Medication Safety Exam Review
Course Introduction
Medication Safety explores the principles and practices essential for minimizing medication errors and promoting safe medication use in healthcare settings. The course covers topics such as the identification and analysis of medication errors, system-based causes of errors, strategies for error prevention, and the roles of healthcare professionals in fostering a culture of safety. Students will learn about best practices in medication management, patient education, risk assessment, and reporting systems, as well as regulatory requirements and quality improvement initiatives aimed at enhancing medication safety across diverse clinical environments.
Recommended Textbook
Understanding Pharmacology Essentials for Medication Safety 1st Edition by M. Linda Workman
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27 Chapters
731 Verified Questions
731 Flashcards
Source URL: https://quizplus.com/study-set/3484
Page 2
Chapter 1: Drug Actions and Body Responses
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/69194
Sample Questions
Q1) An adult patient weighing 180 lb is prescribed a drug dose of 2 mg/kg.What dose does the nurse prepare for this patient?
_____ mg
Answer: 164 mg
1 kg = 2.2 lb.To obtain the kg weight for this patient: 180 ÷ 2.2 = 81.8 kg (rounded up to 82 kg).The correct dose is 2 mg * 82 kg = 164 mg.
Q2) The likelihood that a drug will sequester (be trapped)in fat cells and remain in the body longer is increased by which drug characteristic?
A) Physical small size
B) Physical large size
C) Dissolves easily in water
D) Dissolves easily in lipids
Answer: D
Q3) Which patient response indicates a drug's therapeutic response?
A) Ankle swelling
B) Bone strengthening
C) Constipation
D) Dizziness
Answer: B
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Page 3
Chapter 2: Safely Preparing and Giving Drugs
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/69195
Sample Questions
Q1) Place in correct order the steps to be taken when giving an oral drug.
A)Check the written order.
B)Document that the drug was given.
C)Observe the patient take the drug.
D)Offer the patient a cup of water.
E)Scan the drug wrapper.
F)Scan the patient's wrist band.
G)Wash your hands.
Answer: A,G,F,E,D,C,B
Q2) When giving a drug to a patient who is awake but confused,what is the best way for the nurse to identify the patient?
A) Check the room and bed number that the patient occupies.
B) Ask the patient to state his or her name and birth date.
C) Check the name on the patient's wristband.
D) Ask the patient if he or she is Mr. or Ms. [name].
Answer: C
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Chapter 3: Teaching Patients About Drug Therapy
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/69196
Sample Questions
Q1) Which principle of adult learning is being used when the nurse provides a patient with an audiotape made during a teaching session?
A) Moving from the simple to the complex
B) Allowing practice time to learn a skill
C) Reinforcing the information taught
D) Providing appropriate feedback
Answer: C
Q2) Which is the best indication of learning?
A) Always using information appropriately
B) Acquiring new knowledge that results in a persistent change of behavior
C) Consistently making good grades on tests taken during school or college
D) Identifying important health promotion information to teach patients and families
Answer: B
Q3) Which patient action indicates learning in the psychomotor domain?
A) Assembling a drug inhaler
B) Looking up drug side effects on a computer
C) Ensuring that the prescription is refilled on time
D) Asking whether a drug dose should be skipped when vomiting occurs
Answer: A
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Chapter 4: Medical Systems of Weights and Measures
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/69197
Sample Questions
Q1) Why does the nurse teach a patient to use a small medication cup to measure a liquid drug rather than a tableware teaspoon?
A) A child may learn to think that all tableware teaspoons contain drugs.
B) Teaspoons are more likely to spill and waste drug than a medication cup.
C) Medication cups measure liquids more accurately than tableware teaspoons.
D) Medication cups are less likely to change the taste of the drug than tableware teaspoons.
Q2) Which drug amount is the greatest?
A) 5 g
B) 50 mg
C) 500 mg
D) 5000 mcg
Q3) A newborn infant weights 1.982 kg.What is this infant's weight in pounds?
