NURS 304 Exam 1 Review
Which information about the risk of OTC drugs for cough and cold would the nurse include in pt teaching? -
ANSWER: these products interact with many prescription drugs
Which complication would the nurse discuss with a patient with arthritis who self medicates with NSAIDS? -
ANSWER: GI ulcers
Which statement would the nurse make to the pt who is taking acetaminophen for pain relief? - ANSWER:
Acetaminophen can lead to liver toxicity and should be used in recommended doses
Which term is used for OTC products that are considered to be ineffective but not unsafe? - ANSWER:
Grandfathered products
What statement is accurate when discussing the use of herbal and OTC meds with pts? - ANSWER: it is
important to discuss OTC meds with HCP
True or false: insurance plans offer reimbursement for alternative/herbal tx? - ANSWER: true
How should the nurse instruct a pt who takes warfarin and reports drinking chamomile tea every evening? -
ANSWER: Chamomile may have an interaction with your warfarin
What fruit can interact with the metabolism of erectile dysfunction drugs? - ANSWER: grapefruit
What condition would cause the nurse to question the patient's use of kava? - ANSWER: Hepatitis- liver
toxicity
What concern would the nurse have about a pt reporting the usage of OTC cough suppressants several times a
day? - ANSWER: robotripping/ substance misuse
What population is a high risk for hemorrhage with standard dosing? - ANSWER: Asians using gingko
supplements
What information requires another source other than the label for a nurse to properly review an OTC herbal
product for a pt looking for options to improve memory? - ANSWER: Specific curative factors
,What food would the nurse teach a pt who is taking estrogen replacement therapy to avoid? - ANSWER:
Grapefruit
A pt just had lung transplant. What herb should he avoid? - ANSWER: Echinacea
Pt is in acute renal failure. What herb or supplement should they avoid? - ANSWER: cranberry
True or false: a chronic illness would require teaching about OTCs due to increased adverse rxns - ANSWER:
true
What supplement found on a pt's list of meds would warrant concern for a pt newly admitted with a pulmonary
embolism? - ANSWER: Chamomile
True or false: 2 year olds and under can have OTC cough medicine - ANSWER: false
What should you immediately assess in a pt who self administered over 5 g/day of acetaminophen last week? -
ANSWER: liver toxicity
What dietary supplements increase risk for bleeding due to interaction of anticoagulants? - ANSWER: Gingko,
Chamomile
What should the nurse assess for to determine the potential for experiencing adverse effects for a pt who takes
several herbal and OTC meds? - ANSWER: Cognitive level and motor abilities
A pt is admitted to ED with signs of liver toxicity. What information is important to obtain from the pt? -
ANSWER: use of herbal therapy
Define alternative medicine - ANSWER: herbal medicine; chiropractor; acupuncture; massage; etc
Define Complementary medicine - ANSWER: alternative medicine when used WITH western medicine
Define Iatrogenic effects - ANSWER: unintentional adverse effects that are caused by the actions of a
prescriber or other HCP
,Integrative medicine - ANSWER: simultaneous use of both traditional and alternative medicine
Conventional medicine - ANSWER: Western medicine
Define legend drugs - ANSWER: meds that are not legally available without a prescription from a prescriber,
aka prescription drugs
Fill in the blanks. For a drug to be OTC, it must have:
1. Indication for use. Consumer must be able to easily... (3).
2. Safety Profile. Drugs must have (4):
3. Practicality for OTC use. Drugs must be (2): - ANSWER: 1. Diagnose condition, monitor effectiveness,
benefits of correct usage must outweigh risks.
2. Favorable adverse event profile, limited interaction with other drugs, low potential for abuse, high TI
3. easy to use and monitor
OTC analgesics include (2) - ANSWER: ibuprofen (advil, motrin); naproxen sodium (aleve, naprosyn)
OTC Histamine-1 Receptors include (5) - ANSWER: 1. chlorpheniramine maleate (chlor-trimeton)
2. diphenhydramine hydrochloride (benadryl)
3. fexofenadine (allegra)
4. loratadine (claritin)
5. cetirizine (zyrtec)
OTC Histamine-2 Receptors (3) - ANSWER: 1. cimetidine (tagamet HB)
2. famotidine (pepcid AC)
3. nizatidine (axid AR)
OTC Nasal Steroids (2) - ANSWER: 1. Flonase Allergy Relief (fluticasone propionate)
, 2. Nasacort Allergy 24 HR (triamcinolone acetonide)
OTC proton pump inhibitors - ANSWER: 1. esomeprazole (nexium-24)
2. lansoprazole (prevacid-24)
3. omeprazole (prilosec-OTC)
OTC Smoking deterrants - ANSWER: 1. nicotine polacrilex gum (Nicorette)
2. nicotine transdermal patches (Nicoderm)
OTC Topical meds (6): - ANSWER: 1. adapalene (differin)
2. clotrimazole (lotrimin)
3. butoconazole (femstat)
4. miconazole (monistat)
5. minoxidil solution and hydrocortisone acetate 1% cream (rogaine)
6. terbinafine (lamisil AT)
OTC weight loss drugs include (1) - ANSWER: orlistat (alli)
What are conventional medicines (9) derived from plants? - ANSWER: atropine, capsaicin, cocaine, codeine,
digoxin, paclitaxel, sopolamine, senna, vincristine
What are 7 human need statements the nurse must ask pts taking OTC drugs? - ANSWER: Altered...
