A nurse is conducting a medication reconciliation with a patient
who is about to begin asking heparin. The client disclosing the
use of which CAM would require intervention/further teaching?
A. Grapefruit
B. St. John's Wort
C. Goldenseal
D. Lavender Correct Answer C. Goldenseal
A nurse should advise a patient to avoid what when taking
fluconazole? (SATA)
A. Milk
B. Honey
C. Coffee
D. Green tea
E. Guarana Correct Answer C, D, E - fluconazole increases
serum caffeine
A patient is taking atorvastatin (Lipitor), the patient needs more
education on this drug if he states...?
a. I will need to get routine liver tests
,b. I will watch for body aches or gastrointestinal upset as side
effects
c. The medicine should be taken with a full glass of water.
d. I will need to get routine kidney tests Correct Answer d. I
will need to get routine kidney tests
this drug does not affect renal function
A patient presents to the emergency room with Toxic epidermal
necrolysis (blistering/peeling of the skin). Which question would
be most important for the nurse to ask when collecting patient
history?
A. Do you have any allergies?
B. When did it start?
C. Are you currently taking fluconazole?
D. Did you recently consume caffeine? Correct Answer C. Are
you currently taking fluconazole (azole antifungal)?
A patient reports they recently returned from Indonesia and have
complaints of anal itching, which statement best demonstrates
the nurses understanding?
A. "This patient is likely experiencing herpes simplex virus and
needs acyclovir"
B. "This patient may have parasitic worms and requires
ivermectin"
C. "This patient is fine and just needs to perform more thorough
hygiene"
D. "Who knows what the heck is wrong with this guy" Correct
Answer B. "This patient may have parasitic worms and requires
ivermectin"
,a pt comes in complaining to the nurse about erectile
dysfunction while taking atenolol, the nurses next action would
be to...?
a. tell the pt this is a normal side effect
b. tell the pt there could be a problem with your dosage, lets call
the provider
c. tell the patient this is an adverse reaction and the provider
needs to be called
d. tell the pt to stop taking the medication immediately Correct
Answer b. tell the pt there could be a problem with your dosage,
lets call the provider
An injection drug user presents to the hospital due to
dehydration. In addition to addressing this issue, which
prophylactic drug would the nurse suggest administering for this
patient?
A. Metronidazole
B. Isoniazid
C. Digoxin
D. Heparin Correct Answer B. Isoniazid - prophylactic
measure against TB and is recommended for injection drug
users
digoxin:
a. promotes increased force of cardiac contraction, cardiac
output, and tissue perfusion
b. controls angina, acute MI, hypertensive crisis, pulmonary
edema, and heart failure
c. Selectively block beta1-adrenergic receptor sites
d. Relax coronary artery spasm Correct Answer
, Do this drug require frequent blood draws?
YES OR NO Correct Answer no
Normally does not increase PT or PTT - no need for frequent
blood draws
does digoxin ______ myocardial contractility
increase or decrease Correct Answer increase
How does Acyclovir treat herpes simplex virus?
A. Increases permeability of the fungal cell membrane
B. Binds to sterols causing loss of intracellular potassium and
other cell contents
C. Inhibits DNA polymerase to suppress viral replication
D. All of the above Correct Answer C. Inhibits DNA
polymerase to suppress viral replication
if a patient has hepatic and renal impairment would the nurse...
a. administer with caution
b. call the provider because it is a contraindication
c. administer the usual dose
d. call the provider Correct Answer a. administer with caution
if a patient is taking digoxin and starts to experience vomitting,
dirrhea, green or yellow halos, what should be nurse do FIRST?
a. administer next dose with caution
b. call the provider
c. administer the usual dose
d. administer digoxin immune fab Correct Answer d.
administer digoxin immune fab
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