A) 9.2
B) 4.36
C) 2.92
D) 0.9
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Chapter 5: Mathematics Review and Introduction to Dosage Calculation
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/69198
Sample Questions
Q1) A patient is prescribed 2000 units of heparin subcutaneously.The drug on hand is heparin 5000 units/mL.How many milliliters does the nurse administer? _____ mL
Q2) A patient is prescribed 4 mg of morphine IV.The drug on hand is morphine 10 mg in a 1-mL syringe.How many milliliters does the nurse administer? _____ mL
Q3) A pediatric patient is prescribed 0.004 mg of digoxin (Lanoxin)orally as a one-time dose now.The drug on hand is digoxin 0.05 mg/mL.How many drops does the nurse administer? _____ gtt
Q4) A patient is prescribed 0.0625 mg of digoxin (Lanoxin).The drug on hand is digoxin 0.05 mg/mL.How many milliliters does the nurse administer? _____ mL
Q5) A patient is prescribed 25 mg of meperidine (Demerol)IV.The drug on hand is meperidine 100 mg/mL.How many milliliters does the nurse administer? _____ mL
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Chapter 6: Dosage Calculation of Intravenous Solutions and Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/69199
Sample Questions
Q1) A patient is receiving an intravenous (IV)infusion of solution containing 60 mEq/L of potassium chloride.Which nursing action allows early detection of complications common to this therapy?
A) Lowering the IV bag below the level of the IV site to obtain a blood return
B) Palpating the vein above the IV site in which the cannula is placed
C) Placing a light source on the tissue around the IV site
D) Checking the pulse distal (lower than) to the IV
Q2) An IV infusion order for a patient reads "1000 mL dextrose 5% in normal saline intravenously,immediately." What additional information does the nurse ask the prescriber to provide?
A) Drip rate
B) Drop factor
C) Duration
D) Start time
Q3) A patient is to receive 1000 mL of D<sub>5</sub>W intravenously over 6 hours.The nurse selects a tubing set with a drop factor of 15 gtt/mL.How many drops per minute are needed to infuse this fluid in the prescribed time?
_____ gtt per minute
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Chapter 7: Drugs for Pain and Sleep Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/69200
Sample Questions
Q1) Which side effects are commonly associated with most nonsteroidal anti-inflammatory drugs (NSAIDs)?
A) Bleeding
B) Constipation
C) Drowsiness
D) Dry mouth
E) Gastrointestinal ulcers
F) Hypertension
G) Memory loss (temporary)
Q2) A drug for narcolepsy is prescribed for a 70-year-old nursing home patient.What adjustment in drug administration does the nurse expect to make for this patient?
A) Ensuring that the drug is taken with a meal to prevent nausea.
B) Giving the drug earlier in the day to prevent nighttime incontinence.
C) Giving a lower-than-normal dose to avoid changes in thinking patterns.
D) Crushing the capsule and mixing it with gelatin to make swallowing easier.
Q3) A 2-year-old patient weighs 15 kg and is prescribed 50 mcg/kg of morphine (morphine sulfate)intravenously.How many micrograms of morphine does the correct dose contain?
_____ mcg
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Page 9
Chapter 8: Anti-Inflammatory Drugs
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/69201
Sample Questions
Q1) A patient who has been prescribed long-term low-dose prednisone to control inflammation reports concern about the changes in her appearance caused by the drug.What is the nurse's best response?
A) "This often happens when a person takes this drug. You now have Cushing's disease."
B) "When you stop taking this drug, the changes will disappear, but it may take a while."
C) "You can make use of different styles of clothes to minimize changes in appearance."
D) "Changes in your diet and an exercise program will eliminate these changes while you are on this drug."
Q2) A patient is prescribed ibuprofen (Advil)200 mg four times a day as needed for inflammation and pain related to arthritis.The patient is scheduled for oral surgery.What priority teaching does the nurse provide for this patient?
A) "The Advil will help relieve your pain after surgery."
