C HAPTER 07: O VER - THE -C OUNTER D RUGS
AND H ERBAL AND D IETARY S UPPLEMENTS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The patient has been taking an over -the-counter (OTC) acid -reducing drug
because he has had “stomach problems ” for several months. He tells the
nurse that the medicine helps as long as he takes it, but once he stops it,
the s ymptoms return. Which statement by the nurse is the best advice for
this patient?
a. “The over-the-counter drug has helped you, so you should continue
to take it.”
b. “The over-the-counter dosage may not be strong enough. You
should be taking prescription -strength for best effects. ”
c. “For best results, you need to watch what you eat in addition to
taking this drug. ”
d. “Using this drug may relieve your symptoms, but it does not address
the cause. Please make an appointment with your health care
provider.”
ANS: D
The use of OTC drugs may postpone effective management of chronic
disease states and may delay tr eatment of serious or life -threatening
disorders because these drugs may relieve symptoms without
necessaril y addressing the cause of the disorder. The other options do
not address the need to investigate the cause of the symptoms and are
incorrect.
, DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Safe and Effective Care Environment:
Management of Care
2. During an assessment, the patient tells the nurse that he takes a garlic
supplement for its cardiovascular benefits. Which drug or drug class, if
taken, would have a potential interaction with the garlic?
a. Acetaminophen (Tylenol)
b. Insulin
c. Antilipemic drugs
d. Sedatives
ANS: B
The use of garlic may interfere with hypogl ycemic drugs. The other
options are incorrect because ace taminophen, antilipemic drugs, and
sedatives do not have interactions with garlic.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
3. A patient calls the cli nic to ask about taking cranberry dietary supplement
capsules because a friend recommended them. The nurse will discuss
which possible concern when a patient is taking cranberry supplements?
a. It may increase the risk for bleeding if the patient is taking
anticoagulants.
b. It may increase the risk of toxicit y of some psychotherapeutic
drugs.
AND H ERBAL AND D IETARY S UPPLEMENTS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The patient has been taking an over -the-counter (OTC) acid -reducing drug
because he has had “stomach problems ” for several months. He tells the
nurse that the medicine helps as long as he takes it, but once he stops it,
the s ymptoms return. Which statement by the nurse is the best advice for
this patient?
a. “The over-the-counter drug has helped you, so you should continue
to take it.”
b. “The over-the-counter dosage may not be strong enough. You
should be taking prescription -strength for best effects. ”
c. “For best results, you need to watch what you eat in addition to
taking this drug. ”
d. “Using this drug may relieve your symptoms, but it does not address
the cause. Please make an appointment with your health care
provider.”
ANS: D
The use of OTC drugs may postpone effective management of chronic
disease states and may delay tr eatment of serious or life -threatening
disorders because these drugs may relieve symptoms without
necessaril y addressing the cause of the disorder. The other options do
not address the need to investigate the cause of the symptoms and are
incorrect.
, DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Safe and Effective Care Environment:
Management of Care
2. During an assessment, the patient tells the nurse that he takes a garlic
supplement for its cardiovascular benefits. Which drug or drug class, if
taken, would have a potential interaction with the garlic?
a. Acetaminophen (Tylenol)
b. Insulin
c. Antilipemic drugs
d. Sedatives
ANS: B
The use of garlic may interfere with hypogl ycemic drugs. The other
options are incorrect because ace taminophen, antilipemic drugs, and
sedatives do not have interactions with garlic.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
3. A patient calls the cli nic to ask about taking cranberry dietary supplement
capsules because a friend recommended them. The nurse will discuss
which possible concern when a patient is taking cranberry supplements?
a. It may increase the risk for bleeding if the patient is taking
anticoagulants.
b. It may increase the risk of toxicit y of some psychotherapeutic
drugs.
