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Combined Sets
Pharm Quiz 1+Pharm Quiz 2+Pharm Quiz 3+Pharm Quiz 4
| Question | Answer |
|---|---|
| In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely rationale for using two medications to address the patient's HTN | Using the two drugs to treat a health problem may create a synergistic effect. |
| During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of | may cause nutrient deficiencies |
| A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells? | Administering the drug intravenously rather than orally |
| In response to a patient's nausea, the nurse has mixed a dose of an antiemetic with 50 mL of sterile normal saline and will administer the dose by IV piggyback. What is the rationale for the use of IV piggyback? | The patient is receiving continuous IV fluids in addition to IV medications. |
| On the 1 a.m. rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her | an idiosyncratic response |
| A patient is treated with an antibiotic for an infection in his leg. After 2 days of taking the antibiotic, the patient calls the clinic and reports that he has a rash all over his body. The nurse is aware that a rash can be an adverse effect of an antibi | pharmacodynamics. |
| An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption | An oral antidepressant that the patient has been taking daily for several years |
| A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs, synthetic clothes, and perfumes. What is the priority acti | Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patient's record |
| A nurse is instructing a patient concerning a newly prescribed drug. Which of the following should be included to help improve patient compliance and safety? | Measures to alleviate any discomfort associated with adverse effects |
| A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to | identify any changes in drug absorption that would change the drug effect |
| A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication? | Into the patient's thigh using a large-gauge needle. |
| A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note the | skin surrounding the potential IV site. |
| A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.) | provide regular feedback about product safety issues. increase awareness of serious reactions caused by drugs or medical devices. facilitate the reporting of adverse reactions of drugs. |
| A nurse is caring for a patient who has recently moved from Vermont to south Florida. The patient has been on the same antihypertensive drug for 6 years and has had stable blood pressures and no adverse effects. Since her move, however, she reports “dizz | the impact of the warmer climate on the patient's physical state. |
| A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug | Monitor the IV site for redness, swelling, or pain |
| A nurse is caring for a patient who has had part of her small intestine removed due to cancer. She has also now developed hypertension and has been prescribed a new medication to decrease her blood pressure. While planning the patient's care, the nurse sh | Absorption |
| The nurse is caring for a patient receiving an aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following will alert the nurse that the patient may be experiencing nephrotoxicity? | A decrease in urine output |
| A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? | The drug will decrease in effectiveness |
| In which of the following patients would a nurse expect to experience alterations in drug metabolism? | A 50-year-old man with cirrhosis of the liver |
| A nurse has been administering a drug to a patient intramuscularly (IM). The physician discontinued the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is considerably higher than the parenteral dose | first-pass effect. |
| Tylenol 325 mg/tablet, patient needs 650 mg; how many tables should patient take? | 2 |
| For which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications? | A 78-year-old man who is unable to swallow following an ischemic stroke |
| The culture and sensitivity testing of a patient's wound exudate indicates that a specific antibiotic is necessary for treatment. The United States Pharmacopeia–National Formulary indicates that the drug in question is 96% protein bound. What a | Dosages of the drug must be large in order to be effective |
| 5 ml = _______________tsp | 1 |
| A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential | Monitor the patient vigilantly for signs and symptoms of potentially adverse drug effects |
| A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? | Possible drug–drug interactions that might occur |
| A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has a history of mild hypertension. He explains that he | Vascular impairment |
| Medication reconciliation of an 82-year-old man who has recently moved to a long-term care facility reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse should recognize what consequence of this aspect of the resident's drug regimen? | Increased risk for falls |
| A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recogni | intranasal |
| A 70-year-old man who enjoys good health began taking low-dose aspirin several months ago based on recommendations that he read in a magazine article. During the man's most recent visit to his care provider, routine blood work was ordered and the results | The man may be experiencing nephrotoxic effects of aspirin |
| A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? | Acute Pain, Headache, related to adverse effects of drug therapy |
| A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration? | Triglyceride levels |
| An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined | withdraw the drug gradually over a 2 to 3 week period |
| A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced. Which of | Encouraging the patient to change her diet and exercise habits |
| A 72-year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 p.m. The nurse finds the patient drowsy and confused at 10 a.m. the next day. The nurse is aware that this behavior is most likely due to | decreased hepatic function |
| A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to | decreased blood flow to tissues and muscles |
| A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the hospital with a diagnosis of failure to thrive. What action should the nurse prioritize when addressing the woman's apparent lack of nutrition? | Assess the reasons behind the patient's poor nutritional status |
| A nurse who is working with an older adult patient who takes eight medications a day wants to promote medication adherence. Which of the following nursing interventions would best promote medication adherence? | Place pills in a daily or weekly pillbox organized according to hours of the day or mealtimes. |
| A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to | try to distinguish between normal signs of aging and the adverse drug effects. |
| A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subseque | her history of emphysema |
| A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug? | The therapeutic effects and possible adverse effects |