B) "Report any bruising to your prescriber immediately."
C) "Ask about having the injectable form of this drug after surgery."
D) "Stop taking this drug at least 1 week before your scheduled surgery."
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10
Chapter 9: Anti-Infectives: Antibacterial Drugs
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/69202
Sample Questions
Q1) Why is it important to avoid killing off normal flora with antibacterial drugs?
A) Normal flora can help provide protection against the development of pathogenic infections.
B) Normal flora result in opportunistic infections while other bacteria result in pathogenic infections.
C) When normal flora are not present, the immune system is suppressed, increasing the risk for infection.
D) When normal flora are not present, the immune system is overactive, increasing the risk for autoimmune diseases.
Q2) A patient is receiving intravenous gentamicin.Which change in condition does the nurse report to the prescriber immediately?
A) Temperature increase from 38° C to 39° C.
B) Blood pressure decrease from 132/80 to 118/66.
C) Total 24-hour urine output decrease from 2100 mL to 1100 mL.
D) White blood cell (WBC) count decrease from 11,000/mm<sup>3</sup> to 8500/mm<sup>3</sup>.
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11
Chapter 10: Anti-Infectives: Antiviral Drugs
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/69203
Sample Questions
Q1) Which food,drink,or herbal supplement does the nurse warn a patient who is prescribed nevirapine (Viramune)to avoid?
A) Caffeinated beverages
B) Grapefruit juice
C) St. John's wort
D) Dairy products
Q2) A pediatric patient is prescribed nelfinavir (Viracept)450 mg orally.The available drug is 50 mg/scoop.How many level scoops does the nurse measure into the patient's pudding to administer the correct dose?
A) 9
B) 6
C) 3
D) 2
Q3) A patient who is taking zidovudine (Retrovir)reports diarrhea.Which dietary change does the nurse suggest for this patient?
A) "Avoid fatty and fried foods."
B) "Increase your intake of fiber."
C) "Take an antacid 30 minutes before each meal."
D) "Restrict your intake of fluids to 1 L per day."
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Page 12
Chapter 11: Anti-Infectives: Antitubercular and Antifungal Drugs
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/69204
Sample Questions
Q1) A patient taking ketoconazole (Nizoral)for the last 2 weeks has all of the following blood laboratory test values.Which value does the nurse report to the prescriber immediately?
A) White blood cell count (WBC) 10,500 cells/mm<sup>3</sup>
B) Lactate dehydrogenase 880 IU/L
C) Potassium 3.6 mEq/L
D) Hematocrit 32%
Q2) A patient about to start systemic antifungal therapy has a white blood cell (WBC)count of 3200 cells/mm<sup>3</sup>.Which antifungal drug must be avoided for this patient?
A) fluconazole (Diflucan)
B) ketoconazole (Nizoral)
C) micafungin (Mycamine)
D) terbinafine (Lamisil)
Q3) What is the most important question the nurse must ask a patient before administering rifampin (RIF)intravenously?
A) "Have you ever had gout?"
B) "Are you allergic to sulfa drugs?"
C) "Are you allergic to sulfite preservatives?"
Page 13
D) "Have you had any alcoholic beverages within the last month?"
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Chapter 12: Drugs That Affect Urine Output
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/69205
Sample Questions
Q1) A patient is prescribed a drug for overactive bladder.Which instruction does the nurse provide to prevent a serious complication?
A) "Be sure to let your prescriber know if your symptoms do not improve."
B) "When using the patch, press it firmly to make sure it stays in place."
C) "Use alcohol in moderation while taking this drug."
D) "Avoid becoming overheated or dehydrated."
Q2) A patient who has been taking a diuretic for the past 2 weeks now experiences all of the following changes.Which change indicates to the nurse that the diuretic is effective?
A) Weight loss of 7 lb
B) Heart rate increased from 72 to 80 beats per minute
C) Respiratory rate decreased from 20 to 16 breaths per minute
D) Morning blood glucose decreased from 142 mg/dL to 110 mg/dL
Q3) Which side effect is associated only with loop diuretics?
