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Pharmacology Exam Unit VIII and IX
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The nurse is reviewing the therapeutic effects of nonsteroidal antiinflammatory drugs (NSAIDs), which include which effects?
A 75-year-old woman has been given an NSAID for the treatment of rheumatoid arthritis. The nurse is reviewing the patient's medication history and notes that which type of medication could have an interaction with this NSAID?
An elderly patient tells the nurse that he uses aspirin for "anything that ails me." The nurse will assess for which most common signs of chronic salicylate intoxication in adults?
A. Photosensitivity and nervousness
B. Tinnitus and hearing loss
C. Acute gastrointestinal bleeding and anorexia
D. Hyperventilation and central nervous system (CNS) effects
Tinnitus and hearing loss
A patient with gout has been treated with allopurinol for 2 months. The nurse will monitor laboratory results for which therapeutic effect?
A. Decreased uric acid levels
B. Adequate prothrombin time
C. Increased white blood cell count
D. Increased hemoglobin and hematocrit levels
Decreased uric acid levels
The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction should be included during the teaching session?
A. "Fluids should be restricted while on colchicine therapy."
B. "Colchicine should be taken with meals."
C. "The drug should be discontinued when symptoms are reduced."
D. "Call your doctor if you have increased pain or blood in the urine."
"Call your doctor if you have increased pain or blood in the urine
A mother suspects that her toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for which most common signs of salicylate intoxication in children?
A. Photosensitivity and nervousness
B. Tinnitus and hearing loss
C. Acute gastrointestinal bleeding and anorexia
D. Hyperventilation and behavioral changes
Hyperventilation and behavioral changes
A 6-year-old who has chickenpox has a fever of 102.9F (39.4 ° C). His mother asks the nurse if she should use aspirin to reduce his fever. What is the best response by the nurse?
A. "You can use aspirin, but be sure to follow the instructions on the bottle."
B. "You can use the aspirin, but watch for worsening symptoms."
C. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
D. "It's best to wait to see if the fever gets worse."
"Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
A patient has used buffered aspirin for several years as treatment for osteoarthritis. However, the symptoms are worse and she now needs something stronger. The physician prescribes an NSAID and misoprostol (Cytotec). She asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response?
A. "Cytotec will also reduce the symptoms of your arthritis."
B. "Cytotec helps the action of the NSAID so that it will work better."
C. "Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation."
D. "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."
"Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."
A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The nurse is aware that the purpose of this dose of aspirin is to
A. prevent fever.
B. reduce inflammation.
C. relieve pain.
D. prevent thrombus formation.
prevent thrombus formation.
During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of NSAIDs?
A. Renal disease
D. Rheumatoid arthritis
The nurse notes in a patient's medication history that the patient is taking allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient has which disorder?
A. Rheumatoid arthritis
A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for his arthritis. The nurse reviews his medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorders?
A. Type 2 diabetes mellitus
Type 2 diabetes mellitus
Glucosmaine increase insulin resistance, higher doses of oral hypoglcemics or insulin would be required
The nurse is reviewing the history of a patient who has a new order for an NSAID to treat tendinitis. Which conditions are contraindications to the use of NSAIDs? Select all that apply.
C. Peptic ulcer disease
Peptic ulcer disease
A patient must be treated immediately for acute organ transplant rejection. The nurse anticipates that the physician will order muromonab-CD3. In preparation for the physician's examination, which factors should the nurse consider before beginning treatment with this drug?
A. Peripheral pulses
B. Fluid volume status
C. Coagulation studies
D. Blood glucose level
Fluid volume status
A patient is about to undergo a kidney transplant. She will be given an immunosuppressant drug before, during, and after surgery to minimize organ rejection. During the preoperative teaching session, which information will the nurse include about the medication therapy?
A. Before the surgery, the medication will be administered orally.
B. The oral doses should be taken 1 hour before meals to maximize absorption.
C. Mix the oral liquid with juice in a Styrofoam cup just before administration.
D. Daily office visits will be needed for intramuscular injections several days preceding surgery.
Before the surgery, the medication will be administered orally
A patient has started azathioprine (Imuran) therapy as part of renal transplant surgery. The nurse will monitor for which expected adverse effect of azathioprine therapy?
D. Fluid retention
Before an injection of monoclonal antibodies is given, the nurse will prepare to administer which additional drug to minimize adverse reactions to the monoclonal antibodies?
A. An NSAID
C. An opioid pain reliever
D. Methylprednisolone sodium succinate
Methylprednisolone sodium succinate
When administering cyclosporine, the nurse notes that allopurinol has also been ordered. The nurse is aware that the rationale for the allopurinol order in this situation is to
A. decrease the adverse effects of the cyclosporine.
B. enhance the action of the cyclosporine.
C. reduce the patient's uric acid levels.
D. reduce the joint pain caused by the cyclosporine.
enhance the action of the cyclosporine.
The nurse notes that a patient is taking muromonab-CD3 and knows that an advantage of this drug over the newer drugs, such as basiliximab and sirolimus, is that muromonab-CD3
A. has fewer adverse effects.
B. is given in oral form only; the others are parenteral drugs.
C. is the only drug indicated for organ transplant rejection.
D. can be used for its antiinflammatory effects as well.
is the only drug indicated for organ transplant rejection
When monitoring a patient who is on immunosuppressant therapy, the nurse knows that the drug may need to be discontinued if the leukocyte count drops below _____/mm3.
A patient with multiple sclerosis will be starting immunosuppressant therapy. The nurse expects that which drug will be used?
A. azathioprine (Imuran)
B. glatiramer acetate (Copaxone)
C. daclizumab (Zenapax)
D. sirolimus (Rapamune)
glatiramer acetate (Copaxone)
The only immunosuppressant for indicated for treatment of multiple sclerosis: for reduction of relapses (excerbations) the type of multiple sclerosis known as relapsing-remitting multiple sclerosis
Cyclosporine is prescribed for a patient who had an organ transplant. The nurse will monitor the patient for which common adverse effect?
A. Nausea and vomiting
B. Chills and tremors
C. Chest pain
The nurse follows which procedures when giving IV cyclosporine? Select all that apply.
