SHADOW HEALTH QUESTIONS WITH
ACCURATE ANSWERS AND
EXPLANATIONS
A patient has been given a new prescription for warfarin. Which statement indicates the need for
additional teaching?
- I will use a soft toothbrush while taking this medication
- I can eat moderate amounts of foods with vitamin K on a regular basis
- I should report unusual bleeding to my doctor
- I can keep taking a daily aspirin to protect against heart disease (Correct Response) - answer✔✔✨-
- I can keep taking a daily aspirin to protect against heart disease
Aspirin increases the effect of warfarin and may cause a higher risk of bleeding; the patient should not
take aspirin while on warfarin therapy. All other statements are consistent with safe use of warfarin.
What is the nurse's priority assessment for a patient receiving heparin treatment?
- Assess for elevated liver enzymes
- Assess for inflammation at the injection site
- Assess for bruising or unusual bleeding
- Assess aPTT levels - answer✔✔✨-- Assess for bruising or unusual bleeding
While all options are relevant assessments, bruising or unusual bleeding can be a life threatening
adverse effect of heparin treatment, and therefore needs to be the nurse's priority.
, A patient who has been receiving oxycodone therapy for chronic pain reports no relief after a 10mg
dose. The patient is exhibiting:
- Opioid addiction
- Opioid tolerance
- Drug-seeking behaviour
- Paradoxical CNS stimulation - answer✔✔✨-- Opioid tolerance
Prolonged use of opioid therapy can lead to tolerance, where a patient requires a higher dose of the
drug to achieve an analgesic effect.
Which meal choice exhibits a lack of understanding of atorvastatin's drug-food interactions?
- Orange juice, banana, and toast
- Grapefruit juice and yogurt
- Orange juice, bacon, and eggs
- Coffee and croissant - answer✔✔✨-- Grapefruit juice and yogurt
Grapefruit juice is contraindicated for patients on statin therapy and it may increase drug levels in the
blood and increase the likelihood of rhabdomyolysis. None of the other choices interact harmfully with
atorvastatin.
Which statement indicates that the patient understood the nurse's discharge information about his
albuterol inhaler?
- I should use this inhaler five minutes after my beclomethasone inhaler
- I should use this inhaler regularly to manage my asthma
- I should use this inhaler when I am having an acute attack
- I should use this inhaler to reduce inflammation in my airways - answer✔✔✨-- I should use this
inhaler when I am having an acute attack
ACCURATE ANSWERS AND
EXPLANATIONS
A patient has been given a new prescription for warfarin. Which statement indicates the need for
additional teaching?
- I will use a soft toothbrush while taking this medication
- I can eat moderate amounts of foods with vitamin K on a regular basis
- I should report unusual bleeding to my doctor
- I can keep taking a daily aspirin to protect against heart disease (Correct Response) - answer✔✔✨-
- I can keep taking a daily aspirin to protect against heart disease
Aspirin increases the effect of warfarin and may cause a higher risk of bleeding; the patient should not
take aspirin while on warfarin therapy. All other statements are consistent with safe use of warfarin.
What is the nurse's priority assessment for a patient receiving heparin treatment?
- Assess for elevated liver enzymes
- Assess for inflammation at the injection site
- Assess for bruising or unusual bleeding
- Assess aPTT levels - answer✔✔✨-- Assess for bruising or unusual bleeding
While all options are relevant assessments, bruising or unusual bleeding can be a life threatening
adverse effect of heparin treatment, and therefore needs to be the nurse's priority.
, A patient who has been receiving oxycodone therapy for chronic pain reports no relief after a 10mg
dose. The patient is exhibiting:
- Opioid addiction
- Opioid tolerance
- Drug-seeking behaviour
- Paradoxical CNS stimulation - answer✔✔✨-- Opioid tolerance
Prolonged use of opioid therapy can lead to tolerance, where a patient requires a higher dose of the
drug to achieve an analgesic effect.
Which meal choice exhibits a lack of understanding of atorvastatin's drug-food interactions?
- Orange juice, banana, and toast
- Grapefruit juice and yogurt
- Orange juice, bacon, and eggs
- Coffee and croissant - answer✔✔✨-- Grapefruit juice and yogurt
Grapefruit juice is contraindicated for patients on statin therapy and it may increase drug levels in the
blood and increase the likelihood of rhabdomyolysis. None of the other choices interact harmfully with
atorvastatin.
Which statement indicates that the patient understood the nurse's discharge information about his
albuterol inhaler?
- I should use this inhaler five minutes after my beclomethasone inhaler
- I should use this inhaler regularly to manage my asthma
- I should use this inhaler when I am having an acute attack
- I should use this inhaler to reduce inflammation in my airways - answer✔✔✨-- I should use this
inhaler when I am having an acute attack
