•
A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and
vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise
the patient to also
Response The patient should be encouraged to exercise and lift light weights as often as
Feedback: she can to increase bone density. It is also important to have adequate amounts
of vitamin C in her diet, but it would not be directly related to this therapy.
Drinking at least 6 to 8 oz of milk daily is a good idea, but she is already
taking a calcium and vitamin D supplement. There is no identified adverse
relationship between artificial sweeteners and alendronate therapy.
• Question 2
1 out of 1 points
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a
42-year-old patient. When providing education to the patient and his wife, the nurse
should inform the wife about which of the following adverse effects?
Response Vaginal burning, itching, or both can occur in the female partner of a man
Feedback: using intraurethral alprostadil. The nurse will advise the wife to be aware
that this is a possibility. The pharmacodynamics of alprostadil may lead to
hemodynamic changes such as low blood pressure and increased heart rate
in the man. However, these changes are not clinically important and would
not affect the female partner. The drug is not known to decrease sexual
desire in either men or women.
• Question 3
0 out of 1 points
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to
help prevent gastrointestinal distress, the nurse will advise the patient to
Response To decrease gastrointestinal distress, the patient should stand or sit upright
Feedback: for at least 30 minutes after taking the drug. Drinking at least 6 to 8 oz of
water with the drug helps maximize the therapeutic effect of the drug. The
patient should also take calcium and vitamin D supplements along with
lifting weights to improve the success of therapy, but these interventions
would not directly serve to decrease gastrointestinal distress.
, • Question 4
0 out of 1 points
A woman who is in the second trimester of her first pregnancy has been experiencing
frequent headaches and has sought advice from her nurse practitioner about safe treatment
options. What analgesic can the nurse most safely recommend?
Response Feedback: Acetaminophen is the analgesic of choice during pregnancy.
• Question 5
1 out of 1 points
A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to
take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug
molecules crossing the placental membrane and entering into the fetal circulation. The nurse
tells the patient that the main reason this happens is because
Response Drugs may compete with the hormones of pregnancy for albumin-binding
Feedback: sites, which may result in a larger amount of unbound (or free) drug in
circulation, leaving the drug available to cross the placental membrane and
enter the fetal circulation. A drug does not enter the fetal circulation as a
direct result of increases in blood volume and heart rate or the occurrence of
hemodilution.
• Question 6
1 out of 1 points
A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder.
On a follow-up visit to the clinic, the nurse will question the patient about which of the
following?
Response Because a prominent anticholinergic effect is dry mouth, good oral
Feedback: hygiene is very important to prevent dental caries and gum disorders.
Dryness may be relieved with hard candies, chewing gum, or lip gloss.
Chronic diarrhea, headaches, and a special diet are not issues with this
drug.
• Question 7
1 out of 1 points
A nurse is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline
A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and
vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise
the patient to also
Response The patient should be encouraged to exercise and lift light weights as often as
Feedback: she can to increase bone density. It is also important to have adequate amounts
of vitamin C in her diet, but it would not be directly related to this therapy.
Drinking at least 6 to 8 oz of milk daily is a good idea, but she is already
taking a calcium and vitamin D supplement. There is no identified adverse
relationship between artificial sweeteners and alendronate therapy.
• Question 2
1 out of 1 points
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a
42-year-old patient. When providing education to the patient and his wife, the nurse
should inform the wife about which of the following adverse effects?
Response Vaginal burning, itching, or both can occur in the female partner of a man
Feedback: using intraurethral alprostadil. The nurse will advise the wife to be aware
that this is a possibility. The pharmacodynamics of alprostadil may lead to
hemodynamic changes such as low blood pressure and increased heart rate
in the man. However, these changes are not clinically important and would
not affect the female partner. The drug is not known to decrease sexual
desire in either men or women.
• Question 3
0 out of 1 points
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to
help prevent gastrointestinal distress, the nurse will advise the patient to
Response To decrease gastrointestinal distress, the patient should stand or sit upright
Feedback: for at least 30 minutes after taking the drug. Drinking at least 6 to 8 oz of
water with the drug helps maximize the therapeutic effect of the drug. The
patient should also take calcium and vitamin D supplements along with
lifting weights to improve the success of therapy, but these interventions
would not directly serve to decrease gastrointestinal distress.
, • Question 4
0 out of 1 points
A woman who is in the second trimester of her first pregnancy has been experiencing
frequent headaches and has sought advice from her nurse practitioner about safe treatment
options. What analgesic can the nurse most safely recommend?
Response Feedback: Acetaminophen is the analgesic of choice during pregnancy.
• Question 5
1 out of 1 points
A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to
take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug
molecules crossing the placental membrane and entering into the fetal circulation. The nurse
tells the patient that the main reason this happens is because
Response Drugs may compete with the hormones of pregnancy for albumin-binding
Feedback: sites, which may result in a larger amount of unbound (or free) drug in
circulation, leaving the drug available to cross the placental membrane and
enter the fetal circulation. A drug does not enter the fetal circulation as a
direct result of increases in blood volume and heart rate or the occurrence of
hemodilution.
• Question 6
1 out of 1 points
A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder.
On a follow-up visit to the clinic, the nurse will question the patient about which of the
following?
Response Because a prominent anticholinergic effect is dry mouth, good oral
Feedback: hygiene is very important to prevent dental caries and gum disorders.
Dryness may be relieved with hard candies, chewing gum, or lip gloss.
Chronic diarrhea, headaches, and a special diet are not issues with this
drug.
• Question 7
1 out of 1 points
A nurse is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline
