Medication Reconciliation and Patient Education > Pharmacology
Exam Review
Approach to obtaining Accurate Medication History
Total Questions : 7
Showing 7 questions, Sign in for moreA nurse is obtaining a medication history from a client who has chronic obstructive pulmonary disease (COPD). Which of the following medications should the nurse include in the history? (Select all that apply.)
Explanation
A) Correct. Montelukast is a leukotriene receptor antagonist that can reduce inflammation and bronchoconstriction in clients with COPD.
B) Correct. Fluticasone is an inhaled corticosteroid that can decrease airway inflammation and improve lung function in clients with COPD.
C) Incorrect. Alprazolam is a benzodiazepine that can cause respiratory depression and worsen hypoxemia in clients with COPD.
D) Incorrect. Omeprazole is a proton pump inhibitor that can treat gastroesophageal reflux disease (GERD), which may be a comorbidity of COPD, but it is not directly related to COPD management.
E) Incorrect. Acetaminophen is an analgesic and antipyretic that can relieve pain and fever, but it has no effect on COPD.
A nurse is obtaining a medication history from a client who has hypertension. Which of the following questions should the nurse ask to assess for adherence to the prescribed therapy?
Explanation
B) Correct. The nurse should ask about any over-the-counter medications or supplements that the client is taking, as they may interact with the prescribed antihypertensive medications or affect blood pressure control.
A) Incorrect. This question is relevant for monitoring blood pressure, but not for assessing adherence to the prescribed therapy.
C) Incorrect. This question is relevant for evaluating the client's knowledge of their medications, but not for assessing adherence to the prescribed therapy.
D) Incorrect. This question is relevant for ensuring proper medication safety, but not for assessing adherence to the prescribed therapy.
A nurse is reviewing a client's medication list during a home visit. The client reports that they have been taking ibuprofen for arthritis pain. Which of the following actions should the nurse take?
Explanation
B) Correct. The nurse should instruct the client to take ibuprofen with food or milk to prevent gastric irritation, as ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal bleeding or ulcers.
A) Incorrect. Although this is a good advice, it is not the priority action for the nurse to take, as alcohol does not directly interact with ibuprofen.
C) Incorrect. The nurse should not suggest the client to switch to another medication without consulting their provider, as acetaminophen has its own risks and contraindications, such as liver toxicity.
D) Incorrect. The nurse should not tell the client to stop taking ibuprofen abruptly without consulting their provider, as this may worsen their pain and inflammation.
A nurse is teaching a client who has a new prescription for warfarin about potential drug interactions. Which of the following statements by the client indicates an understanding of the teaching?
Explanation
B) Correct. The client should check with their doctor before taking any herbal supplements or remedies, as some of them may interact with warfarin and increase the risk of bleeding or clotting.
A) Incorrect. The client should not avoid eating foods that are high in vitamin K, but rather maintain a consistent intake of them, as vitamin K is an antidote for warfarin and can affect its therapeutic effect.
C) Incorrect. This statement is relevant for preventing bleeding complications while taking warfarin, but it does not indicate an understanding of potential drug interactions.
D) Incorrect. This statement is relevant for monitoring the effects of warfarin on cardiovascular function, but it does not indicate an understanding of potential drug interactions.
A nurse is preparing to administer an intramuscular injection of penicillin G benzathine to a client who has syphilis. Which of the following actions should the nurse take?
Explanation
D) Correct. The nurse should use a 20-gauge needle and inject the medication into the dorsogluteal muscle, as penicillin G benzathine is a thick and viscous suspension that requires a large-bore needle and a large muscle mass for injection.
A) Incorrect. The nurse should not use a 25-gauge needle and inject the medication into the deltoid muscle, as this needle is too small and this muscle is too small for penicillin G benzathine injection.
B) Incorrect. The nurse should not use a tuberculin syringe and inject the medication into the ventrogluteal muscle, as this syringe is too small and this muscle is not recommended for penicillin G benzathine injection.
C) Incorrect. The nurse should not use an insulin syringe and inject the medication into the vastus lateralis muscle, as this syringe is too small and this muscle is not recommended for penicillin G benzathine injection.
A nurse is caring for a client who has a history of chronic kidney disease and is prescribed furosemide. Which of the following laboratory values should the nurse monitor closely while the client is taking this medication?
Explanation
B) Correct. The nurse should monitor serum potassium closely while the client is taking furosemide, as this medication is a loop diuretic that can cause hypokalemia or low potassium levels, which can lead to cardiac arrhythmias or muscle weakness.
A) Incorrect. Although serum creatinine is an indicator of kidney function, it is not directly affected by furosemide, as this medication does not cause nephrotoxicity or damage to the kidneys.
C) Incorrect. Although serum calcium is an electrolyte that can affect neuromuscular function, it is not directly affected by furosemide, as this medication does not cause hypocalcemia or low calcium levels.
D) Incorrect. Although serum albumin is a protein that can affect fluid balance, it is not directly affected by furosemide, as this medication does not cause hypoalbuminemia or low albumin levels.
A nurse is educating a client who has a new prescription for metformin about how to take this medication. Which of the following instructions should the nurse include in the teaching?
Explanation
A) Correct. The nurse should instruct the client to take metformin with meals to reduce gastrointestinal upset, such as nausea, vomiting, diarrhea, or abdominal pain, which are common adverse effects of this medication.
B) Incorrect. The nurse should not instruct the client to take metformin at bedtime, as this may increase the risk of lactic acidosis, a rare but serious complication of this medication that can cause muscle pain, weakness, fatigue, or hyperventilation.
C) Incorrect. The nurse should not instruct the client to take metformin with grapefruit juice, as this may interfere with its metabolism and increase its blood levels, which can lead to hypoglycemia or low blood sugar levels.
D) Incorrect. The nurse should not instruct the client to take metformin with an antacid, as this may decrease its absorption and effectiveness in lowering blood sugar levels.
Sign Up or Login to view all the 7 Questions on this Exam
Join over 100,000+ nursing students using Nursingprepexams’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