A. Administering it as a single IV bolus injection to minimize adverse effects
B. Administering the medication as an IV bolus for the first dose, then with an infusion pump for following doses
C. Using an infusion pump to administer this medication
D. Monitoring the patient for potential delayed adverse effects, which may be severe
E. Monitoring the patient closely for the first 30 minutes for severe adverse effects
F. Checking blood levels periodically during cyclosporine therapy
Using an infusion pump to administer this medication
Monitoring the patient closely for the first 30 minutes for severe adverse effects
Checking blood levels periodically during cyclosporine therapy
Two patients arrive in the clinic; one is a young boy with sickle cell anemia, another is a 57-year-old woman with early stages of Hodgkin's disease. The nurse notices that both patients need the same vaccine. What vaccine would that be?
A. Varicella virus vaccine
B. Tetanus, diphtheria, and pertussis
C. Hepatitis B virus vaccine, inactivated
D. Haemophilus influenzae type b conjugate vaccine
Haemophilus influenzae type b conjugate vaccine
Given to adults and children considered high risk for acquiring H. influenzae, pericarditis, sickle cell anemia, and immunodeficiency syndrome, and Hodgkin's disease. Parenteral and intramuscular
The nurse is reviewing principles of immunity. What type of immunity occurs when the body is exposed to a relatively harmless form of an antigen, which imprints this information on the body's memory bank and stimulates the body's defenses to resist any subsequent exposures?
A. Artificial active immunity
B. Attenuating immunity
C. Naturally acquired passive immunity
D. Artificially acquired passive immunity
Artificial active immunity
A 45-year-old man has received a series of equine-made immunizing drugs in preparation for a trip to a developing country. His wife brings him to the emergency department because he has developed edema of the face, tongue, and throat and is having trouble breathing. The nurse suspects that, based on his history and symptoms, he is experiencing which condition?
A. Serum sickness
C. Thrombocytopenic purpura
Caused by: repeated injections of equine
Treated by: analgesics, antihistamines, epinephrine, and/or corticosteroids (hospitalization).
A 12-month-old infant has received an MMR II (measles, mumps, and rubella virus vaccine), and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What should the nurse suggest?
A. Apply an ice pack to the injection site.
B. Give the infant baby aspirin for the pain.
C. Apply warm compresses to the injection site.
D. Observe the site for further swelling and redness.
Apply warm compresses to the injection site
A housekeeper has experienced a needlestick by a contaminated needle that was placed in a trash can. The nurse expects that which drug will be used to provide passive immunity to hepatitis B infection for this housekeeper?
A. Hib vaccine
B. Varicella virus vaccine (Varivax)
C. Hepatitis B immunoglobulin
D. Recombivax HB
Hepatitis B immunoglobulin
A nurse is working in an immunization clinic. A new colleague asks, "When is the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) given?" The nurse knows that this series is started at what age?
A. 3 weeks
B. 6 weeks
C. 3 months
D. 8 months
Series of three shots, 6wk, 7yr and second and third doses at 4-8 week intervals
A patient is in the urgent care center after experiencing a black widow spider bite. The nurse expects which to be used to treat this injury?
A. Live vaccine
B. Antivenin or antisera
C. Tetanus immune globulin
D. Active immunizing drug
Antivenin or antisera
The nurse is conducting a class on potential bioterrorism agents, and a participant asks, "Which one has three routes of exposure to humans?" Which agent will the nurse indicate?
A 72-year-old patient is to receive a pneumococcal vaccine, polyvalent (Pneumovax 23). The nurse recognizes that which of the following statements about this vaccine is true?
A. It is given yearly to provide immunization against current strains of pneumococcal bacteria.
B. It is given by deep intramuscular injection.
C. It is given by subcutaneous injection.
D. The patient will have to return for a total of three injections.
It is given by subcutaneous injection.
A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks the nurse about the "new vaccine that prevents HPV." She wants to receive the papillomavirus vaccine (Gardasil). Which response by the nurse is most appropriate?
A. "Unfortunately, this vaccine is recommended for women aged 13 to 26 years."
B. "We will need to make sure you are not pregnant first."
C. "There will be a total of three injections."
D. "I will check with your doctor then get the first dose of the vaccine ready."
"Unfortunately, this vaccine is recommended for women aged 13 to 26 years."
Can be given to 11 and 12 year olds as well
One patient has cancer of the bone; another has cancer in the connective tissues of his leg muscles; a third patient has cancer in her vascular tissues. These patients have in common a type of tumor referred to as a
A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis is a potential adverse effect of antineoplastic therapy. What will the nurse teach her about this problem?
A. Aspirin should be taken to prevent the development of stomatitis.
B. She should watch for and report black, tarry stools immediately.
C. She should increase her intake of foods containing fiber and citric acid.
D. She should examine her mouth daily for bleeding, painful areas and ulcerations.
She should examine her mouth daily for bleeding, painful areas and ulcerations.
The nurse is developing a plan of care for a patient who is experiencing gastrointestinal adverse effects, including anorexia and nausea, after her first course of antineoplastic therapy. What is an appropriate goal for this patient when dealing with this problem? The patient will
A. eat 3 balanced meals a day within 4 days.
B. return to her normal eating pattern within 1 month.
C. maintain her normal weight by consuming healthful snacks as tolerated.
D. maintain a diet of frequent feedings with a nutrition supplement as a snack within 2 weeks.
maintain a diet of frequent feedings with a nutrition supplement as a snack within 2 weeks
A patient is receiving methotrexate and is experiencing severe bone marrow suppression. The nurse will expect which intervention to be ordered with this drug to reduce this problem?
A. A transfusion of whole blood
B. leucovorin rescue
C. filgrastim (Neupogen) therapy
D. epoetin alfa (Epogen) therapy
Rescue antidote for folic acid antagonist. It rescues the healthy cells from methotrexate
A patient who has been on methotrexate therapy has developed a fever. Her husband calls to see if he can give her some ibuprofen (a nonsteroidal antiinflammatory drug [NSAID]) for the fever. The nurse's response is based on the fact that ibuprofen
A. aggravates stomatitis.
B. masks signs of infection.
C. can lead to methotrexate toxicity.
D. will cause no problems for the patient on methotrexate.
can lead to methotrexate toxicity
Other drug interactions: protein bound drugs and weak organic acids (e.g. salicylates, sulfonamides,, sulfronylureas, phenytoin, tetracyclines) penicillins, NSAIDs
The nurse is reviewing prevention-of-infection measures with a patient who is receiving antineoplastic drug therapy. Which statement by the patient, who is at risk for infection resulting from neutropenic effects of antineoplastic drug therapy, shows that he still needs further teaching about his care?
