Western Governors University D 115
Final D116 practice test
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Terms in this set (58) Hide definitions
A patient diagnosed with chronic pain calls to request an d. Arrange to schedule an appointment with the patient.
oxycodone (Oxycontin) refill. Which action should the Feedback: Schedule II medications are not eligible for refills, and prescriptions
prescriber take initially? must be handwritten. It is important to verify the patient’s adherence to the drug
regimen and determine the current dosage of medication and pain level;
however, this can be accomplished by scheduling an appointment and evaluating
the patient in person.
A patient is prescribed metronidazole for bacterial b. The patient drinks two glasses of wine every night.
vaginosis. Which patient history finding would be most Feedback: Patients taking metronidazole should be educated not to drink alcohol
concerning to the provider? to prevent a disulfiram-like reaction. It would be concerning that the patient drinks
wine daily. History of a yeast infection may indicate increased risk for recurrence
with administration of an antimicrobial. A family history of cervical cancer is not
related to administration of metronidazole. Unemployment can indicate lack of
insurance coverage, which may limit the patient’s ability to purchase medications;
however, generic metronidazole is one of the less expensive medications.
The provider prepares a patient with newly diagnosed c. Asking the patient to demonstrate how to measure and administer insulin
type 1 diabetes for hospital discharge. Which action by Feedback: Because insulin must be given correctly to control symptoms and
the provider will best support the patient's ability to prevent an overdose, it is most important for the patient to know how to measure
effectively manage medication therapy? and administer it. Asking for a demonstration of technique is the best way to
determine whether the patient has understood the teaching. The other teaching
points are important as well, but they are not as critical.
, A patient reports that a medication prescribed for b. Ask the patient about the number and frequency of tablets taken.
recurrent migraine headaches is not working. Which Feedback: When evaluating the effectiveness of a drug, it is important to
action is the prescriber's priority when addressing the determine how often the patient is using the drug. Asking the patient to identify
patient's concern? how many tablets are taken and how often helps the provider determine effective
dosages and adherence to the medication regimen. The patient has already
stated that the medication is not working; the actual level of pain may determine
the degree to which it is not working, but it does not help the provider to
determine why it is not working. The assessment process should gather as much
information about compliance, symptoms, and drug effectiveness as possible
before enacting a change in treatment. Biofeedback may be an effective adjunct
to treatment, but it should not be recommended without complete information
about drug effectiveness.
The drug manual states that older adult patients are at d. Obtaining baseline liver function studies
increased risk for hepatotoxicity. Which action is most Feedback: The drug manual indicates that this drug increases risk of
important when prescribing this medication to an 80- hepatotoxicity for elderly patients. Getting information about liver function before
year-old patient? giving the drug establishes baseline data that can be compared with
posttreatment data to determine whether the drug is affecting the liver. Taking the
correct dose at the correct interval may minimize risk, but without baseline
information, the effects cannot be determined. Drugs are not routinely
contraindicated for an increased risk of adverse effects
A patient with bipolar disorder is prescribed daily lithium. . Order periodic laboratory testing
Which action is most important for the provider to take in Feedback: Therapeutic serum levels are determined through periodic laboratory
order to determine if the therapeutic level is maintained? testing. Preadministration blood work may be necessary to obtain baseline status
prior to initiating treatment, but it will not determine therapeutic levels.
Scheduling medication administration at regular intervals will help to ensure
medication is absorbed and metabolized predictably, but it will not determine
therapeutic blood levels. Assessing the patient for signs and symptoms of toxicity
will help to determine if the therapeutic level has been exceeded, not maintained.
When prescribing lovastatin, what will a provider advise B. Substitute grapefruit juice with orange juice.
to decrease the risk of developing muscle toxicity? Feedback: Grapefruit juice can inhibit the metabolism of certain drugs including
statins like lovastatin. The juice raises drug levels decreasing the intestinal
metabolism of the drug resulting in increased drug levels which increases the risk
for adverse effects such as muscle toxicity. Taking the drug with an anti-
inflammatory drug and avoiding exercise after administration are not supported
by science. Monitoring AST and ALT detects liver toxicity, not muscle toxicity.
The provider prescribes hydrocodone with A. “You should avoid drinking alcohol while you are taking the pain medication
acetaminophen for a patient's postsurgical pain. What I’ve ordered.”
instruction will the prescriber include regarding alcohol Feedback: Combining a hepatotoxic drug with other hepatotoxic agents
intake? increases the risk of hepatotoxicity. When even therapeutic doses of
acetaminophen are taken with alcohol, the acetaminophen can cause liver
damage. Patients should be cautioned not to drink alcohol; even two drinks with
acetaminophen can produce this effect. Hydrocodone does not contribute to
hepatotoxicity. Ibuprofen is not indicated for postoperative pain unless the pain is
mild. Limiting alcohol intake to two servings per day still increases the risk of
hepatotoxicity.
