NCLEX Pharmacology Quiz

1. The nurse gave the client Flexeril for the first time in the doctor's office. The nurse is showing good judgment by allowing the client to drive one mile to his home.

True

False

Flexeril (cyclobenzaprine) is a muscle relaxant that can cause drowsiness, dizziness, and impaired motor coordination. Allowing a client to drive after administering Flexeril for the first time is not advisable, as the client may experience these side effects, which can impair their ability to drive safely. It is important to observe the client's response to the medication before allowing them to operate a vehicle. The nurse should ensure the client has a safe means of transportation home, such as a ride from a family member or friend, to prevent any potential accidents or injuries.

Explanation

Flexeril (cyclobenzaprine) is a muscle relaxant that can cause drowsiness, dizziness, and impaired motor coordination. Allowing a client to drive after administering Flexeril for the first time is not advisable, as the client may experience these side effects, which can impair their ability to drive safely. It is important to observe the client's response to the medication before allowing them to operate a vehicle. The nurse should ensure the client has a safe means of transportation home, such as a ride from a family member or friend, to prevent any potential accidents or injuries.

2. The patient is starting Glucotrol. Which of the following statements made by the client alerts the nurse that more teaching is needed?

I will take this 1/2 hour before meals.

This drug will help regulate my blood sugar.

I will have to monitor my sugar intake.

I can still have beer on the weekends.

The statement "I can still have beer on the weekends" alerts the nurse that more teaching is needed. Alcohol can affect blood sugar levels and can interact with Glucotrol (glipizide), a medication used to control blood sugar in people with type 2 diabetes. Drinking alcohol can increase the risk of hypoglycemia (low blood sugar) and should be consumed with caution. The other statements correctly reflect that Glucotrol should be taken 1/2 hour before meals, it helps regulate blood sugar, and monitoring sugar intake is important. Proper patient education on alcohol consumption is essential for managing diabetes effectively.

Explanation

The statement "I can still have beer on the weekends" alerts the nurse that more teaching is needed. Alcohol can affect blood sugar levels and can interact with Glucotrol (glipizide), a medication used to control blood sugar in people with type 2 diabetes. Drinking alcohol can increase the risk of hypoglycemia (low blood sugar) and should be consumed with caution. The other statements correctly reflect that Glucotrol should be taken 1/2 hour before meals, it helps regulate blood sugar, and monitoring sugar intake is important. Proper patient education on alcohol consumption is essential for managing diabetes effectively.

3. Amiodarone HCL is a(n):___________________drug.

Respiratory

Endocrine

Cardiac

Gastrointestinal

Amiodarone HCL is a cardiac drug used to treat and manage various types of serious arrhythmias, including ventricular tachycardia and ventricular fibrillation. It works by stabilizing the heart's rhythm and ensuring it beats regularly. Amiodarone is not classified as a respiratory, endocrine, or gastrointestinal drug, which are categories related to different bodily systems and conditions. Its primary role is in the cardiovascular system, where it helps control abnormal heart rhythms and improve heart function. Understanding the specific use of amiodarone is crucial for safe and effective patient care in cardiac conditions.

Explanation

Amiodarone HCL is a cardiac drug used to treat and manage various types of serious arrhythmias, including ventricular tachycardia and ventricular fibrillation. It works by stabilizing the heart's rhythm and ensuring it beats regularly. Amiodarone is not classified as a respiratory, endocrine, or gastrointestinal drug, which are categories related to different bodily systems and conditions. Its primary role is in the cardiovascular system, where it helps control abnormal heart rhythms and improve heart function. Understanding the specific use of amiodarone is crucial for safe and effective patient care in cardiac conditions.

4. Which drug should be withheld for a child with suspected Reye syndrome?

Codiene

Amoxicillin

Ibuprofin

Aspirin

Aspirin should be withheld for a child with suspected Reye syndrome because it has been linked to an increased risk of developing the syndrome. Reye syndrome is a rare but serious condition that primarily affects children and teenagers recovering from a viral infection, such as the flu or chickenpox. The use of aspirin during these viral infections has been associated with an increased risk of developing Reye syndrome, which can cause liver and brain damage. Therefore, it is important to avoid giving aspirin to a child with suspected Reye syndrome to prevent further complications.

