Question 1

A nurse working in the psychiatric unit receives report for a new patient being admitted with symptoms of depressive disorder and possible schizophrenia. The nurse knows the treatment regimen may include which of the following medications? Select all that apply.

Accepted Answer

A)  Apo-Quinidine (quinidine) 
B)  Seroquel (quetiapine) 
C)  Amaryl (glimepiride) 
D)  Risperdal (risperidone) 
E)  Restoril (temazepam)
F) Spiriva (tiotropium)

Question 2

The nurse is caring for a patient with a history of Parkinson disease who recently started taking Comtan (entacapone). The nurse notes the patient's urine has a brownish-orange discoloration. Which of the following actions should the nurse take next?

Accepted Answer

A)  Notify the physician. 
B)  Determine the patient's current weight. 
C)  Ask the patient what he or she ate for breakfast. 
D)  Note the assessment finding in the chart.

Question 3

The nurse is caring for a patient receiving intravenous antibiotic therapy with tobramycin 100 mg every 8 hr. Which of the following nursing actions are appropriate for this medication? Select all that apply.

Accepted Answer

A)  Mixed IVPB solutions are stable at room temperature for 24 hr. 
B)  IVPB doses should be administered over 30-60 min. 
C)  Monitor the patient for signs of tinnitus, dizziness, or hearing loss. 
D)  Monitor renal function before and during therapy. 
E)  May mix or infuse simultaneously with other antibiotics.
F) Monitor for symptoms of a super infection.

Question 4

The nurse receives a call from the parent of an 8-year-old boy who is home sick from school with a headache, sinus congestion, and a cough. The parent asks, "Can I give him some Benadryl to help him breathe easier?" Which of the following statements by the nurse is best?

Accepted Answer

A)  "How long has your child been ill?" 
B)  "It should be fine if he weighs more than 50 pounds." 
C)  "What other over-the-counter medications have you given him?" 
D)  "That might make him sleepy, so it is best to give it at night."

Question 5

Prior to administering Lovaza, what laboratory values should be obtained? Select all that apply.

Accepted Answer

A)  Na+ 
B)  K+ 
C)  HDL 
D)  LDL 
E)  Triglycerides
F) LFT

Question 6

The nurse is providing care for a patient taking Plavix (clopidogrel). Which of the following laboratory results would be most important for the nurse to evaluate?

Accepted Answer

A)  Urine-specific gravity 
B)  Albumin 
C)  Bleeding time 
D)  Potassium

Question 7

When taking Catapres (clonidine), which of the following exercise activities should be avoided?

Accepted Answer

A)  Weight lifting 
B)  Squat thrusts 
C)  Bicycling 
D)  Jogging

Question 8

The nurse recognizes that Celexa (citalopram) may be prescribed for which of the following patients?

Accepted Answer

A)  A 42-year-old patient with a history of depression 
B)  A 22-year-old patient with a history of schizophrenia 
C)  A 37-year-old patient taking MAO inhibitors 
D)  A 55-year-old patient with a history of alcoholism

Question 9

Intramuscular iron dextran should be administered in which site?

Accepted Answer

A)  Deltoid 
B)  Dorsogluteal 
C)  Ventrogluteal 
D)  Vastus lateralis

Question 10

While providing peri-care for a patient receiving multiple intravenous antibiotics, the nurse notes that the patient's groin folds and peri-area are red, inflamed, and excoriated and that whitish discharge is noted from the vagina. When contacting the physician to report the patient's condition, which of the following medications would the nurse anticipate being ordered?

Accepted Answer

A)  Neomycin ointment 
B)  Monistat cream 
C)  Calamine lotion 
D)  Hydrocortisone cream

Question 11

The nurse is transcribing new orders for a patient with multiple sclerosis. Amrix (cyclobenzaprine) 10 mg orally three times daily has been ordered. Which of the following would require an immediate intervention by the nurse?

Accepted Answer

A)  The patient has a noted allergy to acetaminophen. 
B)  The patient has a family history of breast cancer. 
C)  The patient is currently taking Nardil (phenelzine). 
D)  The patient is diabetic.

