Pathopharmacology SU1 22 Quiz 2 Pharmacology and the Nurse Patient Relationship
Q1. Which method may offer the best opportunity for patient teaching?
| Providing detailed written information when the patient is discharged. | |
| Providing the patient with internet links to conduct research on drugs. | |
| Referring the patient to external healthcare groups that provide patient education, such as the American Heart Association. | |
| Providing education about the patient’s medication each time the nurse administers the drugs. |
Q2. The nurse obtains information during the admission interview that the patient is taking dietary supplements in addition to prescribed medications. What is the nurse’s primary concern for this patient?
| Dietary supplements are natural and pose no risk to the patient but may be costly. | |
| Dietary supplements are a welcome addition to conventional medications but do not always come with instructions. | |
| The patient may be at risk for allergic reactions. | |
| Dietary supplements may interact with prescribed medications and affect drug action. |
Q3. What is the difference between an herbal product and a specialty supplement?
| An herbal product is safer to use than a specialty supplement. | |
| A specialty supplement tends to be more expensive than an herbal product. | |
| A specialty supplement is a non-herbal dietary product used to enhance a variety of body functions. | |
| There are less adverse effects or risk of allergy with specialty supplements than there are with herbal supplements. |
Q4. How does the Centers for Disease Control and Prevention categorize biologic threats?
| Based on their potential adverse effects. | |
| Based on their potential impact on public health. | |
| Based on their potential cost of treatment. | |
| Based on the potential loss of life. |
Q6. Why do nurses play such a central role in emergency preparedness and treatment of poisonings? (Select all that apply)
| Serving as volunteers for emergency medical corps. | |
| Educating patients and their communities. | |
| They serve as a primary source of information in the prevention of poisonings or for early treatment. | |
| They are responsible for stockpiling of supplies and medications. | |
| They play a key role in the early detection of possible emergency conditions. |
Q7. During the evaluation phase of drug administration, the nurse completes which responsibilities?
| Prepares and administers drugs correctly. | |
| Establishes goals and outcome criteria related to drug therapy. | |
| Monitors the patient for therapeutic and adverse effects. | |
| Gathers data in a drug and dietary history. |
Q8. The nurse administers a medication to the wrong patient. What are the appropriate nursing actions required? (Select all that apply)
| Monitor the patient for adverse reactions. | |
| Document the error if the patient has an adverse reaction. | |
| Report the error to the healthcare provider. | |
| Notify the hospital legal department of the error. | |
| Document the error in a critical incident or occurrence report. |
Q9. As the nurse enters a room to administer medications, the patient states, “I’m in the bathroom. Just leave my pills on the table, and I’ll take them when I come out.” What is the nurse’s best response?
| Leave them on the table as requested and check back with the patient later to verify they were taken. | |
| Leave the medications with the patient’s visitors so they can verify they were taken. | |
| Inform the patient that the medications must be taken now; otherwise they must be documented as refused. | |
| Inform the patient that the nurse will return in a few minutes when the patient is available to take the medications. |
Q10. A healthcare provider has written an order for digoxin for the patient but the nurse cannot read whether the order is for 0.25mg, 0.125mg, or 125mg because there is no “zero” and the decimal point may be a “one.” What action would be the best to prevent a medication error?
| Check the dosage with a more experienced nurse. | |
| Consult a drug handbook and administer the normal dose. | |
| Contact the hospital pharmacist about the order. | |
| Contact the healthcare provider to clarify the illegible order. |
Q11. A 16 year old adolescent is 6 weeks pregnant. The pregnancy has exacerbated her acne. She asks the nurse if she can resume taking her isotretinoin prescription, a category X drug. What is the most appropriate response by the nurse?
| Since you have a prescription for isotretinoin, it is safe to resume using it. | |
| You should check with your healthcare provider at your next visit. | |
| Isotretinoin is known to cause birth defects and should never be taken during pregnancy. | |
| You should reduce the isotretinoin dosage by half during your pregnancy. |
Q12. An older adult has arthritis in her hands and takes several prescription drugs. Which statement by this patient requires further assessment by the nurse?
| “My pharmacist puts my pills in screw-top bottles to make it easier for me to open.” | |
| “I fill my prescriptions once a month.” | |
| “I care for my 2 year old grandson twice a week.” | |
| “My arthritis medicine helps my stiff hands.” |
Q13. A nurse is administering a liquid medication to a 15 month old child. What are the most appropriate approaches to medication administration by the nurse? (Select all that apply)
| Tell the child that the medication tastes just like candy. | |
| Mix the medication in 8oz of orange juice. | |
| Ask the child if she would like to take her medication now. | |
| Sit the child up, hold the medicine cup to her lips, and kindly instruct her to drink. | |
| Offer the child a choice of cup in which to take the medicine. |
Q14. The patient informs the nurse that she will decide whether she will accept treatment after she prays with her family and minister. What is the role of spirituality in drug therapy for this client?
| Irrelevant because medications act on scientific principles. | |
| Important to the patient’s acceptance of medical treatment and response to treatment. | |
| Harmless if it makes the patient feel better. | |
| Harmful, especially if treatment is delayed. |
Q15. The nurse provides teaching about a drug to an older adult couple. To ensure that the instructions are understood, which action would be most appropriate for the nurse to take?
| Provide detailed written material about the drug. | |
| Provide labels and instructions in large print. | |
| Assess the patients’ reading levels and have the patients “teach back” the instructions to determine understanding. | |
| Provide instructions only when family members are present. |
……………………..$15
