Question 1

A pregnant patient asks the nurse what "teratogenic effect" of medications means.Which is the nurse's best response?

Accepted Answer

A)   The ability to cause damage to the pregnant woman
B)   A type of anaphylactic reaction in the pregnant woman
C)   The ability to cause damage to the fetus
D)   A term for stating the therapeutic effect of the medication for the fetus C

Question 2

An older adult woman comes into the clinic complaining of "feeling bad" since yesterday.She tells the nurse her husband gave her his medication for a headache.Which represents the best response to this information?

Accepted Answer

A)   "The cost of medication is high, so sharing is okay, since he has no problems."
B)   "You both have the same health problems, so sharing is all right."
C)   "Monitoring the drug effect is easier, since he also takes the medication."
D)   "When you take his medication, it makes evaluating the effects of your medication harder." D

Question 3

The nurse instructs a woman on hormone replacement therapy (HRT)and informs her of the risk for which conditions?

Accepted Answer

A)   Hot flashes
B)   Increased calcium deposits
C)   Heart attack
D)   Weight loss C

Question 4

A young woman comes into the clinic for follow-up care after a sexually transmitted infection.Which statement made by this patient alerts the nurse that further explanation is needed about her use of oral contraceptive pills (OCPs)?

Accepted Answer

A)   "The OCPs will stop infections."
B)   "The OCPs will not cause infection."
C)   "I will continue the OCPs if I get an infection."
D)   "I need to use a backup means of contraception while taking an antibiotic."

Question 5

Which action by a breastfeeding mother who takes medication would decrease the amount of the drug the baby receives in breast milk?

Accepted Answer

A)   Always using sustained-release medications
B)   Taking medication just before breastfeeding
C)   Taking medication in the morning
D)   Expressing and discarding milk when feedings are skipped

Question 6

What may the nurse question the patient about when performing a cultural assessment? (Select all that apply.)

Accepted Answer

A)   Differences in values
B)   Religious practices
C)   Health practices
D)   Tolerance practices
E)   Political values and beliefs

Question 7

Which statement made by an older adult patient would require further teaching by the nurse?

Accepted Answer

A)   "Nonprescription drugs will not interfere with my prescribed medications."
B)   "I can get non-childproof lids for my pills from the pharmacist."
C)   "Alcohol can affect drug action."
D)   "I will report any signs of drug toxicity to my doctor."

Question 8

Nurses working with older adult patients must remember which factors about their kidney function and administration of their medications? (Select all that apply.)

Accepted Answer

A)   Older adult patients are all alike with regard to kidney function and medications.
B)   Drugs excreted by the kidney must be assessed individually in older adults.
C)   The nurse should remember factors about liver function only and not kidney function in older adults.
D)   Longer dosage intervals and lower doses are generally appropriate for older adults with kidney damage.
E)   With older adults, creatinine clearance values help measure kidney function.

Question 9

A patient with HIV has been diagnosed with Candida albicans.The nurses can anticipate the physician will order medication to be taken over how many days?

Accepted Answer

A)   10 days
B)   7 days
C)   14 days
D)   2 days

Question 10

Which nursing intervention would be most helpful in improving a patient's ability to follow the drug treatment plan?

Accepted Answer

A)   Obtaining a unit-dose dispensing system for home use
B)   Providing instruction three times before discharge
C)   Discussing the medications with a family member
D)   Establishing a good nurse-patient relationship

Question 11

The nurse is counseling a young woman who is planning her pregnancy.She asks if there is anything she might do to help prevent birth defects in her unborn child.Which would be an appropriate response to the patient?

Accepted Answer

A)   "There is no way you can prevent a natural condition."
B)   "Birth defects only happen occasionally to some people."
C)   "Eating a diet rich in iron may prevent or stop birth defects."
D)   "Taking multivitamins with folic acid will help prevent birth defects."

Question 12

A mother comes to the clinic with her 7-year-old son who has had a cold for 2 days.She has been giving the child an over-the-counter preparation for his cough.The mother tells the nurse the child has been very hyperactive since his illness.What would the nurse assessing this patient tell the mother?

Accepted Answer

A)   "Keep him busy. He will soon get tired and fall asleep."
B)   "All children act this way when they are ill and want attention."
C)   "Over-the-counter medication may cause reactions in children."
D)   "Over-the-counter medication is not strong enough to cause a reaction."

Question 13

The nurse is administering naproxen to a 70-year-old patient with poor nutritional intake.What should the nurse assess prior to administering the medication?

Accepted Answer

A)   Blood pressure
B)   Heart rate
C)   Oxygen saturation level
D)   Albumin level

Question 14

In aging patients,distribution of drugs may be lessened because of a decline in total body water and lean body mass,warranting the use of decreased dosing.Which drugs are distributed into body water or lean muscle mass and may lead to increased effects and possible toxicity for the aging patient? (Select all that apply.)

Accepted Answer

A)   Digoxin (Lanoxin) 
B)   Gentamicin (Garamycin) 
C)   Meperidine (Demerol) 
D)   Acetaminophen (Tylenol) 
E)   Ibuprofen (Motrin)

Question 15

A mother asks why her 6-year-old requires a daily dose of digoxin that is twice that of an adult.The nurse explains that the larger dose is necessary because of which characteristics of children?

Accepted Answer

A)   Greater resistance to medications
B)   Variations in development of drug receptors
C)   A slower metabolic rate than adults
D)   More total body water, which dilutes the drug

Question 16

Which people,as a condition of their work,are required to maintain current immunizations? (Select all that apply.)

Accepted Answer

A)   People in the military
B)   Chefs
C)   Health care providers
D)   Cosmetologists
E)   Teachers

Question 17

Hormone replacement therapy for menopausal women helps reduce the incidence of which condition?

Accepted Answer

A)   Varicose veins
B)   Osteoporosis
C)   Hypertension
D)   Depression

Question 18

Which individual would be at the highest risk for drug noncompliance?

Accepted Answer

A)   A 2-year-old in a day care center
B)   A 10-year-old receiving antibiotics for an ear infection
C)   A 65-year-old on a fixed income taking multiple medications
D)   A 95-year-old in a long-term care facility taking multiple medications

Question 19

A Hispanic patient in the hospital has been told that medication is recommended for his condition.He tells the nurse that he would like to consult the curandera before making a decision.What should the nurse do first?

Accepted Answer

A)   Talk with the patient about his cultural beliefs related to health.
B)   Inform the physician of the patient's request.
C)   Restrict contact between the patient and the curandera.
D)   Talk with the family about the request.

Exam 5: Lifespan and Cultural Modifications