General Study Notes

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Questions and Answers

What is the proper technique for flushing a medication tube after administration?

Using a 3-mL syringe for the flush

Forcing fluid into the tube to clear it

Flushing with 30 mL of tap water (correct)

Flushing with 30 mL of saline solution

Which position should a patient be placed in for the insertion of a rectal suppository?

On the left side (correct)

On the right side

Sitting upright in a chair

Lying on the back with legs elevated

Which lubricant is appropriate to use for preparing a rectal suppository?

Water-soluble lubricant (correct)

Petroleum-based lubricant

No lubricant is needed

Oil-based lubricant

What should the patient do during the insertion of a rectal suppository?

Take a deep breath and exhale through the mouth Signup and view all the answers

How long should a patient remain on their left side after rectal suppository insertion?

15 to 20 minutes Signup and view all the answers

What action should the nurse take to minimize systemic effects when administering beta-blocker eye drops?

Apply gentle pressure to the patient's nasolacrimal duct Signup and view all the answers

Which of the following actions is inappropriate after administering eye drops?

Having the patient keep their eye open for 30 seconds Signup and view all the answers

What is the most appropriate action for a nurse when administering acetylcysteine for acetaminophen overdose?

Disguising the flavor with soda or flavored water Signup and view all the answers

What is a recommended precaution after administering eye drops to prevent systemic effects?

Use a clean tissue to protect fingers while applying pressure Signup and view all the answers

For which condition is gabapentin primarily indicated in a patient without a seizure history?

Pain associated with peripheral neuropathy Signup and view all the answers

What is the primary concern when using OTC drugs for chronic disease states?

They only provide temporary relief of symptoms. Signup and view all the answers

Which assessment finding indicates a possible opioid overdose?

Respiration rate of 6 breaths/min Signup and view all the answers

What is a significant risk of taking garlic supplements?

Increased risk for hypoglycemia when taken with insulin. Signup and view all the answers

What potential risk should be considered when a patient is on cranberry supplements?

Reduced elimination of renally excreted drugs. Signup and view all the answers

What potential side effect should a nurse monitor for when administering opioids?

Respiratory depression Signup and view all the answers

What is a common method to enhance the palatability of acetylcysteine for patients?

Mixing it with carbonated drinks Signup and view all the answers

Which class of drugs may interact with gingko supplements?

Antiplatelet drugs Signup and view all the answers

Which of the following is NOT a symptom associated with opioid overdose?

Increased heart rate Signup and view all the answers

Why should patients consult healthcare providers when using OTC drugs?

OTC drugs can delay treatment for serious conditions. Signup and view all the answers

What is the mechanism by which gabapentin acts in neuropathic pain management?

Modulating neurotransmitter release Signup and view all the answers

What is a common misconception about OTC drugs in chronic disease management?

They address the root cause of health issues. Signup and view all the answers

What guideline should be followed regarding the administration of acetylcysteine using a straw?

It minimizes contact with mucous membranes Signup and view all the answers

What effect can cranberry supplements have on medications processed through the kidneys?

Decrease their elimination rate. Signup and view all the answers

What is the primary adverse effect of barbiturates like phenobarbital related to REM sleep?

Deprivation of REM sleep Signup and view all the answers

Which statement about garlic supplements is incorrect?

They pose no interaction risk with sedatives. Signup and view all the answers

What can lead to a patient experiencing nightmares after stopping phenobarbital?

Withdrawal causing rebound phenomenon Signup and view all the answers

Which factor is most likely responsible for a man's lethargy after consuming phenobarbital and a glass of wine?

Combination of alcohol with barbiturates Signup and view all the answers

What is the correct explanation for the daytime tiredness experienced by a patient taking suvorexant for insomnia?

Suvorexant alters the sleep cycle, causing daytime sleepiness Signup and view all the answers

Which of the following statements about phenobarbital is accurate?

Its use may lead to a rebound in REM sleep after discontinuation. Signup and view all the answers

How does alcohol affect a patient using barbiturates like phenobarbital?

It increases the risk of CNS depression. Signup and view all the answers

What is a common misconception regarding the use of suvorexant for insomnia?

It can successfully eliminate insomnia without side effects. Signup and view all the answers

Which suggests the need for further evaluation in a patient taking phenobarbital?

Unexpected severe lethargy post-meal. Signup and view all the answers

Which methods can be used to minimize dry mouth?

Mouth rinses Signup and view all the answers

What are the potential adverse effects to monitor for after administering onabotulinumtoxin A?

Difficulty breathing Signup and view all the answers

How much atomoxetine will be administered to a child weighing 88 pounds?

20 mg Signup and view all the answers

Which antiepileptic drug allows for once-a-day dosing due to its long half-life?

Phenobarbital Signup and view all the answers

Which statement indicates a patient's adequate understanding of phenytoin medication instructions?

I should avoid drinking alcohol while on this medication. Signup and view all the answers

What is a critical monitoring action after administering an injection of onabotulinumtoxin A?

Monitoring for breathing difficulties Signup and view all the answers

In what situation should a nurse be cautious when administering onabotulinumtoxin A?

In patients with a history of dysphagia Signup and view all the answers

What is the significance of the Black Box Warning associated with onabotulinumtoxin A?

It warns of the potential spread of the toxin. Signup and view all the answers

What is a characteristic of partial agonists like nalbuphine?

They have a lower dependency potential than agonists. Signup and view all the answers

Which patient should be avoided when prescribing acetaminophen?

A patient with a history of liver disease Signup and view all the answers

What is the most appropriate response by the nurse for a patient worried about pain medication and driving?

It would be best for you not to take anything if you are planning to drive your truck. Signup and view all the answers

Which of the following statements about opioid partial agonists like nalbuphine is true?

They have a lower risk of misuse compared to full agonists. Signup and view all the answers

Which condition does NOT contraindicate the use of acetaminophen?

Mild headache Signup and view all the answers

What potential benefit do partial agonists offer in pain management?

They lower the chance of developing an addiction. Signup and view all the answers

For a patient who has just suffered a fall with no broken bones, which pain management strategy is least advisable?

Recommending a potent opioid medication. Signup and view all the answers

Which scenario correctly represents a use case for nalbuphine in pain management?

A patient requiring pain relief with a reduced addiction risk. Signup and view all the answers

Why am I now taking two pills for arthritis? What is the nurse’s best response?

Cytotec will also reduce the symptoms of your arthritis. Signup and view all the answers

Which disorder is Gout associated with?

Gout Signup and view all the answers

For what disorder is Allopurinol indicated?

Gout Signup and view all the answers

A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. There will be a concern for drug interactions if the patient is also taking medications for which disorder?

Type 2 diabetes mellitus Signup and view all the answers

A patient is receiving an aluminum-containing antacid. The nurse will inform the patient to watch for which possible adverse effect?

Constipation Signup and view all the answers

When reviewing the health history of a patient who will be receiving antacids, the nurse recalls that antacids containing magnesium need to be used cautiously in patients with which condition?

Renal failure Signup and view all the answers

The nurse is reviewing the medication orders for a patient who will be taking an H2 antagonist. Which drug may have an interaction if taken along with the H2 antagonist?

Tetracycline Signup and view all the answers

A patient who has been taking cimetidine for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?

He takes the cimetidine with meals. Signup and view all the answers

Study Notes