Explanation

Aspirin should be withheld for a child with suspected Reye syndrome because it has been linked to an increased risk of developing the syndrome. Reye syndrome is a rare but serious condition that primarily affects children and teenagers recovering from a viral infection, such as the flu or chickenpox. The use of aspirin during these viral infections has been associated with an increased risk of developing Reye syndrome, which can cause liver and brain damage. Therefore, it is important to avoid giving aspirin to a child with suspected Reye syndrome to prevent further complications.

5. Dilantin is a(n):______________________medication.

Anti-parkinsonian

Analgesic

Anti-inflammatory

Anti-convulsant

Dilantin (phenytoin) is an anti-convulsant medication used to control seizures in patients with epilepsy. It works by stabilizing the electrical activity in the brain to prevent seizure episodes. Dilantin is not classified as an anti-parkinsonian, analgesic, or anti-inflammatory medication, which are used to treat different conditions such as Parkinson's disease, pain, and inflammation, respectively. Proper management of seizure disorders with Dilantin requires regular monitoring of drug levels and potential side effects to ensure effective and safe treatment.

Explanation

Dilantin (phenytoin) is an anti-convulsant medication used to control seizures in patients with epilepsy. It works by stabilizing the electrical activity in the brain to prevent seizure episodes. Dilantin is not classified as an anti-parkinsonian, analgesic, or anti-inflammatory medication, which are used to treat different conditions such as Parkinson's disease, pain, and inflammation, respectively. Proper management of seizure disorders with Dilantin requires regular monitoring of drug levels and potential side effects to ensure effective and safe treatment.

6. The most commom side effect of Theophylline/Aminophulline is:_______________________

HTN

Tachycardia

Hypernea

Hypernatremia

Tachycardia is the most common side effect of Theophylline/Aminophylline. This medication is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). Tachycardia refers to an abnormally fast heart rate, which can occur as a result of theophylline's stimulant effects on the heart. This side effect is important to monitor, especially in patients with underlying heart conditions, as it can lead to further complications.

Explanation

Tachycardia is the most common side effect of Theophylline/Aminophylline. This medication is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). Tachycardia refers to an abnormally fast heart rate, which can occur as a result of theophylline's stimulant effects on the heart. This side effect is important to monitor, especially in patients with underlying heart conditions, as it can lead to further complications.

7. While administering Mevacor, the nurse should assess the clients _____________.

Electrolytes

Liver function tests

CBC

PTT

While administering Mevacor (lovastatin), the nurse should assess the client's liver function tests. Mevacor, like other statins, can potentially cause liver damage or hepatotoxicity. Monitoring liver enzymes, specifically AST (aspartate aminotransferase) and ALT (alanine aminotransferase), helps ensure the liver is functioning properly and detects any early signs of liver issues. Electrolytes, CBC (Complete Blood Count), and PTT (Partial Thromboplastin Time) are important for other conditions but are not specifically required for monitoring the safety of Mevacor. Regular liver function tests are essential to ensure safe and effective use of this medication in managing cholesterol levels.

Explanation

While administering Mevacor (lovastatin), the nurse should assess the client's liver function tests. Mevacor, like other statins, can potentially cause liver damage or hepatotoxicity. Monitoring liver enzymes, specifically AST (aspartate aminotransferase) and ALT (alanine aminotransferase), helps ensure the liver is functioning properly and detects any early signs of liver issues. Electrolytes, CBC (Complete Blood Count), and PTT (Partial Thromboplastin Time) are important for other conditions but are not specifically required for monitoring the safety of Mevacor. Regular liver function tests are essential to ensure safe and effective use of this medication in managing cholesterol levels.

8. PTT tests should be monitored while the clients is taking:__________________

Coumadin

Aspirin

Vitamin K

Heparin

Heparin is a medication that is commonly used as an anticoagulant, meaning it helps prevent blood clot formation. Monitoring PTT (Partial Thromboplastin Time) tests is important while a client is taking heparin because it helps determine the effectiveness of the medication in preventing blood clots. PTT measures the time it takes for blood to clot, and monitoring it ensures that the heparin dosage is appropriate and the client is receiving the desired therapeutic effect. Therefore, it is necessary to monitor PTT tests while the client is taking heparin.

