front 1 A 75-year-old woman has been given a nonsteroidal anti-inflammatory
drug (an NSAID) for the treatment of rheumatoid arthritis. The nurse
is reviewing the patient‘s medication history and notes that which
types of medications could have an interaction with the NSAID? (Select
all that apply.) | back 1 c. Anticoagulants |
front 2 The nurse is reviewing the history of a patient who has a new order
for a nonsteroidal anti-inflammatory drug (NSAID) to treat tendonitis.
Which conditions are contraindications to the use of NSAIDs? (Select
all that apply.) | back 2 a. Vitamin K deficiency |
front 3 A patient calls the clinic to ask about taking a
glucosamine-chondroitin supplement for arthritis. The nurse reviews
the medication history and notes that there will be a concern for drug
interactions if the patient is also taking medications for which
disorder? | back 3 a. Type 2 diabetes mellitus |
front 4 The nurse notes in a patient‘s medication history that the patient is
taking allopurinol. Based on this finding, the nurse interprets that
the patient has which disorder? | back 4 b. Gout |
front 5 During assessment of a patient with osteoarthritis pain, the nurse
knows that which condition is a contraindication to the use of
nonsteroidal anti-inflammatory drugs (NSAIDs)? | back 5 a. Renal disease |
front 6 A patient who has a history of coronary artery disease has been
instructed to take one 81-mg aspirin tablet a day. The patient asks
about the purpose of this aspirin. Which response by the nurse is
correct? | back 6 d. ―It will help to prevent clot formation |
front 7 A patient has used enteric aspirin for several years as treatment for
osteoarthritis. However, the symptoms are now worse and she is given a
prescription for a nonsteroidal anti-inflammatory drug and
misoprostol, also called Cytotec. The patient asks the nurse, ―Why am
I now taking two pills for arthritis? What is the nurse‘s best
response? | back 7 d. ―Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs. |
front 8 A 6-year-old child who has chickenpox also has a fever of 102.9°F
(39.4°C). The child‘s mother asks the nurse if she should use aspirin
to reduce the fever. What is the best response by the nurse? | back 8 c. ―Acetaminophen should be used to reduce his fever, not aspirin. |
front 9 A mother brings her toddler into the emergency department and tells
the nurse that she thinks the toddler has eaten an entire bottle of
chewable aspirin tablets. The nurse will assess for which most common
signs of salicylate intoxication in children? | back 9 d. Hyperventilation and drowsiness |
front 10 The nurse is teaching a patient who is taking colchicine for the
treatment of gout. Which instruction will the nurse include during the
teaching session? | back 10 d. ―Call your doctor if you have increased joint pain or blood in the urine |
front 11 A patient with gout has been treated with allopurinol for 2 months.
The nurse will monitor laboratory results for which therapeutic
effect? | back 11 a. Decreased uric acid levels |
front 12 A patient is taking the nonsteroidal anti-inflammatory drug
indomethacin (Indocin) as treatment for pericarditis. The nurse will
teach the patient to watch for which adverse effect? | back 12 c. Nausea and vomiting |
front 13 The nurse is reviewing the therapeutic effects of nonsteroidal
anti-inflammatory drugs (NSAIDs), which include which effect? | back 13 c. Antipyretic |
front 14 A patient who has a helminthic infection has a prescription for
pyrantel. Which is one of the common adverse effects that the patient
may experience while on this therapy? | back 14 c. Diarrhea |
front 15 A patient has an infestation with flukes (trematodes). The nurse
anticipates the use of which drug to treat this infestation? | back 15 a. Praziquantel |
front 16 A patient who is being treated for malaria has started therapy with
quinine and tetracycline. He asks the nurse why he is on an antibiotic
when malaria is caused by a parasite. Which response by the nurse is
correct? | back 16 d. ―The two drugs are more effective against malaria when given together |
front 17 A woman is traveling to a country where she will be at high risk for
malarial infection. What will the nurse teach her regarding
prophylactic therapy with hydroxychloroquine? | back 17 d. The drug is usually started 1 to 2 weeks before traveling to
endemic areas and is |
