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Pharm 11/16
| Question | Answer |
|---|---|
| A nurse is discussing various ways to obtain a medical abortion with a patient. Which statement by the patient best demonstrates understanding of mifepristone (RU 486) (Mifeprex)? “This drug is most effective if I use it: | within 7 weeks of conception |
| A patient is taking a combination oral contraceptive (OC) and reports breast tenderness, edema, and occasional nausea. What will the nurse recommend? | The patient should request an OC containing less estrogen. |
| An adolescent female pt with multiple sexual partners asks a nurse about BC methods. The pt tells the nurse she tried oral contraceptives once but often forgot to take her pills. The nurse will recommend discussing which contraception with the provider? | DMPA (Depo-Provera) and condoms |
| A patient is admitted to the obstetric unit in preterm labor at 36 weeks’ gestation. The prescriber orders a tocolytic agent. When teaching the patient about this medication, the nurse will tell her that tocolytics | help delay delivery while glucocorticoids are given. |
| pt received 2 doses of dinoprostone (Prepidil) to initiate labor. Its been 6 hrs since last dose. nurse assesses the pt and notes that cervix is ripe & dilated to 4 cm, but contractions are diminishing in intensity and freq. What will nurse expect to do? | Administer oxytocin. |
| A patient at increased risk for thromboembolic disorders will begin taking a progestin-only oral contraceptive. Which statement by the patient indicates understanding of how this oral contraceptive works? | “I will need to use backup contraception if I miss a pill.” |
| A patient calls the nurse to report that she forgot to take a combination OC pill during the third week of her cycle. She tells the nurse that she missed another pill earlier that week. The nurse will tell her to: | take a pill now, continue the pack, skip the placebo pills, and start a new pack on week 4 |
| A pt has just purchased a 1-year supply of 28-day-cycle oral contraceptives. She tells the nurse she wishes she had planned things better, because she has calculated that her period will begin during her upcoming honeymoon. What will the nurse suggest? | She should discard the inert pills and start a new pack during the honeymoon |
| A patient calls a family planning clinic and tells the nurse that her vaginal ring, which has been in place for 2 weeks, came out sometime during the night while she was sleeping. The nurse will instruct her to: | clean the ring with warm water, reinsert it, and use condoms for 7 days. |
| A patient who is taking a combination oral contraceptive begins taking carbamazepine. After several weeks, the patient tells the nurse she has begun experiencing spotting during her cycle. What will the nurse tell her to do? | Discuss an oral contraceptive with increased estrogen. |
| A nurse is teaching a community education class on contraceptives. The nurse tells the class that if spermicides containing nonoxynol-9 are used, the patient should take special precautions, because these spermicides have been linked to: | increased transmission of the human immunodeficiency virus (HIV). |
| A nurse working in a family planning clinic is teaching a class on intrauterine devices (IUDs). Which patient should be advised against using an IUD for contraception? | An 18-year-old woman with multiple sexual partners |
| A nurse is teaching an adolescent female patient about 28-day monophasic combination oral contraceptives. The provider has instructed the pt to begin taking the pills on the first Sunday after the onset of her next period. What will the nurse tell the pt? | “Use another form of contraception for the next month.” |
| A pt is in preterm labor, the prescriber orders magnesium sulfate for its neuroprotective effect on the fetus. The order calls for 4 gm given as an intravenous bolus over 20 minutes, followed by a maintenance infusion of 2 gm/hr. What will the nurse do? | Question the maintenance amount. |
| postpartum pt is ergonovine maleate (Ergotrate) to prevent hemorrhage. The nurse assesses the pt & notes a HR of 76 BPM resp rate 16 breaths per min BP 120/80 The pts uterus is firm. The pt complains of mild to mod cramp min bleeding What will nurse do? | Continue to monitor and tell the patient to report increased cramping |
| A patient in preterm labor is receiving intravenous magnesium sulfate at a rate of 1 gm/hr. The woman reports headache and dizziness. Her blood pressure is 90/60 mm Hg. What will the nurse do? | Tell the patient not to get up without assistance. |