A) Dizziness
B) Hearing loss
C) Urinary frequency
D) Increased sun sensitivity
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Chapter 13: Drugs for Hypertension
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/69206
Sample Questions
Q1) A patient who is taking nicardipine (Cardene)develops skin lesions,itching,fever,and achy joints.What is the nurse's best first action?
A) Hold the drug and notify the prescriber.
B) Document the finding as expected with this drug.
C) Administer a dose of oral diphenhydramine (Benadryl).
D) Apply a thin coat of hydrocortisone ointment to the lesions.
Q2) A patient with hypertension is prescribed terazosin (Hytrin).How does the nurse administer the first dose of this drug to the patient?
A) In the morning to avoid waking the patient at night
B) With meals to avoid GI problems
C) With a full glass of water
D) At bedtime
Q3) A patient prescribed a thiazide diuretic for hypertension reports having cramps and feeling like the heart is skipping beats.What side effect of this drug does the nurse suspect?
A) Dizziness
B) Orthostatic hypotension
C) Hypokalemia
D) Dysrhythmia
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Page 15
Chapter 14: Drugs for Heart Failure
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/69207
Sample Questions
Q1) A patient is being discharged with prescribed sublingual nitroglycerin.Which teaching points does the nurse include in the patient's care plan?
A) Keep the tablet in place until it is dissolved.
B) Swallow the tablet with a full glass of water.
C) A tingling sensation means that the drug is potent.
D) Do not eat anything until after the tablet is dissolved.
E) Call your prescriber if chest pain persists after one tablet.
Q2) A patient is prescribed digoxin (Lanoxin)0.03 mg as a liquid dose.The drug on hand is digoxin 0.05 mg/mL.How many milliliters does the nurse give?
_____ mL
Q3) What is the most common cause of heart failure?
A) Cardiomyopathy
B) Hypertension
C) Myocardial infarction
D) Substance abuse
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Chapter 15: Antidysrhythmic Drugs
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/69208
Sample Questions
Q1) Which laboratory result for a patient receiving sotalol (Betapace)does the nurse immediately report to the prescriber?
A) Blood urea nitrogen (BUN) 21 mg/dL
B) Potassium (K) 3.4 mEq/L
C) Sodium (Na) 147 mEq/L
D) Creatinine 2.4 mg/dL
Q2) An older adult patient with frequent premature ventricular contractions (PVCs)is receiving intravenous (IV)lidocaine (Xylocaine)by continuous infusion.The patient becomes confused and sees insects on the walls.What is the nurse's best action?
A) Reorient the patient to person, place, and time.
B) Ask the patient's family about alcohol use or abuse.
C) Check the patient's chart for a history of dementia.
D) Notify the prescriber immediately.
Q3) A patient's heart monitor shows ventricular fibrillation.What is the nurse's best first action?
A) Check the patient.
B) Call a code.
C) Begin CPR
D) Defibrillate the patient.
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Page 17
Chapter 16: Drugs for High Blood Lipids
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/69209
Sample Questions
Q1) A patient who has been prescribed lovastatin (Mevacor)asks the nurse why all urine must be saved for intake and output measurements.What is the nurse's best response?
A) "All patients on this unit have orders for strict intake and output measurements."
B) "Intake and output measurements are important indicators of how well your kidneys are functioning."
C) "A side effect of this drug can be blockage of urine flow through the kidneys and decreased urine output."
D) "Sometimes this drug can cause the kidneys to make extra urine resulting in increased urine output and dehydration."
Q2) A patient who is prescribed atorvastatin (Lipitor)reports experiencing some muscle pain and weakness.What is the nurse's best action?
A) Administer ordered acetaminophen (Tylenol) as needed.
B) Document the finding as the only action.
C) Reassure the patient that this is an expected side effect.
