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
what is the rationale for administering acamprosate ( cameral)
maintenance of sobriety
a patient with desire to stop smoking asks a nurse about nicotine chewing gum [ Nicrorette. the patient currently smokes 30 cigs . which statement by the nurse is correct
use the 4 mg strength gum and chew one piece every 2 to 3 hours
a patient in her twenties has frequent UTIS and her prescriber suggest drinking cranberry juice. she ask the nurse how drinking this can help , the nurse will tell her that that cran berry juice
Prevents bacteria from adhering to the Urinary tract wall
you are caring for a patient who has a family history of cancer . the patient report staking vitamin E daily for cancer prevention , what is your best response
there is currently no evidence that taking vitamin E will prevent cancer
what is the purpose for the nurse administering metoclopramide [reglan]
prevent postoperative nausea and vomititng
which herbs although considered generally safe and effective [ in recommended dosages ] by non us . regulatory authorities , should be bodied in patient also taking. pairing ibuprofen, warfarin
Garlic , ginkgo, feverfew
what must be administered. before glucose infusions for a patient in alcohol withdrawal to prevent wernickie encephalopathy
thiamine
a patient reports a desire to stop smoking and asks what is avalibel without a prescription to help with smoking cessation . The nurse tells the patient that which method is the best
Nicotine replacement and 1-800-QUITNOW
why does the nurse daily weight prior to the administration of antiemetic medication to chemotherapy patients
weight loss is a common adverse effect associated with chemotherapy , and dosages may need to be readjusted.
the nurse is caring for a 36 year old male patient newly diagnosed with multiple sclerosis (MS) . The patient asked if he can contuse to take echinacea to help boost his immune system . the nurse best response is
echinacea use is not recommend for patients with autoimmune diseases
what is an advantage of using benzodiazepines as an adjunctive treatment for nausea and vomiting associated with chemotherapy
the antianxiety effect helps in , addition to reducing the frequency of nausea and vomiting
a patient will begin taking immunosuppressant drugs for rheumatoid arthritis . the nurse will caution this patient to avoid which dietary supplement
Echinacea
the nurse is obtaining a history from a patient who discloses daily use od St johns wort in addition to prescription drug . which effect of this dietary supplement would minors concern the nurse
it accelerated the metabolism of some drugs
which herbal medicine may improve a patients short term memory loss and cognitive function
ginkgo biloba extract
why is drug therapy important for the selected causes of nausea and vomiting
Relieves the distress associated with nausea and vomiting, Prevents aspiration of gastric contents into the lung, Prevents dehydration, Prevents electrolvte imbalances
the spouse of a patient who smokes wonder why anyone would want to engage in such a disgusting habit “
Nicotine increases alertness and promotes dopamine release
the recovery room nurse is preparing to assist with the care of severe a ompostoperative patient . which patient would the nurse prioritize care for regarding the potential for postoperative nausea and vomiting ( PONV)
A 50 year old woman undergoing a total hysterectomy with general anesthesia
a patient with multiple vitamin deficiencies is prescribed oral vitamin C ar part of a vitamin supplementation treatment. which of the following instructions regarding vitamin C should be given to this patient
Keep vitamin C tablets away from heat and light sources
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 a alert for
ventricular tachycardia
a patient diagnosed with diabetes ,hypertension , chronic obstructive pulmonay disease and angina reports to the nurse that she is taking an aloe juice drink to treat constipation. when assessing this patient for adverse interaction , the nurse will pritotixe
Blood glucose monitoring
which of the following drug types is not regulated by the food and drug administration
herbal supplements
A high school male athlete reports that he is taking creatine supplements to enhance his athletic performance and bulk up his muscles. Which important teaching points) and/or recommendations) should be made for this supplement? (Select all that apply.)
are: Adverse effects may include muscle cramping, dehydration, Gl bloating, and diarrhea., Inform the health care provider of usage, should future nephrotoxic medicines be prescribed., Creatine causes a weight gain of 3 to 6 lb because of water retention., Recommended dosage is 5 to 6 g four times daily for 5 to 7 days, followed by doses of 2 g/day.
a nursing student asks a nurse to discuss alcoholism and and alcohol use disorder which statement by the nurse is correct
alcohol use disorder can occur without the development of tolerance or physical dependence
what is black cohosh used for
reducing symptoms of premenstrual syndrome
which symptoms would be consistent with a paradoxical response
agitation , insomnia
the nurse is assisting with the development of care plan for a patient withdrawing from cocain . what would be the first nursing diagnosis priority for this patient
high risk for self directed violence
A patient taking a diuretic asks you to suggest potassium-rich foods that can be eaten to supplement potassium loss form the diuretic. What foods would you include in your dietary teaching plan for this patient? (Select all that apply.)
Nuts, Dried fruits, Citrus fruits, Cantaloupe and watermelon
a prescriber has ordered nicotine nasal spray for a patient to assist with smoking cessation . which statement ill the nurse include when teaching the patient about the medication
you should use one spray for each nostril per dose up to 5 times per hour
a patient who is an active alcoholic is admitted to the hospital for surgery . the nurse reviewing orders for this patient would be correct to question post operative medication for this patient
acetaminophen
the use of which medication would alert the nurse to educate the patient about using ginkgo blob cautiously
Anticoagulatns
a nurse discusses ginger root with a pregnant patient who asks about the risk and benefits of using ginger root to treat morning sickness during pregnancy . which statement by a patient indicated a need for further teaching
ginger root can cause decrease my risk of bleeding
What important points) of patient education should be included about disulfiram (Antabuse) therapy? (Select all that apply.)
