Medication I
Which precaution is most important for the LPN/VN to teach a patient newly prescribed to take 10 mg of amiloride (Midamor) orally daily?
avoid the use of salt substitutes
Which health problem is a potential side effect or adverse reaction of any class of diuretic drug?
Dehydration
_____________ is an invasion of body tissue by disease-producing pathogens that multiply and produce toxins.
Infection
Which of the following is an example of a drug given in units instead of milligrams?
Insulin
You are teaching a patient about possible side effects when taking penicillin, a broad-spectrum antibiotic. What is the most common side effect you would stress in teaching the patient about this drug?
loose stools
Which nursing action should ensure that a medication is given to the right patient?
Identifying patient
A patient who has been taking imipramine comes to the clinic for a routine follow-up appointment. Which of the following assessments would be appropriate to perform?
assess vital signs and weight
Why are long-acting beta-adrenergic agonists not useful during an actual acute asthma attack?
they need time to build up an effect
All waste breaks down in the body through metabolism and are removed from the body through the process of ______________.
excretion
Which health care professional is licensed to prescribe controlled substances?
physician
A patient with allergies has been prescribed an antihistamine. Which response by the patient demonstrates understanding of the action of antihistamine drugs?
“Antihistamines act by blocking histamine receptors in tissues.”
Which side effects should you monitor for after a patient receives ipratropium (Atrovent)?
sore throat, stuffy nose, constipation
What information should be included in the teaching plan for a patient who is prescribed an antitussive agent?
this drug can cause drowsiness
What physical assessment findings would you observe when an IV becomes infiltrated?
pain, swelling, redness
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After drug administration, the nurse should monitor for which responses to drug therapy?
expected outcome
A nurse is taking care of an older adult patient with hypertension. He was prescribed an antihypertensive medication; however, he has decided to use a cheaper herbal product that he can buy over the counter and which he thinks will lower his blood pressure. The patient tells this information to the nurse in an interview. Which is the best response to this patient?
Herbal meds are not regulated for effectiveness
Which precautions are most important to teach the caregiver of a home care patient who is prescribed nitroglycerine patches?
Patch placement should be rotated to prevent skin irritation.
Do not apply to open skin. If patches are applied to skin areas that are open or irritated, drug absorption is not even
Wear gloves
How do thiazide and thiazide-like diuretic drugs reduce high blood pressure?
Reducing blood volume and relaxing vascular smooth muscle
Any drug that has the ability to destroy or interfere with the development of a living organism is ____________________.
an antibiotic
Which term refers to an antibiotic with a high degree of activity against many different organisms, including gram-negative bacteria and gram-positive bacteria?
Broad spectrum
You are teaching a patient about the adverse effects associated with selective serotonin reuptake inhibitors (SSRIs). Which adverse effect would you inform your patient about?
sexual dysfunction
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A patient who has been taking imipramine comes to the clinic for a routine follow-up appointment. Which of the following assessments would be appropriate to perform?
anticonvulsant
antidepressant
antiinflammatory
You are teaching a patient with newly diagnosed diabetes about insulin. The patient asks you to explain the role of insulin in preventing hyperglycemia. What is your best response?
“Insulin allows glucose to enter the cells, which lowers blood glucose levels.”
You are caring for an elderly patient in a long-term care facility who has been prescribed a cephalosporin. Which adverse effect should you monitor the patient for while taking this drug?
Nephrotoxicity
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You are caring for an elderly patient who is newly admitted with a suspected urinary tract infection requiring antimicrobial therapy. Which of the following tests would you expect the healthcare provider to order before initiating treatment?
Culture and sensitivity studies