Nokea
The nurse is performing an admission assessment. Which findings reflect components of a cultural assessment?
- A. The patient uses aspirin as needed for pain.
- B. The patient has a history of hypertension.
- C. The patient uses herbal tea to relax in the evenings.
- D. The patient does not speak English.
- E. The patient is allergic to shellfish.
- F. The patient does not eat pork products because of religious beliefs.
Correct Answer: A,C,D,F
Rationale: The past use of medicines, use of herbal treatments, languages spoken, and religious practices and beliefs are components of a cultural assessment. The other options reflect components of a general medication assessment or health history.
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Nurses have the ethical responsibility of doing or actively promoting good. What is this principle known as?
- A. Justice
- B. Veracity
- C. Beneficeence
- D. Autonomy
Correct Answer: C
Rationale: Beneficeence is the ethical principle of doing or actively promoting good. Veracity is defined as the duty to tell the truth. Justice is the ethical principle of being fair or equal in one's actions. Autonomy is self-determination, or the ability to make one's own decisions.
The nurse is reviewing facts about pharmacology for a review course. The term legend drug refers to which item?
- A. Over-the-counter drugs
- B. Prescription drugs
- C. Orphan drugs
- D. Older drugs
Correct Answer: B
Rationale: The term legend drug refers to prescription drugs, which were differentiated from over-the-counter drugs by the 1951 Durham-Humpphrey Amendment. Orphan drugs are drugs that are developed for rare diseases. The other options are not examples of legend drugs.
When reviewing the various schedules of controlled drugs, the nurse knows that which description correctly planting describes Schedule II drugs?
- A. Drugs with high potential for abuse that have accepted medical use
- B. Drugs with high potential for abuse that do not have accepted medical use
- C. Medically accepted drugs that may cause moderate physical or psychologic dependence
- D. Medically accepted drugs with limited potential for causing physical or psychologic dependence
Correct Answer: A
Rationale: Schedule II drugs are those with high potential for abuse but that have accepted medical use. Drugs that have high potential for abuse but do not have accepted medical use are Schedule I drugs. Medically accepted drugs that have moderate physical or high psychologic dependence potential are Schedule III drugs. Medically accepted drugs with limited potential for causing physical or psychologic dependence are Schedule IV and V drugs.
During discharge patient teaching, the nurse reviews prescriptions with a patient. Which statement is correct about refills for an analgesic that is classified as Schedule C-III?
- A. No prescription refills are permitted.
- B. Refills are allowed only by written prescription.
- C. The patient may have no more than five refills in a 6-month period.
- D. Written prescriptions expire in 12 months.
Correct Answer: C
Rationale: Schedule C-III medications may be refilled no more than five times in a 6-month period. The patient should be informed of this regulation. No prescription refills are permitted for Schedule C-II drugs. Requiring refills by written prescription only applies to Schedule C-II drugs. Schedule C-III prescriptions (written or oral) expire in 6 months.
The nurse is reviewing the concept of drug polymorphism. Which factors contribute to drug polymorphism?
- A. The number of drugs ordered by the physician
- B. Inherited factors
- C. The patient's diet and nutritional status
- D. Different dosage forms of the same drug
- E. The patient's cultural practices
- F. The patient's drug history
- G. The various available forms of a drug
Correct Answer: B,C,E
Rationale: Inherited factors, diet and nutritional status, and cultural practices are some of the factors that contribute to drug polymorphism. The other options are not factors that contribute to drug polymorphism.