Final D116 practice test
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
D116 OA Summary Review Pharmaco... WGU D116 OA review D116 Comprehensive assessment wit... WGU D
81 terms 133 terms 61 terms 85 terms
cphi435 Preview lindsmitten4 Preview Mckincm4477 Preview ner
Terms in this set (58) Hide definitions
A patient diagnosed with chronic pain calls to request an d. Arrange to schedule an appointment with the patient.
oxycodone (Oxycontin) refill. Which action should the Feedback: Schedule II medications are not eligible for refills, and prescriptions
prescriber take initially? must be handwritten. It is important to verify the patient’s adherence to the drug
regimen and determine the current dosage of medication and pain level;
however, this can be accomplished by scheduling an appointment and evaluating
the patient in person.
A patient is prescribed metronidazole for bacterial b. The patient drinks two glasses of wine every night.
vaginosis. Which patient history finding would be most Feedback: Patients taking metronidazole should be educated not to drink alcohol
concerning to the provider? to prevent a disulfiram-like reaction. It would be concerning that the patient drinks
wine daily. History of a yeast infection may indicate increased risk for recurrence
with administration of an antimicrobial. A family history of cervical cancer is not
related to administration of metronidazole. Unemployment can indicate lack of
insurance coverage, which may limit the patient’s ability to purchase medications;
however, generic metronidazole is one of the less expensive medications.
The provider prepares a patient with newly diagnosed c. Asking the patient to demonstrate how to measure and administer insulin
type 1 diabetes for hospital discharge. Which action by Feedback: Because insulin must be given correctly to control symptoms and
the provider will best support the patient's ability to prevent an overdose, it is most important for the patient to know how to measure
effectively manage medication therapy? and administer it. Asking for a demonstration of technique is the best way to
determine whether the patient has understood the teaching. The other teaching
points are important as well, but they are not as critical.
, A patient reports that a medication prescribed for b. Ask the patient about the number and frequency of tablets taken.
recurrent migraine headaches is not working. Which Feedback: When evaluating the effectiveness of a drug, it is important to
action is the prescriber's priority when addressing the determine how often the patient is using the drug. Asking the patient to identify
patient's concern? how many tablets are taken and how often helps the provider determine effective
dosages and adherence to the medication regimen. The patient has already
stated that the medication is not working; the actual level of pain may determine
the degree to which it is not working, but it does not help the provider to
determine why it is not working. The assessment process should gather as much
information about compliance, symptoms, and drug effectiveness as possible
before enacting a change in treatment. Biofeedback may be an effective adjunct
to treatment, but it should not be recommended without complete information
about drug effectiveness.
The drug manual states that older adult patients are at d. Obtaining baseline liver function studies
increased risk for hepatotoxicity. Which action is most Feedback: The drug manual indicates that this drug increases risk of
important when prescribing this medication to an 80- hepatotoxicity for elderly patients. Getting information about liver function before
year-old patient? giving the drug establishes baseline data that can be compared with
posttreatment data to determine whether the drug is affecting the liver. Taking the
correct dose at the correct interval may minimize risk, but without baseline
information, the effects cannot be determined. Drugs are not routinely
contraindicated for an increased risk of adverse effects
A patient with bipolar disorder is prescribed daily lithium. . Order periodic laboratory testing
Which action is most important for the provider to take in Feedback: Therapeutic serum levels are determined through periodic laboratory
order to determine if the therapeutic level is maintained? testing. Preadministration blood work may be necessary to obtain baseline status
prior to initiating treatment, but it will not determine therapeutic levels.
Scheduling medication administration at regular intervals will help to ensure
medication is absorbed and metabolized predictably, but it will not determine
therapeutic blood levels. Assessing the patient for signs and symptoms of toxicity
will help to determine if the therapeutic level has been exceeded, not maintained.
When prescribing lovastatin, what will a provider advise B. Substitute grapefruit juice with orange juice.
to decrease the risk of developing muscle toxicity? Feedback: Grapefruit juice can inhibit the metabolism of certain drugs including
statins like lovastatin. The juice raises drug levels decreasing the intestinal
metabolism of the drug resulting in increased drug levels which increases the risk
for adverse effects such as muscle toxicity. Taking the drug with an anti-
inflammatory drug and avoiding exercise after administration are not supported
by science. Monitoring AST and ALT detects liver toxicity, not muscle toxicity.
The provider prescribes hydrocodone with A. “You should avoid drinking alcohol while you are taking the pain medication
acetaminophen for a patient's postsurgical pain. What I’ve ordered.”
instruction will the prescriber include regarding alcohol Feedback: Combining a hepatotoxic drug with other hepatotoxic agents
intake? increases the risk of hepatotoxicity. When even therapeutic doses of
acetaminophen are taken with alcohol, the acetaminophen can cause liver
damage. Patients should be cautioned not to drink alcohol; even two drinks with
acetaminophen can produce this effect. Hydrocodone does not contribute to
hepatotoxicity. Ibuprofen is not indicated for postoperative pain unless the pain is
mild. Limiting alcohol intake to two servings per day still increases the risk of
hepatotoxicity.
