units of insulin per day.The patient's fasting blood glucose (FBG)is 190 mg/dL.The patient asks the nurse about using an oral antidiabetic agent.The nurse understands that oral antidiabetic agents
A)cannot be used if the patient is overweight.
B)cannot be used once a patient requires insulin.
C)may be used since this patient meets criteria.
D)may not be used since this patient's fasting blood glucose is too high.
Q2) A patient who is unconscious and has a pulse is brought to the emergency department.The patient is wearing a Medic-Alert bracelet indicating type 1 diabetes mellitus.The nurse will anticipate an order to administer
A)cardiopulmonary resuscitation (CPR).
B)glucagon.
C)insulin.
D)orange juice.
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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/13064
Sample Questions
Q1) The nurse is caring for a patient who is 6 to 7 weeks pregnant and has moderate to severe vomiting.The provider has ordered doxylamine (Unisom)and intravenous fluids.The patient reports a history of asthma and type 2 diabetes mellitus.The nurse will hold the drug and contact the provider because doxylamine should not be given to patients who
A)are pregnant.
B)are in their first trimester.
C)have asthma.
D)have diabetes.
Q2) A pregnant woman who has morning sickness asks the nurse what she can do to decrease her symptoms.The nurse will counsel her to take which action?
A)Avoid fatty foods.
B)Drink fluids with meals.
C)Eat a large lunch and dinner.
D)Take an iron supplement in the morning.
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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/13065
Sample Questions
Q1) The nurse is caring for a patient after the third stage of labor,and the provider orders 20 mg of oxytocin to be given intramuscularly.The nurse will explain to the patient that this drug for which purpose?
A)To allow the cervix to close
B)To enhance milk letdown
C)To prevent uterine atony
D)To suppress lactation
Q2) The nurse is caring for a woman who is in active labor and wants to receive a drug for severe pain immediately.Her intravenous line has just infiltrated.The nurse will perform which action?
A)Administer fentanyl intramuscularly.
B)Contact the provider for an order for IM meperidine (Demerol).
C)Give the woman promethazine (Phenergan)
D)Request an order for hydroxyzine (Vistaril).
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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/13066
Sample Questions
Q1) The nurse tells a postpartal woman that her baby will need hepatitis B vaccine.The mother says she does not want her baby to have a shot and refuses to sign the consent.The nurse will
A)administer the vaccine without consent.
B)note the refusal in the mother's and baby's chart.
C)tell her she will harm her baby if she does not consent.
D)tell the mother that it is required by law.
Q2) The nurse is caring for a postpartal patient who has just delivered her first baby by caesarean section.The mother's blood type is Rh-negative,and the infant's blood type is Rh-positive.The provider has ordered human D immune globulin (RhoGAM).The nurse understands that this patient will need
A)less than the usual RhoGAM dose.
B)more than the usual RhoGAM dose.
C)no RhoGAM.
D)the usual RhoGAM dose.
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57
Chapter 56: Drugs for Womens Reproductive Health and Menopause
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13067
Sample Questions
Q1) A woman is taking a combination oral contraceptive and asks the nurse why progestin is necessary.The nurse will explain that progestin helps prevent pregnancy by which method?
A)Altering the quantity and viscosity of cervical mucus
B)Inhibiting proliferative and secretory changes in the endometrium
C)Increasing motility of muscles and cilia in the fallopian tubes
D)Stimulating a surge in luteinizing hormone
Q2) A 45-year-old woman reports cessation of menses for the past 6 months and asks the nurse if she needs to continue using contraception.The nurse will tell her
A)that she may discontinue using contraception.
B)that she most likely has premature ovarian failure.
C)to begin hormone therapy to prevent menopausal symptoms.
D)to continue using contraception for at least 6 more months.
Q3) A woman who has recently begun taking a combination oral contraceptive calls the clinic to report breakthrough bleeding.The nurse will
A)advise her to use a backup method of contraception.
B)counsel her to continue taking the contraceptive as prescribed.
C)recommend discussing an alternative contraceptive with her provider.
D)suggest that she perform a home pregnancy test to rule out pregnancy.
Page 58
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Chapter 57: Drugs for Mens Health and Reproductive Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13068
Sample Questions
Q1) A 50-year-old male patient reports having decreased libido and testicular atrophy.The nurse will anticipate that the provider may order which medication to treat these symptoms?
A)Testosterone (Androderm)
B)Finasteride (Proscar)
C)Gonadotropin-releasing hormone (Gn-RH)
D)Sildenafil (Viagra)
Q2) 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
Q3) The nurse is teaching an adult male patient about the use of testosterone gel.Which statement by the patient indicates understanding of the teaching?
A)"A decreased urinary stream is an expected side effect."
B)"I should apply the gel to my forearms every day."
C)"I will have hand and wrist x-rays every 6 months."
D)"I will need regular evaluation of serum lipid levels."
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Chapter 58: Drugs for Disorders in Womens Health,
Infertility, and Sexually Transmitted Infections
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13069
Sample Questions
Q1) The nurse is teaching the parent of an 11-year-old girl about the Gardasil vaccine.What will the nurse include in teaching?
A)"Gardasil is given to females and not to males."
B)"Gardasil protects against cervical dysplasia."
C)"Gardasil reduces the need for routine Pap smears."
D)"Gardasil will be given as a single injection."
Q2) A patient is taking azithromycin to treat a chancroid infection.What nonpharmacologic measures will the nurse recommend as adjunct therapy to treat this infection?
A)Apply a bacteriostatic ointment to the lesions twice daily.
B)Avoid washing the lesions to prevent spread of the infection.
C)Cover the lesions with gauze at all times to minimize discomfort.
D)Use compresses to remove necrotic material and clean the lesions 3 times daily.
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Chapter 59: Adult and Pediatric Emergency Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13070
Sample Questions
Q1) The nurse is caring for a patient who is receiving magnesium sulfate for ventricular tachycardia.The nurse assesses a heart rate of 68 beats per minute,a respiratory rate of 10 breaths per minute,a blood pressure of 90/60 mm Hg,and decreased deep tendon reflexes.The nurse understands that these are signs of which condition?
A)Hyperkalemia
B)Hypermagnesemia
C)Impending cardiac arrest
D)Renal compromise
Q2) A patient who is experiencing chest pain and shortness of breath is brought to the emergency department.The nurse assesses a heart rate of 98 beats per minute,bilateral lung crackles,and an oxygen saturation of 93%.What drug will the nurse expect to administer initially to this patient?
A)Albuterol
B)Aspirin
C)Nitroglycerin
D)Oxygen
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