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Pharm Quiz 4
Pharm Wk4 Quiz
| Question | Answer |
|---|---|
| A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking | an elixir |
| A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? | Determine if the drug is going to make you drowsy before you drive |
| A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The nurse will instruct her to “test spray” the new metered-dose inhaler (MDI) three times before using it to prevent which of the following? | Paradoxic acute bronchospasm |
| A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, | and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient has a high coffee intake. |
| A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake of which of the following? | Coffee |
| A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? | Oropharyngeal Candida albicans infection |
| A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? | Take it on an empty stomach, 1 hour before or 2 hours after meals |
| A female patient calls the clinic and reports that since she has been taking dextromethorphan (Robitussin), she has been extremely drowsy and dizzy. The nurse will question the patient about which of the following? | The amount of grapefruit or orange juice she has during the day |
| After a recent history of shortness of breath that has become increasingly severe, a woman has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What patient teaching should the nurse provide to this patient? | “Make sure that you take this at the scheduled times, regardless of whether you feel short of breath.” |
| Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? | Gastrointestinal distress |
| A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid | adrenal insufficiency. |
| A 20-year-old woman calls the clinic at 5 PM and reports to the nurse that she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her evening dose at 8 PM. She wants to know what she should do. The nurse will instruct her to | forget about the morning dose and take the evening dose. |
| The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a “rescue drug” | for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? Albuterol |
| A nurse is assigned to a patient who is receiving IV aminophylline. The nurse is aware that the IV infusion rate should be | no more than 25 mg/minute. |
| A male patient is to begin treatment for pneumonia with an albuterol (Ventolin) inhaler. The nurse will advise the patient that he will most likely experience which of the following common adverse effects of the drug? | Throat irritation |
| A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to | remove the contact lenses before applying the drops |
| A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent | confusion. Which of the following would be the best response by the nurse? “This schedule allows rest periods so that adverse effects are decreased but the anti-inflammatory effects continue.” |
| A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? | The amount of alcohol consumption |
| A 57-year-old male patient who has been prescribed doxorubicin for small-cell lung cancer is advised by the nurse to avoid taking aspirin or drugs that contain aspirin because it may | promote bleeding. |
| A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? | Enlarged prostate gland |
| A female patient has been taking zafirlukast for a week and is experiencing diarrhea. The nurse should instruct her to do which of the following? | Drink plenty of fluids |
| A 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks | how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in 15 to 30 minutes |
| A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes are a result of | a CNS reflex that is initiated by receptors in the nasal cavities. |
| A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) | and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? Phenelzine (Nardil) |
| A nurse is caring for a female patient who has developed atelectasis because of thick mucus secretions. The nurse is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient's face is flushed | The appropriate nursing action would be to slow the administration of acetylcysteine and administer diphenhydramine if ordered. |
| Children age 6 to 11 are recommended to start with what dosage of Allegra? | 30 mg twice a day |
| A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. | How should the nurse respond to this patient's statement? “It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make sure there aren't any interactions.” |
| A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because | secretions may be retained |
| A college student has presented the campus medical clinic complaining of cold symptoms that he has been experiencing for the past 2 weeks. He tells the nurse that he has been taking OTC decongestants twice daily since | the onset of the cold. What teaching point should the nurse provide to this student? “You might find yourself more congested than ever as your body compensates for your use of these drugs.” |
| A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his “puffers”. In recent months, he has become more involved in sports and has developed a habit of | administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to rebound bronchoconstriction |
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