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A series of exam questions and answers related to pharmacology, focusing on drug interactions, off-label use, and patient education. It explores the influence of media and alternative therapies on patient approaches to healthcare providers, emphasizing the importance of comprehensive patient assessment and education regarding medication use, including potential interactions with herbal supplements and over-the-counter drugs. The questions cover topics such as alcohol-related behaviors, substance abuse, and the nurse's role in ensuring patient safety when using medications for off-label purposes. This resource is valuable for students studying pharmacology and healthcare professionals seeking to enhance their knowledge of medication management and patient care. It highlights the need for healthcare providers to stay informed about the latest trends in medication use and to provide accurate, understandable information to patients.
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The nurse is assessing a client with diabetes who reports several hypoglycemic episodes during the past 3 weeks. What assessment question best addresses a potential causative factor? - Correct Answers: Have you been taking any ginseng supplements? What action should the nurse take when identifying that a client regularly self-medicates with herbal supplements? - Correct Answers: Notify the healthcare provider of the client's use of herbs. A client reports that taking St. John's wort. When reviewing the client's medication history, what would be a cause of concern? - Correct Answers: Digoxin A client states that "If my boss finds out I am using drugs again, I will lose my job." This is an example of what type of alcohol-related behavior? - Correct Answers: Physical dependence A client is experiencing acute alcohol withdrawal. What medication does the nurse anticipate the prescriber to order? - Correct Answers: chlordiazepoxide Off-label use refers to uses of a drug that are not part of the stated therapeutic indications for which the drug was approved by the FDA. When a nurse is using a medication for its off label use, the nurse should be very cognizant of certain factors in order to ensure patient safety. Select all that apply. - Correct Answers: Clear about the intended use Why the drug is being given Its potential for problems Access to information has become so broad over the last decade that consumers are often overwhelmed with details, facts, and choices that affect their health care. What factors have influenced how a client approaches the health care provider when it comes to prescriptions? Select all that apply. - Correct Answers: Internet
alternative therapy media In the past 20 years, the marketing power for prescription drugs has grown. Because of this, the health care provider must be aware of: - Correct Answers: what clients are seeing about these drugs Clients often do not mention the use of alternative therapies to the health care provider. Which is a likely reason they do not discuss alternative therapies? Select all that apply. - Correct Answers: -Clients fear that the health care provider will not approve of any alternative therapies. -Clients think that if a product is "natural," including it in a list of medications does not make sense. How should the nurse best assess the client for physical dependence on alcohol? - Correct Answers: Assess the client for signs and symptoms of alcohol withdrawal. What assessment should the nurse perform prior to administering pharmacologic treatments prescribed for a client diagnosed with cocaine-induced psychosis? - Correct Answers: Cardiovascular assessment The nurse caring for a client suspected of ketamine abuse should focus on what characteristic behavior?