Question 1

The nurse is providing care for a patient in hospice who has been converted to a continuous infusion of morphine for pain control via the use of a patient-controlled analgesia pump.The nurse recognizes that break-through pain should be handled in which of the following ways?

Accepted Answer

A) No break-through pain is expected since the patient is on a continuous infusion of narcotic. 
B) Additional intravenous bolus doses can be given by the nurse every 15-30 min 
C) Additional predetermined bolus doses can be programmed to be available at patient request every 90 min. 
D) Oral morphine can be given in liquid form every 2 hr.

Question 2

While caring for a patient who uses oral birth control pills and is taking PO (procaine penicillin G),which of the following instructions should the nurse include in the client teaching?

Accepted Answer

A) "You should stop taking your birth control pills for at least 3 months since you have to take this medication." 
B) "You will need to use a barrier method of birth control through this therapy and until your next menstrual cycle." 
C) "The doctor will want to give you a hormone patch in addition to the birth control pills for the next 30 days." 
D) "There is no need to alter your method of birth control while you are taking this medication."

Question 3

The nurse is caring for a patient with tuberculosis who is on a diet with honey-thick liquids.Which action should the nurse take to administer the dose of Rifadin (rifampin)?

Accepted Answer

A) Obtain the medication in liquid form. 
B) Give the pill with a small sip of water. 
C) Call the pharmacy to request a parenteral dose. 
D) Open the capsule onto a spoonful of applesauce.

Question 4

The nurse is providing care for a 92-year-old patient who has a standing order for Ambien (zolpidem)prn for insomnia.When providing the medication for the patient as requested,which of the following actions by the nurse is best?

Accepted Answer

A) Inform the patient the medication will work within 10 min. 
B) Ensure the patient is in bed,ready for sleep,and raise the bed side rails. 
C) Instruct the patient to eat some crackers to reduce stomach irritation caused by the medication. 
D) Suggest the patient take the medication routinely every night.

Question 5

A client taking vitamin B₆ (pyridoxine)calls the nurse at 3 p.m.to report she is at work and didn't take the pill at breakfast.Which of the following statements by the nurse is best?

Accepted Answer

A) "You should make arrangements to take the missed dose as soon as possible." 
B) "Missing a single dose is not critical." 
C) "Why didn't you take the medication?" 
D) "How are you feeling right now?"

Question 6

The nurse is caring for a patient with a known history of narcotic abuse.The patient is started on methadone 30 mg po daily during detoxification.Which of the following assessments would indicate the patient's dose may need to be decreased?

Accepted Answer

A) Chills 
B) Irritability 
C) Respirations = 8 per min 
D) Diaphoresis

Exam 2: Detecting and Managing Adverse Drug Reactions

The nurse is providing care for a patient in hospice who has been converted to a continuous infusion of morphine for pain control via the use of a patient-controlled analgesia pump.The nurse recognizes that break-through pain should be handled in which of the following ways?

While caring for a patient who uses oral birth control pills and is taking PO (procaine penicillin G) ,which of the following instructions should the nurse include in the client teaching?

The nurse is caring for a patient with tuberculosis who is on a diet with honey-thick liquids.Which action should the nurse take to administer the dose of Rifadin (rifampin) ?

The nurse is providing care for a 92-year-old patient who has a standing order for Ambien (zolpidem) prn for insomnia.When providing the medication for the patient as requested,which of the following actions by the nurse is best?

A client taking vitamin B₆ (pyridoxine) calls the nurse at 3 p.m.to report she is at work and didn't take the pill at breakfast.Which of the following statements by the nurse is best?

The nurse is caring for a patient with a known history of narcotic abuse.The patient is started on methadone 30 mg po daily during detoxification.Which of the following assessments would indicate the patient's dose may need to be decreased?