Nursing Drug Classification System

Nursing Drug Classification System Related

Review Nursing Drug Classification System related questions and content

A patient has come to the clinic and been diagnosed with Lyme disease. The physician has ordered oral tetracycline. What is important for the nurse to include in the teaching plan about tetracycline? (Select all that apply.)

  • A. Do not take the drug with anything high in sodium content to keep from producing a state of hypernatremia in the body.
  • B. Do not take the drug with foods or other drugs that contain calcium.
  • C. Avoid eating bananas at the same time you take this drug as the potassium content of the tetracycline can produce hyperkalemia in the body.
  • D. Avoid exposure to the sun when taking this drug as it can turn your skin purple.
Correct Answer: B

Rationale: The antibiotic tetracycline is not absorbed from the gastrointestinal (GI) tract if calcium or calcium products (e.g., milk) are present in the stomach. It cannot be taken with iron products because a chemical reaction occurs preventing absorption. Although tetracycline can increase sun sensitivity, it does not turn the skin purple. Patients who take tetracycline do not need to avoid eating bananas or foods that are high in potassium.

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The nurse is teaching a patient about rifampin. Which statement by the patient indicates understanding of the teaching?

  • A. I should not wear soft contact lenses while taking rifampin
  • B. I will need regular eye examinations while taking this drug
  • C. I will report orange urine to my provider immediately
  • D. I understand that renal toxicity is a common adverse effect
Correct Answer: A

Rationale: Rifampin stains fluids red-orange, risking soft lens damage; eye exams are for ethambutol, and urine color is benign. Patients taking rifampin should be warned that urine, feces, saliva, sputum, sweat, and tears may turn a harmless red-orange color.

Which statement is not correct about rosiglitazon:

  • A. Enhance insulin production by pancreatic beta cells
  • B. Increase senstivitiy towards insulin
  • C. Increase uptake of glucose by tissues
Correct Answer: A

Rationale: Rosiglitazone increases insulin sensitivity, not insulin production, via PPAR-gamma activation.

A nurse is providing instructions to the parent of an adolescent client who has a new prescription for Albuterol, PO. Which of the following instructions should the nurse include?

  • A. You can take this medication to abort an acute asthma attack.
  • B. Tremors are an adverse effect of this medication.
  • C. Prolonged use of this medication can cause hyperglycemia.
  • D. This medication can slow skeletal growth rate.
Correct Answer: B

Rationale: Tremors are a common side effect of albuterol due to beta-agonist stimulation.

Glucocorticoids causes:

  • A. Protein catabolism and muscle atrophy
  • B. Protein anabolism and increase of muscle mass
  • C. Stimulation of growth in children
  • D. Decrease of \mathrm{Na}+ reabsorbtion and \mathrm{K}+\mathrm{K}+ excretion
Correct Answer: A

Rationale: Glucocorticoids cause protein catabolism and muscle atrophy by breaking down proteins.

Which of the following antibiotics is contraindicated in patients with myasthenia gravis?

  • A. Vancomycin
  • B. Gentamicin
  • C. Daptomycin
  • D. Cephalexin
Correct Answer: B

Rationale: Gentamicin, an aminoglycoside, worsens neuromuscular blockade in myasthenia gravis, making it contraindicated.

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