D) Hold the drug and notify the prescriber.
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18
Chapter 17: Drugs That Affect Blood Clotting
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/69210
Sample Questions
Q1) A patient prescribed subcutaneous heparin tells the nurse that her menstrual bleeding is heavier than usual.What is the nurse's best response?
A) "I will hold the drug and notify your prescriber."
B) "This is a fairly common and expected side effect of the drug."
C) "Heavy bleeding is a concern because you might become anemic."
D) "I will have to give you a shot of protamine sulfate to reverse the drug's action."
Q2) Which dietary teaching does the nurse include for a patient who is prescribed warfarin (Coumadin)on discharge?
A) "Weight loss diets such as the Atkins diet are OK while taking this drug."
B) "Be sure to eat lots of green leafy vegetables for extra vitamin K."
C) "Dietary changes do not affect the action of this drug."
D) "Drinking alcoholic beverages can change the action of warfarin."
Q3) Which blood component forms the initial plug that helps stop bleeding?
A) Fibrin
B) Platelets
C) Neutrophils
D) Eosinophils
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Page 19
Chapter 18: Drugs for Asthma and Other Respiratory Problems
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/69211
Sample Questions
Q1) A patient with asthma is prescribed albuterol (Proventil)as needed and salmeterol (Serevent)every 12 hours.When the patient asks the nurse why two inhaler drugs are needed,what is the nurse's best response?
A) "Albuterol opens your airways and salmeterol decreases the inflammation."
B) "I will check with the prescriber to determine whether you can just use one drug."
C) "Albuterol is a rescue drug to stop asthma attacks and salmeterol prevents attacks."
D) "Salmeterol helps you breathe better and albuterol opens alveoli for gas exchange."
Q2) How are asthma and chronic obstructive pulmonary disease (COPD)different?
A) COPD is a genetic disease whereas asthma is largely caused by allergies.
B) Breathing problems with asthma are reversible but those with COPD are permanent.
C) Asthma is a disease of children and younger adults whereas COPD is found only in older adults.
D) Breathing problems with COPD can lead to death, whereas those with asthma are not severe enough to be fatal.
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20
Chapter 19: Drugs for Nausea, vomiting, diarrhea, and Constipation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/69212
Sample Questions
Q1) Which statement about normal bowel function is true?
A) Bowel movements should occur once a day every day.
B) Frequency of bowel movements is more important than their consistency.
C) Bowel movements are very simple processes.
D) Bowel movements should be soft and easily pass out of the bowel.
Q2) Which action is most important for the nurse to perform after giving a patient bisacodyl (Dulcolax)?
A) Comparing daily urine output with fluid intake
B) Assessing pulse rate and regularity every 4 hours
C) Ensuring that the patient complies with a low-sodium diet
D) Testing the patient's blood glucose level at least every shift
Q3) A patient reports taking psyllium (Metamucil)every morning to prevent constipation.What is the nurse's best action?
A) Remind the patient that over-the-counter laxatives should not be taken for more than one week.
B) Instruct the patient that long-term use of psyllium can cause health problems.
C) Hold the drug and notify the prescriber immediately.
D) Document this information as the only action.
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Chapter 20: Drugs for Gastric Ulcers and Reflux
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/69213
Sample Questions
Q1) The nurse is instructing a patient who has been prescribed sucralfate (Carafate)for peptic ulcer disease.Which statement by the patient indicates the need for additional teaching?
A) "This drug coats my ulcer and protects it so that healing can occur."
B) "I should eat foods with lots of fiber while I'm taking this drug."
C) "If I feel dizzy, I will be sure to get up from bed slowly."
D) "Once I am feeling better I can stop taking the drug."
Q2) Which foods,activities,and drugs does the nurse teach the patient with peptic ulcer disease to avoid?
