Exam 4: Drug Interactions and Over-the-Counter Drugs

A patient has been taking a drug for several years and tells the nurse it is no longer working.The nurse learns that the patient has recently begun taking an over-the-counter antacid medication.What does the nurse suspect is occurring?

Which patients are at high risk for drug interactions? (Select all that apply.)

A patient is taking phenytoin to prevent seizures.The nurse knows that phenytoin is highly protein-bound and has sedative side effects.The nurse reviews the patient's chart and notes a low serum albumin.The nurse will notify the provider and observe the patient for which effects?

A patient who takes the anticoagulant warfarin will begin taking the anticonvulsant drug carbamazepine.The nurse reviews the drug information for these drugs and learns that carbamazepine is a hepatic enzyme inducer.The nurse anticipates that the provider will make which dosage adjustment?

A patient has been taking warfarin (Coumadin),which is highly protein-bound.The patient will begin taking gemfibrozil,which is also highly protein-bound.The nurse will observe the patient closely for

A young adult female patient who takes a combination oral contraceptive (OCP)will begin taking an antibiotic.When teaching the patient about this medication,the nurse will

A patient who takes a drug that undergoes gastric absorption will begin taking an opioid analgesic after sustaining an injury in a motor vehicle accident.The nurse will observe the patient closely for which effects?

The nurse is caring for a patient who takes digoxin to treat heart failure.The provider orders furosemide to treat edema.The nurse will monitor the patient for digitalis toxicity because of

The nurse is caring for a patient who receives theophylline,which has a narrow therapeutic index.The patient has been receiving cimetidine but will stop taking that drug in 2 days.In 2 days,the nurse will observe the patient closely for

The nurse is teaching a patient about a drug that causes photosensitivity.Which statement by the patient indicates a need for further teaching?

The nurse is preparing to administer meperidine (Demerol),which is an opioid analgesic,and promethazine (Phenergan),which is an antiemetic and antihistamine.The nurse understands that these drugs are given in combination for which reason?

A patient will receive penicillin to treat an infection.The provider orders probenecid (Probalan),a medication to treat gout,even though the patient does not have gout.Which action by the nurse is correct?

A patient who takes warfarin (Coumadin)asks the nurse about taking a medication for headaches.The nurse will recommend which medication?

The nurse is preparing to administer erythromycin to a patient who takes digoxin.The nurse will plan to monitor the patient for

The nurse is preparing to administer two intravenous medications that should not be given using the same IV tubing.The nurse understands that this is because of drug

The provider has ordered amoxicillin with clavulanate (Augmentin)for a child who has otitis media.The child's parent asks why this drug is necessary when amoxicillin is less expensive.The nurse will explain that clavulanate is added to amoxicillin because it

The nurse is teaching a patient who will begin taking ciprofloxacin.What instruction will the nurse include when teaching this patient about this drug?

A patient asks the nurse about using over-the-counter (OTC)medications.The nurse will tell the patient that OTC medications

The nurse assesses a patient who is receiving morphine sulfate intravenously using a patient-controlled analgesia pump.The nurse notes somnolence and respiratory depression,which are signs of morphine toxicity.The nurse will prepare to administer naloxone (Narcan)because it

The nurse is educating the parent of a 20-month-old toddler about over-the-counter (OTC)products to treat cold symptoms.Which statement by the parent indicates understanding of the teaching?