Question 1

While caring for a patient being sent home with a prescription for oxycodone and acetaminophen (Percocet), the nurse must caution the patient to avoid which of the following?&#10;A) Eye drops or medications causing pupil constriction&#10;B) Alcoholic beverages and grapefruit juice&#10;C) Cold remedies and other products containing Tylenol&#10;D) Fiber laxatives and other stool softeners

Accepted Answer

Percocet contains acetaminophen, which is the active ingredient in Tylenol. Taking additional products containing acetaminophen can lead to an overdose and liver damage.

Question 2

An 18-year-old patient calls a physician's office to request a refill for birth control pills. Which response by the nurse is best?&#10;A) &#34;The physician must see you at least every 6 months to provide prescription refills.&#34;&#10;B) &#34;If you've been seen by the doctor in the last year, a prescription refill can be called to your pharmacy.&#34;&#10;C) &#34;All birth control medications require a handwritten prescription, so you will need to pick this up at the desk at your convenience.&#34;&#10;D) &#34;Are you sexually active?&#34;

Accepted Answer

Option B is the best response as it acknowledges the patient's request and also provides guidance on how they can get a prescription refill. It also mentions the requirement of being seen by the doctor in the last year, which can be important for ensuring proper monitoring and follow-up. Option A may be accurate but comes off as abrupt and may not address the patient's concerns. Option C is not necessary as the prescription can be sent directly to the pharmacy. Option D is irrelevant to the request and may not be necessary for providing the appropriate response.

Question 3

The following order is written for a 28-year-old patient with asthma: &#34;Triamcinolone acetonide (Nasacort) 2 sprays each nostril bid.&#34; The nurse will instruct the patient to take this medication:&#10;A) Once daily with 2 sprays in each nostril&#10;B) Once each evening with 1 spray in each nostril&#10;C) Twice daily with 1 spray in each nostril&#10;D) Twice daily with 2 sprays in each nostril

Accepted Answer

The order specifies that the medication should be taken twice daily (bid) with 2 sprays in each nostril. Therefore, option D is the correct choice.

Question 4

A patient with diabetes mellitus has an order for sliding scale insulin glulisine (Apidra) 2 to 10 units ac based on blood glucose monitoring results. The nurse will need to check the patient's blood sugar:

A) Before each meal
B) After each meal
C) Before bedtime
D) After breakfast

Accepted Answer

Page:

Question 5

The nurse is providing care for a patient who is taking dutasteride (Avodart) for benign prostatic hypertrophy (BPH). The patient's prescription reads, "Take 1 capsule daily by mouth." Thirty pills have been dispensed and the prescription allows for five refills. The nurse anticipates seeing the patient again in:

A) 1 month
B) 3 months
C) 6 months
D) 1 year

Accepted Answer

Since there are 30 pills and the prescription allows for 5 refills, this means the prescription will last for a total of 6 months (30 pills x 6 months = 180 pills). Therefore, the nurse can anticipate seeing the patient again in 6 months.

Question 6

The nurse is preparing to administer a medication and notes an abbreviation he does not recognize. Which of the following is the best action for the nurse to take in this situation?&#10;A) Refer to the institution's approved abbreviation list.&#10;B) Ask a colleague what the abbreviation means.&#10;C) Do not administer the medication to the patient.&#10;D) Ask the patient about her medication regimen.

Accepted Answer

Referring to the institution's approved abbreviation list is the best action for the nurse to take as it ensures that the medication being administered is safe and follows best practices. Using abbreviations that are not approved and potentially unclear can lead to medication errors and jeopardize patient safety. Asking a colleague or the patient may not provide accurate information, and not administering the medication could delay necessary treatment.

Question 7

Which of the following measures are taken to keep the patient safe when dealing with medication orders? (Select all that apply.)&#10;A) Use abbreviations for orders whenever possible.&#10;B) Obtain written or typed orders when possible.&#10;C) Read back any verbal orders to prevent errors.&#10;D) Ensure all prescriptions are accurate and legible.&#10;E) Educate the patient about new medications.

Accepted Answer

B) Written or typed orders reduce the risk of misinterpretation compared to handwritten ones. C) Reading back verbal orders ensures the order was understood correctly. D) Accuracy and legibility of prescriptions are crucial to prevent medication errors. E) Educating patients about their medications promotes safe and effective use.

Question 8

A neighbor calls the nurse saying, &#34;This bottle of infant acetaminophen (Tylenol) doesn't have a dropper; it has a little cup. How do I know how much to give to my 3-month-old daughter?&#34; Which response by the nurse is best?&#10;A) &#34;How much did you give your 3-year-old son when he was a baby?&#34;&#10;B) &#34;Read the label on the back of the box to find the strength and recommended dosage.&#34;&#10;C) &#34;Why do you need to give the baby Tylenol?&#34;&#10;D) &#34;Tylenol is no longer given to infants or children.&#34;

Accepted Answer

The nurse should instruct the neighbor to read the label on the back of the box to find the strength and recommended dosage for the infant acetaminophen. This will provide the most accurate and safe dose for the 3-month-old daughter. It is important to make sure the dose is appropriate for the infant's age and weight. The other options are not helpful or relevant to the situation.

Question 9

The nurse notes orders for alprazolam (Xanax) 0.25 mg PO tid. Which action by the nurse is best?&#10;A) Give the patient 0.25 mg alprazolam orally at noon each day.&#10;B) Give 0.25 mg alprazolam spaced evenly three times each day.&#10;C) Schedule the oral dose of alprazolam daily with breakfast.&#10;D) Instruct the patient to ask for alprazolam any time it is needed.

Accepted Answer

The orders state that the patient should receive alprazolam 0.25 mg PO tid, which means three times a day. Spacing the doses evenly throughout the day will provide a consistent blood level of the medication and decrease the likelihood of adverse effects or withdrawal symptoms. Therefore, option B is the best action for the nurse to take.

Question 10

Which of the following information items would a nurse expect to see on the prescription label? (Select all that apply.)&#10;A) Picture of the medication&#10;B) Drug dosage&#10;C) Physician DEA number&#10;D) Number of pills in the bottle&#10;E) Patient's name and address

Accepted Answer

B) Drug dosage, D) Number of pills in the bottle, and E) Patient's name and address are common elements found on a prescription label. These provide essential information about how much medication to take, how many doses are supplied, and whom the medication is for, ensuring proper medication management and patient identification.

Deck 5: Prescriptions and Labels