A) Alcohol
B) Caffeine
C) Dairy products
D) Exercising
E) Smoking
F) Spicy food
G) Nonsteroidal anti-inflammatory drugs (NSAIDs)
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22
Chapter 21: Drugs for Seizures
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/69214
Sample Questions
Q1) A patient who has been taking carbamazepine (Tegretol)for 2 months has all of the following blood laboratory results.Which result does the nurse report to the prescriber immediately?
A) White blood cell (WBC) count 2200/mm<sup>3</sup>
B) Platelet count 300,000/mm<sup>3</sup>
C) Potassium 3.6 mEq/L
D) Sodium 132 mEq/L
Q2) Which assessment question is most important for the nurse to ask a patient who is prescribed clonazepam (Klonopin)before administering the first dose?
A) "Do you smoke cigarettes?"
B) "How many seizures do you have daily?"
C) "Have you ever had high blood pressure?"
D) "Do you currently have an open sore or signs of an infection?"
Q3) Which precaution is most important for the nurse to teach a patient who is prescribed any of the first-line drugs for generalized seizures?
A) "Avoid drinking alcoholic beverages."
B) "Take the drug with food or a snack."
C) "Engage in regular exercise daily."
D) "See your dentist twice a year."
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Page 23
Chapter 22: Drugs for Depression,anxiety,and Psychosis
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/69215
Sample Questions
Q1) Four hours after receiving risperidone (Risperdal),the patient on the psychiatric unit has a temperature elevation of 2S1U1P1\(\circ\)S1S1P0 F.What is the nurse's best action?
A) Administer the next dose of the drug as prescribed.
B) Assess the patient for other signs and symptoms of infection.
C) Hold the next drug dose and notify the prescriber immediately.
D) Attempt to arouse the patient from sleep by gently shaking his or her arm.
Q2) Which assessment is most important for the nurse to measure or perform before administering the first dose of amitriptyline (Elavil)to a patient?
A) Heart rate and rhythm
B) Core body temperature
C) Level of consciousness
D) Blood pressure in the sitting position
Q3) Which food or beverage does the nurse teach a patient who is prescribed quietiapine (Seroquel)to avoid?
A) Coffee and caffeine
B) Fresh berries and vegetables
C) Aged cheese and smoked meat
D) Grapefruit and grapefruit juice
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Chapter 23: Drugs for Alzheimers and Parkinsons Disease
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/69216
Sample Questions
Q1) A patient with Parkinson's disease informs the nurse that the stiffness and slowness of movements associated with the illness have become worse.What does the nurse teach the patient about this change?
A) "These changes are normal and expected as your disease progresses."
B) "You will need to use a walker at all times to avoid falls and accidents."
C) "Whenever your symptoms worsen, contact your prescriber right away."
D) "If your prescriber increases your drug dosage these functions will improve."
Q2) Why is bromocriptine (Parlodel)not recommended for women who are breastfeeding?
A) It stops the production of milk.
B) It enters the milk and slows infant growth.
C) It enters the milk and causes symptoms of Parkinson's disease in the infant.
D) It is a pregnancy category C drug and has been found to cause birth defects in animals.
Q3) For which patient does the nurse watch most closely for symptoms of Alzheimer's disease?
A) 45-year-old with Down syndrome
B) 50-year-old with a whiplash injury
C) 60-year-old with hypertension
D) 75-year-old with a smoking history
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Chapter 24: Drugs for Endocrine Problems
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/69217
Sample Questions
Q1) Which symptom of hyperthyroidism occurs only with the Graves' disease form of the problem?
A) Goiter
B) Hypertension
C) Exophthalmos
D) Thinning scalp hair
Q2) How do thyroid replacement drugs affect diabetes?
A) Thyroid replacement drugs reduce the effectiveness of all antidiabetic drugs.
B) When thyroid replacement drugs return metabolism to normal, diabetes is gone.
C) Thyroid replacement drugs can allow a patient to switch from insulin to an oral antidiabetic drug.
D) Thyroid replacement drugs require that a patient taking an oral antidiabetic drug be placed on insulin.
