Patient Safety in Healthcare Exam Solutions
Course Introduction
This course explores the fundamental principles and practices essential to ensuring patient safety within healthcare systems. Topics include the identification and analysis of potential risks, error prevention strategies, the role of healthcare professionals in promoting a safety culture, evidence-based approaches to improving outcomes, and reporting mechanisms for adverse events. Through a combination of case studies, current research, and practical applications, students develop the knowledge and skills needed to actively contribute to safer clinical environments while considering ethical, legal, and organizational factors impacting patient safety.
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) How are intrinsic drugs different from extrinsic drugs?
A) Intrinsic drugs are made by the body, whereas extrinsic drugs are made outside the body.
B) Intrinsic drugs are administered by the parenteral route, whereas extrinsic drugs are administered by the oral route.
C) Extrinsic drugs can only be applied to the skin or mucous membranes, whereas intrinsic drugs are taken internally.
D) Extrinsic drugs require a prescription for administration, whereas intrinsic drugs are available over the counter.
Answer: A
Q2) The nurse is teaching a patient about adverse drug reactions (ADRs).Which precaution is most important for the nurse to include?
A) "Take your medications right before you go to bed so that you can sleep through an ADR."
B) "Keep a written record of the date and time an ADR occurs."
C) "Stop taking the drug and flush it down the toilet."
D) "Immediately seek medical help."
Answer: D
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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) Which question is most important for the nurse to ask a patient before administering a new drug?
A) "Are you allergic to any drugs?"
B) "Do you know what this drug is for?"
C) "When was the last time you ate or drank?"
D) "What other drugs have you taken in the last 24 hours?"
Answer: A
Q2) The nurse prepares to administer an intravenous (IV)push drug,but the skin around the patient's IV site is swollen and red.The patient states that the area hurts,and no blood return is obtained when the nurse aspirates the IV setup.What is the nurse's best action?
A) Restart IV administration of the drug.
B) Discontinue IV administration and notify the prescriber.
C) Dilute the drug more before injecting it into the current IV site.
D) Reassure the patient that this is an expected reaction and offer the prescribed pain medication.
Answer: B
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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) What is the most important question for the nurse to ask a patient when preparing to teach about a newly prescribed drug?
A) "What do you want to learn about this health problem and its treatment?"
B) "Have you ever been sick before and had to take prescribed drugs for the problem?"
C) "How many people, relatives, or friends do you know who also have this health problem?"
D) "Do you understand that if you don't take care of this problem now, it will only become worse?"
Answer: A
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
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5
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) What technique does the nurse use when measuring a liquid drug in a medicine cup to ensure an accurate dose?
A) Holding the cup at eye level while pouring the drug
B) Holding the cup below eye level while pouring the drug
C) Holding the cup above eye level while pouring the drug
D) Using a syringe to draw up the drug and then placing it in the medicine cup
Q2) The prescriber tells a patient to call if a temperature higher than 39S1U1P1\(\circ\)S1S1P0 Centigrade develops.The patient asks the nurse what this temperature is in Fahrenheit.What is the nurse's response?
A) 99.2S1U1P1\(\circ\)S1S1P0
B) 100.2S1U1P1\(\circ\)S1S1P0
C) 101.2S1U1P1\(\circ\)S1S1P0
D) 102.2S1U1P1\(\circ\)S1S1P0
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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6
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) What specific safety technique is always used when calculating an insulin dose?
A) Use a calculator and never calculate the dose by hand.
B) Calculate the dose by hand and never use a calculator.
C) Have another health care professional check the dose.
D) Wear sterile gloves to administer the calculated dose.
Q2) What is the most important consideration when using a calculator for drug dosages?
A) Always check the answers with a pharmacist.
B) Ensure the numbers are entered in the correct order.
C) Work the problem by hand and then check all work using the computer.
D) Calculate the answer with the computer and then check the answer by working the problem by hand.
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
7
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Chapter 6: Dosage Calculation of Intravenous Solutions and Drugs
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Sample Questions
Q1) A patient is to receive 125 mL of intravenous fluid per hour and the drop factor is 10 gtt per mL.The nurse counts the 15-second drip rate to be 8 gtt per minute.What is the nurse's best action?
A) Nothing, the IV flow rate is correct.
B) Turn the rate down to 5 gtt/15 seconds.
C) Turn the rate up to 11 gtt/15 seconds.
D) Turn the rate up to 15 gtt/15 seconds.
Q2) What is the most important advantage for intravenous (IV)infusion of drugs?
A) Anyone can administer IV drugs.
B) The drug reaches the bloodstream immediately.