A. "I should avoid those who have recently had a vaccination."
B. "I will eat only fresh fruits and vegetables."
C. "I should report a sore throat, cough, or low-grade temperature."
D. "It is important for both my family and me to practice good hand washing."
"I will eat only fresh fruits and vegetables."
When administering chemotherapy for treatment of cancer, the nurse implements which intervention that treats or even prevents chemotherapy-induced nausea and vomiting?
A. Telling the patient to avoid caffeine while on chemotherapy
B. Giving an antiemetic when the chemotherapy is started
C. Giving an antiemetic 30 to 60 minutes before the chemotherapy is started.
D. Increasing mobility before and during chemotherapy
Giving an antiemetic 30 to 60 minutes before the chemotherapy is started
The nurse is administering a combination of antineoplastic drugs to a patient who has metastatic breast cancer. Which statement best describes the rationale for combination therapy?
A. There will be less nausea and vomiting.
B. Increased cancer-cell killing will occur.
C. Hair loss will be minimized.
D. Combination therapy reduces the need for radiation therapy.
Increased cancer-cell killing will occur
A patient is receiving irinotecan (Camptosar), along with other antineoplastic drugs, as treatment for ovarian cancer. The nurse will monitor for which potentially life-threatening adverse effect that is associated with this drug?
A. Immediate and severe nausea and vomiting
B. Delayed-onset cholinergic diarrhea
C. Bone marrow suppression
D. Severe stomatitis
Delayed-onset cholinergic diarrhea
When monitoring a patient with severe bone marrow suppression, the nurse knows that which of the following is the principal early sign of infection?
A. Elevated white blood cell count
The nurse is providing education regarding chemotherapy to a patient who is about to receive his first course of treatment. Which statement is appropriate?
A. "Report black, tarry stools if they occur."
B. "Perform oral care with mouthwash."
C. "Limit fluid intake to reduce nausea and vomiting."
D. "Contraceptive measures can be discontinued as soon as chemotherapy is completed."
"Report black, tarry stools if they occur."
A 28-year-old patient, newly diagnosed with lymphoma, has an allergy to one of the proposed chemotherapy drugs. The tumor he has does not respond to other types of treatment. The nurse expects the oncologist to follow which course of treatment?
A. Because of the patient's allergy, the chemotherapy cannot be given.
B. The chemotherapy will be given along with supportive measures to treat a possible allergic reaction.
C. The patient will receive reduced doses of chemotherapy for a longer period of time.
D. The physician will choose another drug to use.
The chemotherapy will be given along with supportive measures to treat a possible allergic reaction
During treatment of a patient who has breast cancer, the nurse hears the physician mention that the patient has reached the "nadir." The nurse knows that this term means the
A. lowest level of neutrophils reached during therapy.
B. highest level of neutrophils reached during therapy.
C. point at which the adverse effects of chemotherapy will stop.
D. point at which the cytotoxic action against cancer cells is the highest.
lowest level of neutrophils reached during therapy.
Methotrexate is ordered for a patient with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the patient receiving methotrexate? Select all that apply.
A. Report unusual bleeding or bruising.
B. Hair loss is not expected with this drug.
C. Prepare for hair loss by deciding whether to use a wig, hairpiece, or hat.
D. Avoid straight-edged razors.
E. Avoid foods that are hot or rough in texture.
F. Restrict fluid intake to reduce nausea and vomiting
Report unusual bleeding or bruising.
Prepare for hair loss by deciding whether to use a wig, hairpiece, or hat.
Avoid straight-edged razors.
Avoid foods that are hot or rough in texture
A patient is receiving cisplatin as part of her treatment for ovarian cancer. Which nursing diagnosis is appropriate for this antineoplastic drug?
A. Ineffective tissue perfusion related to cardiotoxicity
B. Ineffective breathing pattern related to the adverse effect of pulmonary toxicity
C. Risk for injury related to effects of neurotoxicity (ataxia, numbness of hands and feet)
D. Impaired urinary elimination pattern related to hyperuricemia
Risk for injury related to effects of neurotoxicity (ataxia, numbness of hands and feet)
When giving cisplatin, the nurse is aware that the major dose-limiting toxicity of this drug is
B. kidney damage.
Cisplatin: alkylating drug it destroys cancer cells; forming cross links with DNA and preventing replication.
Used to treat: solid tumors in bladder, lung, testicular, and ovarian.
Only in Injectable form
When a patient is taking cisplatin chemotherapy, for which effects will the nurse monitor?
A. Tinnitus and hearing loss
B. An increase in low-density lipoprotein (LDL) levels
C. Cardiac toxicity
D. Elevated glucose and ketone levels
Tinnitus and hearing loss
If extravasation of an antineoplastic drug occurs during intravenous (IV) administration, what is the nurse's best immediate response?
A. Reduce the infusion rate.
B. Discontinue the IV and apply warm compresses.
C. Change the infusion to normal saline, and inject the area with hydrocortisone.
D. Stop the infusion immediately, but leave the IV tube in place for administration of an antidote.
Stop the infusion immediately, but leave the IV tube in place for administration of an antidote.
A patient is receiving a third session of chemotherapy with daunorubicin. The nurse will assess the patient for which signs of a potential severe toxic effect of this drug?
A. A weight gain of 2 pounds or more in 24 hours
B. Decreased blood urea nitrogen and creatinine levels
C. Tinnitus and hearing loss
D. Increasing dyspnea
A weight gain of 2 pounds or more in 24 hours
When hanging a new infusion bag of a chemotherapy drug, the nurse accidentally spills a small amount of the solution onto the floor. The nurse's best action would be to
A. let it dry, then mop the floor.
B. wipe the area with a disposable paper towel.
C. use a spill kit to clean the area.
D. ask the housekeeping department to clean the floor.
use a spill kit to clean the area.
During therapy with the cytotoxic antibiotic bleomycin, the nurse will assess for a potentially serious adverse effect by monitoring
A. blood urea nitrogen and creatinine levels.
B. cardiac ejection fraction.
C. respiratory function.
D. cranial nerve function.
Just before the second course of chemotherapy, the lab calls to report that a patient's absolute neutrophil count is 600 cells/mm3. The nurse expects that the oncologist will follow which course of treatment?