Q3) Which statement made by a patient who is taking a thyroid replacement drug indicates to the nurse that a higher dose may be needed?
A) "My goiter seems to be smaller."
B) "I seem to feel the heat more than other people."
C) "Food just doesn't taste good without a lot of salt."
D) "I am always tired, even when I get 10 or 12 hours of sleep."
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Page 26
Chapter 25: Drugs for Diabetes
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/69218
Sample Questions
Q1) Why does the nurse avoid aspirating the syringe before injecting an insulin dose?
A) There are no blood vessels in subcutaneous tissue.
B) The needle is too thin to penetrate the wall of a vein.
C) Tissue can be damaged by pulling it into the needle.
D) Aspirating blood into the syringe affects insulin activity.
Q2) A patient with type 2 diabetes is prescribed nateglinide (Starlix).Which statement indicates to the nurse that the patient has a correct understanding of this therapy?
A) "I will try not to chew or break this tablet."
B) "For best results, I need to take this drug right before I eat."
C) "If this drug causes nausea, I will take it just before I go to bed."
D) "If I miss a meal, I will take this drug anyway at its regularly scheduled time."
Q3) Why are sulfonylurea oral antidiabetic drugs not recommended for women who are breastfeeding?
A) They increase the risk of the infant developing type 2 diabetes.
B) They can lower the infant's blood glucose to dangerous levels.
C) They can cause the infant to develop an allergy to sulfa drugs.
D) They are not eliminated by the infant's immature intestinal system.
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Chapter 26: Drugs for Glaucoma
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/69219
Sample Questions
Q1) When the nurse shines a penlight into the eyes of a patient who is prescribed brimonidine (Alphagan P),the pupils of both eyes remain equally dilated.What is the nurse's best action?
A) Document the response as the only action.
B) Hold the next dose and notify the prescriber.
C) Assess the patient's hand grasp strength bilaterally.
D) Remind the patient to wear sunglasses when outdoors.
Q2) What is the most important action for the nurse to perform after administering eye drops to a patient who is prescribed pilocarpine (Ocu-Carpine)?
A) Place the patient in the supine position.
B) Wipe the excess drug from the patient's skin.
C) Instruct the patient to keep the eyes closed for 2 minutes.
D) Check pupillary responses by shining a penlight into each eye.
Q3) Which question is most important for the nurse to ask a patient who is prescribed acetazolamide (Diamox)before administering the first dose?
A) "Do you have diabetes?"
B) "Are you allergic to sulfa drugs?"
C) "How long have you had glaucoma?"
D) "Do you eat grapefruit or drink grapefruit juice?"
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Page 28
Chapter 27: Drugs for Cancer Therapy
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/69220
Sample Questions
Q1) A male patient is prescribed estrogen as hormone treatment for cancer.Which assessment is most important for the nurse to perform for this patient?
A) Ask whether there has been a change in the level of sexual activity.
B) Compare breast size after therapy to that from before therapy.
C) Check for swelling and hard, cordlike veins in the legs.
D) Measure the patient's abdominal girth.
Q2) How is apoptosis related to cancer development?
A) Cancer only occurs in cells capable of apoptosis.
B) Apoptosis increases the risk for DNA mutations.
C) The process of carcinogenesis suppresses or inhibits apoptosis.
D) Cancer cells with large amounts of apoptosis are more resistant to chemotherapy.
Q3) A patient who has been prescribed combination chemotherapy today has a total white blood cell (WBC)count of 5 cells/mm<sup>3</sup>,a lymphocyte count of 2.2 cells/mm<sup>3</sup>,a segmented neutrophil count of 1.8 cells/mm<sup>3</sup>,a basophil count of 0.15 cells/mm<sup>3</sup>,an eosinophil count of 250 cells/mm<sup>3</sup>,and a band neutrophil count of 0.6 cells/mm<sup>3</sup>.What does the nurse calculate as the absolute neutrophil count (ANC)? _____ cells/mm<sup>3</sup>
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