Lehne’s Pharmacotherapeutics For Advanced
Practice Nurses And Physician Assistants
Questions And Verified Answers
Which are effective ways to help prevent medication errors? Select
all that apply.
-Answer:-
a. Developing non-punitive approaches to track errors
c. Helping patients to be active, informed members of the healthcare
team
e. Using electronic medical order entry systems
A patient is taking a drug that has known toxic side effects. What
will the nurse do?
-Answer:-
c. Monitor the function of all organs potentially affected by the drug.
,A patient is being discharged after surgery. During the admission
history, the nurse learned that the patient normally consumes two
or three glasses of wine each day. The prescriber has ordered
hydrocodone with acetaminophen [Lortab] for pain. What will the
nurse do?
-Answer:-
c. Tell the patient not to drink wine while taking Lortab.
Which actions occur in 90% of fatal medication errors? Select all
that apply.
-Answer:-
b. Giving a drug intravenously instead of intramuscularly
c. Giving Nasarel instead of Nizoral
e. Writing a prescription illegibly
A nurse is caring for a woman with breast cancer who is receiving
tamoxifen. A review of this patient's chart reveals a deficiency of the
CYP2D6 gene. The nurse will contact the provider to suggest:
,-Answer:-
a. a different medication.
Which groups of people are especially sensitive to medication
effects? Select all that apply.
-Answer:-
a. Older adults
c. Infants
A post-operative patient who is worried about pain control will be
discharged several days after surgery. The nurse providing
discharge teaching tells the patient that the prescribed Lortab is not
as strong as the morphine the patient was given in the immediate
post-operative period. Which response is the patient likely to
experience?
-Answer:-
b. A negative placebo effect when taking the medication
, A patient has been taking narcotic analgesics for chronic pain for
several months. The nurse caring for this patient notes that the
prescribed dose is higher than the recommended dose. The patient
has normal vital signs, is awake and alert, and reports mild pain.
What does the nurse recognize about this patient?
-Answer:-
c. This patient has developed pharmacodynamic tolerance, which
has increased the minimal effective concentration (MEC) needed for
analgesic effect.
A patient asks a nurse why a friend who is taking the same drug
responds differently to that drug. The nurse knows that the most
common variation in drug response is due to differences in each
patient's:
-Answer:-
c. metabolism of drugs.
Practice Nurses And Physician Assistants
Questions And Verified Answers
Which are effective ways to help prevent medication errors? Select
all that apply.
-Answer:-
a. Developing non-punitive approaches to track errors
c. Helping patients to be active, informed members of the healthcare
team
e. Using electronic medical order entry systems
A patient is taking a drug that has known toxic side effects. What
will the nurse do?
-Answer:-
c. Monitor the function of all organs potentially affected by the drug.
,A patient is being discharged after surgery. During the admission
history, the nurse learned that the patient normally consumes two
or three glasses of wine each day. The prescriber has ordered
hydrocodone with acetaminophen [Lortab] for pain. What will the
nurse do?
-Answer:-
c. Tell the patient not to drink wine while taking Lortab.
Which actions occur in 90% of fatal medication errors? Select all
that apply.
-Answer:-
b. Giving a drug intravenously instead of intramuscularly
c. Giving Nasarel instead of Nizoral
e. Writing a prescription illegibly
A nurse is caring for a woman with breast cancer who is receiving
tamoxifen. A review of this patient's chart reveals a deficiency of the
CYP2D6 gene. The nurse will contact the provider to suggest:
,-Answer:-
a. a different medication.
Which groups of people are especially sensitive to medication
effects? Select all that apply.
-Answer:-
a. Older adults
c. Infants
A post-operative patient who is worried about pain control will be
discharged several days after surgery. The nurse providing
discharge teaching tells the patient that the prescribed Lortab is not
as strong as the morphine the patient was given in the immediate
post-operative period. Which response is the patient likely to
experience?
-Answer:-
b. A negative placebo effect when taking the medication
, A patient has been taking narcotic analgesics for chronic pain for
several months. The nurse caring for this patient notes that the
prescribed dose is higher than the recommended dose. The patient
has normal vital signs, is awake and alert, and reports mild pain.
What does the nurse recognize about this patient?
-Answer:-
c. This patient has developed pharmacodynamic tolerance, which
has increased the minimal effective concentration (MEC) needed for
analgesic effect.
A patient asks a nurse why a friend who is taking the same drug
responds differently to that drug. The nurse knows that the most
common variation in drug response is due to differences in each
patient's:
-Answer:-
c. metabolism of drugs.