| A nurse provides teaching to a woman who is taking tranexamic acid (Lysteda) for menorrhagia. Which statement by the patient indicates a need for further teaching? | I should take an oral contraceptive to prevent pregnancy while taking this drug.” |
| A patient has been experiencing side effects with a combination oral contraceptive, and her provider has ordered a different combination product. The nurse will instruct the patient to do what? | Change products at the beginning of her next cycle. |
| A pregnant pt is being induced with oxytocin, which has been infusing for 1 hour. The initial rate was 6 milliunits/min, and the rate now is 18 milliunits/min. The nurse notes reg contractions occurring every 3 mins, each lasting 35 secs The nurse will: | increase the rate of infusion by 3 to 6 milliunits/min every 15 to 40 minutes. |
| A clinic nurse is assessing an adolescent male pt who has been receiving androgen therapy for hypogonadism via a transdermal patch. The patient’s last clinic visit was 4 weeks earlier. Which part of the interval history is of most concern to the nurse? | Five pound weight gain |
| male pt tells nurse he wakes 1or 2/night to void & has diff st stream describes sympt as annoying provider examines & notes prostate is mod enlrged. pt is sex active tells nurse he doesnt want meds that interfere w sex funct. nurse anticip provider order | doxazosin (Cardura). |
| An adolescent male patient is beginning androgen therapy for delayed puberty. His parents ask the nurse when this treatment may be stopped. The nurse will offer which response? | When testicular enlargement occurs |
| A 12-year-old male patient diagnosed with hypogonadism will begin testosterone injections. What will the nurse include when teaching the family about this therapy? | Injections are given every 2 to 4 weeks for 3 to 4 years |
| 14yr male pt hasnt begun puberty. parents tell nurse that son doesnt wantgo to school bc he gets teased. nurse learns that dad didnt st puberty til 16 yrs Labs do not reveal true hypogonadism. will nurse tell parents when ask what can be done for son | “A limited course of androgen therapy may be prescribed, but it is not necessary.” |
| A patient who has erectile dysfunction asks a nurse whether sildenafil (Viagra) would be a good medication for him to take. Which aspect of this patient’s history would be of most concern? | Occasional use of nitroglycerin |
| A nurse is obtaining a history and reviewing the chart of an adult male patient who has been taking oral androgens. Which assessment would warrant notifying the provider? | Nausea, anorexia, and fatigue |
| A 68-year-old male patient receives a prescription for 25-mg tablets of sildenafil (Viagra) for erectile dysfunction. When he asks the nurse how to take the medication, the nurse will tell him to: | start with one tablet about 1 hour before anticipated sexual activity. |
| A patient with a history of benign prostatic hyperplasia is admitted to the unit. The pt is taking multiple meds, including terazosin (Hytrin). During the evening rounds, the patient begins to complain of dizziness and nasal congestion. Upon assessment | adverse effects |
| A nurse is obtaining a history from a patient who will receive tadalafil (Cialis) for erectile dysfunction. The patient reports that he expects to have sexual activity three or four times a week. What should the nurse tell the patient? | He should talk to his provider about daily dosing of tadalafil. |
| A nurse is teaching a patient about the use of sildenafil (Viagra) for erectile dysfunction. Which statement by the patient indicates understanding of the teaching? | “If my erection lasts longer than 4 hours, I should contact my provider.” |
| A male pt is being treated for benign prostatic hyperplasia (BPH) by another provider but cant remember which drug hes taking. He comes to the clinic seeking tx for ED and receives a prescription for sildenafil (Viagra). What will the nurse teach this pt? | “You should not take sildenafil if you are taking silodosin (Rapaflo).” |
| A nurse is teaching a male adult patient about the use of testosterone gel. Which statement by the patient indicates an understanding of the teaching? | “I should not let my child touch the gel to prevent behavioral problems. |
| Tadalafil (Cialis) was prescribed 4 weeks ago for a patient with erectile dysfunction. The patient also takes prazosin (Minipress) for hypertension. Which statement by the patient best demonstrates understanding of the use of tadalafil (Cialis)? | “I should take this medication no more than once a day. |
