VERIFIED QUESTIONS & ANSWERS
1. If a patient is taking both sucraflate and Ginkgo biloba,
what should the nurse monitor for during treatment?
Increased appetite due to herbal supplements.
Improved digestion unrelated to medication.
Potential drug interactions that may affect the
effectiveness of sucraflate.
Decreased need for medication administration.
2. The nurse is obtaining a medication history on a patient
presenting with chest pain. What drug classification would
necessitate the nurse informing the provider before beginning
the prescribed nitroglycerin?
Proton pump inhibitor
Inhaled beta
blocker
Acetylsalicylic acid (aspirin)
Phosphodiesterase inhibitors (erectile dysfunction
meds)
,3. Why is it important for the client to take zolpidem at bedtime?
, Zolpidem is a sleep aid and should be taken at
bedtime to promote sleep.
Zolpidem should be taken in the morning to avoid
daytime drowsiness.
Zolpidem must be taken with food to enhance its
absorption.
Zolpidem can be taken at any time of day without
affecting its efficacy.
4. If the nurse needs to administer 2,000 mL of a different IV
solution over 10 hours using the same drop factor of 10
gtt/mL, what would be the new flow rate in gtt/min?
33 gtt/min
50 gtt/min
25 gtt/min
40 gtt/min
5. What is a common side effect of haloperidol that involves
involuntary movements of the lips?
Tremors
Neck spasm
Pacing
Lip smacking
,6. Which action by a client indicates a misunderstanding
of medication administration regarding iron
supplements?
Client rolls insulin suspension between his palms.
Client uses cotton swab to apply antibiotic ointment.
Client allows 1 min between puffs when he uses
a metered-dose inhaler.
Client takes iron supplements at bedtime.
7. Why is it important for clients to take iron supplements
at specific times rather than at bedtime?
Iron supplements should always be taken at bedtime to
avoid interactions with other medications.
Iron supplements do not have any specific timing
requirements for administration.
Iron supplements can cause gastrointestinal discomfort
and are better absorbed when taken with food
during the day.
Iron supplements are more effective when taken with
vitamin C at night.
8. Bailey Henn is using estrogen and progestin birth control pills
for contraception. She recently received a prescription for
phenytoin. Select the best description for the interaction
between these medications:
, The phenytoin is an inhibitor of the metabolism of the
estrogen in the birth control pill; it will reduce the
effectiveness of the contraception.
The phenytoin is an inducer of the metabolism of the
estrogen in the birth control pill; it will increase the
levels of the contraceptive pills and could result in
clotting.
The phenytoin is an inhibitor of the metabolism of the
estrogen in the birth control pill; it will increase the
levels of the contraceptive pills and could result in
clotting.
The birth control pill is a prodrug and the use of the
phenytoin will have no effect.
The phenytoin is an inducer of the metabolism of
the estrogen in the birth control pill; it will
reduce the effectiveness of the contraception.
9. Why is it important for the nurse to auscultate the client's
lungs in this scenario?
Auscultating the lungs is unrelated to the client's
symptoms.
Auscultating the lungs is only necessary if the client has a
cough.
Auscultating the lungs is necessary to check for heart
sounds.
Auscultating the lungs helps assess for potential fluid
overload or pulmonary complications related to
,edema.
,10. Why is it important for the nurse to monitor the total dosage
of acetaminophen administered to the client?
To prevent potential liver toxicity due to overdose.
To avoid drug interactions with Hydrocodone.
To comply with hospital policy.
To ensure the medication is effective.
11. What is the primary reason a client who has had a total
gastrectomy needs to take Cyanocobalamin (Vitamin
B12)?
To prevent vitamin B12 deficiency due to lack of
intrinsic factor.
To enhance iron absorption.
To increase appetite.
To improve digestion of food.
12. The nurse is caring for a client who has diabetes mellitus Type
II. Before administering metformin (Glucophage), the nurse
should notify the prescriber about which laboratory value?
Platelet count of 120,000/mm3
Sodium (Na) level of 131
mEq/dL
Creatinine (Cr) level of 2.1 mg/dL
Hemoglobin (Hgb) level of 9.5 gm/dL
, 13. What is the primary purpose of spironolactone in the
treatment of hypertension?
To increase heart rate.
To act as a diuretic that helps lower blood pressure.
To promote weight gain.
To provide pain relief.
14. Describe why monitoring the erythro sedimentation rate is
important for a patient starting azathioprine for
rheumatoid arthritis.
It confirms whether the patient is pregnant before
starting treatment.
It assesses the risk of osteoporosis in patients
taking azathioprine.
Monitoring the erythro sedimentation rate helps
evaluate the effectiveness of treatment and the level of
inflammation.
It is used to check for potential heart issues related to the
medication.
15. If a nurse discovers that a patient is taking both Dilantin
(Phenytoin) and an estrogen-progestin combination, what
should the nurse recommend regarding contraceptive
methods?