Exam (elaborations)
20 Over-the-Counter Drug Therapy
- Institution
- Minnesota State University, Mankato
20 Over-the-Counter Drug Therapy
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Chapter 20: Over-the-Counter Drug TherapyMULTIPLE CHOICE
1. You are teaching a patient about taking over-the-counter (OTC) drugs. Which important
safety information should you include in your teaching plan?
a. “OTC drugs will only maintain their potency months after the expiration date.”
b. “OTC drugs often interact with other drugs, and with food or alcohol.”
c. “Be sure to take all the pills in the bottle.”
d. “Adjust the dosage to your specific needs.” ANS: B
OTC drugs often interact with other drugs, and with food or alcohol, or they might affect other
existing health problems the patient has. Ask a pharmacist or the healthcare provider if you are
unsure. Also, the healthcare professional must be aware of all over-the-counter drugs being taken
because of the dangers of interaction.
DIF: Cognitive Level: Applying REF: p. 365
2. A patient informs you that she is buying over-the-counter (OTC) drugs online from another
country because they are cheaper. What is your best response?
a. “I agree with you, it is important to save money on expensive drugs when you can.”
b. “There is no difference between generic OTC drugs from different countries.”
c. “Avoid buying OTC drugs online, as they may be counterfeit or dangerous.”
d. “Only buy OTC drugs online if your insurance company covers them.” ANS: C
Patients should avoid buying these products online, outside of well-known internet insurance
company sites, because many OTC preparations sold through the internet are counterfeit
products
, and may be dangerous.
DIF: Cognitive Level: Applying REF: p. 365
3. What information is important to include when teaching parents about giving over-the-
counter (OTC) drugs to children?
a. Do not give drugs containing alcohol to children.
b. OTC drugs are safe for children younger than 2 years of age.
c. When giving OTC drugs to a child, always give one-half of the adult dose.
d. Refrain from using a child-resistant cap in the event the drug must be given quickly.
ANS: A
One of the most important considerations in reading OTC product labels is to notice the hidden
chemicals (used for various purposes) in the products. Drugs containing alcohol (such as some
cough preparations) should not be given to children.
DIF: Cognitive Level: Applying REF: p. 366
4. Which of the following drug types is not regulated by the Food and Drug Administration?
a. Opioids
b. Vitamins
c. Hormones
d. Herbal supplements ANS: D
The FDA does not regulate herbal supplements but protects consumers from misleading health
claims by the supplement industry.
DIF: Cognitive Level: Remembering REF: p. 369
5. During your assessment of a clinic patient, the patient asks you if using expired over-the-
counter (OTC) drugs would cause harm. What is your best answer?
, a. “These drugs are safer than prescription drugs, so using expired OTC drugs is harmless.”
b. “Disposing of expired drugs is only necessary if you have several drug allergies.”
c. “You should always safely dispose all expired or discolored drugs.”
d. “The chemical preservatives in OTC drugs prevent drug expiration.” ANS: C
You should always tell patients to safely dispose of old, discolored, or expired drugs or any drug
that has lost its label instructions. Your pharmacist can tell you about the ways to safely dispose
of drugs.
DIF: Cognitive Level: Applying REF: p. 365
6. A patient with depression tells you she is using St. John’s wort to treat her symptoms
because she would rather use a natural product, as she already takes many prescription drugs.
What is your best response?
a. “St. John’s wort has been proven effective in treating mild to moderate depression.”
b. “You may take St. John’s wort with your other prescription drugs without concern.”
c. “Avoid taking St. John’s wort because it interferes with many prescription drugs.”
d. “Avoid using St. John’s wort unless you have weekly blood levels drawn.” ANS: C
St. John’s wort may improve mild to moderate depression but has potentially dangerous
interactions with many prescription drugs.
DIF: Cognitive Level: Applying REF: p. 368
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