Pharm Exam 4 Review / Exam 4 Pharm Review Questions
A 60-year-old woman asks the nurse about taking ginkgo to help with her memory. The patient has a history of arthritis, type 2 diabetes, thyroid disease, and hypertension. She is currently taking NSAIDs for arthritis, oral antidiabetic medication...
A 60-year-old woman asks the nurse about taking ginkgo to help with her memory.
The patient has a history of arthritis, type 2 diabetes, thyroid disease, and
hypertension. She is currently taking NSAIDs for arthritis, oral antidiabetic
medications, thyroid replacement hormone, and a beta blocker for blood pressure.
What potential adverse effect from the gingko would be of most concern for this
patient?
a) Stomach upset
b) Diarrhea
c) Bleeding
, d) Drowsiness - ✔✔✔ANSWER-C. Bleeding
Rationale: Potential adverse effects of gingko include stomach or intestinal upset,
headache, bleeding, and allergic skin reaction. Potential drug interactions include
aspirin, NSAIDs, anticoagulants, and other drugs. The ginkgo may interact with
the NSAID medication and cause increased bleeding.
When patients are taking selective SSRIs for the first time for depression, which is
most important to monitor for during the first few weeks of therapy?
A. Hypertensive crisis
B. Suicidal thoughts
C. Convulsions
D. Orthostatic hypotension - ✔✔✔ANSWER-B. Suicidal thoughts
Rationale: Some studies have indicated a higher risk for suicide during the first few
weeks of antidepressant therapy.
When providing teaching for a patient who is prescribed a selective SSRI, which
statement will the nurse include?
A. The SSRI will work faster than the older tricyclic antidepressants
B. The SSRI will have an immediate beneficial effect on the patient's depression
symptoms
C. The SSRI will not work well for severe cases of depression
D. The SSRI may take several weeks to have a beneficial effect - ✔✔✔ANSWER-
D. The SSRI may take several weeks to have a beneficial effect
When providing teaching to a patient receiving an anticholinergic for the treatment
of PD, the nurse will include which information?
a) Take the medication first thing in the morning
b) Limit fluid intake when taking this drug
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