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Chapter 5. Prescriptions and Labels
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse notes orders for lorazepam (Ativan) 1 mg PO qhs prn. Which action by the nurse is best?
A. | Give the client 1 mg at noon each day. |
B. | Ask the client at bedtime if he/she would like to take an Ativan. |
C. | Schedule the Ativan daily with breakfast. |
D. | Instruct the client to ask for Ativan any time it is needed. |
____ 2. The following order is written for a 28-year-old client with asthma, “Budesonide nasal (Pulmicort) 2 sprays each nostril bid.” The nurse will instruct the client to take this medication:
A. | Once daily with two sprays in each nostril |
B. | Once each evening with one spray in each nostril |
C. | One spray in each nostril twice daily |
D. | Two sprays in each nostril two times each day |
____ 3. A client with Alzheimer’s disease is started on donepezil (Aricept) 10 mg PO qhs. The nurse will administer this medication at:
A. | 6 p.m. |
B. | 6 a.m. |
C. | 9 p.m. |
D. | 9 a.m. |
____ 4. A client with diabetes mellitus is ordered sliding scale insulin glulisine (Apidra) 2 to 10 units ac and hs based on blood glucose results. The nurse will need to check the client’s blood sugar:
A. | Before each meal and at bedtime |
B. | Fasting in the morning and again at bedtime |
C. | Just before breakfast and again at dinner |
D. | After each meal |
____ 5. A neighbor calls the nurse saying, “This bottle of infant acetaminophen (Tylenol) doesn’t have a dropper; it has a little cup. How do I know how much to give to my 3-month-old daughter?” Which response by the nurse is best?
A. | “How much did you give your three-year-old son when he was a baby?” |
B. | “Read the label on the back of the box to find the strength and recommended dosage.” |
C. | “Why do you need to give the baby Tylenol?” |
D. | “Tylenol is no longer given to infants or children.” |
____ 6. While caring for a client being sent home with a prescription for oxycodone and acetaminophen (Percocet), the nurse must caution the client to avoid which of the following?
A. | Eye drops or medications causing pupil constriction |
B. | Alcoholic beverages and grapefruit juice |
C. | Cold remedies and other products containing Tylenol |
D. | Fiber laxatives and other stool softeners |
____ 7. An 18-year-old patient calls a physician’s office to request a refill for birth control pills. Which response by the nurse is best?
A. | “The physician must see you at least every 6 months to provide prescription refills.” |
B. | “If you’ve been seen by the doctor in the last year, a prescription refill can be called to your pharmacy.” |
C. | “All birth control medications require a hand-written prescription, so you will need to pick this up at the desk at your convenience.” |
D. | “Are you sexually active?” |
____ 8. The nurse is providing care for a client who is taking dulasteride (Avodart) for benign prostatic hypertrophy (BPH). The client’s prescription reads, “Take daily by mouth.” Thirty pills have been dispensed and the prescription allows for five refills. The nurse anticipates seeing the client again in:
A. | 1 month |
B. | 3 months |
C. | 6 months |
D. | 1 year |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 1. The nurse notes a prescription for eletriptan (Relpax) to be taken prn for migraine headaches. What additional information would the nurse expect to see on the prescription bottle? (Select all that apply.)
A. | Picture of the medication |
B. | Drug dosage |
C. | Physician DEA number |
D. | Subscription information |
E. | Client’s name and address |
F. | Pharmacy contact information |
____ 2. A 34-year-old patient recovering from a motor vehicle accident is receiving physical therapy. The client has been prescribed metaxalone (Skelaxin) 800 mg tablet qid. Which of following directions or warning labels would the nurse expect to see on the prescription label? (Select all that apply.)
A. | Avoid alcoholic beverages when taking this medication |
B. | Take four times each day |
C. | Take three times a day with meals |
D. | May cause drowsiness or dizziness |
E. | Shake well |
Chapter 5. Prescriptions and Labels
Answer Section
MULTIPLE CHOICE
1.ANS:BPTS:1DIF:Moderate
TOP: Therapeutic Classification: Antianxiety agents KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Medication Labels/Abbreviations (p. 70): PO means the medication is given orally; prn means it is given as needed/desired; qhs means given at bedtime.
2.ANS:DPTS:1DIF:Moderate
TOP: Therapeutic Classification: Asthma medications KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT:See Medication Labels/Abbreviations (p. 70): Bid stands for twice daily. The prescription is written for 2 sprays in each nostril.
3.ANS:CPTS:1DIF:Easy
TOP: Therapeutic Classification: Alzheimer’s agents KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Medication Labels/Abbreviations (p. 70): Qhs means at bedtime.
4.ANS:APTS:1DIF:Moderate
TOP: Therapeutic Classification: Antidiabetic agents KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Medication Labels/Abbreviations (p. 70): Ac means before meals; hs means at bedtime.
5.ANS:BPTS:1DIF:Moderate
TOP: Therapeutic Classification: Pain medications KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Manufacturer Labels and Names (p. 73): Over-the-counter drugs also contain labels or instructions on drug use based on age and weight. Infant Tylenol concentration has recently been changed to match the pediatric dosing, but the product is still safely administered to infants and children.
6.ANS:CPTS:1DIF:Moderate
TOP: Therapeutic Classification: Narcotics KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT:See Manufacturer Labels and Names (p. 73): Over-the-counter medications can interact negatively with prescription drugs. Some cold medications increase the action of sedatives so a person taking both would be sleepier than expected. Percocet is a narcotic. Alcoholic beverages should be avoided but there is no interaction with grapefruit juice. A daily limit of 3 grams of Tylenol is recommended so products containing additional Tylenol should be avoided.
7.ANS:BPTS:1DIF:Moderate
TOP: Therapeutic Classification: Hormonal therapy KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Medication Labels/Abbreviations (p. 69): A prescriber may refill a prescription without asking to see the patient again, especially if the patient has a chronic condition or is taking birth control pills.
8.ANS:CPTS:1DIF:Moderate
TOP: Therapeutic Classification: BPH agents KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Inscription (p. 69): The medication is taken daily and an estimated 6-month supply has been provided (current script plus five refills).
MULTIPLE RESPONSE
1.ANS:B, D, E, FPTS:1DIF:Hard
TOP: Therapeutic Classification: Antimigraine agents KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Medication Labels (p. 71): A pharmacy label will contain the pharmacy contact information, date filled, prescription number, client name, address, prescription directions including drug name, dose, and directions, subscription information including number of pills prescribed and refill information, and the physician’s name and contact information. The DEA number is required on the written, faxed, or phoned-in prescription, but is not necessarily printed on the prescription label. Pictures of the medication can be found in a physician’s desk reference but are not located on the prescription label.
2.ANS:A, B, DPTS:1DIF:Moderate
TOP: Therapeutic Classification: Muscle relaxants KEY: Application
MSC:NCLEX Category: Pharmacological Therapies
NOT: See Medication Labels/Abbreviations (p. 70–71): Qid means four times each day. Metaxalone is a muscle relaxant that can cause drowsiness; clients should avoid alcoholic beverages. There is no need to shake tablets.
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