C) Drugs given intravenously cost less than drugs given orally.
D) The patient is not required to be alert to swallow the drug.
Q3) 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
Page 8
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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) The nurse notes all of the following changes in the last week in a 72-year-old nursing home patient taking nortriptyline (Pamelor)for chronic pain.For which problem does the nurse immediately notify the prescriber?
A) Heart rate decreased from 80 to 72 beats per minute
B) Respiratory rate decreased from 20 to 16 breaths per minute
C) Weight increased from 128 to 137 pounds
D) Morning blood glucose increased from 86 to 94 mg/dL
Q2) A patient is taking acetaminophen (Tylenol).Which precaution is most important for the nurse to teach the patient?
A) "Avoid alcoholic beverages while taking this drug."
B) "Avoid coffee and other caffeinated drinks while taking this drug."
C) "If any decrease in vision occurs, stop the drug and notify your prescriber immediately."
D) "Do not drive or operate dangerous machinery until you know how this drug affects you."
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) Why are aspirin and aspirin-containing drugs avoided for use in children?
A) Aspirin is associated with the development of Reye's syndrome.
B) Aspirin would drop a child's body temperature below normal.
C) Children are at higher risk for bleeding with aspirin use.
D) A child's liver is unable to metabolize aspirin.
Q2) A patient is prescribed 20 mg of ketorolac (Toradol)intramuscularly.How many milliliters does the nurse draw up from a vial of ketorolac containing 30 mg/mL?
A) 0.5
B) 0.7
C) 1
D) 2
Q3) Which factors determine the size and severity of the inflammatory response?
A) Intensity of the injury
B) Type of tissue injured
C) Severity of the invasion
D) Gender of the patient
E) Extent of injury
F) Duration of the invasion
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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) Which laboratory blood test result for a patient taking trimethoprim/sulfamethoxazole (Septra)does the nurse report immediately to the prescriber?
A) Red blood cells (RBCs) 2.2 million/mm<sup>3</sup>
B) International normalized ratio (INR) 1.6
C) White blood cells (WBCs) 6,000/mm<sup>3</sup>
D) Sodium 134 mEq/L
Q2) The nurse is to administer doxycycline (Doxy)intravenously to a patient who is also receiving intravenous (IV)penicillin.Which action is most important for the nurse to implement?
A) Use IV tubing for doxycycline that has never come into contact with penicillin.
B) Use a glass container for the tetracycline and a plastic container for the penicillin.
C) Infuse the doxycycline only into a central line and the penicillin into a peripheral line.
D) Administer doxycycline with sterile saline and administer the penicillin with sterile water.
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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) 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."
Q2) A patient has human immunodeficiency virus (HIV)disease and is taking a "cocktail" consisting of protease inhibitors,nucleoside analogue reverse transcriptase inhibitors,and nonnucleoside analogue reverse-transcriptase inhibitors.Which statement made by the patient indicates that more teaching about the drug therapy is needed?
A) "Using three drugs at the same time enhances suppression of viral replication."
B) "There is no problem using these drugs during the last trimester of my pregnancy."
C) "Because this drug combination kills HIV, I do not need to worry about transmitting the virus."
D) "If the virus becomes resistant to this cocktail, another combination of drugs may be required to reduce my viral load."
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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) Which statement made by a patient indicates to the nurse the need for more teaching about first-line drug therapy for tuberculosis (TB)?
A) "To prevent nausea and vomiting, I have been taking my drugs at night with a small snack."
B) "I have stopped taking all herbal supplements and stopped drinking beer until I finish this drug therapy."
C) "Now that my symptoms have disappeared after a month of drug therapy, I can no longer infect my family."
D) "Now that my symptoms have disappeared after a month of drug therapy, I can stop taking all of these drugs."
Q2) A patient who is prescribed ethambutol (EMB,Myambutol)reports trouble distinguishing colors.What is the nurse's best action?
A) Document the report as the only action.
B) Hold the dose and notify the prescriber immediately.
C) Caution the patient to wear sunglasses and a hat when outside.
D) Reassure the patient that this is a common side effect of the drug.
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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 taking tamsulosin (Flomax)asks the nurse how the drug works.What is the nurse's best response?
A) "This drug works on your prostate gland to decrease its size."
B) "This drug signals the cells in your prostate gland not to grow."
C) "This drug works by relaxing the detrusor muscle of your bladder."
D) "This drug relaxes muscle around your urethra to improve urine flow."
Q2) Which diuretic may cause an adverse effect of a higher than normal serum potassium level?
