Final Exam: Practice Qs Flashcards
A patient with high cholesterol is ordered to take atorvastatin. What information will be included in the patient teaching? (Select all)
a. Dietary management is not a priority with this medication
b. The medication should be taken on an empty stomach
c. The medication should be taken with a full glass of water
d. The patient should watch for body aches or gastrointestinal upset as a side effect
e. The patient should have renal function tests frequently
f. The patient should have liver function tests frequently
C. The medication should be taken with a full glass of water
D. The patient should watch for body aches or GI upset as a side effect
F. The patient should have liver function tests frequently
A patient who has been taking benzodiazepine as a sleep aid for several months wishes to stop taking the medication. The nurse will suggest that the patient taper the dose gradually to avoid which effect?
a. Depression
b. Hangover
c. Hypnotic
d. Withdrawal
D. Withdrawal
The nurse is teaching parents of a 5 yr old child who will begin taking phenytoin (Dilantin). What information will the nurse include when teaching these parents about their child’s medication?
a. Drug interactions are uncommon with phenytoin
b. There are very few side effects with this drug
c. The therapeutic range is between 15-30 mcg/mL
d. Your child may need a higher dose than expected
D. Your child may need a higher dose than expected
The nurse is caring for a patient who has a seizure disorder. The nurse notes that the patient has reddened gums that bleed when oral care is given. The nurse recognizes this finding as:
a. An adverse effect of phenytoin
b. Drug interaction with aspirin
c. Symptom of hepatotoxicity
d. Sign of poor self-care
A. An adverse effect of phenytoin
The nurse is preparing to administer phenytoin (Dilantin) to a patient who has a seizure disorder. The patient appears drowsy, and the nurse notes that the last random serum drug level was 18 mcg/mL. What action will the nurse take?
a. Administer the dose since the patient is not toxic
b. Contact the HCP to discuss decreasing the dose
c. Give the drug and monitor for adverse effects
d. Report drug toxicity to the HCP
A. Administer the dose since the patient is not toxic
The nurse is preparing to administer phenytoin to an 80 yr old patient and notes the following order: IVPB phenytoin 50 mg. The nurse will perform which action?
a. Administer the undilated drug through a Y-tube over 2 mins
b. Contact the HCP to question the route and dose
c. Dilute the drug in dextrose solution and infuse over 15-20 mins
d. Request an order to admin the drug IM
A. Administer the undiluted drug through a Y-tube over 2 mins
The nurse is preparing to assist the blood collection on a newly admitted patient who has been taking phenytoin for years. The provider has ordered a CBC and liver function tests. Which other test will the nurse discuss with the HCP?
a. Blood glucose
b. Coagulation studies
c. Renal function
d. Serum electrolytes
A. Blood glucose
A patient has recently begun taking phenytoin (Dilantin) for a seizure disorder. The nurse notes a reddish-brown color to the patient’s urine. Which action will the nurse take?
a. Ask the provider to order a serum drug level
b. Reassure that this is a harmless side effect
c. Report possible thrombocytopenia
d. Request an order for a urinalysis and creatinine clearance
B. Reassure that this is a harmless side effect
A 25 yr old female patient will begin taking phenytoin (Dilantin) for epilepsy. The patient tells the nurse she is taking oral contraceptives. Which response will the nurse give?
a. Continue taking because phenytoin is not safe during pregnancy
b. You should use a backup method of contraception
c. You should stop taking contraceptives because of drug-drug interactions
d. You should take low-dose aspirin which taking medications to reduce risk of stroke
B. You should use a backup method of contraception
The nurse provides teaching for a patient who will begin taking phenytoin. Which statement by the patient indicates understanding of the teaching?
a. If I develop a rash, I should take Benadryl to control itching
b. If I experience bleeding gums, I should stop taking the medication immediately
c. I may develop diabetes while I am taking this medication
d. I should not be alarmed if my urine turns reddish brown
D. I should not be alarmed if my urine turns reddish brown
A patient is taking esomeprazole 15 mg a day to treat duodenal ulcer. After 10 days of treatment, the patient reports that the pain has subsided. The nurse will counsel the patient to
a. Continue the medication for 4 more weeks
b. Reduce the medication dose by half
c. Stop taking the medication
d. Take the medication every other day
A. Continue the medication for 4 more weeks
A patient who is dx with peptic ulcer disease has been stated on a regimen that includes ranitidine (H2 receptor blocker) daily at bedtime. The patient calls the clinic 1 wk later to report no relief from discomfort. What action will the nurse take?
a. Contact the HCP
b. Notify the HCP to increase the dose
c. Reassure the patient that the drug may take 1-2 weeks to be effective
d. Suggest that the patient split the medication into twice-daily dosing
C. Reassure the patient that the drug may take 1-2 weeks to be effective
A patient who began having mild symptoms of GERD is reluctant to take the medication. What measures will the nurse recommend to minimize symptoms? (Select all)
a. Avoid hot, spicy foods
b. Avoid tobacco
c. Drinking a glass of red wine with dinner
d. Eating a snack before bedtime
e. Taking ibuprofen with food
f. Using a small pillow for sleeping
g. Wearing well-fitted clothing
A. Avoid hot, spicy foods
B. Avoid tobacco
E. Taking ibuprofen with food
A patient is dx with HF and is ordered digoxin. The patient asks what lifestyle changes will help in the management of this condition. The nurse will recommend which changes?
a. Aerobic exercise
b. Change from cigarette smoking to pipe smoking
c. Consuming 2 teaspoons or less of salt everyday
d. Having no more than one alcoholic beverage per day
D. Having no more than one alcoholic beverage per day
The nurse administers a dose of digoxin to a patient who has HF and returns to the room later to reassess the patient. Which indicates that the medication is effective?
a. Decreased dyspnea
b. Decreased urine output
c. Increased blood pressure
d. Increased heart rate
A. Decreased dyspnea
