olympics 5 Flashcards
what effect will occur if a patient being treated with naltrexone ( Revia ) for substance abuse ingest opioids or alcohol
An absence of the High associated with drugs
A nursing student asked a nurse what the NMBER system that rates dietary supplment means . the nurse responds that it is
Helps consumers evaluate the safety and efficacy of products
which patient assessment will the nurse expect ro observe when a patient has ingested alcohol while on disulfiram (Antabuse)
Severe vomiting
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?
Skin warmth and flushing
A nurse is screening a patient being admitted to the hospital. The patient reports being fired for drinking at work. On further questioning, the patient reveals a history of daily alcohol consumption of more than a six-pack of beer each day, regular morning drinking, and several unsuccessful attempts to stop drinking. The nurse detects alcohol on the patient’s breath. The nurse will inform the provider of these findings and request an order for which medication?
Chlordiazepoxide [ librium ]
a patient with severe upper respiratory infection tells you she is taking mega dose of vitamin C to help her get rid of the infection quicker . what is your best response
Taking high doeses of vitamin C is not effective because it is excreted quickly
a newly pregnant patient is taking oral vitamin a to encourage embryo growth . what would you include in your teaching planner this patient
take only the amount prescribed high doeses can cause birth defects
You are caring for a patient with a suspected vitamin B2 (riboflavin)
deficiency. What symptoms would you expect to see in this patient? (Select all that apply.)
Sore throat , burning of the tongue and lips , crack in the corners of the mouth
a nurse working the night shift suspect that a colleague is abusing alcohol which action by the nurse is most important
State guidelines may mandate to report substance abuse
A patient going on vacation asks the nurse what she can give to her 3 year old child who becomes car sick. Which response(s) would be accurate?
(Select all that apolv.)
“Positioning techniques such as placing the child facing forward and blocking out scenery through the side windows can be helpful.”, “I would check with the pharmacist regarding over the counter products available for voung children.”
Which patient would be the most likely to develop a vitamin B12 Deficiency
a patient who is on a vegetarian diet
You are taking a diet history from a patient who has a vitamin B2 deficiency from pernicious anemia. Which of the following foods demonstrates understanding of an appropriate dietary choice for this patient? (Select all that apply.)
Fermented cheeses such as Camembert, Organ meats, such as liver or kidneys, Shellfish, such as clams or scallops, Nonfat milk
you are teaching a patient with a dietary deficiency of riboflavin wabout food that contains riboflavin that should be part of the patients diet .w which of the following foods is recommended
dairy products
what information is important to include when teaching a patient about giving OTC drugs to children
Do not give drugs contain alcohol to children
A patient who wants to quit smoking has a prescription for varenicline [Chantix], which will be used with a nicotine patch. The patient asks the nurse why the varenicline is necessary. Which statement by the nurse is correct?
the drug blocks nicotine access to [pleasure receptors
the nurse is caring for a 27 year old patient taking a cannabinoid during chemotherapy. which consideration will the nurse take into account
antihistamines may potentiate effects
which theory views addiction as a maladaptive habit that can be examined he same way as other habits
Behavior therapy
a patient express concerns about motion sickness . Which medication is most effective in preventing motion sickness
anticholinergics
what condition is occurring when a patient experiences nausea immediately on entering the clinic to receive another course of chemotherapy
Anticipatory nausea and vomiting
the nurse is administering medication to various patients during morning medication pass . the patient at the lowest risk of having an adverse reaction is the patient receiving
Dexamethasone
A patient admitted 48 hours ago has a diagnosis of gastrointestinal (Gl) bleeding and is receiving IV hydration and transfusions. When making rounds, the nurse observes the patient to be having a tonic clonic seizure.
What may be the cause of the seizure?
alcohol withdrawal
which statement about dietary supplement is true
Dietary supplements have not been tested for safety or efficacy
what is the role of the chemoreceptor trigger zone in vomiting
Activates the vomit center (VC) to induce vomiting,
Samples blood and spinal fluid for potentially toxic substances
what claim may be made by manufactures f dietary supplements (SATA)
Energizes and rejuvenates , promotes pulmonay health , reduce stress
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?
- ” will take a daily dose of folic acid and vitamins B. and B12.
you are teaching a patient about taking OTC drugs which important . safety info should you include in your teaching plan
OTC drugs often interact with other drugs , and with food or alcohol
a patient will being taking drugs for hyperlipidemia . the patient asks about using flaxseed supplements to increase fiber. what will the nurse tell this patient
to take the flaxseed 1 hour before taking the drug
A patient calls inquiring about herbal treatment of hypercholesterolemia and other nonpharmaceutical measures to lower his cholesterol level. Which important concepts)
Drink one to four cups of green tea daily., Ingest one fresh clove of garlic daily., Avoid concurrent use of garlic with ginkgo, ginger, feverfew, and ginseng.
which herb has been used in many cultures to provide relief of nausea associated with pregnancy
ginger
the nurse is assessing a patient with nausea and vomiting . which additional autonomic symptoms that often accompany Vomitiing will the nurse observe
Pallor , sweating and tachycardia
what patient teaching points should be included in the care of a patient taking iron for the treatment of iron deficiency anemia
Liquid iron solutions can discolor teeth., Take the iron tablets on an empty stomach., Expect to take iron for a period of 4 to 6 months., Iron supplements can cause the stool to appear dark green or black in color.
While collecting information on a new patient’s drug history, including the use of over-the-counter (OTC) drugs, the patient asks you why this is important. Which statements are true regarding OTC drugs? (Select all that apply.)
Patients often neglect to tell healthcare providers about OTC drugs routinely taken., There may be unsafe interactions of OTC drugs with prescription drugs.,
OTC drugs may worsen existing medical problems.
the nurse would expect to admisnter which drug when treating hypermesis gravid
Metoclopramide (Reglan)
What does the biological model theory of substance abuse hypothesize
The correct answers are: A predisposition to substance abuse based on a hereditary condition, Genetic aberrations that block feelings of well being, resulting in anxiety, anger, low self esteem, and other negative feelings, leaving a craving for a substance that will suppress the bad feelings, That genes may play a role in alteration of metabolic enzyme systems in the body that enhance or detract from pleasurable responses to chemical substances
a newly pregnant woman placed on folic acid state she does not want to take any drugs during her pregnancy
folic acid is given to prevent neural tube defects
which drug overdosage would you expect the vitamin k to be given as an antidote
warfarin
a nurse is conducting a smoking cessation class in the community and is discussing he physiologic effects of nicotine . the nurse is correct to teach that thise effects include which of the following
increased blood pressure vomitting , increased alertness suppression of appetite
what does a urinalysis that is positive for the drug tested indicate
it verifies whether the drug is present in the specimen
a patient asks a nurse how to know whether dietary supplements are safe . the nurse will tell this patient that
any standards addressing safety merely regulate labeling and manufacturing processes
a patient admitted to the emergency department with abdominal pain tell the nurse he has been taking kava . which action is the nurse priory t this time
review live function studies
