The nurse obtains information during the admission interview that the patient is taking herbal supplements in addition to prescribed medications. What is the nurse's primary concern for this patient?
1. Herbal products are natural and pose no risk to the patient but may be costly.
2. Herbal pro...
Exam 4 Review Questions And Answers
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The nurse obtains information during the admission interview that the patient is taking herbal
supplements in addition to prescribed medications. What is the nurse's primary concern for this
patient?
1. Herbal products are natural and pose no risk to the patient but may be costly.
2. Herbal products are a welcome supplement to conventional medications but do not always
come with instructions.
3. The patient may be at risk for allergic reactions.
4. The herbal products may interact with prescribed medications and affect drug action. - ANS
4. The herbal products may interact with prescribed medications and affect drug action.
Appropriate teaching to provide safety for a patient who is planning to use herbal products
should include which of the following?
1. Take the smallest amount possible when starting herbal therapy, even less than the
recommended dose, to see if allergies or other adverse effects occur.
2. Read the labels to determine composition of the product.
3. Research the clinical trials before using the products.
4. Consult the Internet or herbal store staff to determine the safest dose and length of time the
dose should be taken. - ANS 1. Take the smallest amount possible when starting herbal
therapy, even less than the recommended dose, to see if allergies or other adverse effects
occur.
The patient states that he has been using the herbal product saw palmetto. The nurse
recognizes that this supplement is often used to treat which condition?
1. Insomnia
2. Urinary problems associated with prostate enlargement
3. Symptoms of menopause
4. Urinary tract infection - ANS 2. Urinary problems associated with prostate enlargement
An older adult patient tells the nurse that she has been using several herbal products
recommended by a friend. Why would the nurse be concerned with this statement, given the
age of the patient?
,1. The older adult patient may have difficulty reading labels and opening bottles and confuse
medications.
2. The older adult patient may have difficulty paying for additional medications and stop using
prescribed drugs.
3. The older adult patient may be more prone to allergic reactions from herbal products.
4. The older adult patient may have other disease conditions that could increase the risk for a
drug reaction. - ANS 4. The older adult patient may have other disease conditions that
could increase the risk for a drug reaction.
Which of the following patients may be most at-risk for adverse effects related to specialty
supplements? (Select all that apply.)
1. Adolescents
2. Pregnant women
3. School-age children
4. Older adult patients
5. Patients taking prescription medication - ANS 2. Pregnant women
4. Older adult patients
5. Patients taking prescription medication
What is the difference between an herbal product and a specialty supplement?
1. An herbal product is safer to use than a specialty supplement.
2. A specialty supplement tends to be more expensive than an herbal product.
3. A specialty supplement is a nonherbal dietary product used to enhance a variety of body
functions.
4. There are less adverse effects or risk of allergy with specialty supplements than there are
with herbal products. - ANS 3. A specialty supplement is a nonherbal dietary product used
to enhance a variety of body functions.
The nurse recognizes which of the following to be initial symptoms of inhaled anthrax? (Select
all that apply.)
1. Cramping and diarrhea
2. Skin lesions that develop into black scabs
3. Fever
4. Headache
5. Cough and dyspnea - ANS 3. Fever
5. Cough and dyspnea
Potassium iodine (KI) taken immediately following a nuclear incident can prevent 100% of
radioactive iodine from entering which body organ?
1. Brain
,2. Thyroid
3. Kidney
4. Liver - ANS 2. Thyroid
Patients who may have been exposed to nerve agents may be expected to display which of
these symptoms?
1. Convulsions and loss of consciousness
2. Memory loss and fatigue
3. Malaise and hemorrhaging
4. Fever and headaches - ANS 1. Convulsions and loss of consciousness
Which of these medications is primarily used as a treatment of anthrax?
How does the Centers for Disease Control and Prevention categorize biologic threats?
1. Based on their potential adverse effects
2. Based on the potential impact on public health
3. Based on their potential cost of treatment
4. Based on the potential loss of life - ANS 2. Based on the potential impact on public
health
What key roles does the nurse play in the event of a potential bioterrorist attack? (Select all that
apply.)
1. Helping to plan for emergencies and develop emergency management plans
2. Recognizing and reporting signs and symptoms of chemical or biologic agent exposure and
assisting with treatment
3. Storing antidotes, antibiotics, vaccines, and supplies in their homes
4. Keeping a list of resources such as health and law enforcement agencies and other contacts
who would assist in the event of bioterrorist attack
5. Keeping up to date on emergency management protocols and volunteering to become
members of a first-response team - ANS 1. Helping to plan for emergencies and develop
emergency management plans
2. Recognizing and reporting signs and symptoms of chemical or biologic agent exposure and
assisting with treatment
4. Keeping a list of resources such as health and law enforcement agencies and other contacts
who would assist in the event of bioterrorist attack
, 5. Keeping up to date on emergency management protocols and volunteering to become
members of a first-response team
The nurse teaches the patient relaxation techniques and guided imagery as an adjunct to
medication for treatment of pain. What is the main rationale for the use of these techniques as
adjuncts to analgesic medication?
1. They are less costly techniques.
2. They may allow lower doses of drugs with fewer adverse effects.
3. They can be used at home.
4. They do not require self-injection. - ANS 2. They may allow lower doses of drugs with
fewer adverse effects.
The emergency department nurse is caring for a patient with a migraine. Which drug would the
nurse anticipate administering to abort the patient's migraine attack?
A patient admitted with hepatitis B is prescribed hydrocodone with acetaminophen (Vicodin) 2
tablets for pain. What is the most appropriate action for the nurse to take?
1. Administer the drug as ordered.
2. Administer 1 tablet only.
3. Recheck the order with the health care provider.
4. Hold the drug until the health care provider arrives. - ANS 3. Recheck the order with the
health care provider.
The nurse administers morphine 4 mg IV to a patient for treatment of severe pain. Which of the
following assessments require immediate nursing interventions? (Select all that apply.)
1. The patient's blood pressure is 110/70 mmHg.
2. The patient is drowsy.
3. The patient's pain is unrelieved in 15 minutes.
4. The patient's respiratory rate is 10 breaths per minute.
5. The patient becomes unresponsive. - ANS 3. The patient's pain is unrelieved in 15
minutes.
4. The patient's respiratory rate is 10 breaths per minute.
5. The patient becomes unresponsive.
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