| A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by | consulting a drug guide for compatibility |
| These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and higher | psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug Schedule 3 |
| A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a | lower-than-normal dose |
| A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery. The nurse's response to this request should be | “As long as the ritual does not interfere with the patient's preoperative care, it will be okay.” |
| A nurse who provides care in a long-term care facility is documenting a new resident's medication regimen on the resident's intake admission. The nurse is documenting the generic, rather than proprietary, names of the resident's current drugs because | there is a potential for confusion and miscommunication if proprietary names are used |
| A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that | she must be prepared to show identification when buying a drug that contains pseudoephedrine |
| A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess | blood pressure |
| A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called | pharmacogenomics |
| Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for “investigational use only” by applying to the U.S. Drug Enforcement Agency. | Examples include heroin and LSD. Which scheduled drug is this? Schedule 1 |
| A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? | National Provider Identification (NPI) |
| A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a | C-II drug |
| A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will | compare the medications ordered by the health care provider with the list of medications obtained from the patient and communicate discrepancies to the health care provider. |
| Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription | must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Schedule 2 |
| Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine? | A 47-year-old female with hypertension |
| A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive | a higher-than-normal dose of drugs that bind to acid glycoproteins |
| A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? | The drugs' generic names |
| A nurse at a large, university hospital has been informed that a drug trial will be taking place that may involve several patients in the hospital over the next several months. What is the nurse's most likely role in this drug testing process? | Administering the investigational drug to patients |
| The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? | 1500 mg |
| A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? | Administering investigational drugs to patients |
| A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply | Is there a need for the drug in treating the presenting problem? Is this the best drug for the presenting problem? Can the patient take the prescribed drug? |
| What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? | Route |
| Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? | To ensure the safety of the public |
| A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? | Narcotics to be used in the hospital are dispensed only with a written prescription |
| A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states | Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed |
| A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs? | Digoxin immune fab |
| A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered | transdermally |
| A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to | avoid prolonged exposure to sunlight |
| A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? | Dizziness |
| A clinic nurse has been assigned a 49-year-old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. | The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to monitor the patient's blood pressure |
| A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings. The most likely initial drug therapy for this patient will be | a diuretic |
| A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? | The man's chest sounds are clear and his ankle edema is lessened |
| A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? | A 79-year-old male with cardiomegaly |
| A 62-year-old man has been prescribed extended-release lovastatin. The nurse will instruct the patient to take the medication | at bedtime |
| A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. | Before administering the nitroglycerin, the nurse should prioritize which of the following assessments Blood pressure |
| A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet. | The nurse suspects that these signs or symptoms are signs of peripheral neuritis |
| A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessments? | Heart rate and blood pressure |
| A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it | inhibits cholesterol syntheses |
| A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's | blood pressure |
| A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to | assess heart rate |
| A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be | contraindicated in which of the following patients? An obese male client who is a heavy alcohol user and who has cirrhosis of the liver |
| Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient's cholesterol levels. Consequently, the patient has been prescribed cholestyramine. | The nurse should recognize that this drugs achieves its therapeutic effect by oxidizing cholesterol to bile acids. |
| Which of the following patients is most likely to benefit from the administration of an adrenergic agonist? | A man who is in cardiogenic shock following a myocardial infarction |
| A patient is brought to the emergency department in hypertensive crisis. Nitroprusside is administered intravenously. The patient experiences diaphoresis and dizziness. Which of the following is the appropriate action by the nurse? | Slow the rate of the infusion |
| A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for administration of the drug, the nurse will | administer the initial IV bolus over approximately 60 seconds |
| A 55-year-old man's hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic. As a result, he will soon begin taking hydralazine (Apresoline) | in addition to his existing antihypertensives. The addition of this medication to his regimen means that the nurse must prioritize which of the following nursing actions? Frequent assessment of the patient's cardiac status |
| A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the nurse to monitor? | Potassium levels |
| A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for | nitrate tolerance |
| An expected outcome for a patient who has just taken sublingual nitroglycerin should be | increased heart rate and decreased blood pressure |
| A nurse is the cardiac care unit is preparing to hang an intravenous dose of dofetilide (Tikosyn) for a patient who has just been admitted. What is the most likely goal of this intervention? | To convert the patient's atrial fibrillation to normal sinus rhythm |
| 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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