Explanation

Heparin is a medication that is commonly used as an anticoagulant, meaning it helps prevent blood clot formation. Monitoring PTT (Partial Thromboplastin Time) tests is important while a client is taking heparin because it helps determine the effectiveness of the medication in preventing blood clots. PTT measures the time it takes for blood to clot, and monitoring it ensures that the heparin dosage is appropriate and the client is receiving the desired therapeutic effect. Therefore, it is necessary to monitor PTT tests while the client is taking heparin.

9. When administering Protonix, the nurse would exercise poor judgement when she:_____________

Crushes the tablet

Puts it into a medication dispenser cup

Mixes it with juice

Gives it one hour after a meal

When administering Protonix (pantoprazole), the nurse would exercise poor judgment by crushing the tablet. Protonix is a proton pump inhibitor that is formulated as a delayed-release tablet to ensure it reaches the stomach intact for proper absorption. Crushing the tablet can destroy this coating, leading to reduced effectiveness and potential irritation of the stomach lining. Putting it into a medication dispenser cup, mixing it with juice, or giving it one hour after a meal are all acceptable practices, as they do not interfere with the medication's effectiveness. Administering the medication correctly ensures optimal therapeutic outcomes.

Explanation

When administering Protonix (pantoprazole), the nurse would exercise poor judgment by crushing the tablet. Protonix is a proton pump inhibitor that is formulated as a delayed-release tablet to ensure it reaches the stomach intact for proper absorption. Crushing the tablet can destroy this coating, leading to reduced effectiveness and potential irritation of the stomach lining. Putting it into a medication dispenser cup, mixing it with juice, or giving it one hour after a meal are all acceptable practices, as they do not interfere with the medication's effectiveness. Administering the medication correctly ensures optimal therapeutic outcomes.

10. All of the following are correct regarding Bumex except for:________________

It is a diuretic

Take in the evening

Take in the morning

May cause potassium depletion

Bumex (bumetanide) is a diuretic, and it may cause potassium depletion, so it is important to monitor electrolyte levels. It is recommended to take Bumex in the morning to avoid nocturia (frequent urination at night), which can disturb sleep. Therefore, taking it in the evening would be incorrect. Administering it in the morning helps manage the diuretic effect during the day, reducing the likelihood of sleep disruption due to nighttime urination.

Explanation

Bumex (bumetanide) is a diuretic, and it may cause potassium depletion, so it is important to monitor electrolyte levels. It is recommended to take Bumex in the morning to avoid nocturia (frequent urination at night), which can disturb sleep. Therefore, taking it in the evening would be incorrect. Administering it in the morning helps manage the diuretic effect during the day, reducing the likelihood of sleep disruption due to nighttime urination.

11. Cialis is used to treat:___________________

Cirrhosis

Erythema

Erectile dysfunction

Dermatitis

Cialis (tadalafil) is a medication used to treat erectile dysfunction (ED) by increasing blood flow to the penis to help maintain an erection. It can also be used to treat symptoms of benign prostatic hyperplasia (BPH). Cialis is not used to treat cirrhosis, which is a liver condition, erythema, which refers to redness of the skin, or dermatitis, which is an inflammatory skin condition. Understanding the correct use of Cialis ensures that patients receive the appropriate treatment for their condition and avoid confusion with other medical issues.

Explanation

Cialis (tadalafil) is a medication used to treat erectile dysfunction (ED) by increasing blood flow to the penis to help maintain an erection. It can also be used to treat symptoms of benign prostatic hyperplasia (BPH). Cialis is not used to treat cirrhosis, which is a liver condition, erythema, which refers to redness of the skin, or dermatitis, which is an inflammatory skin condition. Understanding the correct use of Cialis ensures that patients receive the appropriate treatment for their condition and avoid confusion with other medical issues.

