Drug Therapy

jennraq2u's version from 2015-11-09 05:05


Question Answer
1. Darbepoetin alfa (Aranesp) and epoetin alfa (Epogen, Procrit)Drug formulations of erythropoietin, a hormone from the kidney that stimulates bone marrow production of red blood cells.
3. Filgrastim (Neupogen)Prototype G-CSF used to stimulate blood cell production in the bone marrow of patients with bone marrow transplantation or chemotherapy induced neutropenia.
6. A male patient is self-administering epoetin in the home. The nurse encourages him to include what supplements as part of his daily medication regimen?Iron
7. The nurse is caring for a female patient in the home. The patient is prescribed filgrastim. What would be included in the nurse’s education plan?Techniques to reduce exposure to infection
15. The nurse is admitting a patient who has neutropenia. The nurse would expect to documents which findings when taking the nursing history? (Select all that apply.)Upper respiratory infection three times in the last 4 months; Thrush infection of the mouth twice in last 4 weeks.
16. The home care nurse is caring for a patient who is self-administering epoetin. What assessment is most important for the nurse to complete during the visit?Blood pressure
17. The nurse is caring for a patient who has been receiving filgrastim. The nurse expects to perform which action concerning concerning this drug on the day prior to the patient’s chemotherapy treatment?Hold the medication
16. The nurse is providing home care instruction about iron replacement therapy to a young mother who has iron deficiency anemia. She also has young children in the home. To prevent accidental ingestion of iron-containing medications by children, how must products with 30 mg or more of iron be provided?They must be packaged as individual doses.
20. The nurse is caring for a child in the emergency department who ate her grandmother's iron tablets. What drug does the nurse anticipate the physician ordering for this child?Deferoxamine
4. A female patient complains of a mild headache. The physician orders acetaminophen 325 mg, two tablets by mouth every 4 to 6 hours. The patient states that she usually takes ibuprofen for her headaches and asks why the physician ordered acetaminophen. Which explanation would the nurse give?Acetaminophen is often the initial drug of choice for relieving mild to moderate pain.
5. A male patient’s physician orders aspirin 81 mg PO each day as a treatment related to his recent myocardial infarction. The patient asks the nurse if he can take acetaminophen instead. What is the nurse’s best response?Acetaminophen is an effective aspiring substitute for pain or fever but not for prevention of heart attack or stroke.
6. A 16-year-old patient asks the nurse if she can take two Tylenol every 2 hours during exams, because it helps relieve her tension headaches. What is the nurse’s most appropriate response?Do not exceed recommended doses of acetaminophen due to the risk of life threatening liver damage.
7. A male patient is taking aspirin 81 mg by mouth each day for prevention of recurrent myocardial infarction. He makes a dentist appointment for a tooth extraction. He calls the physician’s office and asks the nurse if he is at risk for bleeding. Which response is correct?Yes, low doses of aspirin may increase your risk of bleeding; I will call you with your new physician’s orders.
10. What is the most effective treatment for febrile episode in a child aged 6 to 36 months?Alternating acetaminophen and ibuprofen every 4 hours over a 3-day period.
13. Aspirin increases the risk of bleeding and should generally be avoided for how many weeks before and after surgery?1 to 2 weeks
19. A 7-year-old patient is admitted to the pediatric critical care unit with a probable diagnosis of Reye’s syndrome. The nurse will be assessing the child for what symptoms? (Select all that apply.)Jaundice; Brain Swelling; Elevated liver enzymes
20. A patient is in the surgical intensive care unit after having a coronary bypass grafting approximately 6 hours ago. What medication will the nurse be expected to administer at this time?Aspirin 625 mg
3. The nurse is caring for a patient who has received a prescription for naproxen sodium for the treatment of migraine headaches. This patient also takes lithium carbonate for bipolar disorder. The nurse is aware that this patient will be monitored for what condition?Lithium toxicity
11. The nurse is aware that sumatriptan-naproxen sodium has issued black box warnings because it increases the risk of what conditions? (Select all that apply)GI bleeding; Myocardial infarction; Brain attack
19. The nurse is educating a patient who will be taking naproxen sodium as treatment for migraine headaches. The nurse instructs the patient to report which symptoms to the physician? (Select all that apply).Fever; Black stools; Sore throat
1. The family asks you why you are giving the pain medication through an IV rather than by mouth. Explain your rationale.When opioids are necessary, they are usually given IV in small doses.
