Question 1

The nurse is caring for a client who has been admitted for uncontrolled hypertension.When the health care provider orders a second antihypertensive drug for the client,the client asks the nurse why the health care provider ordered another drug instead of increasing the first drug.The nurse's response is based on which principles?
Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 2

The nurse is conducting medication teaching for a client recently prescribed a calcium channel blocker.Which food will the nurse caution the client to avoid when taking this medication?

Accepted Answer

The nurse should caution the client to avoid grapefruit and grapefruit juice when taking a calcium channel blocker, as it can increase the medication's concentration in the bloodstream and lead to potential side effects. Coffee, dairy products, and green, leafy vegetables do not have significant interactions with calcium channel blockers.

Question 3

A client is prescribed tetracycline for acne.Which foods should the nurse ask the client to avoid while taking this medication?
Select all that apply.

Accepted Answer

Tetracycline should not be taken with calcium-rich foods (such as milk and ice cream) as this can reduce the absorption of the medication.

Question 4

A nurse caring for a client taking a drug that can cross the blood-brain barrier determines the client is experiencing possible neurotoxicity when which symptoms are observed?
Select all that apply.

Accepted Answer

Neurotoxicity can manifest in various ways due to the impact on the central nervous system, including visual changes, loss of balance, sedation, and depression. These symptoms indicate potential adverse effects on the brain or nervous system from the drug. Nausea and vomiting are more commonly associated with gastrointestinal side effects rather than direct neurotoxic effects.

Question 5

A nurse is caring for a client who is exhibiting signs of an adverse reaction to warfarin (Coumadin).Which statements made by the client would lead the nurse to suspect that this is the case?
Select all that apply.

Accepted Answer

The answer of A nurse is caring for a client...

Question 6

A nurse is caring for a client diagnosed with acute asthma who is taking several medications.The nurse would suspect a common adverse drug effect when the client exhibits which symptoms?
Select all that apply.

Accepted Answer

Headache, nausea, vomiting, and changes in blood pressure are all common adverse drug effects that may be seen in clients taking medications for asthma. Loss of hearing, however, is not a common adverse effect associated with these medications.

Question 7

A nurse is caring for a client recently prescribed an oral antibiotic who is exhibiting signs of dermatologic toxicity.Which assessment findings support dermatologic toxicity?
Select all that apply.

Accepted Answer

The answer of A nurse is caring for a client...

Question 8

The nurse is planning care for a client newly diagnosed with emphysema who complains that the medication is causing a shaky" feeling.What does the nurse recognize this to be?
Select all that apply.

Accepted Answer

The answer of The nurse is planning care for a...

Question 9

A nurse is reinforcing discharge instructions concerning food-drug interactions.Which statements by the client indicate correct understanding of the discharge instructions?
Select all that apply.

Accepted Answer

The answer of A nurse is reinforcing discharge instructions concerning...

Question 10

A client reports an adverse effect to the Adverse Event Reporting System.The nurse recognizes if a potential safety concern is identified,the Food and Drug Administration (FDA)may take which actions?
Select all that apply.

Accepted Answer

If a potential safety concern is identified through the Adverse Event Reporting System, the FDA may take multiple actions including determining the extent of the safety concern by conducting additional studies, requiring changes to the product's labeling information, recalling the product, or restricting the product's use in certain populations. Continuing to log in public concerns is not an action in response to a potential safety concern.

Question 11

A nurse is caring for a client who may be experiencing an allergic response to medication.The nurse bases the assessment on which information?
Select all that apply.

Accepted Answer

Drug allergies can range from minor to severe reactions and may mimic common allergies to other substances, making it important to identify the source. Previous exposure to the drug is necessary for an allergic reaction to occur. Nausea and vomiting are not the most common symptoms of drug allergies; reactions often involve the skin, respiratory system, gastrointestinal tract, and cardiovascular system.

Question 12

A client is admitted to the emergency department in a hypertensive crisis.The client's spouse said the client ate food containing tyramine.The nurse immediately rules out which types of drugs as the cause of the client's hypertensive crisis?

Accepted Answer

Monoamine oxidase inhibitors (MAOIs) are known to interact with tyramine-containing foods, leading to hypertensive crises. The other listed drugs do not have this interaction.

Question 13

A nurse teaching a prenatal class is reinforcing precautions concerning the use of medications during pregnancy.The nurse determines the class understands when the students make which comments?
Select all that apply.

Accepted Answer

These choices are correct because they emphasize the importance of caution and consultation with healthcare providers regarding medication use during pregnancy to avoid harm to the developing fetus. Choice E is incorrect because the developmental stage of the fetus does not negate the potential risks of over-the-counter medications throughout pregnancy.

Question 14

A client returns to the clinic for follow up after taking a newly prescribed medication for a month.The nurse recognizes medication teaching was successful when the client makes which statement?
Select all that apply.

Accepted Answer

The statements A, B, C, and D indicate that the client is following the medication instructions correctly: taking it on an empty stomach if required, with water, avoiding alcohol, and using one pharmacy for better management. Statement E is incorrect as it suggests combining medications and supplements without considering potential interactions.

Question 15

The nurse would anticipate an alteration in drug excretion in clients with which conditions?
Select all that apply.

Accepted Answer

The answer of The nurse would anticipate an alteration in...