A) spironolactone (Aldactone)
B) bumetanide (Bumex)
C) chlorothiazide (Diuril)
D) furosemide (Lasix)
Q3) A patient who is prescribed hydrochlorothiazide (HCTZ)informs the nurse that she plans to become pregnant.What does the nurse include in a care plan for the patient about this drug?
A) This drug is safe for use during pregnancy and breastfeeding.
B) The prescriber will most likely decrease your dose while you are pregnant.
C) You may take this drug during pregnancy, but should not use it if you plan to breastfeed.
D) This drug should be avoided during pregnancy and breastfeeding.
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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) The nurse is preparing a teaching plan for a patient taking antihypertensive drugs for hypertension.Which symptoms does the nurse include when teaching about the symptoms of hypotension?
A) Increased blood glucose
B) Dizziness
C) GI upset
D) Fainting
E) Light-headedness
Q3) Which class of antihypertensive drugs has a higher incidence of side effects?
A) Angiotensin converting enzyme (ACE) inhibitors
B) Calcium channel blockers
C) Alpha-beta blockers
D) Direct vasodilators
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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 with heart failure is prescribed oral captopril (Capoten)and carvedilol (Coreg).The heart rate after giving these drugs is decreased from 84 per minute to 68 per minute.What is the nurse's best action?
A) Hold the next dose
B) Immediately notify the prescriber
C) Document the finding as the only action
D) Schedule the captopril and carvedilol to be given at different times
Q2) After giving the first dose of any antihypertensive drug for heart failure,what action must the nurse take for patient safety?
A) Recheck the drug order for accuracy.
B) Ensure that the call light is within reach.
C) Place a wheelchair in the patient's room.
D) Raise all four siderails on the patient's bed.
Q3) Which symptom is commonly assessed by the nurse when a patient has left ventricular heart failure?
A) Weight gain
B) Swelling in the legs
C) Jugular vein distention
D) Crackles in the lungs
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Page 16
Chapter 15: Antidysrhythmic Drugs
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/69208
Sample Questions
Q1) A patient's heart rate is regular at 68 beats per minute.The electrocardiogram (ECG)tracing shows P waves before every QRS complex.What is the likely pacemaker of the heart?
A) SA node
B) AV node
C) Bundle of His
D) Purkinje fibers
Q2) A patient who is prescribed oral quinidine (Quinaglute)for a tachydysrhythmia is on a cardiac monitor,which shows lengthening PR intervals.What is the nurse's best action?
A) Perform a 12-lead electrocardiogram (ECG).
B) Send a serum potassium level to the laboratory.
C) Document this as an expected action of the drug.
D) Notify the prescriber immediately.
Q3) A patient whose heart rate is 52 beats per minute reports feeling dizzy and light-headed.What is the nurse's best first action?
A) Start an IV line.
B) Ask if the patient has experienced this before.
C) Notify the prescriber immediately.
D) Check the patient's blood pressure.
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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) Which laboratory finding does the nurse report to the prescriber before giving any antihyperlipidemic drug?
A) Aspartate aminotransferase 41 IU/L
B) Alanine aminotransferase 24 IU/L
C) Alkaline phosphatase 130 IU/L
D) Gamma-glutamyltransferase 50 IU/L
Q2) Which are symptoms of late liver disease?
A) Yellowing of the skin
B) Light-colored diluted urine
C) Pale gray-colored stools
D) Pain on the right side just below the ribs
E) Reddened mucous membranes in the mouth
Q3) A patient prescribed atorvastatin (Lipitor)reports all of the following problems or changes since starting this drug.Which problem or change does the nurse report to the prescriber?
A) Abdominal cramps and bloating
B) Muscle aches and weakness
C) Urinating more at night
D) Loss of taste for sweets
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Page 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) Which condition occurs as a result of a thrombus developing in a coronary artery?
A) Cerebrovascular accident
B) Deep vein thrombosis
C) Pulmonary embolus
D) Myocardial infarction
Q2) A patient who has been prescribed continuous intravenous (IV)heparin asks the nurse why being weighed is necessary.What is the nurse's best response?
A) "All patients are weighed upon admission to the hospital."
B) "IV heparin has been known to cause weight gain."
C) "The initial IV bolus of heparin is prescribed based on your weight."
D) "The rate of the heparin infusion is based on your weight."
Q3) Why are erythropoiesis-stimulating agents (ESAs)prescribed for patients with chronic kidney disease?
A) To protect the kidney from further hypoxic damage during anemia episodes
B) To improve blood cell counts and reduce the need for blood transfusions
C) To prevent vein thromboembolism during periods of dehydration
D) To reduce the risk of uric acid precipitation and renal failure
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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 is starting on the drug cromolyn sodium.Which statement made by the patient indicates a need for clarification about the purpose,administration schedule,or side effects of this drug?
