Question

S.A 22-year-old client calls the clinic and tells the nurse that she has been depressed and is thinking about taking St. John's wort but wants to know if it is safe first. The nurse has encouraged the client to discuss this with the provider. What component of the client's drug regimen should the nurse identify as a high risk for interaction? A) Diphenhydramine B) Acetaminophen with codeine C) Doxycycline D) Estradiol/levonorgestrel 6. A client tells the clinic nurse that he or she has been taking an over-the-counter (OTC) antacid to relieve acid indigestion daily for several months. This is the first time the client has ever reported this medication use to a health care provider. What health education should the nurse provide to the client? A) "In future, let your provider know, because it could be that you could get an oloequivalent prescription that would be covered by insurance." B) "There's a possibility that the drug could mask symptoms of a serious problem that could remain undiagnosed." C) "Unsupervised use of OTC antacids often leads to a rebound effect, with worsening goindigestion." D) "Ensure that you keep your provider up to date on your mediation use so there aren't any unanticipated interactions." bn boss o cil n omos bne noiinoo 00 0 nusms namuso 7. To what client should the nurse most expect to administer a drug for an off-label use? iA) A client who has a history of not adhering to prescribed therapy A 44-year-old client with type 1 diabetes C) A 31-year-old client in the third trimester of pregnancy D) A 79-year-old male client who lives independently fob 52 B) nbes10 braA manosiod Juoda 8. A client calls the clinic and asks the nurse for a drug that was advertised on TV. The client is keen to experience the benefits described in the commercial. What is the client's eabobest response? o a0 ow stsdab dtivr tis evA) "Tm glad that you want to be involved in treatment decisions but you are not qualified to decide what medications are best for your condition." B) "It's important to remember that drug advertisements emphasize the positive effects of drug therapy and not the adverse effects or contraindications."4 C) "You need to remember that the drugs being advertised are much more expensive than other drugs that have the same effect and that aren't advertised D) "I've seen those advertisements and I would want to take that medication too if I had the condition it was designed nizasees epTun to treat.

Answer 1

5. A 22-year-old client calls the clinic and tells the nurse that she has been depressed and is thinking about taking St.Johns wort but wants to know if it is safe first. The nurse has to encourage the client to discuss this with the provider. What component of the client's drugs regimen should the nurse identify as a high risk for interaction?

St. John's wort can interact with oral contraceptives that alter drug metabolism, which can decrease the effectiveness of the contraceptive. Analgesics, antibiotics, and antihistamines can be taken in combination with St. John's wort without known adverse effects.

D.Estradiol/Levonorgestrel

6. A client tells the clinic nurse that or she has been taking an over-the-counter (OTC) antacid to relieve acid indigestion daily for several months. This is the first time the client has ever reported this medicine use to a health care provider. What health education should the nurse provide to the client?

OTC drugs allow patients to self-diagnose and treat routine signs and symptoms without seeing a health care provider. This self-prescribed treatment, however, could mask a more serious underlying medical problem and result in a poor outcome for the patient. The issues of drug rebound and drug interaction need to be considered, but the safety issue related to self-diagnosis and self-prescription presents the greatest risk to the patient. Patients should always be encouraged to discuss the use of OTC products with their health care provider.

D) Ensure that you keep your provider up to date on your medications use so there aren't any anticipated interactions

7. To what client should the nurse most expect to administer a drug for an off-label use?

Drugs being used for an off-label purpose are commonly prescribed for pediatric and geriatric populations due to the lack of drug trial information and minimal premarket testing. Often a trial-and-error method is used in treating both the pediatric and geriatric populations when only adult information is known. The geriatric population responds to medication more like children because of their decreased ability to metabolize medications. Adolescents, especially later adolescents, use medications similarly to young adults as do middle-aged adults. Patients with different diagnoses are often involved in drug testing including those with diabetes and heart disease. Drugs are discouraged for use in obstetric patients.

D) A 79-year-old male client who lives independently

8. A patient calls the clinic and asks to speak to a nurse. The patient questions the nurse about the use of a drug that was advertised on TV. The client is keen to experience the benefits described in the commercial. What is the clients best response?

It would be important for the nurse to remind the patient that advertisements always emphasize the positive effects of drug therapy. The patient should not be discouraged from contributing to the plan of care by being told she is not adequately qualified to make decisions because no one is more qualified to make decisions about her own body. Although the drug may be more expensive, this is not a reason to choose or avoid a medication that could be more effective. Agreeing with the patient is not meeting the nurse's obligation to teach and inform.

B). "It's important to remember that drug advertisements emphasize the positive effects of drug therapy and not the adverse effects or contraindications."