A. Chemotherapy will continue as scheduled.
B. Chemotherapy will resume with a lowered dosage.
C. Chemotherapy will be withheld until the neutrophil count returns toward normal levels.
D. Chemotherapy will resume after a transfusion of neutrophils.
Chemotherapy will be withheld until the neutrophil count returns toward normal levels.
Also called Nadir
A female patient is receiving palliative therapy with androgen hormones as part of treatment of inoperable breast cancer. Knowing that these drugs can cause body image changes, the nurse will discuss which potential adverse effects with the patient?
A. Hirsutism and acne
B. Weight gain
C. Flushing and hot flashes
D. Alopecia and body odor
Hirsutism and acne
The nurse is assessing a patient who is receiving chemotherapy with an alkylating drug. Which assessment findings would be considered indications of an oncologic emergency? Select all that apply.
A. Blood in the urine
B. Loss of hair
C. Decreased red blood cell count
D. White patches in the mouth or throat
E. Temperature of 100.2 F (37.9 C)
F. Decreased urine output
Blood in the urine
White patches in the mouth or throat
Temperature of 100.2 F (37.9 C)
Decreased urine output
When monitoring a patient's response to interferon therapy, the nurse notes that the major dose-limiting factor for interferon therapy is which condition?
C. Muscle spasms
D. Nausea and vomiting
Fatigue ( is the only dose limiting effect)
Most common adverse effects: fever, chills, headache, malaise, myalgia
A patient asks about his cancer treatment with monoclonal antibodies. The nurse tells him that the major advantage of treating certain cancers with monoclonal antibodies is that
A. they will help the patient improve more quickly than will other antineoplastic drugs.
B. adverse effects are almost eliminated with monoclonal antibody therapy.
C. monoclonal antibodies target certain tumor cells and bypass normal cells.
D. there are fewer incidences of opportunistic infections with monoclonal antibodies.
monoclonal antibodies target certain tumor cells and bypass normal cells.
"mab" suffix = monoclonal antibody "mono=1"
During a patient's therapy with interleukins, the nurse monitors the patient for capillary leak syndrome. Which assessment finding would indicate this problem?
A. Decreased renal output
B. Wheezing and a dry cough
C. Bruising on the skin
D. Severe peripheral edema
Severe peripheral edema
A patient with end-stage renal failure has been admitted to the hospital for severe anemia. She is refusing blood transfusions. The nurse anticipates drug therapy with which drug to stimulate the production of red blood cells?
A. filgrastim (Neupogen)
B. oprelvekin [IL-11] (Neumega)
C. epoetin alfa (Epogen)
D. folic acid
epoetin alfa (Epogen)
A patient who has received chemotherapy has a critically low platelet count. Which drug may be used to stimulate platelet cell production?
A. filgrastim (Neupogen)
C. oprelvekin (Neumega)
D. epoetin alfa (Epogen)
"hematopoietic drug"; decrease the duration of chemotherapy-induced anemia, neutropenia, and thrombocytopenia and enable higher doses of chemo to be given
A patient who has received chemotherapy has a steadily decreasing white blood cell count. His chemotherapy will end on Monday afternoon. The oncologist has mentioned that a colony-stimulating factor will be started soon. The nurse knows that the appropriate time to start this medication is
A. while the patient is still receiving chemotherapy.
B. 2 hours after the chemotherapy ends.
C. Tuesday afternoon, 24 hours after the chemotherapy ends.
D. in 2 to 4 days, after the white blood cells have reached their nadir.
Tuesday afternoon, 24 hours after the chemotherapy ends.
filgrastim and sargramostim (hematopoietic drugs) are not given within 24 hours of administration of myelosuppressive antineoplastics. They are given within 24 hours to prevent nadir happening drastically and dropping to dangerous levels.
A patient has an order for the monoclonal antibody adalimumab. The nurse notes that the patient does not have a history of cancer. What is another possible reason for administering this drug?
A. Severe anemia
B. Rheumatoid arthritis
During interleukin drug therapy, a patient is showing signs of severe fluid retention, with increasing dyspnea and severe peripheral edema. The next dose of the interleukin is due now. What is the best action of the nurse at this time?
A. Holding the drug and notifying the physician
B. Giving the drug and notifying the physician
C. Giving the drug, along with acetaminophen and diphenhydramine (Benadryl)
D. Monitoring the patient for 2 hours, then giving the drug if the patient's condition improves
Holding the drug and notifying the physician
The nurse is administering an interferon and will implement which intervention?
A. Giving the medication at bedtime to decrease daytime fatigue
B. Limiting fluids while the patient is taking these medications
C. Using oral dosing to minimize adverse effects
D. Shaking the drug vial well before drawing up a dose
Giving the medication at bedtime to decrease daytime fatigue
During therapy with epoetin alfa, the nurse knows that drug therapy should be stopped if which laboratory result is noted?
A. White blood cell count of 550 cells/mm3
B. Hemoglobin level of 13 gm/dL
C. Potassium level of 4.2 mEq/L
D. Glucose level of 78 mg/dL
Hemoglobin level of 13 gm/dL
FDA found that 12gm/dL levels with continual use of epoetin alfa, pts. experienced serious adverse events: heart attack, stroke, and death
During therapy with the hematopoietic drug darbepoetin alfa (Aranesp), the nurse instructs the patient about adverse effects that may occur, such as
A. nausea and vomiting.
C. bone pain.
D. black, tarry stools.
Adalimumab (Humira) is prescribed for a patient with severe rheumatoid arthritis. The nurse checks the patient's medical history, knowing that this medication is contraindicated if which disorder is present?
B. Urinary tract infection
Urinary tract infection
Any active infection local or systemic
During therapy with hematopoietic drugs, the nurse monitors the patient for which adverse effects? Select all that apply.
