CHAPTER I REVIEW QUESTIONS

How are drugs different from medications?

The terms have the same meaning and drugs are not different for medications.

Why is morphine categorized in the United States as a “schedule II” drug rather than a “schedule I” drug?

It has a currently accepted use for standard treatment.

A patient tells the nurse that a mistake has been made because she was given Furocot instead of her usual Lasix. What is the nurse’s best response?

“Don’t worry. Lasix is just a different brand of the same drug.”

Which patient condition will the nurse expect to be considered a contraindication for a specific drug?

The patient prescribed to take an anabiotic with a similar makeup to penicillin has a documented adverse drug reaction to penicillin.

A patient newly prescribed to take an anticoagulant drug along with other cardiac drug reports that she also tales St. John’s Wort daily. What is the nurse’s best action?

Consulting with a pharmacist about any potential interactions.

A patient is prescribed to take a cardiac drug that is an adrenaline antagonist. How does the nurse expect the effects of the patient’s natural adrenaline to change with this therapy?

Natural effects of adrenaline are decreased.

A patient is prescribed to take anabiotic reports all of the following changes after three days on the drug. For which change does the nurse instruct the patient to seek medical attention or call 911 immediately?

Shortness of breath, Chest pain that extends to the jaw

A patient has a genetic variation in an enzyme that increases its rate for metabolism and eliminating drugs and other compounds. What changes in drug therapy does the nurse expect will be needed as a result of these factors?

Increased drug dosages with more frequent scheduled doses.

Which patient response to a newly prescribed drug will the nurse consider paradoxical?

Increased insomnia after taking a sedative.

A patient who has rheumatoid arthritis and is breastfeeding, a two month old infant is prescribed to receive an IV drug monthly that is poorly absorbed from the G.I. tract. Which is the best advice for the nurse to give the patient to minimize the exposure to the drug?

“Because the drug is poorly absorbed from the GI tract, no changes in breastfeeding are needed.”