Study sets, textbooks, questions
Upgrade to remove ads
Terms in this set (153)
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
"Right Time" problem
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 minutes before beginning chemotherapy to prevent nausea." The nurse notes that the route is missing from the order. What is the nurse's best action?
Contact the prescriber to clarify the route of the medication ordered.
When giving medications, the nurse will follow the rights of medication administration, which include what rights? (Select all that apply.)
The nurse is administering parenteral drugs. Which statement is true regarding parenteral drugs?
Parenteral drugs bypass the first-pass effect.
When reviewing pharmacology terms for a group of newly graduated nurses, the nurse explains that a drug's half-life is the time it takes for
one half of the original amount of a drug to be removed from the body.
When administering drugs, the nurse remembers that the duration of action of a drug is defined as the time
period when a drug's concentration is sufficient to cause a therapeutic response.
The patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin. Where does the nurse instruct the patient to place the tablet?
Under the tongue
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for which priority action at this time?
Administration of naloxone (Narcan)
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining of severe pain around his incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient?
His respiratory rate
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to administer which type of analgesic?
Nonopioid analgesic, such as indomethacin (Indocin)
A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after abdominal surgery. The nurse will include which information in the teaching plan?
How to prevent constipation
A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed that the opioid analgesic is not helping as much as it had previously and more medication is needed for the same pain relief. The nurse is aware that this patient is experiencing opioid
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder at work. He says he has taken several pain pills over the past few hours but cannot remember how many he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect of acute acetaminophen overdose is which condition?
A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The nurse expects this type of pain to be managed by
administering an immediate-release opioid.
The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?
A patient is to receive acetylcysteine (Mucomyst) as part of the treatment for an acetaminophen (Tylenol) overdose. Which action by the nurse is appropriate when giving this medication?
Disguising the flavor with soda or flavored water
A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of seizures. The nurse expects that the patient is receiving this drug for which condition?
Pain associated with peripheral neuropathy
The nurse is assessing a patient who has been admitted to the emergency department for a possible opioid overdose. Which assessment finding is characteristic of an opioid drug overdose?
Respiration rate of 6 breaths/minute
The drug nalbuphine (Nubain) is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists?
They have a lower dependency potential than agonists.
The nurse is assessing a patient for contraindications to drug therapy with acetaminophen (Tylenol). Which patient should not receive acetaminophen?
A patient with a history of liver disease
A patient arrives at the urgent care center complaining of leg pain after a fall when rock climbing. The x-rays show no broken bones, but he has a large bruise on his thigh. The patient says he drives a truck and does not want to take anything strong because he needs to stay awake. Which statement by the nurse is most appropriate?
"You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day."
A patient is suffering from tendonitis of the knee. The nurse is reviewing the patient's medication administration record and recognizes that which adjuvant medication is most appropriate for this type of pain?
Vicodin (acetaminophen/hydrocodone) is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? (Select all that apply.)
A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that "the least little thing" bothers him now. Which is the correct explanation for this problem?
This drug causes deprivation of REM sleep and may cause the inability to deal with normal stress.
A 50-year-old man who has been taking phenobarbital for 1 week is found very lethargic and unable to walk after eating out for dinner. His wife states that he has no other prescriptions and that he did not take an overdose—the correct number of pills is in the bottle. The nurse suspects that which of the following may have happened?
He drank a glass of wine.
A patient is recovering from a minor automobile accident that occurred 1 week ago. He is taking cyclobenzaprine (Flexeril) for muscular pain and goes to physical therapy three times a week. Which nursing diagnosis would be appropriate for him?
Risk for falls related to decreased sensorium
A patient is brought to the emergency department for treatment of a suspected overdose. The patient was found with an empty prescription bottle of a barbiturate by his bedside. He is lethargic and barely breathing. The nurse would expect which immediate intervention?
Implementing measures to maintain the airway and support respirations
The nurse notes in the patient's medication history that the patient is taking cyclobenzaprine (Flexeril). Based on this finding, the nurse interprets that the patient has which disorder?
A musculoskeletal injury
A patient has been admitted to the emergency department for an overdose of oral benzodiazepines. He is very drowsy but still responsive, with a respiration rate of 12 breaths per minute. The nurse will prepare for which immediate intervention?
Administration of flumazenil (Romazicon)
The barbiturate phenobarbital is prescribed for a patient with epilepsy. While assessing the patient's current medications, the nurse recognizes that interactions may occur with which drugs? (Select all that apply.)
When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse will discuss which potential problem?
The nurse is reviewing drug therapy for hypertension. According to the JNC 7 guidelines, antihypertensive drug therapy for a newly diagnosed stage 1 hypertensive African-American patient would most likely include which drug or drug classes?
Calcium channel blockers with thiazide diuretics
The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications?
A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks how long drug therapy will be needed. Which answer by the nurse is the correct response?
"Therapy for high blood pressure is usually lifelong."
A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?
Angiotensin-converting enzyme (ACE) inhibitors
The nurse is reviewing the orders for a patient and notes a new order for an angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class?
Nonsteroidal antiinflammatory drugs
An elderly patient will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult patient taking this class of drug?
When teaching a patient about antihypertensive drug therapy, which statements by the nurse are correct? (Select all that apply.)
"You need to have your blood pressure checked once a week and keep track of the readings."
"An exercise program may be helpful in treating hypertension, but let's check with your doctor first."
"Please continue taking the medication, even if you are feeling better."
When the nurse is administering topical nitroglycerin ointment, which technique is correct?
Remove the old ointment before new ointment is applied.
The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because of an acute myocardial infarction. Which statement is true regarding the administration of the intravenous form of this medication?
Non-polyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used.
A patient has been diagnosed with angina and will be given a prescription for sublingual nitroglycerin tablets. When teaching the patient how to use sublingual nitroglycerin, the nurse will include which instruction?
If the chest pain is not relieved after one tablet, call 911 immediately.
A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after 1 or 2 sublingual nitroglycerin tablets and rest. What type of angina is he experiencing?
When applying transdermal nitroglycerin patches, which instruction by the nurse is correct?
"Rotate application sites with each dose."
A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?
"Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia."
What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?
Remove the patch at bedtime, and then apply a new one in the morning.
While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?
When teaching a patient who has a new prescription for transdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation?
To prevent the occurrence of angina
The nurse is providing education about the use of sublingual nitroglycerin tablets. She asks the patient, "What would you do if you experienced chest pain while mowing your yard? You have your bottle of sublingual nitroglycerin with you." Which actions by the patient are appropriate in this situation? (Select all that apply.)
Stop the activity, and lie down or sit down.
Call 911 if the pain is not relieved after taking 1 sublingual tablet.
Place a tablet under the tongue.
Take another sublingual tablet if chest pain is not relieved after 5 minutes, up to three total.
A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse's response is based on which rationale?
Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels.
A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?
When administering heparin subcutaneously, the nurse will follow which procedure?
Using a - to -inch 25- to 28-gauge needle
A patient has been instructed to take one enteric-coated low-dose aspirin a day as part of therapy to prevent strokes. The nurse will provide which instruction when providing patient teaching about this medication?
Take the medication with 6 to 8 ounces of water and food.
A patient who is taking warfarin (Coumadin) therapy has a headache and calls the prescriber's office to ask about taking a pain reliever. The nurse expects to receive instructions for which type of medication?
A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?
The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?
Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?
"Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes."
When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about loop diuretics?
They have a rapid onset of action and cause rapid diuresis.
When monitoring a patient who is taking hydrochlorothiazide (HydroDIURIL), the nurse notes that which drug is most likely to cause a severe interaction with the diuretic?
When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?
Intake, output, and daily weight
A patient is started on a diuretic for antihypertensive therapy. The nurse expects that a drug in which class is likely to be used initially?
A patient in the neurologic intensive care unit is being treated for cerebral edema. Which class of diuretic is used to reduce intracranial pressure?
A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very independent and wants to continue to live at home. The nurse will know that which teaching point is important for this patient?
He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.
A patient on diuretic therapy calls the clinic because he's had the flu, with "terrible vomiting and diarrhea," and he has not kept anything down for 2 days. He feels weak and extremely tired. Which statement by the nurse is correct?
"Please come into the clinic for an evaluation to make sure there are no complications."
When assessing a patient who is receiving a loop diuretic, the nurse looks for the manifestations of potassium deficiency, which would include what symptoms? (Select all that apply.)
When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action?
Having direct action on the cough center
During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering this patient?
A patient is taking intravenous aminophylline for a severe exacerbation of chronic obstructive pulmonary disease. The nurse will assess for which therapeutic response?
Increased ease of breathing
A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary disease. The nurse will monitor for adverse effects associated with the use of xanthine derivatives, such as
A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?
A short-acting beta2 agonist such as albuterol (Proventil)
The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?
It needs to be taken every day on a continuous schedule, even if symptoms improve.
A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?
"Take the bronchodilator inhaler first."
When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?
Oral candidiasis and dry mouth
The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 13 mcg/mL, and the nurse evaluates this level to be
at a therapeutic level.
A patient has a new order for an ipratropium (Atrovent) inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?
When evaluating a patient's use of a metered-dose inhaler (MDI), the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?
Obtain an order for a spacer device.
The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol). Which statement about this inhaler is accurate?
It is used for prevention of bronchospasms.
The nurse is reviewing medications for the treatment of asthma. Which drugs are used for acute asthma attacks? (Select all that apply.)
albuterol (Proventil) nebulizer solution
aminophylline IV infusion
The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? (Select all that apply.)
"I will gargle after using the inhaler and then swallow."
"I will use this inhaler for asthma attacks."
When reviewing the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics?
The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct?
"Avoid direct sunlight and tanning beds while on this medication."
When reviewing the medication orders for a patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as the result of an interaction between these drugs?
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
A patient is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling "anxious" and is having trouble breathing. What will the nurse do first?
Stop the antibiotic infusion.
A patient is admitted with a fever of 102.8° F (39.3° C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence?
Blood and urine cultures, antibiotic dose
During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and decreased appetite. Which statement is the nurse's best advice to the patient?
"Drink a full glass of water with each dose."
The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks. Today the patient tells the nurse that he has had watery diarrhea since the day before and is having abdominal cramps. His oral temperature is 101° F (38.3° C). Based on these findings, which conclusion will the nurse draw?
The patient needs to be tested for Clostridium difficile infection.
The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with an infection. Which laboratory value would indicate therapeutic effectiveness of this therapy?
Decreased white blood cell count
The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram-positive infection. Which generation of cephalosporin is most appropriate for this type of infection?
A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery. The nurse knows that this is an example of which type of therapy?
A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections?
During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by
large doses of antibiotics that kill normal flora.
The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?
Disinfectants are used only on nonliving objects to destroy organisms
A patient with a long-term intravenous catheter is going home. The nurse knows that if he is allergic to seafood, which antiseptic agent is contraindicated?
During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a hypersensitivity reaction. Which of these assessment findings may be an indication of a hypersensitivity reaction? (Select all that apply.)
Shortness of breath
Swelling of the tongue
The nurse is reviewing the medication history of a patient who will be taking a sulfonamide antibiotic. During sulfonamide therapy, a significant drug interaction may occur with which of these drugs or drug classes? (Select all that apply.)
When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?
Tinnitus and dizziness
The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug's administration?
Infusing the drug over at least 1 hour
Which nursing diagnosis is appropriate for a patient who has started aminoglycoside therapy?
Risk for injury (renal damage)
A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for therapy?
A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam antibiotic as well. The patient asks why two antibiotics have been ordered. What is the nurse's best response?
"The combined effect of both antibiotics is greater than each of them alone."
The nurse is reviewing the medication orders for a patient who will be receiving linezolid (Zyvox) therapy. Which other medication or medication class, if ordered, would be a potential interaction concern?
Selective serotonin reuptake inhibitor antidepressants
The nurse checks the patient's laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL. What will the nurse do next?
