Chapter 20 Flashcards
You are teaching a patient about taking over-the-counter (OTC) drugs. Which important safety
information should you include in your teaching plan?
a. “OTC drugs will only maintain their potency months after the expiration date.”
b. “OTC drugs often interact with other drugs, and with food or alcohol”
c. “Be sure to take all the pills in the bottle.”
d. “Adjust the dosage to your specific needs.”
b. “OTC drugs often interact with other drugs, and with food or alcohol”
A patient informs you that she is buying over-the-counter (OTC) drugs online from
another country because they are cheaper. What is your best response?
a. “I agree with you, it is important to save money on expensive drugs when you can.”
b. “There is no difference between generic OTC drugs from different countries.”
c. “Avoid buying OTC drugs online, as they may be counterfeit or dangerous.”
d. “Only buy OTC drugs online if your insurance company covers them.”
c. “Avoid buying OTC drugs online, as they may be counterfeit or dangerous.”
What information is important to include when teaching parents about giving over-the-counter
(OTC) drugs to children?
a. Do not give drugs containing alcohol to children.
b. OTC drugs are safe for children younger than 2 years of age.
c. When giving OTC drugs to a child, always give one-half of the adult dose.
d. Refrain from using a child-resistant cap in the event the drug must be given
quickly.
a. Do not give drugs containing alcohol to children.
Which of the following drug types is not regulated by the Food and Drug Administration?
a. Opioids
b. Vitamins
c. Hormones
d. Herbal supplements
d. Herbal supplements
During your assessment of a clinic patient, the patient asks you if using expired over-the-
counter (OTC) drugs would cause harm. What is your best answer?
a. “These drugs are safer than prescription drugs, so using expired OTC drugs is
harmless.”
b. “Disposing of expired drugs is only necessary if you have several drug allergies.”
c. “You should always safely dispose all expired or discolored drugs.”
d. “The chemical preservatives in OTC drugs prevent drug expiration.”
c. “You should always safely dispose all expired or discolored drugs.”
A patient with depression tells you she is using St. John’s wort to treat her symptoms because
she would rather use a natural product, as she already takes many prescription drugs. What is
your best response?
a. “St. John’s wort has been proven effective in treating mild to moderate depression.”
b. “You may take St. John’s wort with your other prescription drugs without concern.”
c. “Avoid taking St. John’s wort because it interferes with many prescription drugs.”
d. “Avoid using St. John’s wort unless you have weekly blood levels drawn.”
c. “Avoid taking St. John’s wort because it interferes with many prescription drugs.”
Which statement about multivitamins is true?
a. Most people will take multivitamins without consulting a healthcare professional.
b. Many multivitamins are used with prescription drugs to prevent disease.
c. Multivitamins are drug preparations that do not expire.
d. Multivitamins do not pose a risk for adverse effects.
a. Most people will take multivitamins without consulting a healthcare professional.
A patient with a severe upper respiratory infection tells you she is taking mega-doses of
vitamin C to help her get rid of the infection quicker. What is your best response?
a. “Taking high doses of vitamin C is recommended for this purpose.”
b. “Taking high doses of vitamin C is not effective because it is excreted quickly.”
c. “Vitamin C is a fat-soluble vitamin, and high doses can be dangerous’”
d. “Vitamin C is only useful in treating malabsorption syndromes.”
b. “Taking high doses of vitamin C is not effective because it is excreted quickly.”
A patient in the clinic asks you if she should purchase an expensive brand-name multivitamin
because cheaper vitamins may not be as good. What is your best response to this patient?
a. “All over-the-counter multivitamin preparations are the same.”
b. “There is a price–quality relationship to the vitamin product you buy.”
c. “The cost of the vitamin preparation is not an indication of effectiveness.”
d. “The cost of multivitamins is related to the bioavailability of the vitamins in the
formula.”
c. “The cost of the vitamin preparation is not an indication of effectiveness.”
A newly pregnant patient is taking oral vitamin A to encourage embryo growth. What would
you include in your teaching plan for this patient?
a. “Vitamin A is a water-soluble vitamin, so it is safe for the fetus.”
b. “Take only the amount prescribed; high doses can cause birth defects.”
c. “Taking vitamin A during the first 12 weeks of pregnancy is recommended.”
d. “Only take vitamin A in the last trimester of pregnancy to encourage fetal growth.”
b. “Take only the amount prescribed; high doses can cause birth defects.”
