COMPREHENSIVE DRUG THERAPY &
CLINICAL NURSING REVIEW NOTES
When teaching a person about a miotic medication for glaucoma, what
key point should be included?
Answer: The drug increases the outflow of aqueous humor, helping to
lower intraocular pressure. ✅
An older adult is prescribed a sleep medication and instructed to return
in two weeks. Which prescription should raise concern?
Answer: Eszopiclone (Lunesta) 10 mg at bedtime should be
questioned due to potential over-sedation in older adults. ✅
A person with peptic ulcer disease is prescribed esomeprazole
(Nexium) 20 mg daily. What instruction should be included for safe
use?
Answer: Take the medication at the same time every day, one hour
before a meal. ✅
A new prescription for ciprofloxacin (Cipro) is provided. Which
information in the individual’s history requires special attention?
Answer: The person works long hours outdoors as a lifeguard, due to
increased risk of sun sensitivity. ✅
,After receiving a fentanyl (Duragesic) patch, how should the caregiver
assess effectiveness?
Answer: Check the pain rating on the numeric scale to evaluate relief.
✅
A blood culture indicates the need to switch to an IV aminoglycoside,
and the previous broad-spectrum antibiotic was given two hours ago.
What is the appropriate action?
Answer: Administer the first dose of the aminoglycoside promptly,
as directed. ✅
Teaching for a person newly prescribed clozapine (Clozaril) should
include what precaution?
Answer: Rise slowly from lying or sitting positions to prevent
dizziness. ✅
A person is prescribed nitroglycerin tablets. What teaching should be
included for safe use?
Answer: Place a tablet under the tongue as needed every 5 minutes,
up to 3 doses for chest pain. ✅
Which side effects should be monitored in a person receiving
dexamethasone after neurosurgery?
Answer: Mood swings, weight gain, delayed wound healing, and low
hemoglobin should be observed. ✅
,A person prescribed sulfisoxazole for a urinary tract infection reports
nausea and stomach upset. Which finding should be reported
immediately?
Answer: Rash may indicate an allergic reaction and requires prompt
attention. ✅
Teaching for someone receiving sildenafil (Viagra) should include
which instructions?
Answer: Take 30–60 minutes before sexual activity, report rebound
priapism lasting 4 hours or mAn individual receives an injection of
medroxyprogesterone acetate (Depo-Provera). Which effect should
the caregiver inform the individual is commonly expected?
Answer: Vaginal bleeding or spotting may occur as a normal side
effect. ✅
A person undergoing chemotherapy is prescribed ondansetron
(Zofran). Which side effect should be included in teaching?
Answer: Headache is a common adverse effect of the medication. ✅
An individual is diagnosed with peptic ulcer disease caused by
Helicobacter pylori. Which medications should the caregiver anticipate
the doctor prescribing?
Answer: Clarithromycin, omeprazole, and metronidazole are
commonly prescribed to eradicate the infection. ✅
Before giving esomeprazole for gastroesophageal reflux disease, which
history finding should prompt the caregiver to hold the medication and
notify the doctor?
, Answer: Current treatment for deep vein thrombosis requires
medication review. ✅
Which signs might indicate chronic salicylate intoxication in an adult?
Answer: Tinnitus and hearing loss are classic indicators. ✅
A person is prescribed tetracycline (Sumycin). Which instruction
should be provided for safe administration?
Answer: Avoid dairy products for 2 hours after taking the
medication to ensure proper absorption. ✅
An individual experiencing ventricular dysrhythmias after a
myocardial infarction is admitted to the ICU. Which medication is
likely to be prescribed?
Answer: Amiodarone is used to manage ventricular arrhythmias. ✅
A person diagnosed with depression has been started on phenelzine
(Nardil), an MAOI. What important lifestyle or dietary habits should be
checked before giving the medication?
Answer: Verify whether the individual consumes alcohol or foods high
in tyramine, since these can trigger dangerous reactions. ✅
When giving haloperidol 0.5 mg IM for the first time as needed, which
acute side effect should be monitored?