12. Teaching regarding Fosamax includes all of the following except:__________________

Can not be taken with other daily medications

Can be taken with Vitamin D

Can be taken before meals with water

Can take with orange juice, tea, or coffee

Fosamax (alendronate) should not be taken with orange juice, tea, or coffee. It must be taken with plain water to ensure proper absorption and reduce the risk of gastrointestinal issues. It should be taken on an empty stomach at least 30 minutes before meals or any other medications. Taking it with other beverages can interfere with its effectiveness. It can be taken with Vitamin D, as this helps with calcium absorption and bone health. Ensuring proper administration of Fosamax is essential for maximizing its benefits and minimizing potential side effects.

Explanation

Fosamax (alendronate) should not be taken with orange juice, tea, or coffee. It must be taken with plain water to ensure proper absorption and reduce the risk of gastrointestinal issues. It should be taken on an empty stomach at least 30 minutes before meals or any other medications. Taking it with other beverages can interfere with its effectiveness. It can be taken with Vitamin D, as this helps with calcium absorption and bone health. Ensuring proper administration of Fosamax is essential for maximizing its benefits and minimizing potential side effects.

13. Ibuprofin can be given to all of the following clients except:______________________

47-year old with a severe headache

20-year old who gave birth two days ago.

16-year old; post appendectomy this morning

68-year old with a sinus infection

Ibuprofen should not be given to a 16-year old who had a post appendectomy this morning due to the risk of bleeding and gastrointestinal complications, which are common concerns with nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, especially post-surgery. For the 47-year old with a severe headache, 20-year old who gave birth two days ago, and 68-year old with a sinus infection, ibuprofen can generally be considered safe if there are no contraindications such as allergies, other medical conditions, or concurrent medications that could interact negatively. Always consult a healthcare provider before administering any medication to ensure safety.

Explanation

Ibuprofen should not be given to a 16-year old who had a post appendectomy this morning due to the risk of bleeding and gastrointestinal complications, which are common concerns with nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, especially post-surgery. For the 47-year old with a severe headache, 20-year old who gave birth two days ago, and 68-year old with a sinus infection, ibuprofen can generally be considered safe if there are no contraindications such as allergies, other medical conditions, or concurrent medications that could interact negatively. Always consult a healthcare provider before administering any medication to ensure safety.

14. The client's blood pressure is 90/56. The nurse should hold which of the client's medications?

Norvasc

Digoxin

Tegretol

Inderol

The nurse should hold Norvasc (amlodipine) if the client's blood pressure is 90/56. Norvasc is a calcium channel blocker used to treat high blood pressure and angina, and administering it when blood pressure is already low could lead to hypotension (abnormally low blood pressure). Digoxin is used for heart conditions and does not directly lower blood pressure, Tegretol (carbamazepine) is an anticonvulsant, and Inderal (propranolol) is a beta-blocker that can also lower blood pressure but is not as directly implicated as Norvasc in this situation. Monitoring blood pressure and withholding medication when necessary ensures patient safety.

Explanation

The nurse should hold Norvasc (amlodipine) if the client's blood pressure is 90/56. Norvasc is a calcium channel blocker used to treat high blood pressure and angina, and administering it when blood pressure is already low could lead to hypotension (abnormally low blood pressure). Digoxin is used for heart conditions and does not directly lower blood pressure, Tegretol (carbamazepine) is an anticonvulsant, and Inderal (propranolol) is a beta-blocker that can also lower blood pressure but is not as directly implicated as Norvasc in this situation. Monitoring blood pressure and withholding medication when necessary ensures patient safety.

15. Intal is a medication used to treat ______________, but may cause dizziness.

Intal is a medication used to treat asthma. It is effective in managing the symptoms of asthma, such as wheezing, shortness of breath, and coughing. However, one of the potential side effects of Intal is dizziness. This means that while it can help alleviate the symptoms of asthma, it may also cause a feeling of lightheadedness or unsteadiness in some individuals. It is important for patients taking Intal to be aware of this potential side effect and to take necessary precautions, such as avoiding activities that require alertness until they know how the medication affects them.

Explanation

Intal is a medication used to treat asthma. It is effective in managing the symptoms of asthma, such as wheezing, shortness of breath, and coughing. However, one of the potential side effects of Intal is dizziness. This means that while it can help alleviate the symptoms of asthma, it may also cause a feeling of lightheadedness or unsteadiness in some individuals. It is important for patients taking Intal to be aware of this potential side effect and to take necessary precautions, such as avoiding activities that require alertness until they know how the medication affects them.