D. Black, tarry stools
E. Nausea and vomiting
Nausea and vomiting
A pt. who has been on antibiotic therapy for 2 weeks has developed persistent diarrhea. The nurse expects which medication to be ordered to treat this diarrhea?
a. mineral oil
b. absorbednts such as Pepto-bismol
c. Anticholinergics such as belladonna alkaloids
d. Intestinal flora modifers such as Lactinex
Intestinal flora modifiers such as Lactinex
A laxative has been ordered for a pt. The nurse checks the patient's medical history, knowing that this medication is contraindicated with which condition?
a. High ammonia levels due to liver failure
c. Abdominal pain of unknown orgin
d. Chronic constipation
Abdominal pain of unknown orgin
The nurse is preparing to administer medications to a pt. who is receiving a gastric tube feeding. When reviewing the patients medication list, the nurse notes a potential concern about a food-drug interaction if which medication is listed?
a. actaminophen, (Tylenol)
b. phenytoin, (Dilatin)
c. metoclopramide, (Reglan)
d. warfarin, (Coumadin)
A. patient will be taking bismuth subsalicylate, (Pepto-Bismol) to control is diarrhea. When reviewing the patient's other ordered medications, the nurses recognizes that which medication will interact significantly with the Pepto-Bismol?
a. digoxin, (Lanoxin)
c. Acetaminophen, Tylenol
d. Tricyclic antidepressants
The nurse is preparing a plan of care for a patient undergoing therapy with vitamin A. Which nursing diagnosis is appropriate for this patient?
a. risk for impaired skin integrity r/t vitamin deficiency
b. distrubed sensory perception (visual) r/t night blindness caused by vitamin deficiency
c. Impaired physical mobility (muscle weakness) r/t vitamin deficiency
d. Disturbed though process (confusion and psychosis) r/t vitamin deficiency
distrubed sensory perception (visual) r/t night blindness caused by vitamin deficiency
The nurse is reviewing the mechanism of action of antidiarrheal drugs. Which type of antidiarrheal medication works by decreasing the intestinal muscle tone and peristalsis of the intestine?
a. absorbents such as Pepto-Bismol
b. Anticholinergics such as belladonna alkaloids
c. Intestinal flora modifiers such as Lactinex
d. Lubricants such as glycerin
Anticholinergics such as belladonna alkaloids
The nurse will monitor for which signs of toxicity when a patient is on Vitamin D supplemental therapy?
When administering mineral, oil, the nurse recognizes that it can interfere with the absorption of which substance?
a. Vitamin A
b. Vitamin C
A patient is taking chemotherapy with a drug that has a high potential for causing nausea and vomiting. The nurse is preparing to administer an antiemetic drug. Which class of antiemetic drugs has proven most effective in preventing nausea and vomiting for patients receiving chemotherapy?
a. Prokinetic drugs
b. Serotonin blockers
d. Anticholinergic drugs
An elderly patient needs to take an enteral supplement to improve her overall nutrition staus. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients?
the nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take measure to prevent which potential problem that may occur with mineral oil.
a. Fecal impaction
C. Lipid pneumonia
d. Esophageal blockage
Niacin is prescribed for a patient who has hyperlipidemia. The nurse checks the patient's medical history, knowning this medication is contraindicated in which disorder?
a. Renal disease
b. Cardiac Disease
c. Liver disease
d. Thyroid disease
A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke's encephalopathy?
a. vitamin B3 (niacin)
b. Vitamin B1 (Thiamine)
c. Vitamin B2 (Riboflavin)
d. Vitamin B6 (pyridoxine)
Vitamin B1 (Thiamine)
A mother calls the pediatrician's office to report that her 18 month old child has eaten half of a bottle of baby aspirin. She says, "I have a bottle of syrup of ipecac. Should I give it to him? he seems fine right now. What do I do? What is the nurse's best response?
a. "Go ahead and give him the ipecac, then call 911"
b. "Dont give him the ipecac, but call the Poison Control number immediately for instructions"
c."Please come to the office right away so that we can check him:"
d. "Call 911 now and wait for them to come"
"Dont give him the ipecac, but call the Poison Control number immediately for instructions"
The nurse notes that a patient is taking tegaserod (Zelnorm) to treat irritable bowel syndrom, (IBS). The nurse will monitor the patient for which adverse effect?
a. Chest pain
c. Abdominal cramps
d. Chronic constipation
When giving nutrition supplements, the nurse keeps in mind that the most common adverse effect is
d. peptic ulcer disease
While recovering from surgery, a 74 year old women stated taking a stimulant laxative, senna (senokot), to relieve constipation caused by the pain medications. She tells the nurse that she likes how "regular" her bowel movements are now that she is taking the laxative. While teaching principle is appropriate for this patient?
a. Use of a stimulant laxative will not affect teh absorption of her other medications.
b. It is important to have a daily bowel movement to promote bowel health.
c.Long-term use of laxatives often results in decreased bowel tone and may lead to dependency.
d. She should switch to glycerin suppositories to continue having daily bowel movements
Long-term use of laxatives often results in decreased bowel tone and may lead to dependency.
A patient is severely constipated and needs immediate relief. The nurse knows that which type of laxative will provide the most rapid results?
a. Bulk-forming laxative, such as psyllium, (Metamucil)
b. Stool softener, such as docusate salts (Colace)
c. Magnesium hydroxide (MOM)
d. Magnesium oxide tablets
Magnesium hydroxide (MOM)
The nurse is reviewing conditions caused by nutrients deficiencies. Conditions such as infantile rickets, tetany, and osteomalcia are caused by a deficiency in which vitamin or mineral?
a. Vitamin D
b. Vitamin K
D. Cyanocobalamin (Vitamin B12)
A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?
a. Prokinetic drug
c. Anticholinergic drugs
d. Neuroleptic drugs
The patient asks advice about which type of laxative is safe to use while at home so as to prevent problems with constipation. The nurse explains that which class of laxative is considered safe to use on a long-term basis?
a. Emollient laxative
b. Bulk forming laxatives
c. Hyperosmotic laxatives
d. Stimulant laxatives
Bulk forming laxatives
The nurse is considering the use of oral laxatives. All of the conditions below are contraindicated in or require caution with the use of oral laxatives except:
a. Nausea and vomiting
b. Acute surgical abdomen
c. Fecal impaction
A women who is in the first trimester of pregnancy has been experiencing severe morning sickness. She asks, "I've heard that ginger tablets may be a natural way to ease the nausea and vomiting. Is it okay to try them? What is the nurse best response?
a. "They are great natural remedy for nausea when you are pregnant"
b. "Go ahead and try them, but stop taking them once the nausea is relieved"
c. "Some health care providers do not recommend ginger during pregnancy. Let's check with your doctor."
d. Wait until you are in your second trimester, then try them. They may be more effective then"
"Some health care providers do not recommend ginger during pregnancy. Let's check with your doctor."
