Nokea
You are going to prescribe a drug and the electronic health record (EHR) alerts you that there is a potential drug-drug interaction. The alert is generated by:
- A. The Food and Drug Administration MedWatch system
- B. TOXNET, the National Institutes of Health alert system
- C. The EHR clinical decision support system
- D. Lexicomp, a commercial medication alert system
Correct Answer: C
Rationale: EHR clinical decision support systems generate real-time drug interaction alerts.
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When a primary health care provider phones in a medication order for a client, the nurse should do which of the following? (Select one that does not apply.)
- A. Write down the order.
- B. Record the order as soon as the MAR is retrieved.
- C. Repeat back the information exactly as written.
- D. Clarify any unclear information.
Correct Answer: B
Rationale: If a verbal order is given over the telephone, the nurse writes down the order immediately, repeats back the information exactly as written, and then asks for a verbal confirmation that it is correct. Any order that is unclear should be questioned and clarified.
When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs:
- A. Omeprazole, a proton pump inhibitor
- B. Combined oral contraceptives
- C. Diphenhydramine, an antihistamine
- D. Warfarin, an anticoagulant
Correct Answer: D
Rationale: NSAIDs increase bleeding risk with warfarin; interactions with PPIs or contraceptives are less significant.
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.
- A. Older adults because of reduced renal function
- B. Administration of aldosterone antagonist diuretics because of decreased potassium levels
- C. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin
- D. Doses between 0.25 and 0.5 mg/day
Correct Answer: A
Rationale: Older adults have reduced renal clearance, increasing digoxin toxicity risk.
Binding of drugs to albumin is irreversible.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False; binding to albumin is reversible, allowing drugs to dissociate and become active or available for elimination.
You are evaluating the discharge teaching you have done with your patient concerning drug therapy. What statement from the patient would indicate that teaching had been effective?
- A. I have to take three pills each day and I can take them at the time that fits my schedule.
- B. I should take the white pill in the morning because the doctor wants me to take it.
- C. I will add the names and dosages of these new drugs to my medication list in my wallet.
- D. I have prescriptions at different pharmacies. I shop around for the best price for each drug
Correct Answer: C
Rationale: Maintaining an updated medication list demonstrates understanding and responsibility, indicating effective teaching.