Submit

16. If the client is taking the medication Tegretol, the nurse must be mindful of all of the following except:

Left shoulder/arm pain

Bone marrow supression

Check CBC values

Discontinue the drug slowly

When a client is taking Tegretol (carbamazepine), the nurse must be mindful of bone marrow suppression, check CBC (Complete Blood Count) values, and ensure the drug is discontinued slowly to prevent withdrawal seizures. However, left shoulder/arm pain is not a common concern specifically associated with Tegretol use. Monitoring for bone marrow suppression is crucial because Tegretol can lead to conditions like anemia, leukopenia, or thrombocytopenia. Regular CBC checks help detect these issues early. Gradually tapering the medication prevents adverse effects. Therefore, left shoulder/arm pain is not typically related to Tegretol and is less relevant in this context.

Explanation

When a client is taking Tegretol (carbamazepine), the nurse must be mindful of bone marrow suppression, check CBC (Complete Blood Count) values, and ensure the drug is discontinued slowly to prevent withdrawal seizures. However, left shoulder/arm pain is not a common concern specifically associated with Tegretol use. Monitoring for bone marrow suppression is crucial because Tegretol can lead to conditions like anemia, leukopenia, or thrombocytopenia. Regular CBC checks help detect these issues early. Gradually tapering the medication prevents adverse effects. Therefore, left shoulder/arm pain is not typically related to Tegretol and is less relevant in this context.

17. Which symptom should be monitored for and reported when a client is taking Pravachol?

Unexplained muscle pain

Mild anorexia

Double vision

Constipation

When a client is taking Pravachol, it is important to monitor and report any unexplained muscle pain. Pravachol is a medication that belongs to a group called statins, which are used to lower cholesterol levels. One of the potential side effects of statins is muscle pain or weakness. This symptom should be closely monitored and reported because it could indicate a serious condition called rhabdomyolysis, which is the breakdown of muscle tissue. Prompt reporting of unexplained muscle pain can help healthcare professionals intervene and prevent further complications.

Explanation

When a client is taking Pravachol, it is important to monitor and report any unexplained muscle pain. Pravachol is a medication that belongs to a group called statins, which are used to lower cholesterol levels. One of the potential side effects of statins is muscle pain or weakness. This symptom should be closely monitored and reported because it could indicate a serious condition called rhabdomyolysis, which is the breakdown of muscle tissue. Prompt reporting of unexplained muscle pain can help healthcare professionals intervene and prevent further complications.

18. A client on Crestor must have their _______________ monitored while on this medication.

LDH

AST/ALT

CBC with Diff

Electrolytes

A client on Crestor (rosuvastatin) must have their AST (aspartate aminotransferase) and ALT (alanine aminotransferase) levels monitored while on this medication. These enzymes are indicators of liver function, and monitoring them helps detect potential liver damage or hepatotoxicity, which can be a side effect of statins. LDH (lactate dehydrogenase), CBC with Diff (Complete Blood Count with Differential), and electrolytes are important for other health conditions but are not specifically required for monitoring the safety of Crestor. Regular liver function tests ensure that any liver-related issues are identified and managed promptly.

Explanation

A client on Crestor (rosuvastatin) must have their AST (aspartate aminotransferase) and ALT (alanine aminotransferase) levels monitored while on this medication. These enzymes are indicators of liver function, and monitoring them helps detect potential liver damage or hepatotoxicity, which can be a side effect of statins. LDH (lactate dehydrogenase), CBC with Diff (Complete Blood Count with Differential), and electrolytes are important for other health conditions but are not specifically required for monitoring the safety of Crestor. Regular liver function tests ensure that any liver-related issues are identified and managed promptly.

19. The client is experiencing bronchospasms. Which of the medications should the nurse withhold?

Digoxin

Plavix

Inderal

Zocor

The nurse should withhold Inderal (propranolol) if the client is experiencing bronchospasms. Inderal is a non-selective beta-blocker that can exacerbate bronchospasms because it blocks beta-2 receptors in the lungs, which can lead to constriction of the bronchial muscles. Digoxin is used for heart conditions, Plavix (clopidogrel) is an antiplatelet medication, and Zocor (simvastatin) is a statin for lowering cholesterol. These medications do not directly affect bronchospasm. Holding Inderal in this situation helps prevent worsening respiratory distress and ensures the patient's airway remains as open as possible.

