Question 1

A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The client asks about other ways to manage her symptoms. Which herbs would be appropriate for the nurse to recommend to this client?

A) Soy
B) Black cohosh
C) Evening primrose
D) Saw palmetto
E) Acai

Soy
Black cohosh
Evening primrose

Accepted Answer

Rationale 1: Soy is used to alleviate postmenopausal symptoms.
Rationale 2: Black cohosh is used to alleviate postmenopausal symptoms.
Rationale 3: Evening primrose is used to alleviate postmenopausal symptoms.
Rationale 4: Saw palmetto is used to decrease prostate hyperplasia.
Rationale 5: Acai is used as an antioxidant and for weight loss.

Question 2

A patient is ordered an antibiotic for a urinary tract infection. Which of the following elements of assessment would the nurse include in relation to pharmacotherapy.&#10;A) An ability of the client to assume responsibility for his/ or her own drug administration.&#10;B) Whether the patient has any known allergies.&#10;C) Documentation of preferred outcome as no pain upon urination and no fever.&#10;D) Whether the client experiences any adverse effects of the medication.&#10;E) Which side effects should be reported to the health care provider.&#10;

Accepted Answer

Rationale 1. The nurse is responsible for assessing whether the client is capable of managing his/her own drug administration as well as being able to monitor for any side effects
Rationale 2. The nurse would assess for allergies during the initial physical examination and history.
Rationale 3. The documentation of preferred outcomes would be included in Planning/goal setting.
Rationale 4. The nurse will be assessing for the effectiveness of the drug and whether the client experiences any adverse effects.
Rationale 5. Which side effects should be reported to the physician would be an element of implementation.

Question 3

The two most common nursing diagnosis related to medication administration that a nurse can manage independently are inadequate knowledge and ___________.

Accepted Answer

Rationale. While there may be many actual and potential problems that need to be identified, knowledge defect and non-adherence are two common ones that the nurse can manage independently of other health personnel.

Question 4

The student nurse is caring for a client who is receiving anticoagulants for DVT prophylaxis. Which of the following are key interventions by the nurse?&#10;A) Monitor for unusual bleeding following administration.&#10;B) Write interdisciplinary plan of care for the client.&#10;C) Plan for discharge by identifying specific goals for the client.&#10;D) Limit adverse effects of the drug&#10;E) Document that the drug has been administered.&#10;

Accepted Answer

Rationale 1. Monitoring for adverse effects is a key intervention the nurse is responsible for.
Rationale 2. Writing the interdisciplinary care plan is completed during the planning stage of the nursing process.
Rationale 3. Identification of goals and outcomes occurs during the planning stage.
Rationale 4. A key intervention for the nurse is to ameliorate adverse effects if possible.
Rationale 5. Documentation is a key part of the nursing interventions.

Question 5

A nurse sees a 34 year old female in the clinic for a urinary tract infection. It is the woman's second visit in a month for the same reason. The client states that she felt better after a few days and stopped taking the antibiotic that was ordered. Considering this statement by the client, what should be a priority for the nurse to evaluate?

A) The dose of the antibiotic previously ordered.
B) The culture and sensitivity report of the urine
C) The effectiveness of the client teaching provided.
D) The therapeutic drug levels of the antibiotic ordered.

Accepted Answer

Rationale 1. While it is important for the nurse to understand safe drug dosages, reviewing the dose of the previous antibiotic would be the responsibility of the health care provider, not the nurse.
Rationale 2. The culture and sensitivity would be important to review, but is not the priority here.
Rationale 3. This is correct, the patient has stated that she did not take all the medications as ordered. The client teaching needs two be reviewed for this client so that she understands the instructions for taking the antibiotic.
Rationale 4. Not all drugs have therapeutic levels monitored, and this does not address the issue of the client not taking all her drugs.

Question 6

In planning, the nurse plans ways to assist the client to resolve problems and return to an optimum level of wellness. Goals focussing on what the client will be able to do or achieve are established. Outcomes are the ____________ measures of those goals.

Accepted Answer

Rationale: Planning includes setting realistic goals and outcomes for the client Goals are focussed on what the client will be able to achieve, and the outcomes are the objective ways of measuring them

Deck 6: Complementary and Alternative Therapies and Their Roles in Pharmacotherapy in Canada