front 18 A patient with late-stage HIV infection also has Pneumocystis
jirovecii pneumonia. The nurse anticipates treatment with which
medication for this pneumonia? | back 18 b. Atovaquone |
front 19 A patient with an intestinal infection that is positive for the
Giardia lamblia organism will be taking an antiprotozoal drug. The
nurse will include which information in the teaching plan for this
patient? | back 19 b. Taking the medications with food reduces gastrointestinal upset. |
front 20 The nurse is reviewing antimalarial drug therapy with a patient and
instructs the patient to watch for and report which potential adverse
reactions? | back 20 c. Dizziness |
front 21 A patient is being evaluated for a possible helminthic infection. The
nurse knows that which statement about anthelmintic therapy is
true? | back 21 b. Anthelmintics are very specific in their actions. |
front 22 A patient is experiencing the exoerythrocytic phase of malaria. The
nurse expects which drug to be used for this patient? | back 22 d. Primaquine |
front 23 A patient is receiving hydroxychloroquine therapy but tells the nurse
that she has never traveled out of her city. The nurse knows that a
possible reason for this drug therapy is which of these
conditions? | back 23 c. Systemic lupus erythematosus |
front 24 Hydroxychloroquine is prescribed as part of malaria prophylaxis for a
patient who will be traveling. The nurse will discuss which potential
adverse effects with the patient? (Select all that apply.) | back 24 a. Diarrhea |
front 25 The nurse is discussing adverse effects of antitubercular drugs with
a patient who has active tuberculosis. Which potential adverse effect
of antitubercular drug therapy should the patient report to the
prescriber? | back 25 d. Numbness and tingling of extremities |
front 26 A patient who has been taking isoniazid has a new prescription for
pyridoxine. She is wondering why she needs this medication. The nurse
explains that pyridoxine is often given concurrently with the
isoniazid to prevent which condition? | back 26 c. Peripheral neuropathy |
front 27 The nurse will assess the patient for which potential
contraindication to antitubercular therapy? | back 27 d. Hepatic impairment |
front 28 When monitoring patients on antitubercular drug therapy, the nurse
knows that which drug may cause a decrease in visual acuity? | back 28 c. Ethambutol |
front 29 A patient has been taking antitubercular therapy for 3 months. The
nurse will assess for what findings that indicate a therapeutic
response to the drug therapy? | back 29 D. There is a decrease in symptoms of tuberculosis along with improved chest radiographs and sputum cultures. |
front 30 The nurse is counseling a woman who will be starting rifampin as part
of antitubercular therapy. The patient is currently taking oral
contraceptives. Which statement is true regarding rifampin therapy for
this patient? | back 30 c. Oral contraceptives are less effective while the patient is taking rifampin. |
front 31 The nurse is reviewing the medication administration record of a
patient who is taking isoniazid. Which drug or drug class has a
significant drug interaction with isoniazid? | back 31 c. Phenytoin |
front 32 A patient who has started drug therapy for tuberculosis wants to know
how long he will be on the medications. Which response by the nurse is
correct? | back 32 c. ―You should expect to take these drugs for as long as 12 months. |
front 33 The nurse is preparing to administer morning medications to a patient
who has been newly diagnosed with tuberculosis. The patient asks, ―Why
do I have to take so many different drugs? Which response by the nurse
is correct? | back 33 b. ―Taking multiple drugs is recommended because more drugs are becoming resistant to TB drug therapy. |
front 34 A patient newly diagnosed with tuberculosis (TB) has been taking
antitubercular drugs for 1 week calls the clinic and is very upset. He
says, ―My urine is dark orange! What‘s wrong with me? Which response
by the nurse is correct? | back 34 d. ―This is an expected side effect of the medicine. Let‘s review what to expect. |
front 35 The nurse is providing patient teaching for a patient who is starting
antitubercular drug therapy. Which of these statements should be
included? (Select all that apply.) | back 35 b. ―Take the medications at the same time every day. |