A) "If I get a skin rash, I will call my doctor right away."
B) "I will keep using the drug even if I don't notice a difference in my asthma after the first week."
C) "I will keep the inhaler with me at all times so that I can use it quickly when an asthma attack occurs."
D) "I have been trying to inhale deeply when I trigger the inhaler so that more of the drug reaches my lungs."
Q2) A patient newly diagnosed with chronic obstructive pulmonary disease (COPD)is prescribed inhaled pirbuterol (Maxair)every 6 hours.The nurse instructs the patient to take additional drug doses during which specific times or conditions?
A) At bedtime
B) When feeling especially nervous
C) When feeling especially breathless
D) If the peak expiratory flow rate is 80% or greater than his or her personal best
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Page 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) A patient prescribed metoclopramide (Reglan)tells the nurse that his abdomen is making gurgling sounds.What is the nurse's best action?
A) Instruct the patient that this is an expected effect of the drug.
B) Document this finding as the only action.
C) Hold the drug and notify the prescriber.
D) Give the drug and notify the prescriber.
Q2) The nurse is administering a patient's first dose of cyclizine (Marezine).What safety action does the nurse take for this patient?
A) Instruct the patient to call for help when getting out of bed.
B) Raise all four side rails to the upright position.
C) Give the patient a full glass of water with the medication.
D) Tell the patient to avoid eating for at least 2 hours.
Q3) 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.
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Page 21
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) Which protective mechanism by the stomach protects it from stomach acids and the formation of gastric ulcers?
A) Buffers such as bicarbonate neutralize stomach acids.
B) The stomach secretes a thick gel-like mucus to coat itself.
C) Acid secretion is decreased when food is not present in the stomach.
D) Stomach secretions such as lipase digest foods and protect the stomach.
Q2) How do histamine (H<sub>2</sub>)blockers help heal gastric ulcers?
A) They promote cell division.
B) They neutralize acids that are present in the stomach.
C) They decrease the amount of acid secreted by stomach cells.
D) They increase the rate that stomach contents move into the intestinal tract.
Q3) A patient with a history of GI ulcers reports feeling new onset burning,gnawing stomach pain.What is the nurse's best action?
A) Assess the patient's abdomen for the presence of active bowel sounds.
B) Administer the already ordered as-needed dose of liquid antacid.
C) Offer the patient food to buffer excess stomach acid.
D) Notify the prescriber immediately.
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Chapter 21: Drugs for Seizures
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/69214
Sample Questions
Q1) What is the priority safety measure for the nurse to implement when a patient has been started on carbamazepine (Tegretol)?
A) Ask the patient about symptoms of nausea and vomiting.
B) Monitor for and manage seizure activity.
C) Assist the patient when getting out of bed.
D) Always give this drug with food.
Q2) A patient who has been prescribed ethosuximide (Zarontin)tells the nurse about experiencing an upset stomach after each dose of the drug.What is the nurse's best action?
A) Administer a dose of an antinausea drug.
B) Instruct the patient to take the drug with a full glass of water.
C) Give the drug with meals or a snack.
D) Elevate the head of the bed to avoid aspiration.
Q3) A patient who is prescribed gabapentin (Neurontin)is also taking morphine sulfate for severe pain.What dosage adjustment does the nurse expect?
A) Decreased dosage of gabapentin
B) Increased dosage of gabapentin
C) Decreased dosage of morphine
D) Increased dosage of morphine
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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) Which statement about psychiatric disorders is true?
A) The underlying cause of most mental illness is genetic.
B) The incidence of anxiety and depression decreases with age.
C) Children's psychiatric issues are usually short term and mild.
D) Mental illnesses are a common reason for seeking health care.
Q2) A patient who was prescribed citalopram (Celexa)1 week ago for depression reports feeling no different now from 1 week ago and wants to stop taking the drug.What is the nurse's best response?
A) "Treatment for depression is highly individual and this may not be the right drug for you."
B) "Most drugs for depression take at least 2 weeks to start making you feel better."
C) "Are you certain that you are taking the drug exactly the way it was prescribed?"
D) "Be sure to stop smoking because cigarette smoking inactivates this drug."
Q3) Which theory about the cause of depression is supported by research?
A) Heredity or genetics
B) Altered neuroendocrine function
C) Psychosocial factors
D) Neurotransmitter level imbalance
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24
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) Which strategy best supports safe medication administration for patients with Alzheimer's disease?
A) Include the patient's care provider when teaching about the patient's drugs.