2. The family states that the pain is not managed by the current treatment because the patient is agitated. You develop an education plan for the patient’s family. Explain the various causes of agitation for this patient.Agitation in a burned person may indicate hypoxia or hypovolemia rather than pain.
6. The nurse is preparing to administer 1 mg f morphine to a 4-year-old child who just had surgery. What action should the nurse complete before administering this medication to a child?Check the calculation with another licensed nurse.
7. The nurse is caring for a patient who experienced multiple fractures. The patient has been prescribed morphine 4 mg every 4 hours IM as needed and 2 mg of morphine IV as needed for intense pain. The nurse understands that the 2 mg of morphine is prescribed for the treatment of what type of pain?Breakthrough pain
9. The nurse is administering opioid analgesics to a patient for postoperative pain. What is the nurse’s most important assessment prior to administering the medication?Respiratory rate
11. The nurse receives a phone call from a patient who has become constipated while taking the opioid analgesic prescribed for his pain. The nurse instructs the patient to do what to help relieve this problem? (Select all the apply)Drink 2 to 3 quarts of water per day; Take a laxative twice a day; Try to establish a regular bowel routine
14. Prior to administering morphine, the nurse checks the patient’s medication history. The nurse will contact the physician and hold the morphine if the nurse notes the patient is currently talking which medication?Monoamine oxidase (MAO) inhibitor
15. The nurse is caring for a patient who has been admitted to the emergency department after a fall. An x-ray indicates that the patient has fractured his ankle. Because of a previous stroke, the patient does not speak. What other method will the nurse use to assess this patient’s pain? (Select all that apply) Facial expressions; Movement of arms and hands; Guarding of the leg
1. Tetracyclines and sulfonamidesOlder, broad-spectrum, bacteriostatic drugs; rarely used for systemic infections because of microbial resistance and development of more effective or less toxic drugs
2. TetracyclinesStill used to treat bacterial infections caused by Brucella and Vibrio cholera
9. Tetracyclines are generally contraindicated in pregnant women because of what effects?Cause fatal hepatic necrosis in the mother; Interfere with bone and tooth development in the fetus
10. A female patient is diagnosed with hepatitis C as well as a urinary tract infection. The organism is sensitive to tetracycline. Why is the physician reluctant to order tetracycline in a patient with hepatic impairment?It slows drug elimination.
11. In patients with renal impairment, which IV dose of tetracycline has been associated with death from liver failure?Greater than 2 g/d
12. The nurse is aware that a patient with renal failure should not be prescribed tetracycline for which reasons?Development of azotemia; Hyperkalemia; Acidosis
13. The nurse would recommend that a patient who is taking tetracycline should have fluid intake of how many liters of fluid?2 L
16. Tetracyclines should not be used in children younger than 8 years of age because of their effects n what?Teeth and bones
20. Tetracyclines must be used cautiously in the presence of what condition?Liver impairment; Kidney impairment
1. A male patient is prescribed a combination of topical drugs to treat his atopic dermatitis. What statement by the patient indicates that he requires further education regarding his medical regimen?Local drug therapy will not be absorbed systemically.
4. The physician orders daily topical drugs to treat a patient’s dermatitis. What factor is important to teach the patient?Accurate application to maximize therapeutic effects
8. The physician orders a topical corticosteroid for a rash on a patient’s elbow. The 75-year-old patient also has hypertension, chronic congestive heart failure, and type 2 diabetes. What concerns the nurse most about this patient and the use of the corticosteroid preparation?Corticosteroids should be used with caution on thin or atrophic skin.
10. The physician has prescribed tacrolimus ointment for a patient with severe atopic dermatitis because the patient’s condition has not improved with other medications. The nurse is aware that this medication carries a black box warning that this drug may increase the risk of the development of what condition?Skin cancer
12. A patient is diagnosed with chronic histamine-induced urticarial. As part of the education plan, when would the nurse teach the patient to administer the antihistamine?Before the symptoms appear and round the clock thereafter
15. A male patient presents to the physician’s office complaining that he has difficulty sleeping because of the intense itching related to his dermatitis. To relieve the itching and promote sleep m the nurse expects the physician to order what medication?Diphenhydramine