A patient has been receiving total parenteral nutrition (TPN). Upon assessment, the nurse notes that his blood pressure is elevated, his pulse is weak and elevated, he seems confused, and he has new pitting edema around his ankles. Which condition does the nurse suspect the patient is experiencing?
d. Fluid overload
When counseling a patient about calcium supplements, the nurse should include which dietary information?
a. Oral calcium supplements should be taken with meals.
b. Calcium products bind with tetracyclines and thus increase their effects.
c. Foods high in calcium include beef, egg yolks, and liver
d. Foods high in calcium include dairy products and salmon.
Foods high in calcium include dairy products and salmon.
During the night shift, a patients TPN infusion ran out, and there was no TPN solution on hand to continue the infusion. The nurse will have to implement measure to prevent what consequence of abruptly discontinuing TPN infusion?
a. Fluid overload
c. Dumping syndrome
d. Rebound hypoglycemia
A patient with motion sickness is planning a cross-country car trip to attend a family reunion. He has a prescription for a scopolamine transdermal patch. The nurse should instruct the patient that the patch should be changed
a. every day
b. every other day
c. every 3 days
d. only if it stops working
every 3 days
Which one of the following interventions is correct regarding the pharmacologic management of nausea and vomiting?
a. Give antinausea drugs immediately after chemotherapy is administered.
b. taking antinausea drugs at night may causes restlessness and interfere with sleep
c. Instruct the patient to rise slowly from a sitting or lying position due to possible orthostatic hypotension
d. Medicate only when nausea is severe
nstruct the patient to rise slowly from a sitting or lying position due to possible orthostatic hypotension
When monitoring a patient who has been on peripheral parenteral nutrition (PPN) for more than 3 weeks, the nurse monitors for which possible complication?
A patient who has severe nausea and vomiting following a case of food poisoning comes to the clinic. When receiving his medication history, the nurse notes that he has an allergy to procainamide. The nurse would question an order for which antimetic drug if ordered for this patient.
a. metoclopramide, Reglan
b. promethazine, Phenergan
c. phosphorated carbohydrate solution, Emetrol
d. granisetron, Kytril
A patient with type 2 diabetes will be receiving a nasogastric tube feeding for a few days. The nurse expects which type of formula to be used?
a. Vivonex Plus
b. Ensure plus
A patient will be taking bismuth subsalicylate Pepto Bismo to control his diarrhea. When revewing the patients other ordered medications, the nurse recognizes that which medications will interact significantly with the Pepto-Bismol?
a. acetaminophen, Tylenol
b. Thyroid replacement drugs
c. warfarin, Coumadin
A patient on chemotherapy is using ondansetron, Zofran for treatmetn of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?
c. Dry mouth
d. Blurred vision
A patient is receiving lactulose (Chronulac) three times a day. The nurse knows that the patient is not constipated and is receiving this drug for which reason?
a. High ammonia levels due to liver failure
b. Preparation for bowel surgery
c. Abdominal pain of unknown orgin
d. Chronic diarrhea
High ammonia levels due to liver failure
A patient who has been newly diagnosed with vertigo will be taking an antihistamine antimetic drug. The nurse will include which information when teaching the patient about this drug?
a. Doses may be skipped if she is feeling well
b. The patient should avoid driving because of possible drowsiness
c. The patient may experience transient taste problems.
d. It is safe to take it with a glass of wine in the evening to help settle her stomach
The patient should avoid driving because of possible drowsiness
A patient who has AIDS has lost weight and is easily fatigued because of his malnourished state. The nurse anticipates using which antinausea drug to stimulate this appetite?
a. aprepitant (Emend) a substance P/NK1 receptor antagonist
d. Dronabinol, Marinol, tetrahydrocannabinoid
c. ondansetron, Zofran, serotonin blocker
d. metochlopramide, Reglan, a prokinetic drug
d. Dronabinol, Marinol, tetrahydrocannabinoid
The nurse will prepare to give which preparation to a newborn upon arrival in the nursery after delivery?
a. Vitamin B3 (Niacin)
b. Vitamin D (Calciferol)
c. Vitamin A (Aquasol A)
d. Vitamin K (AquaMEPHYTON)
Vitamin K (AquaMEPHYTON)
The nurse is providing teaching to a patient who will be taking the laxative docusate (Biscodyl) Which statement by the nurse is appropriate during this teaching session?
a. "The tablets may be crushed to improve action"
b. "The tablets should be taken with water"
c. "Do not take laxatives if you are experiencing vomiting or abdominal pain"
d. "In a normal bowel pattern, a bowel movement occurs daily."
"The tablets should be taken with water"
A patient will be starting vitamin D supplements. The nurse reviews his medical record for contraindications, which include:
a. renal disease
b. cardiac disease
c. Liver disease
When administering a bulk forming laxative, the nurse instructs the patient to drink the medication mixed in a full 8oz glass of water. Which statement best explains the rationale for this instruction?
a. There will be fewer systemic effects
b. The water will help to reduce the bulk of the intestinal contents
c. These laxatives may cause esophageal obstruction if taken with insufficient water
d. The water acts as a lubricant to produce bowel movements
These laxatives may cause esophageal obstruction if taken with insufficient water
A women has been receiving both radiation and chemotherapy for her cancer. Lately, she has developed anorexia caused by the treatments, so she needs short-term nutrition supplementation. The nurse anticipates that the physician will initiate which therapy?
a. Central total parenteral nutrition,,, TPN
b. Peripheral parenteral nutrition, PPN
c. Oral nutrition supplementation
d. Nasogastric enteral supplementation
Peripheral parenteral nutrition, PPN
A patient is about to undergo a diagnostic bowel procedure. The nurse expects which drug to be used to induce total cleansing of the bowel?
a. polyethylene glycol (GoLYTELY)
c. mineral oil
d. milk of magnesia
polyethylene glycol (GoLYTELY)
The nurse is discussing the use of adsorbents such as bismuth subsalicylate (Pepto Bismol) with a patient who has diarrhea. The nurse should warn the patient about which possible adverse effect?
a. Darkened stools
b. Urinary hesitancy
d. Blurred vision
The peripheral parenteral nutrition bag that has been infusing into an assigned patient has run dry before a new bag has been ordered. The nurse should immediately hang which of the following available solutions until the new bag arrive?
a. 10% dextrose in water
b. 20% dextrose in water
c. 0.9% sodium chloride
d. Lactated Ringers Solution
10% dextrose in water
A patient has received an overdose of the anticoagulant warfarin (Coumadin) and the nurse is preparing to administer vitamin K as an antidote. Which statement about vitamin K is true?