Hold the drug, and notify the prescriber.
A patient has been diagnosed with Klebsiella pneumoniae carbapenemases (KPC). The nurse expects to see orders for which drug?
colistimethate sodium (Coly-Mycin), a polypeptide antibiotic
A 79-year-old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?
Tendonitis and tendon rupture
The nurse who is administering aminoglycoside therapy must monitor the patient closely for signs of toxicity as manifested by which of these conditions? (Select all that apply.)
Rising serum creatinine level
The nurse is administering intravenous vancomycin (Vancocin) to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)
Monitoring serum creatinine levels
Warning the patient that a flushed feeling or facial itching may occur
Instructing the patient to report dizziness or a feeling of fullness in the ears
Reporting a trough drug level of 24 mcg/mL and holding the drug
A patient will be receiving nitrofurantoin (Macrodantin) treatment for a urinary tract infection. The nurse is reviewing the patient's history and will question the nitrofurantoin order if which disorder is present in the history? (Select all that apply.)
Chronic renal disease
The nurse is providing teaching to a patient who will be taking the laxative bisacodyl (Dulcolax). Which statement by the nurse is appropriate during this teaching session?
"Take the tablets with water, not milk or juice."
The nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take measures to prevent which potential problem that may occur with mineral oil?
When administering a bulk-forming laxative, the nurse instructs the patient to drink the medication mixed in a full 8-ounce glass of water. Which statement best explains the rationale for this instruction?
These laxatives may cause esophageal obstruction if taken with insufficient water.
A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control diarrhea. When reviewing the patient's other ordered medications, the nurse recognizes that which medication or medication class will interact significantly with the Pepto-Bismol?
Oral hypoglycemic drugs
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?
polyethylene glycol (GoLYTELY)
While recovering from surgery, a 74-year-old woman started taking a stimulant laxative, senna (Senokot), to relieve constipation caused by the pain medications. Two weeks later, at her follow-up appointment, she tells the nurse that she likes how "regular" her bowel movements are now that she is taking the laxative. Which teaching principle is appropriate for this patient?
Long-term use of laxatives often results in decreased bowel tone and may lead to dependency.
A patient asks the nurse about the difference between diphenoxylate with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium). Which response by the nurse is correct?
"Imodium does not cause physical dependence."
A patient wants to prevent problems with constipation and asks the nurse for advice about which type of laxative is safe to use for this purpose. Which class of laxative is considered safe to use on a long-term basis?
When administering mineral oil, the nurse recognizes that it can interfere with the absorption of which substance?
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 intestines?
Anticholinergics such as belladonna alkaloids
The nurse is discussing the use of adsorbents such as bismuth subsalicylate (Pepto-Bismol) with a patient who has diarrhea. The nurse will warn the patient about which possible adverse effects?
Dark stools and blue gums
A patient who has been on antibiotic therapy for 2 weeks has developed persistent diarrhea. The nurse expects which medication class to be ordered to treat this diarrhea?
A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control diarrhea. When reviewing the patient's other ordered medications, the nurse recognizes that which medication will interact significantly with the Pepto-Bismol?
warfarin (Coumadin), an anticoagulant
A laxative has been ordered for a patient. The nurse checks the patient's medical history and would be concerned if which condition is present?
Abdominal pain of unknown origin
A patient is severely constipated and needs immediate relief. The nurse knows that which class of laxative will provide the most rapid results?
Magnesium hydroxide (MOM)
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?
High ammonia levels due to liver failure
A patient is taking tegaserod (Zelnorm) to treat irritable bowel syndrome (IBS). The nurse will monitor this patient for which adverse effect?
The nurse is preparing to administer methylnaltrexone (Relistor), a peripherally acting opioid antagonist. This drug is appropriate for which patient?
A terminally ill patient who has opioid-induced constipation
A patient has been treated with alosetron (Lotronex) for severe irritable bowel syndrome (IBS) for 2 weeks. She calls the clinic and tells the nurse that she has been experiencing constipation for 3 days. The nurse will take which action?
