A 15-month-old patient develops chemotherapy-induced nausea and vomiting. Which medication, if ordered
by the healthcare provider, should the nurse question?
A. Ondansetron [Zofran]
B. Dexamethasone [Decadron]
C. Promethazine [Phenergan]
D. Metoclopramide [Reglan] - ansC. Promethazine [Phenergan]
A 2-year-old child is prescribed an oral drug that is eliminated by
metabolism in the liver. Based on the child's age, the nurse would expect to make which adjustment?
A. The drug may need to be administered more frequently.
B. The dosage of the drug may need to be decreased.
C. The route should be changed from oral to intramuscular.
D. The drug should be administered on an empty stomach - ansA. The drug may need to be administered more
frequently.
A patient is 2 months pregnant and complains of gastric distress. It is most appropriate for the nurse to do
what?
A. Consult with the healthcare provider about a prescription for misoprostol (Cytotec).
B. Instruct the patient to avoid acidic foods such as orange juice and tomatoes.
C. Suggest an over-the-counter medication such as bismuth subsalicylate (Pepto-Bismol).
D. Use an alternative therapy such as valerian as a dietary supplement. - ansB. Instruct the patient to avoid
acidic foods such as orange juice and tomatoes.
A patient is prescribed a medication that is potentially hepatotoxic. Before administering the medication, it is
, most important for the nurse to assess what?
A. Blood urea nitrogen and serum creatinine
B. Aspartate aminotransferase and alanine aminotransferase
C. Prolonged QT interval on the electrocardiogram
D. Serum potassium, serum sodium, and serum magnesium - ansB. Aspartate aminotransferase and alanine
aminotransferase
A patient is prescribed a medication to be taken on an empty stomach. Which statement should the nurse
include when providing patient teaching?
A. "Take the medication 1 hour before eating."
B. "Take the medication with a small glass of water."
C. "Take the medication before going to bed at night."
D. "Take the medication 1 hour after a meal." - ansA. "Take the medication 1 hour before eating."
A patient is taking a Category A drug during pregnancy. Which statement by the nurse is accurate?
A. "The risk of harm to the fetus is remote."
B. "The drug is safe to take during pregnancy."
C. "This drug has caused congenital birth defects."
D. "No controlled studies of this drug have been done in humans." - ansA. "The risk of harm to the fetus is
remote."
A patient is taking two prescription medications that both cause bradycardia. The nurse should monitor the
patient for which type of effect?
A. An increased therapeutic effect