Explanation

The nurse should withhold Inderal (propranolol) if the client is experiencing bronchospasms. Inderal is a non-selective beta-blocker that can exacerbate bronchospasms because it blocks beta-2 receptors in the lungs, which can lead to constriction of the bronchial muscles. Digoxin is used for heart conditions, Plavix (clopidogrel) is an antiplatelet medication, and Zocor (simvastatin) is a statin for lowering cholesterol. These medications do not directly affect bronchospasm. Holding Inderal in this situation helps prevent worsening respiratory distress and ensures the patient's airway remains as open as possible.

20. This is an antiparkinsonian drug that may cause photosensitivity. Teaching involves protecting the eyes in sunlight. The correct drug is:______________________

Amiodorone

Celebrex

Tegretol

Comtan

Comtan (entacapone) is an antiparkinsonian drug used to treat symptoms of Parkinson's disease. One of its side effects is photosensitivity, which means it can make the skin more sensitive to sunlight, potentially causing sunburn or skin reactions. Therefore, patients taking Comtan should be advised to protect their eyes and skin from direct sunlight, wear sunglasses, and apply sunscreen when outdoors. Amiodarone, Celebrex, and Tegretol are used to treat other conditions and are not classified as antiparkinsonian drugs. Proper patient education on managing photosensitivity can help prevent adverse effects and improve treatment outcomes.

Explanation

Comtan (entacapone) is an antiparkinsonian drug used to treat symptoms of Parkinson's disease. One of its side effects is photosensitivity, which means it can make the skin more sensitive to sunlight, potentially causing sunburn or skin reactions. Therefore, patients taking Comtan should be advised to protect their eyes and skin from direct sunlight, wear sunglasses, and apply sunscreen when outdoors. Amiodarone, Celebrex, and Tegretol are used to treat other conditions and are not classified as antiparkinsonian drugs. Proper patient education on managing photosensitivity can help prevent adverse effects and improve treatment outcomes.

21. ____________ is used to prevent strokes; monitor for signs of bleeding and cholestasis.

Ticlid

Pravachol

Lopid

Protonix

Ticlid (ticlopidine) is an antiplatelet drug used to prevent strokes by reducing the risk of blood clots. It works by inhibiting platelet aggregation, which helps maintain blood flow and prevent clot formation. However, Ticlid can cause side effects such as bleeding and cholestasis (a condition where bile flow is impaired). Patients taking Ticlid should be monitored for any signs of bleeding, such as unusual bruising or bleeding gums, and symptoms of cholestasis, including jaundice and dark urine. Pravachol (pravastatin) is a cholesterol-lowering drug, Lopid (gemfibrozil) is used to reduce cholesterol and triglycerides, and Protonix (pantoprazole) is a proton pump inhibitor for acid-related stomach issues.

Explanation

Ticlid (ticlopidine) is an antiplatelet drug used to prevent strokes by reducing the risk of blood clots. It works by inhibiting platelet aggregation, which helps maintain blood flow and prevent clot formation. However, Ticlid can cause side effects such as bleeding and cholestasis (a condition where bile flow is impaired). Patients taking Ticlid should be monitored for any signs of bleeding, such as unusual bruising or bleeding gums, and symptoms of cholestasis, including jaundice and dark urine. Pravachol (pravastatin) is a cholesterol-lowering drug, Lopid (gemfibrozil) is used to reduce cholesterol and triglycerides, and Protonix (pantoprazole) is a proton pump inhibitor for acid-related stomach issues.

22. Lopid should best be taken:

On an empty stomach

On a full stomach

1/2 hour before meals

In the morning, before meals

Lopid (gemfibrozil) should best be taken 1/2 hour before meals. This timing helps optimize the drug's absorption and effectiveness in lowering triglyceride levels and improving cholesterol profiles. Taking Lopid on an empty stomach or a full stomach may not provide the same absorption efficiency, and taking it specifically in the morning before meals ensures it is properly timed to work throughout the day. It is essential for patients to follow this dosing schedule to achieve the best therapeutic outcomes and manage their lipid levels effectively. Always follow specific instructions provided by healthcare providers.