a. The vitamin K dose will be given intramuscularly
b. The patient will be unresponsive to warfarin therapy for 1 week after the vitamin K is given
c. The patient will take oral doses of vitamin K after the initial injection
d. Vitamin K is contraindicated in patients with renal disease
The patient will be unresponsive to warfarin therapy for 1 week after the vitamin K is given
The nurse is administering intravenous calcium and will administer it slowly to avoid which adverse effect?
b. cardiac arrest
d. respiratory arrest
A patient is on chemotherapy regimen in an outpatient clinic and is receiving a drug that is known to be highly emetogenic. The nurse will implement which interventions regarding the pharmacologic management of nausea and vomiting? Select all that apply?
a. Giving antinausea drugs when beginning the chemotherapy infusion
b. Administering antinausea drugs 30 to 60 minutes before chemotherapy is started
c. For best therapeutic effects, medicating for nausea once the symptoms begin
d. Observing carefully for the adverse effects of restlessness and anxiety
e. Instructing the patient that the antinausea drugs may cause extreme drowsiness
f. Instructing the patient to rise slowly from a sitting or lying position because of possible orthostatic hypotension
Administering antinausea drugs 30 to 60 minutes before chemotherapy is started e. Instructing the patient that the antinausea drugs may cause extreme drowsiness
Instructing the patient to rise slowly from a sitting or lying position because of possible orthostatic hypotension
The nurse is monitoring a patient who is receiving a parenteral nutrition infusion. What measures are appropriate to prevent infection? Select all that apply.
a. Change the IV tubing set every 48 hours
b. Change the IV tubing set every time a new bag is added to the infusion
c. Use a 1.2 micron filter with each tubing set
d. Monitor the patient's temperature every shirt during the infusion
e. Report any increase in the patients temperature over 101 degree F (38.3 C)
Change the IV tubing set every time a new bag is added to the infusion
Use a 1.2 micron filter with each tubing set
Report any increase in the patients temperature over 101 degree F (38.3 C)
A patient asks the nurse about taking megadoses of vitamin C to improve her immunity to colds, "its just a vitamin right? What can happen?" Which responses by the nurse are correct? Select all that apply?
a. Vitamin C is harmless because it is a water soluble vitamin
b. Megadoses of vitamin C can cause nausea, vomiting, headaches, and abdominal cramps
c. Keep in mind that if you suddenly stop taking these megadoses, you might experience symptoms similar to scurvy
d. Studies have shown that vitamin C has little value as prophylaxis for the common cold
e. Vitamin C acidifies the urine, which can lead to the formation of renal stones
f. Large does of vitamin C may delay wound healing
Megadoses of vitamin C can cause nausea, vomiting, headaches, and abdominal cramps
Keep in mind that if you suddenly stop taking these megadoses, you might experience symptoms similar to scurvy
Studies have shown that vitamin C has little value as prophylaxis for the common cold
Vitamin C acidifies the urine, which can lead to the formation of renal stones
The nurse is considering that uses of oral laxatives. Which conditions are general contraindications to or cautions about the use of oral laxatives? Select all that apply?
a. irritable bowel syndrom
b. abdominal pain of unknown orgin
c. Nausea and vomiting
d. Fecal impaction
e. ingestion of toxic substances
f. Acute surgical abdomen
abdominal pain of unknown origin
Nausea and vomiting
Acute surgical abdomen
The nurse is reviewing vitamin therapy. Which statements are true regarding vitamin C? Select all that apply
a. Vitamin C is important in the maintenance of bone, teeth, and capillaries
b. Vitamin C is essential for night vision
c. Vitamin C is important for tissue repair
d. Vitamin C is found in animal sources such as dairy products and meat.
e. Vitamin C is found in citrus fruits, ,tomatoes, strawberries, and broccoli.
f. Vitamin C is also known as the "sunshine vitamin"
g. Vitamin C deficiency is known as scurvy
Vitamin C is important in the maintenance of bone, teeth, and capillaries
itamin C is important for tissue repair
Vitamin C is found in citrus fruits, ,tomatoes, strawberries, and broccoli.
Vitamin C deficiency is known as scurvy
During intravenous infusion of calcium, the nurse monitors the patient for symptoms of hypercalcemia. Which are symptoms of hypercalcemia? Select all that apply.
b. nausea and vomiting
e. Cardiac irregularities
nausea and vomiting
Cardiac irregularities/ cardiac dysrhythmias ie fundamentals
A patient is receiving an antacid that contains aluminum salts. The nurse will inform that patient to watch for which possible adverse effect?
C. Intestinal flatulence
d. Abdominal cramping
When reviewing the healthy history of a patient who will be receiving antacids, the nurse recalls that antacids containing magnesium should be used cautiously in which conditions?
a. Peptic ulcer disease
B. Renal failure
D. Heart Failure
When giving H2 antagonists, the nurse recognizes that these drugs may inhibit the absorption of other drugs, which require an acidic GI environment for gastric absorption, such as which drug?
A. ibuprofen, Motrin
B. ranitidine, Zantac
C. Tetracycline, Doryx
D. ketoconazole, Nizoral
A patient who has been taking cimetidine, Tagament for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes what which factor may be influencing the effectiveness of this drug?
A. He takes the cimetidine with meals
B. He smokes two packs of cigarettes a day
C. He avoids caffeine and alcohol
D, He takes an antacid 1 hour before or after the cimetidine dose
He smokes two packs of cigarettes a day
A patient is takingn omeprazole, Prilosec for the treatment of gastroesphageal reflux disease GERD. Which statement will the nurse include in the teaching plan about this medication?
A. Take this medication once a day after breakfast
B. You will be on this medication for only 2 weeks for treatment of the reflux disease
C. The medication may be dissolved in a liquid for better absorption
D. The entire capsule should be taken whole, not crushed, chewed, or opened.
The entire capsule should be taken whole, not crushed, chewed, or opened.
The nurse notes that a patient has excessive and painful gas. The nurse checks the patients medication orders and prepares to administer which drug for this problem?
a. famotidine, Pepsid
b. aluminum hydroxide and magnesium hydroxide (Maalox or Mylanta)
c. calcium carbonate (Tums)
A 75 year old women comes into the clinic with the complaint of indigestion, stomach pain, and frequent belching. She tells the nurse that she has been taking sodium bicarbonate 5 or 6 times a day for the past 3 weeks. The nurse knows that which possible hazard exists with the use of sodium bicarbonate?
