WorksheetsNursing Actions and Patient Education
Total questions: 35
Worksheet time: 19mins
A client recieves a wrong medication. The nurse who made the error should take which of the following actions first?
A nurse is teaching a patient who is at risk for osteoporosis. Which of the following instructions should the nurse include?
Limit calcium intake to 600mg per dose
A nurse is providing discharge teaching to a client who has pulmonary TB and a new prescription of Riframpin. Which of the following information should the nurse provide?
"Inform the client that Rifampin may cause urine and other bodily fluids to turn orange."
"Rifampin is only effective if taken with food."
"The client should avoid all dairy products while taking Rifampin."
"Rifampin will cause a severe allergic reaction in all patients."
A nurse is providing discharge teaching to a patient with asthma and a new prescription for Cromolyn and Albuterol, both by nebulizer. Which of the following statements by the patient indicates an understanding of the teaching?
"I will use Cromolyn during an asthma attack and Albuterol regularly."
"I will only use Albuterol when I feel fine and not during attacks."
"I will be sure to take albuterol before taking cromolyn."
"I will take both medications only when prescribed by my doctor."
A nurse is caring for 4 patients for whom she has to administer oral medication's in the morning. The nurse should administer which of the following medications before breakfast?
Latanoprost
Pyrazinamide
Alendronate
Albuterol
A hospice nurse is caring for a patient who has terminal cancer and take PO morphine for pain relief. The patient reports that he has to increase the dose of morphine this week to obtain pain relief. Which of the following scenario's should the nurse document as the explanation of the situation?
The patient has become addicted to morphine.
A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?
A patient received crushed bupropion XL tablet mixed with applesauce.
A patient received their medication at a later time than it was scheduled.
A nurse is teaching a patient who is at risk for osteoporosis. The nurse should instruct the patient that which of the following foods is the best source of calcium?
Low-fat milk
Almond milk
Soy milk
Oat milk
A nurse is teaching a patient who has a new prescription for Phenytoin. The nurse should instruct the patient to monitor for and report which of the following adverse effects of this medication?
Skin rash
A nurse is caring for a child with asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the parents on administration of this medication?
Administer the medication 2 hours before exercise.
Administer the medication 15 minutes before exercise.
Rinse mouth with water and spit.
Administer the medication 1 hour before exercise
A nurse is teaching a class about reducing risk of medication errors. Which of the following information should the nurse include?
Provide the nurse administering medications with an identifying vest.
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Administer a short-acting B2-agonist.
Provide oxygen therapy starting at 2L.
Sit patient up in the bed.
A nurse is providing teaching to a patient who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the patient to report to the provider?
Increased appetite and weight gain.
Jaw pain, blurred vision, and dysphagia.
Nausea, vomiting, and dirrehea.
A nurse is administering timolol eye drops to a patient who has glaucoma. Which of the following actions should the nurse take?
Use clean technique when handling the eye dropper.
Administer the eye drops into the conjunctival sac.
A nurse is preparing to administer a medication to a patient who states, "that looks different from the pill I usually take is." Which of the following responses should the nurse make?
Describe what the pill looks like.
A nurse is caring for a patient who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the patient reports flank pain?
Renal stones
Hepatitis
A nurse is caring for a patient with active TB and a new prescription of IV Rifampin. The nurse should instruct the patient that they should expect to experience which of the following manifestations while taking this medication?
A nurse is teaching a patient with a new diagnosis of asthma. Which of the following medications should the nurse instruct the patient to use to abort an acute asthma attack?
A nurse is caring for a patient who asks how albuterol helps his breathing. Which of the following responses should the nurse make?
Albuterol prevents wheezing.
Albuterol will decrease coughing episodes.
Albuterol will open better open airways.
A nurse is evaluating teaching on a patient who has a prescription for montelukast to treat asthma. Which of the following statements by the patient indicates an understanding of the teaching?
I will take montelukast once a day in the evening.
A nurse is providing teaching to a patient with seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?
Alcohol increases the chance of phenytoin toxicity.
A nurse is caring for a patient who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of this medication?
The patient experiences an increase ease of breathing.
A nurse is providing discharge teaching to a patient with asthma and a new prescription for fluticasone/salmeterol. Which adverse effects should the nurse instruct the patient to report?
White coating in the mouth
A nurse at an opthamology clinic is providing teaching to a patient with open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?
The medication will be applied regularly for rest of patient life.
A nurse is teaching a patient who is starting to take alendronate effervescent tablets to treat osteoporosis. What information should the nurse include?
After taking alendronate sit upright/stand for at least 30 minutes after taking.
Which term describes a group of drugs that have similar effects and actions on the body?
Pharmotherapeutics
Therapeutic indication
Pharmacology
Drug classification
Which characteristics of a drug are the most important?
safety
selectivity
reversibility
effectiveness
ease of administration
Which of the following best describes the first-pass effect?
medications are inactivated by a first-pass through the kidneys.
medications are inactivated by a first-pass through the liver.
medication absorption is increased through mucous membranes.
medication excretion is increased through the kidneys.
A nurse is preparing to administer a medication that is primarily excreted via the kidneys. Which of the following lab values must the nurse be aware of prior to administration?
pH
Blood urea nitrogen
Lactase
Creatinine
Glomerular filtration rate
A nurse is caring for a client who is ordered alendronate for osteoporosis. Which instructions are appropriate to provide about this drug?
"take this medication with 8oz of water immediately on arising"
"you can take this medication with your morning coffee and OJ"
"you need to sit or stand upright for at least 30 minutes after taking this medication"
"if you experience any severe abdominal pain, vomiting, or jaw pain, notify you HCP"
A client is prescribed phenytoin for epileptic seizures. Which of the following is the priority for patient teaching?
teach the client to adjust dose according to symptoms
tell the client to take the medication with meals
Inform the client about prevention of gingival hyperplasia
teach the client to avoid abrupt cessation of treatment
Which of the following best explains challenges to inhalation pharmacologic therapy?
expensive treatment modality
devices are very different and can difficult to understand
inconsistent dose delivery despite correct use
local drug delivery
when instruction a patient to use an MDI properly, the nurse should include which of the following instructions?
avoid shaking the canister
administer 3 puffs, wait 2 minutes, and administer 2 more
puff the inhaler doses in rapid succession
an interval of at least 1 minute should seperate the first puff from the second
If used correctly, the 3 therapeutic advantages of drugs administered by inhalation include which of the following?
ease of administration
therapeutic effects are enhanced
local adverse effects are minimized
systemic effects are minimized
relief of acute attacks is rapid
potential adverse effects of oral glucocorticoids include which of the following?
oropharyngeal candidiasis
adrenal suppression
bone density loss
glaucoma
tachycardia