Explanation

Lopid (gemfibrozil) should best be taken 1/2 hour before meals. This timing helps optimize the drug's absorption and effectiveness in lowering triglyceride levels and improving cholesterol profiles. Taking Lopid on an empty stomach or a full stomach may not provide the same absorption efficiency, and taking it specifically in the morning before meals ensures it is properly timed to work throughout the day. It is essential for patients to follow this dosing schedule to achieve the best therapeutic outcomes and manage their lipid levels effectively. Always follow specific instructions provided by healthcare providers.

23. All is correct regarding Nexium except for:____________________

Used to treat GERD

Do not chew

May be taken with other antacids

Should not be taken with other antacids

All of the statements regarding Nexium (esomeprazole) are correct except for "Should not be taken with other antacids." Nexium is used to treat GERD (gastroesophageal reflux disease) and is designed to be swallowed whole, not chewed, to ensure its effectiveness. It may be taken with other antacids if additional relief from heartburn or acid indigestion is needed, as there are no contraindications for combining these medications. The statement "Should not be taken with other antacids" is incorrect, making it necessary for further clarification. Combining Nexium with antacids can be part of a comprehensive approach to managing GERD symptoms.

Explanation

All of the statements regarding Nexium (esomeprazole) are correct except for "Should not be taken with other antacids." Nexium is used to treat GERD (gastroesophageal reflux disease) and is designed to be swallowed whole, not chewed, to ensure its effectiveness. It may be taken with other antacids if additional relief from heartburn or acid indigestion is needed, as there are no contraindications for combining these medications. The statement "Should not be taken with other antacids" is incorrect, making it necessary for further clarification. Combining Nexium with antacids can be part of a comprehensive approach to managing GERD symptoms.

24. A client with a history of seizure disorders has just been ordered Wellbutrin to quit smoking. The nurse is acting appropriately by referring the client to a smoking cessation class.

True

False

The nurse should reconsider the appropriateness of Wellbutrin (bupropion) for a client with a history of seizure disorders. Wellbutrin is known to lower the seizure threshold, increasing the risk of seizures, particularly in individuals with a history of seizures. Instead of simply referring the client to a smoking cessation class, the nurse should inform the prescribing physician about the client's seizure history. An alternative smoking cessation method should be considered to ensure the client's safety. Proper evaluation and alternative recommendations are essential in managing the client's condition without exacerbating seizure risks.

Explanation

The nurse should reconsider the appropriateness of Wellbutrin (bupropion) for a client with a history of seizure disorders. Wellbutrin is known to lower the seizure threshold, increasing the risk of seizures, particularly in individuals with a history of seizures. Instead of simply referring the client to a smoking cessation class, the nurse should inform the prescribing physician about the client's seizure history. An alternative smoking cessation method should be considered to ensure the client's safety. Proper evaluation and alternative recommendations are essential in managing the client's condition without exacerbating seizure risks.

25. Prozac can potentiate the effects of the following medications except:

Heparin

Digoxin

Valium

Coumadin

Prozac (fluoxetine), a selective serotonin reuptake inhibitor (SSRI), can potentiate the effects of Heparin, Valium (diazepam), and Coumadin (warfarin) due to its interaction with these medications, potentially increasing the risk of bleeding with Heparin and Coumadin, and sedation or respiratory depression with Valium. However, Prozac does not significantly potentiate the effects of Digoxin, a medication used to treat heart conditions such as atrial fibrillation and heart failure. It is important to monitor for drug interactions to avoid adverse effects and ensure safe and effective use of all medications.

Explanation

Prozac (fluoxetine), a selective serotonin reuptake inhibitor (SSRI), can potentiate the effects of Heparin, Valium (diazepam), and Coumadin (warfarin) due to its interaction with these medications, potentially increasing the risk of bleeding with Heparin and Coumadin, and sedation or respiratory depression with Valium. However, Prozac does not significantly potentiate the effects of Digoxin, a medication used to treat heart conditions such as atrial fibrillation and heart failure. It is important to monitor for drug interactions to avoid adverse effects and ensure safe and effective use of all medications.