A. Constipation may occur with continuous use
B. Metabolic acidosis may result from excessive use
C. Metabolic alkalosis may result from excessive use
D. It stimulates the stomach to secret excess mucus
Metabolic alkalosis may result from excessive use
The physician has recommended 2 weeks of combination therapy with omeprazole and another drug for a patient diagnosed with a peptic ulcer caused by Helicobactor pylori. Which drug does the nurse expect will be the second drug ordered?
A. An antibiotic
B. a non-steroidal anti-inflammatory drug
C. an antacid
D. an antiemetic
A patient is asking advice about which over the counter antacid to choose. The nurse explains that calcium carbonate is not often used as an antacid because
A. its use may result in kidney stones.
B. it causes decreased gastric acid production.
C. it often causes severe diarrhea.
D. it may result in fluid retention and edema.
its use may result in kidney stones.
When the nurse is teaching a patient who is taking several medications, including twice daily dosages of antacids, which instructions is correct?
A. The medications can be taken with the antacids.
B. The antacids should be taken at least 1 hour before or after the other medications.
C. The antacids should be taken at least 4 hours apart from the other medications.
D. The patient will not be able to take the antacid therapy at this time.
The antacids should be taken at least 1 hour before or after the other medications.
During and admission assessment, the patient tells the nurse that he has been self treating his heartburn for a year with over the counter antacids. The nurse is aware that this self treatment may have which result?
A. No serious consequences.
B. Prevention of more serious problems, such as an ulcer
C. Chronic constipation
D. Masked symptoms of serious underlying diseases.
Masked symptoms of serious underlying diseases.
An elderly patient had gastric surgery a week ago, and he has been stable since the surgery. This evening, his daughter tells the nurse, "He seems to be more confused this afternoon. He's never been like this. What could be the problem?" The nurse reviews the medication record and suspects that which drug could be the cause of the patient's confusion?
A. Cimetidine (Tagamet)
B. Pantroprozole (Protonix)
D. Sucralfate (Carafate)
The nurse is providing patient teaching about antacids. Which statements about antacids are true? Select all that apply.
A. Antacids prevent the overproduction of acid in the stomach.
B. Antacids neutralize acid in the stomach.
C. Antacids form a mucus barrier in the stomach.
D. Rebound hyperacidity may occur with calcium based antacids.
E. Aluminum based antacids cause diarrhea.
F. Magnesium based antacids cause diarrhea.
Antacids neutralize acid in the stomach.
Rebound hyperacidity may occur with calcium based antacids.
Magnesium based antacids cause diarrhea.
A patient is to receive iron dextran injections. Which technique will the nurse use to administer this medication safely?
A. Intravenous administration mixed with 5% dextrose
B. Intramuscular injection in the upper arm
C. Intramuscular injection using the Z-track method.
D. Subcutaneous into the abdomen
Intramuscular injection using the Z-track method.
A nurse is giving instructions to a patient who will be receiving oral iron supplement. Which instructions should be included in the teaching plan?
A. Take the iron tablets with milk or antacids.
B. Take the iron tablets with meals if gastrointestinal distress occurs.
C. Crush the pills as needed to help swallowing.
D.If black tarry stools occur, report it to the doctor immediately.
Take the iron tablets with meals if gastrointestinal distress occurs.
The nurse should teach a patient who is receiving oral iron supplements to watch for which expected adverse effects?
B. Dizziness and syncope
C. Black, tarry stools
D. Red discoloration of the urine.
Black, tarry stools
A patient has been taking iron supplement for anemia for 4 weeks. The nurse will observe for which therapeutic response?
A. Decreased weight
B. Absence of fatigue
C. Decreased palpitations
D. Decreased visual disturbances
Absence of fatigue
An oral iron supplement is prescribed for a patient. The nurse would question this order if the patient's medical history includes which condition?
A. Decreased nutrition state
B. Hemolytic anemia
D. Decreased hemoglobin
The nurse is reviewing the medical record of a patient who has a new order for iron sucrose (Venofer). Which intervention regarding the administration of iron sucrose is correct?
A. This medication should be given with food to reduce gastric distress.
B. It is contraindicated if the patient has renal disease.
C. A test dose should be administered before the full dose is given.
D. The nurse should monitor for hypotension during the infusion.
The nurse should monitor for hypotension during the infusion.
The nurse is teaching a session on eating foods to increase iron intake. Which foods will enhance the absorption of oral iron forms?
D. Orange juice
The nurse is administering liquid oral iron supplements. What is important to remember when administering this liquid form of iron?
A. Follow the dose with Milk
B. Taking it through a plastic straw
C. Mixing with juice and sipping slowly
D. Drinking the medication undiluted from a measured medicine cup
Taking it through a plastic straw
A woman who is planning to become pregnant should ensure that she receives adequate levels of which vitamin to reduce the risk for fetal neural tube defects?
A. Vitamin B12
B. Vitamin C
D. Folic Acid
The nurse is administering medications to a patient with new diagnosis of anemia. Which statement about treatment with folic acid is true?
A. Folic acid is used to treat any type of anemia.
B. The cause of the anemia should be determined before treatment.
C. Folic acid is used to treat pernicious anemia.
D. Folic acid is used to treat iron deficient anemia.
The cause of the anemia should be determined before treatment.
Folic acid is prescribed for a patient with pernicious anemia. The nurse review the patient's medical record and notes that a concern may exit if which drug or drug class is also ordered for this patient?
A. phenytoin (Dilantin)
B. vitamin C supplements
C. Thyroid replacement hormones
D. atenolol (Tenomin)
The nurse is administering intravenous iron dextran for the first time to a patient with anemia. After giving a test dose, how long should the nurse wait before administering the remaining portion of the dose?
A. 1 minute
B. 30 minute
C. 1 hour
D. 3 hours
A patient will be taking oral iron supplements. The nurse should include which statements in the teaching plan for this patient? Select all that apply.
A. Take the iron tablets with an antacid.
B. Take the iron on an empty stomach 1 hour before meals.
C. Take the iron with meals.
D. Drink 8 ounces of mild with each iron dose.
E. Taking iron supplements with orange juice enhances iron absorption.
F. Stools may become loose and light in color.
G. Stools may become black and tarry.
H. Tablets may be crushed to enhance iron absorption.
Take the iron with meals.
Taking iron supplements with orange juice enhances iron absorption.
Stools may become black and tarry.
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