Nokea
In today's health care environment there is often more contact between the patient and the nurse than between the patient and the physician. How does this increased patient contact impact drug therapy?
- A. Choosing the best medication to treat the patient's condition
- B. Assessing the patient's preferred communication strategies
- C. Assessing the therapeutic success of the drug therapy
- D. Reducing dosage quickly when adverse effects arise
Correct Answer: C
Rationale: More contact allows nurses to assess therapy success through observation and patient feedback.
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Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes:
- A. He should not play sports due to the risk of increased seizures
- B. He should monitor his temperature and ability to sweat in the heat while playing
- C. Reminding him that he may need higher dosages of topiramate when exercising
- D. Encouraging him to use sunscreen due to photosensitivity from topiramate
Correct Answer: B
Rationale: Topiramate can impair sweating, increasing heat-related risks during sports.
Serum level of drug is monitored when the patient is on
- A. Lithium
- B. Haloperidol
- C. Diazepam
- D. Acetazolamide
Correct Answer: A
Rationale: Lithium requires monitoring due to its narrow therapeutic range.
Patients taking antacids should be educated regarding these drugs, including letting them know that:
- A. They may cause constipation or diarrhea
- B. Many are high in sodium
- C. They should separate antacids from other medications by 1 hour
- D. All of the above
Correct Answer: D
Rationale: All are true: antacids cause GI effects , may be high-sodium , and interact with drugs if not timed apart .
The telephone triage nurse receives a call from a patient asking for a prescription for a narcotic to manage his surgical pain. The nurse explains that narcotic prescriptions must be written and cannot be called in to the pharmacy. The patient says, Why are narcotics so difficult to get a prescription for? What is the nurse's best response?
- A. The Drug Enforcement Agency (DEA) determines the risk for addiction and the Food and Drug Administration (FDA) enforces their control.
- B. The increase in the number of drug addicts has made the rules stronger.
- C. The Centers for Disease Control and Prevention (CDC) regulates use of controlled substances to reduce the risk of injury.
- D. Controlled substances like narcotics are controlled by the FDA and the DEA.
Correct Answer: D
Rationale: Controlled substances are controlled by the FDA and the DEA: the DEA enforces control while the FDA determines abuse potential. Regulations related to controlled substances have remained strict and specific and have not been significantly impacted by substance abusers. The CDC is not involved in control of narcotics and other controlled substances.
While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effective if the patient includes which of the following foods in his daily menus?
- A. Broccoli and kiwi
- B. Oranges and sweet potatoes
- C. Kale and cucumbers
- D. Bananas and melon
Correct Answer: D
Rationale: Furosemide (Lasix) is a loop diuretic that can cause potassium loss; bananas and melon are potassium-rich, aiding in replacing this electrolyte, unlike the other options.