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Which of the following reflects a nurse's responsibility when a drug is prescribed for a client? (Select one that does not apply.)
- A. Administering the drug to the client
- B. Monitoring for therapeutic response
- C. Checking for drug-drug interactions
- D. Reporting adverse reactions
Correct Answer: C
Rationale: When a drug is prescribed to a client, the nurse is responsible for the administration of the drug, monitoring for therapeutic effects, reporting adverse drug reactions, and teaching the client information needed to administer the drug safely at home. A pharmacist checks for drug-drug interactions prior to dispensing a drug for administration.
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A nurse at a provider's office is preparing to administer RV, DTaP, Hib, PCV13, and IPV immunizations to a 4-month-old infant. Which of the following actions should the nurse plan to take?
- A. Administer IPV orally
- B. Administer subcutaneous injections in the anterolateral thigh.
- C. Administer IM injections in the deltoid muscle.
- D. Give the infant a phone during vaccine injections.
Correct Answer: B
Rationale: Subcutaneous injections in the thigh and pacifier use are appropriate for a 4-month-old; IPV is IM, not oral.
Adverse event of alfa glucosidase inhibitors is:
- A. Disorder of intestine function
- B. Weight gain
- C. Acidosis
- D. Allergy reactions
Correct Answer: A
Rationale: Alpha-glucosidase inhibitors like acarbose cause intestinal issues (e.g., flatulence) due to undigested carbohydrates.
Commercials on TV for erectile dysfunction (ED) medications warn about mixing them with nitrates. Why?
- A. Increased risk of priapism
- B. Profound hypotension
- C. Development of blue discoloration to the visual field
- D. Inactivation of the ED medication effect
Correct Answer: B
Rationale: ED drugs (PDE5 inhibitors) with nitrates cause severe vasodilation, leading to hypotension.
Prescribing less-expensive generic drugs or drugs off the 4 retail pharmacy lists:
- A. Increases the complexity of the pharmacoeconomics of prescribing for the individual patient
- B. Increases compliance by reducing the financial burden of drug costs to the patient
- C. Is not sound prescribing practice due to the inferiority of the generic products
- D. Will increase the overall cost of drugs to the system due to the ease of overprescribing less-expensive drugs
Correct Answer: B
Rationale: Generic drugs improve adherence by lowering patient costs.
What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)
- A. Teaching the patient how to cope with therapy to ensure the best outcome
- B. Providing therapy as well as medications
- C. Changing of therapy routines
- D. Altering the drug regimen to optimize outcome
Correct Answer: A
Rationale: Nurses teach patients, evaluate therapy effectiveness, but do not alter regimens (physician's role) or provide therapy beyond medication administration.