Question 12

An oral dose of zinc sulfate is being prescribed for a patient in the wound clinic. Patient education should emphasize that the following products should not be taken with zinc sulfate because they will decrease absorption. Select all that apply.

Accepted Answer

A)  Caffeine products 
B)  Bran 
C)  Dairy products 
D)  Seafood

Question 13

What is Niacin indicated for?

Accepted Answer

A)  The treatment of inflammatory response 
B)  As an adjunctive therapy for hyperlipidemia 
C)  The treatment of thrush 
D)  To prevent migraine headaches

Question 14

A young woman reports to the emergency department with frank vaginal bleeding and a stated history of being 10 wk pregnant. Ultrasound confirms an incomplete miscarriage, and the woman is scheduled for a dilatation and curettage. Which of the following medications should the nurse anticipate being provided after the surgical procedure?

Accepted Answer

A)  Rheumatrex (methotrexate) 
B)  Methergine (methylergonovine) 
C)  Magnesium sulfate 
D)  Terbutaline

Question 15

The nurse is providing Serevent Diskus (salmeterol) to a patient on the medical unit who has a long-term history of chronic obstructive pulmonary disease. The nurse would intervene if which of the following were observed?

Accepted Answer

A)  The patient did not attach a spacer prior to inspiration. 
B)  The patient closes the device after inhalation without washing the mouthpiece. 
C)  The patient held the diskus level in a horizontal position. 
D)  The patient exhaled into the diskus device.

Question 16

Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 4

Accepted Answer

A) Press down on the inhaler to release medication. 
B) Hold your breath for 10 sec. 
C) Shake the inhaler. 
D) Tilt your head back and breathe out slowly. 
E) Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Question 17

Namenda (memantine) should be used cautiously in those with an impaired:

Accepted Answer

A)  Cognitive status 
B)  Cardiac status 
C)  Renal status 
D)  Liver status

Question 18

The student nurse is caring for a patient who currently takes Ditropan XL (oxybutynin). The student should include which of the following statements in the patient's teaching?

Accepted Answer

A)  "This medication will help reduce your pain." 
B)  "Some people who take this develop ringing in their ears." 
C)  "This medication helps you control your bladder." 
D)  "Some people complain of night sweats with this medication."

Question 19

Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 5

Accepted Answer

A) Press down on the inhaler to release medication. 
B) Hold your breath for 10 sec. 
C) Shake the inhaler. 
D) Tilt your head back and breathe out slowly. 
E) Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Question 20

The nurse is counseling a 55-year-old woman who is to begin taking Fosamax (alendronate) to prevent osteoporosis. Which of the following instructions by the nurse is best?

Accepted Answer

A)  Instruct the patient to take each dose with breakfast. 
B)  Instruct the patient to take each dose on an empty stomach. 
C)  Instruct the patient to take each dose with orange juice. 
D)  Instruct the patient to take each dose just prior to bedtime.

Davis's Drug Guide for Nurses Test 1

A nurse working in the psychiatric unit receives report for a new patient being admitted with symptoms of depressive disorder and possible schizophrenia. The nurse knows the treatment regimen may include which of the following medications? Select all that apply.

The nurse is caring for a patient with a history of Parkinson disease who recently started taking Comtan (entacapone) . The nurse notes the patient's urine has a brownish-orange discoloration. Which of the following actions should the nurse take next?

The nurse is caring for a patient receiving intravenous antibiotic therapy with tobramycin 100 mg every 8 hr. Which of the following nursing actions are appropriate for this medication? Select all that apply.

The nurse receives a call from the parent of an 8-year-old boy who is home sick from school with a headache, sinus congestion, and a cough. The parent asks, "Can I give him some Benadryl to help him breathe easier?" Which of the following statements by the nurse is best?

Prior to administering Lovaza, what laboratory values should be obtained? Select all that apply.

The nurse is providing care for a patient taking Plavix (clopidogrel) . Which of the following laboratory results would be most important for the nurse to evaluate?

When taking Catapres (clonidine) , which of the following exercise activities should be avoided?