Deck 5: Lifespan and Cultural Modifications

Question 1

Which of the following people would be at the highest risk for drug noncompliance?

A) A 2-year-old in a day care center
B) A 10-year-old receiving antibiotics for an ear infection
C) A 65-year-old on a fixed income taking five different medications
D) A 95-year-old in a long-term care facility

Answer 1

A 65-year-old on a fixed income taking five different medications

Question 2

The nurse instructs a woman on hormone replacement therapy (HRT)and informs her of the risk for which of the following conditions?

A) Hot flashes
B) Increased calcium deposits
C) Heart attack
D) Weight loss

Answer 2

Heart attack

Question 3

A pregnant patient asks the nurse what "teratogenic effect" of medications means.The nurse states that it is which of the following?

A) The ability to cause damage to the pregnant woman
B) A type of anaphylactic reaction in the pregnant woman
C) The ability to cause damage to the fetus
D) A term for stating the therapeutic effect of the medication for the fetus

Answer 3

The ability to cause damage to the fetus

Question 4

A mother asks why her 6-year-old requires a daily dose of digoxin that is twice that of an adult.The nurse explains that the larger dose is necessary because of which of the following characteristics of children?

A) Greater resistance to medications
B) Variations in development of drug receptors
C) A slower metabolic rate than adults
D) More total body water,which dilutes the drug

Question 5

An elderly woman comes into the clinic complaining of "feeling bad" since yesterday.She tells the nurse her husband gave her his medication for a headache.Which of the following represents the best response to this information?

A) "The cost of medication is high,so sharing is okay,since he has no problems."
B) "You both have the same health problems,so sharing is all right."
C) "Monitoring the drug effect is easier,since he also takes the medication."
D) "When you take his medication,it makes evaluating the effects of your medication harder."

Question 6

A mother comes to the clinic with her 7-year-old son who has had a cold for 2 days.She has been giving the child an over-the-counter preparation for his cough.The mother tells the nurse the child has been very hyperactive since his illness.The nurse assessing this patient would tell the mother which of the following?

A) "Keep him busy.He will soon get tired and fall asleep."
B) "All children act this way when they are ill and want attention."
C) "Over-the-counter medication may cause reactions in children."
D) "Over-the-counter medication is not strong enough to cause a reaction."

Question 7

A Hispanic patient in the hospital has been told that medication is recommended for his condition.He tells the nurse that he would like to consult the curandera before making a decision.The nurse will first do which of the following?

A) Talk with the patient about his cultural beliefs related to health.
B) Inform the physician of the patient's request.
C) Restrict contact between the patient and the curandera.
D) Talk with the family about the request.

Question 8

In aging patients,distribution of drugs may be lessened because of a decline in total body water and lean body mass,warranting the use of decreased dosing.Which of the following drugs are distributed into body water or lean muscle mass and may lead to increased effects and possible toxicity for the aging patient? (Select all that apply. )

A) Digoxin (Lanoxin)
B) Gentamicin (Garamycin)
C) Meperidine (Demerol)
D) Acetaminophen (Tylenol)

Question 9

Nurses working with older adult patients must remember which of the following factors about their kidney function and administration of their medications? (Select all that apply. )

A) Older adult patients are all alike with regard to kidney function and medications.
B) Drugs excreted by the kidney must be assessed individually in older adults.
C) Longer dosage intervals and lower doses are generally appropriate for older adults with kidney damage.
D) With older adults,creatinine clearance values help measure kidney function.

Question 10

Because of their compromised immunity,patients with AIDS are at greater risk for serious complications due to fungal infections.Treatment of such a condition is aimed at killing which of the following infections and in how many days? (Select all that apply. )

A) Candida albicans
B) 7 days
C) Herpes simplex
D) 2 days

Question 11

Which of the following statements,if made by an older adult patient,would require further teaching by the nurse?

A) "Nonprescription drugs will not interfere with my prescribed medications."
B) "I can get non-childproof lids for my pills from the pharmacist."
C) "Alcohol can affect drug action."
D) "I will report any signs of drug toxicity to my doctor."

Question 12

Which of the following actions by a breastfeeding mother who takes medication would decrease the amount of the drug the baby receives in breast milk?

A) Always using sustained-release medications
B) Taking medication just before breastfeeding
C) Taking medication in the morning
D) Expressing and discarding milk when feedings are skipped

Question 13

Hormone-replacement therapy for menopausal women helps reduce the incidence of which of the following?

A) Varicose veins
B) Osteoporosis
C) Hypertension
D) Depression

Question 14

Which of the following people,as a condition of their work,are required to maintain current immunizations? (Select all that apply. )

A) People in the military
B) Chefs
C) Health care providers
D) Teachers

Question 15

When performing a cultural assessment,the nurse may question the patient about which of the following? (Select all that apply. )

A) Differences in values
B) Religious practices
C) Health practices
D) Tolerance practices

Question 16

The nurse is counseling a young woman who is planning her pregnancy.She asks if there is anything she might do to help prevent birth defects in her unborn child.Which of the following would be an appropriate response to the patient?

A) "There is no way you can prevent a natural condition."
B) "Birth defects only happen occasionally to some people."
C) "Eating a diet rich in iron may prevent or stop birth defects."
D) "Taking multivitamins with folic acid will help prevent birth defects."

Question 17

A young woman comes into the clinic for follow-up care after a sexually transmitted infection.Which of the following statements made by this patient alerts the nurse that further explanation is needed about her use of oral contraceptive pills (OCPs)?

A) "The OCPs will stop infections."
B) "The OCPs will not cause infection."
C) "I will continue the OCPs if I get an infection."
D) "I need to use a backup means of contraception while taking an antibiotic."

Question 18

Which of the following nursing interventions would be most helpful in improving a patient's ability to follow the drug treatment plan?

A) Obtaining a unit-dose dispensing system for home use
B) Providing instruction three times before discharge
C) Discussing the medications with a family member
D) Establishing a good nurse-patient relationship