Question 1

The nurse is counseling a patient who has been given a prescription for Prozac (fluoxetine).Which of the following statements should the nurse include in the patient's teaching? Select all that apply.

Accepted Answer

A) "The medicine can cause some dizziness,so you should change position slowly." 
B) "Sugarless gum or candy may help the feeling of dry mouth that some patient's experience with this medicine." 
C) "Most likely you will notice a huge change in your mood immediately." 
D) "You may experience a decrease in your sex drive while on this medication." 
E) "It is important to wear protective clothing and sunscreen since the drug can cause increased sensitivity to the sun."
F)"This medicine should always be taken on an empty stomach."

Question 2

The nurse is providing care for a patient who is taking Senokot (sennoside)two tablets orally each day.Which of the following actions by the nurse will most promote effective treatment with this planned medication?

Accepted Answer

A) Give the medication with breakfast at 8 a.m. 
B) Give the medication with a full glass of water. 
C) Determine the patient's resting pulse rate prior to provision. 
D) Assess the patient's level of consciousness 2 hr after provision.

Question 3

While working with a patient who takes Dalmane (flurazepam),the nurse should be most concerned by which of the following patient statements?

Accepted Answer

A) "I usually take the medication at 10 p.m." 
B) "I have to take it every night or I won't get any sleep." 
C) "I work out at the gym three to four times per week." 
D) "I stopped drinking coffee at dinner now."

Question 4

The nurse on the hospice unit receives an order to administer fentanyl via a transmucosal route.Which of the following actions will the nurse take?

Accepted Answer

A) Place under the tongue and allow to dissolve. 
B) Place between the cheek and lower gum moving it back and forth from one side to another. 
C) Place between the cheek and gum and allow to dissolve. 
D) Rub on tongue,instruct patient to move tongue in the mouth and then swallow.

Question 5

The nurse is tracking patient symptoms related to acute alcohol intoxication and withdrawal.Which of the following medications would the nurse expect to provide in the management of these symptoms?

Accepted Answer

A) Plavix (clopidogrel) 
B) Zyban (bupropion) 
C) Prilosec (omeprazole) 
D) Tranxene (clorazepate)

Question 6

The nurse is caring for a patient who is to receive 40 mg of Lasix (furosemide)as an intravenous push.If the recommended administration time is 20 mg/min,the nurse will take ____________________ min to administer the medication.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 7

The nurse is providing care for a patient admitted after an acute myocardial infarction.Which of the following medications should the nurse anticipate to be part of the patient's treatment plan?

Accepted Answer

A) Anzemet (dolasetron) 
B) Celexa (citalopram) 
C) Aricept (donepezil) 
D) Colace (docusate)

Question 8

The nurse providing patient education about Questran (cholestyramine)would include which of the following statements in the education? Select all that apply.

Accepted Answer

A) "Diarrhea may occur." 
B) "This medication should be taken before meals." 
C) "It can be mixed with water,milk,juice,or another noncarbonated beverage." 
D) "It is still important to follow a low-fat,low-cholesterol diet." 
E) "Notify the physician if your stool becomes frothy or foul smelling."
F)"This medication may cause dry mouth or a rapid heart rate;that is normal."

Question 9

The nurse is counseling a patient with diabetes,hypertension,and chronic obstructive pulmonary disease on his medications.To verify patient understanding of his medications,the nurse states,"You are taking Cymbalta (duloxetine)60 mg once a day;do you know why you take that medication?" The nurse determines the patient has a good understanding of his medications if which of the following responses is given?

Accepted Answer

A) "I take that one to keep my blood sugar under control." 
B) "I don't know honey,is that my little blue pill?" 
C) "That helps with the pain in my feet." 
D) "I think that is to lower my blood pressure."

Question 10

A nurse working in the intensive care unit would expect albumin as part of the treatment plan for which of the following patients? Select all that apply.

Accepted Answer

A) A 33-year-old patient with profound plastic anemia 
B) A 55-year-old patient with second- and third-degree burns to 40% of his body 
C) A 29-year-old patient with rectal bleeding 
D) A 71-year-old patient with lung cancer and congestive heart failure 
E) A 68-year-old patient with symptoms of septic shock
F)A 37-year-old patient with end-stage liver disease

Question 11

The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin)based on which of the following assessments?

Accepted Answer

A) Petechiae on legs and back 
B) Poor appetite 
C) Increased heart rate 
D) Vomiting

Question 12

MATCHING
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 13

As part of a new treatment regimen for migraine headaches,an 18-year-old girl is prescribed Axert (almotriptan).The nurse should include which of the following statements in the patient teaching? Select all that apply.

Accepted Answer

A) "You will take this medication daily to help prevent the onset of migraines." 
B) "You should avoid alcohol when you are taking this medication." 
C) "You can take this medication every 2-4 hr as needed for up to eight doses per day." 
D) "Take the medication as soon as you notice the onset of a migraine headache." 
E) "Avoid taking over-the-counter medications that have not been prescribed by your doctor while taking this medication."
F)"If taking this medication causes any pain or tightness in your chest,you should notify the physician immediately."

Question 14

A neighbor reports giving her 3-year-old daughter Pepto Bismol (bismuth subsalicylate)for diarrhea stools for the past 2 days.Which of the following statements by the nurse is the highest priority?