B) Provide written guidelines about each drug to the patient.
C) Create a chart listing the drugs, dosages, and times they should be taken.
D) Suggest that the patient set up the drugs each week in labeled boxes.
Q2) A patient has been prescribed rasagiline (Azilect).Which foods must the nurse teach the patient to avoid?
A) Green leafy vegetables
B) Aged cheeses
C) Sour cream
D) Fresh apples and pears
E) Soy sauce
Q3) A patient with Alzheimer's disease is prescribed rivastigmine (Exelon).What action does the nurse take to prevent a common side effect?
A) Give the drug with a full glass of water.
B) Administer the drug with meals twice a day.
C) Assess the patient's level of consciousness.
D) Keep an accurate record of all patient food intake.
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Page 25
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) A patient with hyperthyroidism is in the hospital waiting for surgery to remove the thyroid gland.This patient has all of the following conditions.For which condition does the nurse notify the prescriber immediately?
A) High level of anxiety about having surgery on the neck
B) Temperature increase of 2S1U1P1\(\circ\)S1S1P0 F
C) Pulse pressure decrease of 10 mm Hg
D) Increased bowel sounds and flatulence
Q2) A patient who has been taking methimazole (Tapazole)for 3 weeks has all of the following laboratory blood test results.Which result does the nurse report immediately to the prescriber?
A) White blood cell count 3500 cells/mm<sup>3</sup>
B) Lactate dehydrogenase 990 IU/L
C) Sodium 132 mEq/L
D) Hematocrit 32%
Q3) Which mineral is critical for the thyroid to use in making thyroid hormones?
A) Lithium
B) Sodium
C) Chloride
D) Iodine
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Page 26
Chapter 25: Drugs for Diabetes
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37 Verified Questions
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Sample Questions
Q1) How does acarbose (Precose)prevent blood glucose levels from rising too high?
A) It limits the intestinal enzyme that converts complex carbohydrates into glucose.
B) It blocks the absorption of carbohydrates and glucose in the intestines.
C) It enhances the binding of insulin to its membrane receptors.
D) It releases more insulin from pancreatic beta cells.
Q2) Why is it important to maintain normal blood glucose levels in the body?
A) High levels increase the risk for heart disease, strokes, blindness, and kidney failure.
B) High levels increase the risk for seizure disorders, arthritis, osteoporosis, and bone fractures.
C) Low levels increase the risk for peripheral neuropathy, Alzheimer's disease, and premature aging.
D) Low levels increase the risk for obesity, pancreatitis, dehydration, and certain types of cancer.
Q3) What is the main role of insulin in glucose (carbohydrate)metabolism?
A) Conversion of complex carbohydrates into glucose
B) Movement of glucose from blood into the cells
C) Prevention of kidney excretion of glucose
D) Prevention of the formation of fat cells
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Chapter 26: Drugs for Glaucoma
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20 Verified Questions
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Sample Questions
Q1) A patient has been taking bimatoprost (Lumigan)for the last 2 months.Which statement by the patient indicates to the nurse a correct understanding of this drug therapy?
A) "When my eyes are red or itchy, I should wait until the next day to use my glaucoma medicine."
B) "Even though my intraocular pressure is now normal, I will continue to take the drug once daily."
C) "One indication that I have used too much of this drug is when my vision becomes blurry or fuzzy."
D) "If I forget to take the eye drops one day, I should apply them as soon as I remember them the next day and also take the regular dose for that day."
Q2) Which assessment is most important for the nurse to perform before instilling latanoprost (Xalatan)into a patient's eyes?
A) Measure the patient's temperature.
B) Measure the patient's intraocular pressure.
C) Check the cornea for abrasions or open areas.
D) Assess heart rate and rhythm for 1 full minute.
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Chapter 27: Drugs for Cancer Therapy
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19 Verified Questions
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Sample Questions
Q1) Which biological feature is specific to normal differentiated cells but not to cancer cells?
A) Anaplasia
B) Hypertrophy
C) Aneuploidy
D) Loose adherence
Q2) Which health care worker is the most appropriate person to administer intravenous (IV)chemotherapy?
A) Licensed practical/vocational nurse who has worked on an oncology unit for 10 years
B) Registered nurse who has completed menopause 5 years ago and can no longer get pregnant
C) Registered nurse who has completed an approved chemotherapy course
D) Pharmacist with 5 years experience in mixing chemotherapy
Q3) Which factor is the most common contributor to cancer development?
A) Advancing age
B) Eating a high-fat diet
C) Having parents with cancer
D) Living in a geographic area with poor sanitation
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