Question 16

A nurse in the emergency department is preparing to care for a client suspected of an opiate overdose.The nurse is preparing to give the client a medication called naloxone (Narcan).Which rationales support the use of this medication?
Select all that apply.

Accepted Answer

Naloxone (Narcan) is given to clients suspected of an opiate overdose because it acts as an antagonist, stopping the effects of the opioids from binding to their receptors. This can reverse respiratory depression and other symptoms of overdose. It does not have an additive or synergistic effect, and it does not cause CNS depression.

Question 17

A nurse is preparing care for a newly admitted client with diabetic mellitus.Which information would be critical for the nurse to assess?
Select all that apply.

Accepted Answer

Assessing the medical history, current lab results, medication allergies, and use of dietary supplements are critical information to obtain for a newly admitted client with diabetes mellitus. Medical history can provide insight into the client's past health experiences, lab results can provide information on blood glucose levels and kidney function (which can be affected by diabetes), medication allergies are important to ensure no adverse reactions occur, and use of dietary supplements can affect blood glucose levels as well. The number of previous hospitalizations may also provide some insight into the client's history, but it is not as critical as the other options.

Question 18

The nurse is caring for a client who is prescribed laxatives.Which statements are most relevant to the absorption of medications?
Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 19

A nurse is planning care for a client taking a medication with the potential to cause bone marrow toxicity.Which interventions exemplify the nurse's role in preventing complications?
Select all that apply.

Accepted Answer

Bone marrow toxicity can lead to decreased production of blood cells, causing infection (A), anemia (B), fatigue (C), and bruising (D) due to low white blood cells, red blood cells, and platelets, respectively. Insomnia (E) is not directly related to bone marrow toxicity.

Question 20

The nurse is caring for a client who is taking a drug known to cause nephrotoxicity.Which interventions are appropriate to prevent drug-induced nephrotoxicity?
Select all that apply.

Accepted Answer

A) Encouraging hydration can help increase urine output and flush out any potential nephrotoxic substances.
B) Monitoring diagnostic lab tests for changes in kidney function, such as serum creatinine and blood urea nitrogen, can help detect any early signs of nephrotoxicity.
C) Identifying drugs that affect the kidneys and adjusting doses can prevent further damage.
D) Determining whether the client has kidney impairment before administering nephrotoxic medications can help prevent further damage. 
E) Providing proper nutrition may be important in overall kidney health but may not specifically prevent drug-induced nephrotoxicity.

Quiz 5: Adverse Drug Effects and Drug Interactions

The nurse is conducting medication teaching for a client recently prescribed a calcium channel blocker.Which food will the nurse caution the client to avoid when taking this medication?

A client is prescribed tetracycline for acne.Which foods should the nurse ask the client to avoid while taking this medication? Select all that apply.

A nurse caring for a client taking a drug that can cross the blood-brain barrier determines the client is experiencing possible neurotoxicity when which symptoms are observed? Select all that apply.

A nurse is caring for a client who is exhibiting signs of an adverse reaction to warfarin (Coumadin) .Which statements made by the client would lead the nurse to suspect that this is the case? Select all that apply.

A nurse is caring for a client diagnosed with acute asthma who is taking several medications.The nurse would suspect a common adverse drug effect when the client exhibits which symptoms? Select all that apply.

A nurse is caring for a client recently prescribed an oral antibiotic who is exhibiting signs of dermatologic toxicity.Which assessment findings support dermatologic toxicity? Select all that apply.

The nurse is planning care for a client newly diagnosed with emphysema who complains that the medication is causing a shaky" feeling.What does the nurse recognize this to be? Select all that apply.

A nurse is reinforcing discharge instructions concerning food-drug interactions.Which statements by the client indicate correct understanding of the discharge instructions? Select all that apply.

A client reports an adverse effect to the Adverse Event Reporting System.The nurse recognizes if a potential safety concern is identified,the Food and Drug Administration (FDA) may take which actions? Select all that apply.

A nurse is caring for a client who may be experiencing an allergic response to medication.The nurse bases the assessment on which information? Select all that apply.

A client is admitted to the emergency department in a hypertensive crisis.The client's spouse said the client ate food containing tyramine.The nurse immediately rules out which types of drugs as the cause of the client's hypertensive crisis?

A nurse teaching a prenatal class is reinforcing precautions concerning the use of medications during pregnancy.The nurse determines the class understands when the students make which comments? Select all that apply.

A client returns to the clinic for follow up after taking a newly prescribed medication for a month.The nurse recognizes medication teaching was successful when the client makes which statement? Select all that apply.

The nurse would anticipate an alteration in drug excretion in clients with which conditions? Select all that apply.

A nurse in the emergency department is preparing to care for a client suspected of an opiate overdose.The nurse is preparing to give the client a medication called naloxone (Narcan) .Which rationales support the use of this medication? Select all that apply.

A nurse is preparing care for a newly admitted client with diabetic mellitus.Which information would be critical for the nurse to assess? Select all that apply.

The nurse is caring for a client who is prescribed laxatives.Which statements are most relevant to the absorption of medications? Select all that apply.

A nurse is planning care for a client taking a medication with the potential to cause bone marrow toxicity.Which interventions exemplify the nurse's role in preventing complications? Select all that apply.

The nurse is caring for a client who is taking a drug known to cause nephrotoxicity.Which interventions are appropriate to prevent drug-induced nephrotoxicity? Select all that apply.