| 14yr male pt who plays football is admit to the hospital. nurse notes that pt has short stature for his age according to a standard growth chart. The pt is muscular, has deep voice, and needs to shave nurse tells PCP of the findings Which testwillPCPorder | Liver function tests and serum cholesterol |
| A female patient who swims competitively admits to using anabolic steroids to increase her muscle mass and improve her performance. What will the nurse tell this patient? | The risk of liver disease will increase. |
| A nurse provides teaching for a female patient with anemia who has had cancer chemotherapy and who will begin treatment with testosterone. Which statement by the patient indicates understanding of the teaching | “Testosterone treats anemia by stimulating the synthesis of a renal hormone.” |
| An adult male patient will begin androgen therapy for testicular failure. Which statement by the patient indicates understanding of the treatment regimen? | “My libido may improve while I am taking this medication.” |
| A nurse is providing education to a patient who is beginning therapy with testosterone gel. What statement made by the patient demonstrates a need for further teaching? | “I should apply the entire contents of the packet to my genitals.” |
| A nurse is providing teaching for an adult patient with arthritis who has been instructed to take ibuprofen (Motrin) for discomfort. Which statement by the patient indicates a need for further teaching? | “I may experience tinnitus with higher doses of this medication.” |
| A prescriber orders hydroxyzine (Vistaril) for a patient with acute urticaria. The nurse will include which information when teaching the patient about this drug? | The patient should avoid drinking alcohol while taking the drug. |
| A nurse is teaching a group of nursing students about cyclooxygenase inhibitors. Which statement by a student indicates understanding of the teaching? | “Cyclooxygenase-2 is considered the ‘bad COX.’” |
| A patient who takes aspirin for rheumatoid arthritis is admitted to the hospital complaining of headache and ringing in the ears. The plasma salicylate level is 300 mcg/mL, and the urine pH is 6.0. What will the nurse do? | Withhold the aspirin until the patient’s symptoms have subsided. |
| A nurse is teaching a group of nursing students about antihistamines. Which statement by a student indicates an understanding of the mechanism of action of the antihistamines? | “Antihistamines block H1 receptors to prevent actions of histamine at these sites.” |
| A patient who takes daily doses of aspirin is scheduled for surgery next week. The nurse should advise the patient to | stop using aspirin immediately |
| A patient tells the nurse that she takes aspirin for menstrual cramps, but she does not feel that it works well. What will the nurse suggest? | The patient should use a first-generation nonsteroidal anti-inflammatory medication instead. |
| A nurse is teaching a nursing student who wants to know how aspirin and nonaspirin first-generation NSAIDs differ. Which statement by the student indicates a need for further teaching? | “Unlike aspirin, first-generation NSAIDs do not carry a risk of hypersensitivity reactions.” |
| A provider has ordered intravenous promethazine (Phenergan) for an adult patient postoperatively to prevent nausea and vomiting (N/V). What will the nurse do? | Ensure that the IV is infusing freely through a large-bore needle |
| An 18-month-old child develops an urticarial reaction after a transfusion. The prescriber orders intravenous promethazine (Phenergan). What will the nurse do? | Question the order |
| An adolescent is brought to the emergency department by a parent who reports that the pt took a whole bottle of extended-release acetaminophen tablets somewhere between 8 and 10 hours ago. The nurse will anticipate administering which of the following? | Acetylcysteine (Mucomyst) |
| A patient who has chronic allergies takes loratadine (Claritin) and develops a severe reaction to bee stings. The patient asks the nurse why the antihistamine did not prevent the reaction. What will the nurse say? | “Allergy symptoms that are severe are caused by mediators other than histamine.” |
| A 5-year-old child is brought to the emergency department after ingesting diphenhydramine (Benadryl). The child is uncoordinated and agitated. The nurse observes that the child’s face is flushed and that the hr is 110 bpm. The nurse will expect to: | give activated charcoal to absorb the drug. |
Created by:
sarahdenali88