Accepted Answer

A) "Has your child had a fever during this illness?" 
B) "Is the diarrhea better now?" 
C) "Has she had diarrhea before?" 
D) "What does she think of the taste of that stuff?"

Question 15

What is the proper action to prepare for the administration of Pulmicort Respules?

Accepted Answer

A) Attach medication to a spacer. 
B) Place medication in a nebulizer equipped with a mouthpiece or face mask. 
C) Rotate diskus unit to proper dose prior to dispensing medication. 
D) Shake medication vigorously to mix medication.

Question 16

The nurse is caring for a patient with rheumatoid arthritis who takes Celebrex (celecoxib).The patient is on a pureed diet,and the nurse from the previous shift reported some difficulty with oral pills.Which of the following actions by the nurse is best?

Accepted Answer

A) Hold the medication. 
B) Call the pharmacy to obtain a substitute medication that comes in liquid form. 
C) Call the physician to request a different pain medication. 
D) Open the capsule and sprinkle granules on applesauce.

Question 17

A 26-year-old female prescribed Axert (almotriptan)for use with migraine headache attacks,calls the nurse,stating,"I took a home pregnancy test last week and I know I'm pregnant but I haven't seen the doctor yet.I have a terrible migraine starting and I don't know what I should do." Which of the following statements by the nurse is best?

Accepted Answer

A) "When was your last menstrual cycle?" 
B) "It is usually safe to take medications early in a pregnancy." 
C) "What other migraine treatments have worked in the past?" 
D) "You should not take Axert if you think you are pregnant."

Question 18

The nurse is caring for a patient receiving AlternaGEL (aluminum hydroxide)every 2 hr while awake for the treatment of a peptic ulcer.For which of the following side effects should the nurse monitor?

Accepted Answer

A) Constipation 
B) Headache 
C) Insomnia 
D) Sedation

Question 19

A patient undergoing chemotherapy for breast cancer tells the nurse,"I feel so tired I can barely do anything.Even getting out of bed makes me dizzy." After laboratory results are obtained,which of the following medications would most likely help relieve these symptoms?

Accepted Answer

A) Aranesp (darbepoetin) 
B) Neupogen (filgrastim) 
C) Kytril (granisetron) 
D) Plavix (clopidrogel)

Question 20

A nurse assisting in the care of an elderly patient who received PO Librium (chlordiazepoxide)in the treatment of acute alcohol intoxication would include which of the following in the plan of care? Select all that apply.

Accepted Answer

A) Place patient in leather restraints. 
B) Institute seizure precautions. 
C) Assess for tremors. 
D) Administer higher doses in morning 
E) Institute fall precautions.
F)Administer after meals or with milk

Exam 1: Medication Errors: Improving Practices and Patient Safety

The nurse is counseling a patient who has been given a prescription for Prozac (fluoxetine) .Which of the following statements should the nurse include in the patient's teaching? Select all that apply.

The nurse is providing care for a patient who is taking Senokot (sennoside) two tablets orally each day.Which of the following actions by the nurse will most promote effective treatment with this planned medication?

While working with a patient who takes Dalmane (flurazepam) ,the nurse should be most concerned by which of the following patient statements?

The nurse on the hospice unit receives an order to administer fentanyl via a transmucosal route.Which of the following actions will the nurse take?

The nurse is tracking patient symptoms related to acute alcohol intoxication and withdrawal.Which of the following medications would the nurse expect to provide in the management of these symptoms?

The nurse is caring for a patient who is to receive 40 mg of Lasix (furosemide)as an intravenous push.If the recommended administration time is 20 mg/min,the nurse will take ____________________ min to administer the medication.

The nurse is providing care for a patient admitted after an acute myocardial infarction.Which of the following medications should the nurse anticipate to be part of the patient's treatment plan?

The nurse providing patient education about Questran (cholestyramine) would include which of the following statements in the education? Select all that apply.

A nurse working in the intensive care unit would expect albumin as part of the treatment plan for which of the following patients? Select all that apply.

The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin) based on which of the following assessments?

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

As part of a new treatment regimen for migraine headaches,an 18-year-old girl is prescribed Axert (almotriptan) .The nurse should include which of the following statements in the patient teaching? Select all that apply.

A neighbor reports giving her 3-year-old daughter Pepto Bismol (bismuth subsalicylate) for diarrhea stools for the past 2 days.Which of the following statements by the nurse is the highest priority?

What is the proper action to prepare for the administration of Pulmicort Respules?

The nurse is caring for a patient with rheumatoid arthritis who takes Celebrex (celecoxib) .The patient is on a pureed diet,and the nurse from the previous shift reported some difficulty with oral pills.Which of the following actions by the nurse is best?

The nurse is caring for a patient receiving AlternaGEL (aluminum hydroxide) every 2 hr while awake for the treatment of a peptic ulcer.For which of the following side effects should the nurse monitor?

A patient undergoing chemotherapy for breast cancer tells the nurse,"I feel so tired I can barely do anything.Even getting out of bed makes me dizzy." After laboratory results are obtained,which of the following medications would most likely help relieve these symptoms?

A nurse assisting in the care of an elderly patient who received PO Librium (chlordiazepoxide) in the treatment of acute alcohol intoxication would include which of the following in the plan of care? Select all that apply.