A patient has been admitted for suspected vitamin A overdose. What symptoms would you
expect the patient to exhibit?
a. Diarrhea and fever
b. Constipation and changes in taste
c. Ecchymosis of the lower extremities
d. Yellowing of the skin on the nose and ears
d. Yellowing of the skin on the nose and ears
You are getting ready to give an intravenous preparation containing vitamin B1 (thiamine) to a
patient with alcoholism. What is the rationale for giving thiamine in an IV solution containing
glucose?
a. Glucose is necessary to assist thiamine in entering the cells.
b. Glucose prevents the thiamine from being excreted.
c. Glucose prevents precipitation of the IV fluid
d. Glucose is needed for thiamine absorption.
c. Glucose prevents precipitation of the IV fluid
You are teaching a patient with a dietary deficiency of riboflavin about foods that contain
riboflavin that should be part of the patient’s diet. Which of the following foods would be
recommended?
a. Enriched flour
b. Dairy products
c. Whole grains such as barley
d. Orange-colored vegetables such as carrots
b. Dairy products
A patient you are caring for has been started on niacin as part of a regimen to reduce
hyperlipidemia. Which unpleasant side effects of niacin should you teach this patient to
expect?
a. Skin warmth and flushing
b. Yellow-tinged skin and sclera
c. Beefy-red tongue
d. Watery eyes
a. Skin warmth and flushing
Which drug category is associated with pyridoxine deficiency?
a. Antibiotics
b. Beta blockers
c. Antilipidemics
d. Oral contraceptives
d. Oral contraceptives
A newly pregnant woman placed on folic acid states she does not want to take any drugs
during her pregnancy. What is your best response?
a. “Folic acid is crucial to the development of the sex organs of the fetus.”
b. “Folic acid is crucial to the development of the cardiovascular system.”
c. “Folic acid is given to prevent neural tube defects of the spinal cord.”
d. “Folic acid will prevent nausea and vomiting during pregnancy.”
c. “Folic acid is given to prevent neural tube defects of the spinal cord.”
You are evaluating a patient’s understanding of a newly prescribed drug regimen for the
prevention of heart disease. Which response made by the patient demonstrates understanding
of the drug regimen?
a. “I will take folic acid every other day.”
b. “I will take calcium supplements daily with meals.”
c. “I will take a daily dose of folic acid and vitamins B6 and B12.”
d. “I will take a quality multivitamin and additional ferrous sulfate daily.”
c. “I will take a daily dose of folic acid and vitamins B6 and B12.”
Which patient would be most likely to develop a vitamin B12 deficiency?
a. A patient who takes ibuprofen daily for arthritis
b. A patient who smokes cigarettes daily
c. A patient who is on a vegetarian diet
d. A patient with sickle cell anemia
c. A patient who is on a vegetarian diet
A patient with multiple vitamin deficiencies is prescribed oral vitamin C as part of a vitamin
supplementation treatment. Which of the following instructions regarding vitamin C should be
given to this patient?
a. “Keep vitamin C tablets away from heat and light sources.”
b. “Only take vitamin C when you are unable to eat citrus fruits.”
c. “There are no interactions of vitamin C with other drugs you may be taking.”
d. “Vitamin C is a fat-soluble vitamin primarily used to treat blood clotting disorders.”
a. “Keep vitamin C tablets away from heat and light sources.”
You are caring for a patient who has a family history of cancer. The patient reports taking
vitamin E daily for cancer prevention. What is your best response?
a. “Recent evidence shows that vitamin E is safe and effective for cancer prevention.”
b. “You may take vitamin E for cancer prevention as long as it is the prescription
form.”
c. “There is currently no evidence that taking vitamin E will prevent cancer.”
d. “Vitamin E is only useful in the prevention of heart disease.”
c. “There is currently no evidence that taking vitamin E will prevent cancer.”
Which drug overdosage would you expect vitamin K to be given as an antidote?
a. Warfarin
b. Heparin
c. Pyridoxine
d. Ascorbic acid
a. Warfarin
For which condition would you expect the healthcare provider to prescribe iron
supplementation?
a. Esophageal reflux
b. Constipation
c. Osteoporosis
d. Anemia
d. Anemia
A patient with a chronic malabsorption syndrome has been admitted to the hospital with a
severe magnesium deficiency. What complication of magnesium deficiency should you be
alert for?
a. Ventricular tachycardia
b. Vasoconstriction
c. Severe diarrhea
d. Pancreatitis
a. Ventricular tachycardia