Answer: Watch for dystonia, which is involuntary muscle contractions
that can occur suddenly. ✅
CLINICAL NURSING REVIEW NOTES
When teaching a person about a miotic medication for glaucoma, what
key point should be included?
Answer: The drug increases the outflow of aqueous humor, helping to
lower intraocular pressure. ✅
An older adult is prescribed a sleep medication and instructed to return
in two weeks. Which prescription should raise concern?
Answer: Eszopiclone (Lunesta) 10 mg at bedtime should be
questioned due to potential over-sedation in older adults. ✅
A person with peptic ulcer disease is prescribed esomeprazole
(Nexium) 20 mg daily. What instruction should be included for safe
use?
Answer: Take the medication at the same time every day, one hour
before a meal. ✅
A new prescription for ciprofloxacin (Cipro) is provided. Which
information in the individual’s history requires special attention?
Answer: The person works long hours outdoors as a lifeguard, due to
increased risk of sun sensitivity. ✅
,After receiving a fentanyl (Duragesic) patch, how should the caregiver
assess effectiveness?
Answer: Check the pain rating on the numeric scale to evaluate relief.
✅
A blood culture indicates the need to switch to an IV aminoglycoside,
and the previous broad-spectrum antibiotic was given two hours ago.
What is the appropriate action?
Answer: Administer the first dose of the aminoglycoside promptly,
as directed. ✅
Teaching for a person newly prescribed clozapine (Clozaril) should
include what precaution?
Answer: Rise slowly from lying or sitting positions to prevent
dizziness. ✅
A person is prescribed nitroglycerin tablets. What teaching should be
included for safe use?
Answer: Place a tablet under the tongue as needed every 5 minutes,
up to 3 doses for chest pain. ✅
Which side effects should be monitored in a person receiving
dexamethasone after neurosurgery?
Answer: Mood swings, weight gain, delayed wound healing, and low
hemoglobin should be observed. ✅
,A person prescribed sulfisoxazole for a urinary tract infection reports
nausea and stomach upset. Which finding should be reported
immediately?
Answer: Rash may indicate an allergic reaction and requires prompt
attention. ✅
Teaching for someone receiving sildenafil (Viagra) should include
which instructions?
Answer: Take 30–60 minutes before sexual activity, report rebound
priapism lasting 4 hours or mAn individual receives an injection of
medroxyprogesterone acetate (Depo-Provera). Which effect should
the caregiver inform the individual is commonly expected?
Answer: Vaginal bleeding or spotting may occur as a normal side
effect. ✅
A person undergoing chemotherapy is prescribed ondansetron
(Zofran). Which side effect should be included in teaching?
Answer: Headache is a common adverse effect of the medication. ✅
An individual is diagnosed with peptic ulcer disease caused by
Helicobacter pylori. Which medications should the caregiver anticipate
the doctor prescribing?
Answer: Clarithromycin, omeprazole, and metronidazole are
commonly prescribed to eradicate the infection. ✅
Before giving esomeprazole for gastroesophageal reflux disease, which
history finding should prompt the caregiver to hold the medication and
notify the doctor?
, Answer: Current treatment for deep vein thrombosis requires
medication review. ✅
Which signs might indicate chronic salicylate intoxication in an adult?
Answer: Tinnitus and hearing loss are classic indicators. ✅
A person is prescribed tetracycline (Sumycin). Which instruction
should be provided for safe administration?
Answer: Avoid dairy products for 2 hours after taking the
medication to ensure proper absorption. ✅
An individual experiencing ventricular dysrhythmias after a
myocardial infarction is admitted to the ICU. Which medication is
likely to be prescribed?
Answer: Amiodarone is used to manage ventricular arrhythmias. ✅
A person diagnosed with depression has been started on phenelzine
(Nardil), an MAOI. What important lifestyle or dietary habits should be
checked before giving the medication?
Answer: Verify whether the individual consumes alcohol or foods high
in tyramine, since these can trigger dangerous reactions. ✅
When giving haloperidol 0.5 mg IM for the first time as needed, which
acute side effect should be monitored?
Answer: Watch for dystonia, which is involuntary muscle contractions
that can occur suddenly. ✅