The patient should return for liver function tests in 10 to 14 davs following initiation of therapy., Headache, fatigue, and a metallic taste are common adverse effects that usually resolve., Avoid alcohol ingestion to prevent a reaction., Carefully read all labels for possible alcohol content, including perfumes, and over the counter (OTC) medications such as cough syrups.
a patient is brought to the emergency department after a motor vehicle accident . the patient speech is slurred . the nurse notes the smell of alcohol on the patient breaths and observes hand remora . the patient blood alcohol level
provide mechanical ventilation and oxygen
a pregnant patient in labor tells the nurse that she is afraid may have harmed her fetus by consuming alcohol what is an approaptie response by the nurse
ask the patient how much alcohol she consumed. and at which stage of her pregnancy
a nurse is discussing alcohol abuse with a group of nursing student , one student asks whether alcohol consumption has any beneficial effects , the nurse replies that in moderate amount alcohol
may protect against dementia
a patient who has undergone treatment for alcoholism several times , with relapse occurring shortly after each treatment ,has jut completed detoxification . the patient request a medication to help maintain abstinence . which frug will the nurse expect the provider to prescribe
Naltrexone [ReVia]
what is St johns wort used to treat
depression
a patient asks a nurse about the effects of chronic alcohol use on the heart. The nurse best response would be which statement
long term alcohol use can damage the heart and cause heart failure
The teaching plan for a patient with vitamin B6 deficiency includes eating foods high in vitamin B6 (pyridoxine). Which foods would you recommend the patient include in his/her diet? (Select all that apply.)
Eggs, Liver, Soybeans, Whole grain breads
which herb is used to stimulate the innate immune system
Echinacea
a nurse ir performing a. preoperative drug history on a patient is admitted to the hospital for surgery . To evaluate the risk of hemorrhage , the nurse will ask the patient about antiplatelt and anticoagulant ,medication as well as which dietary supplement
Gingko biloba
which of the following repent the effect oc calcium on the body (SATA)
Calcium can limit the absorption of iron and other trace elements., Calcium can cause constipation and reduce kidney function. Calcium may prevent bone loss in older men., Calcium can reduce kidney function.
an alcoholic patient spouse asks a nurse about revery from chronic alcoholism . the patient is confused and has abnormal eye movements and nystagmus ..which statement by the nurse is correct
these symptoms can be reversed with vitamin therapy and good nutrition
a health professional colleague is suspected of having a substance abuse problem because of the person frequent absenteeism , mood swings when at work diminished alertness and poor patientt care ( SATA )
document specific examples of inappropriate actions submit a confidential report to an appropriate supervisor
a patient has competed substance abuse treatment for alcoholism . what will assign in long term goal attainment and promote abstained (SATA)
Naltrexone therapy , regular contact with his program sponsor . following the 12 step program of AA
the nurse is transcribing an oder for disulfiram on a patient in alcohol rehabilitation . When planning the time of day to administer this medication the nurse will domucemtn that disylfirma be given
at bedtime
a patient tells a. nurse that she drinks wine for its cardio protective effects . she wants to know how much is sage . then ruse is correct in telling her that
cardioportcetive effect re greatest in people who live in an unhealthy lifestyle
a prepared child birth nurse educator is discussing potential discomfort during pregnancy with a group of women. when relaying information about nausea and vomiting the , nurd will include which statement ( SATA )
vomitint during pregnancy is more common
a patient has been admitted for suspected vitamin A overdose what symptoms would you expect the patient to exhibit
yellowing of the skin o. the nose ears
which effect can be attributed to green ea ( SATA)
Lower cholesterol , lower triglyrcireds and LDLS , raises HDLS
a patient who is an alcoholic is prescribed disulfiram [ Antabuse] to help prevent relapse and the. nurse provides teaching about the use of this drug . which stamtent by the patient indicated understanding of the teaching
I should be avoid shaving lotion and mouthwash that contain even small amounts of alcohol
for which condition would you expect the health care provider to prescribe iron supplementation
Anemia
a patient is admitted into a substance abuse treatment center and is withdrawing from alcohol . which estaminet made by the patient family member shows a need for further education
withdrawal symptoms will improved within 24 hours
the nurse at a heath care cline is education a patient regarding the use of supplement of ginseng . what info should be conveyed by the nurse ( SATA )
Ginseng may be affected blood coagulation
aloe gel for topical use has been marketed to treat Koch conditions
Sunburn, spores .pain and inflammation , itching
a nurse is provided education to a group of college students about the long term effects of alcohol which statement bt a student indicated understanding of the teaching
even small amounts of alcohol are related ti the development of certain cancer
which psychological traits are linked to substance abuse
dependent personality , depression . anxiety
clonidine ( catapres ) os used in train which opiod withdrawal symptoms (SATA)
Tremors , agitation , sweating
what will the nurse instruct the patient who are on daily disulfiram Antabuse to avoid
alcohol