Instruct the patient to stop taking the drug and to come to the clinic right away to be evaluated
The nurse is reviewing the uses of oral laxatives. Which conditions are general contraindications to or cautions about the use of oral laxatives? (Select all that apply.)
Abdominal pain of unknown origin
Nausea and vomiting
Acute abdominal pain
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?
Prokinetic drugs, such as metoclopramide (Reglan)
A patient who has AIDS has lost weight and is easily fatigued because of his malnourished state. The nurse anticipates an order for which antinausea drug to stimulate his appetite?
dronabinol (Marinol), a tetrahydrocannabinoid
A patient on chemotherapy is using ondansetron (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?
A patient who has severe nausea and vomiting following a case of food poisoning comes to the urgent care center. When reviewing his medication history, the nurse notes that he has an allergy to procaine. The nurse would question an order for which antiemetic drug if ordered for this patient?
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?
"Don't give him the ipecac. Call the Poison Control number immediately for instructions."
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?
Serotonin blockers, such a ondansetron (Zofran)
A patient who has been newly diagnosed with vertigo will be taking an antihistamine antiemetic drug. The nurse will include which information when teaching the patient about this drug?
The patient will need to avoid driving because of possible drowsiness.
A patient with motion sickness is planning a cross-country car trip and has a new prescription for a scopolamine transdermal patch The nurse provides teaching for the use of this patch medication. The patient shows a correct understanding of the teaching with which statement?
"I will change the patch every 3 days."
A woman 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's best response?
"Some health care providers do not recommend ginger during pregnancy. Let's check with your provider."
The nurse is reviewing new postoperative orders and notes that the order reads, "Give hydroxyzine (Vistaril) 50 mg IV prn nausea or vomiting." The patient is complaining of slight nausea. Which action by the nurse is correct at this time?
Call the prescriber to question the route that is ordered.
A patient is on a chemotherapy regimen in an outpatient clinic and is receiving a chemotherapy 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.)
Administering antinausea drugs 30 to 60 minutes before chemotherapy is started
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 reviewing the therapeutic effects of nonsteroidal antiinflammatory drugs (NSAIDs), which include which effect?
A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?
Nausea and vomiting
An elderly patient tells the nurse that he uses aspirin for "anything that hurts." The nurse will assess for which most common signs of chronic salicylate intoxication in adults?
Tinnitus and hearing loss
A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?
Decreased uric acid levels
The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction will the nurse include during the teaching session?
"Call your doctor if you have increased pain or blood in the urine."
A mother brings her toddler into the emergency department and tells the nurse that she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for which most common signs of salicylate intoxication in children?
Hyperventilation and drowsiness
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse?
"Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal antiinflammatory drug (NSAID) and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response?
"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
prevent thrombus formation.
During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal antiinflammatory drugs (NSAIDs)?
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 patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?
Type 2 diabetes mellitus
The nurse is reviewing the history of a patient who has a new order for a nonsteroidal antiinflammatory drug (NSAID) to treat tendonitis. Which conditions are contraindications to the use of NSAIDs? (Select all that apply.)
Peptic ulcer disease
A 75-year-old woman has been given a nonsteroidal antiinflammatory drug (NSAID) for the treatment of rheumatoid arthritis. The nurse is reviewing the patient's medication history and notes that which types of medications could have an interaction with the NSAID? (Select all that apply.)
A patient has been diagnosed with angina and will be given a prescription for sublingual nitroglycerin tablets. When teaching the patient how to use sublingual nitroglycerin, the nurse will include which instruction?
Sets found in the same folder
Pharm - 40,42,43
Chapter 11: General and Local Anesthetics
Antibiotics quiz from March 13, 2012
Chapter 27 Antilipemic Drugs
Other sets by this creator
Units 4 & 5
NRSE 2220 - Foundations Quiz 2
Pharmacology Exam 1
NRSE 2230 - Final Exam
Other Quizlet sets
GBL 395 Final
Geology Exam #2- Metamorphic Rocks (chap 8)
Irregular Preterit Verbs