1. GI elimination
2. knowledge
3. need for sleep
4. physical activity
5. safety needs
6. interchange of gas
7. freedom of pain
6 Potential hazards of using OTC drugs? - ANSWER: 1. May postpone effective treatment of more chronic
disease states
Which information about the risk of OTC drugs for cough and cold would the nurse include in pt teaching? -
ANSWER: these products interact with many prescription drugs
Which complication would the nurse discuss with a patient with arthritis who self medicates with NSAIDS? -
ANSWER: GI ulcers
Which statement would the nurse make to the pt who is taking acetaminophen for pain relief? - ANSWER:
Acetaminophen can lead to liver toxicity and should be used in recommended doses
Which term is used for OTC products that are considered to be ineffective but not unsafe? - ANSWER:
Grandfathered products
What statement is accurate when discussing the use of herbal and OTC meds with pts? - ANSWER: it is
important to discuss OTC meds with HCP
True or false: insurance plans offer reimbursement for alternative/herbal tx? - ANSWER: true
How should the nurse instruct a pt who takes warfarin and reports drinking chamomile tea every evening? -
ANSWER: Chamomile may have an interaction with your warfarin
What fruit can interact with the metabolism of erectile dysfunction drugs? - ANSWER: grapefruit
What condition would cause the nurse to question the patient's use of kava? - ANSWER: Hepatitis- liver
toxicity
What concern would the nurse have about a pt reporting the usage of OTC cough suppressants several times a
day? - ANSWER: robotripping/ substance misuse
What population is a high risk for hemorrhage with standard dosing? - ANSWER: Asians using gingko
supplements
What information requires another source other than the label for a nurse to properly review an OTC herbal
product for a pt looking for options to improve memory? - ANSWER: Specific curative factors
,What food would the nurse teach a pt who is taking estrogen replacement therapy to avoid? - ANSWER:
Grapefruit
A pt just had lung transplant. What herb should he avoid? - ANSWER: Echinacea
Pt is in acute renal failure. What herb or supplement should they avoid? - ANSWER: cranberry
True or false: a chronic illness would require teaching about OTCs due to increased adverse rxns - ANSWER:
true
What supplement found on a pt's list of meds would warrant concern for a pt newly admitted with a pulmonary
embolism? - ANSWER: Chamomile
True or false: 2 year olds and under can have OTC cough medicine - ANSWER: false
What should you immediately assess in a pt who self administered over 5 g/day of acetaminophen last week? -
ANSWER: liver toxicity
What dietary supplements increase risk for bleeding due to interaction of anticoagulants? - ANSWER: Gingko,
Chamomile
What should the nurse assess for to determine the potential for experiencing adverse effects for a pt who takes
several herbal and OTC meds? - ANSWER: Cognitive level and motor abilities
A pt is admitted to ED with signs of liver toxicity. What information is important to obtain from the pt? -
ANSWER: use of herbal therapy
Define alternative medicine - ANSWER: herbal medicine; chiropractor; acupuncture; massage; etc
Define Complementary medicine - ANSWER: alternative medicine when used WITH western medicine
Define Iatrogenic effects - ANSWER: unintentional adverse effects that are caused by the actions of a
prescriber or other HCP
,Integrative medicine - ANSWER: simultaneous use of both traditional and alternative medicine
Conventional medicine - ANSWER: Western medicine
Define legend drugs - ANSWER: meds that are not legally available without a prescription from a prescriber,
aka prescription drugs
Fill in the blanks. For a drug to be OTC, it must have:
1. Indication for use. Consumer must be able to easily... (3).
2. Safety Profile. Drugs must have (4):
3. Practicality for OTC use. Drugs must be (2): - ANSWER: 1. Diagnose condition, monitor effectiveness,
benefits of correct usage must outweigh risks.
2. Favorable adverse event profile, limited interaction with other drugs, low potential for abuse, high TI
3. easy to use and monitor
OTC analgesics include (2) - ANSWER: ibuprofen (advil, motrin); naproxen sodium (aleve, naprosyn)
OTC Histamine-1 Receptors include (5) - ANSWER: 1. chlorpheniramine maleate (chlor-trimeton)
2. diphenhydramine hydrochloride (benadryl)
3. fexofenadine (allegra)
4. loratadine (claritin)
5. cetirizine (zyrtec)
OTC Histamine-2 Receptors (3) - ANSWER: 1. cimetidine (tagamet HB)
2. famotidine (pepcid AC)
3. nizatidine (axid AR)
OTC Nasal Steroids (2) - ANSWER: 1. Flonase Allergy Relief (fluticasone propionate)
, 2. Nasacort Allergy 24 HR (triamcinolone acetonide)
OTC proton pump inhibitors - ANSWER: 1. esomeprazole (nexium-24)
2. lansoprazole (prevacid-24)
3. omeprazole (prilosec-OTC)
OTC Smoking deterrants - ANSWER: 1. nicotine polacrilex gum (Nicorette)
2. nicotine transdermal patches (Nicoderm)
OTC Topical meds (6): - ANSWER: 1. adapalene (differin)
2. clotrimazole (lotrimin)
3. butoconazole (femstat)
4. miconazole (monistat)
5. minoxidil solution and hydrocortisone acetate 1% cream (rogaine)
6. terbinafine (lamisil AT)
OTC weight loss drugs include (1) - ANSWER: orlistat (alli)
What are conventional medicines (9) derived from plants? - ANSWER: atropine, capsaicin, cocaine, codeine,
digoxin, paclitaxel, sopolamine, senna, vincristine
What are 7 human need statements the nurse must ask pts taking OTC drugs? - ANSWER: Altered...
1. GI elimination
2. knowledge
3. need for sleep
4. physical activity
5. safety needs
6. interchange of gas
7. freedom of pain
6 Potential hazards of using OTC drugs? - ANSWER: 1. May postpone effective treatment of more chronic
disease states
