Medication Safety 3rd Edition, (2023) By M.
Linda Workman & Linda
b
The nurse is giving a bisphosphonate calcium drug to a patient. What is
the action of this drug?
a) Adds additional calcium to the bones
b) Prevents bones from losing calcium
c) Redirects calcium to bones needed for support
d) Decreases bone density so calcium can enter the bones
a
The nurse is discharging a patient who has a prescription for allopurinol.
What teaching point is most important for the nurse to provide the
patient?
a) Take it after a full meal.
b) Limit daily fluid intake to (2) 8-ounce glasses a day.
c) Do not take with grapefruit juice.
d) 100 mg po daily is prescribed and increased by 100 mg weekly until
serum uric acid levels are reduced to 12 mg/dL or lower.
d
The nurse is giving a patient an osteoporosis drug. What drug is
prescribed to treat severe osteoporosis in patients for whom other
treatments have not been effective?
a) Bisphosphonates
,b) Calcium supplements
c) Estrogen agonists/antagonists
d) Osteoclast monoclonal antibodies
c
The nurse is preparing to administer denosumab (Prolia) 60 mg
subcutaneously (sc) to a patient. What is the most important intervention
the nurse should take with the administration of this injection?
a) Make sure emergency equipment is nearby.
b) Use the opposite arm each time the injection is administered.
c) Assess for any allergic reaction during and after the injection.
d) Make sure the injection site is not red and irritated after injection.
b,c,f
The nurse is administering a drug to a patient with arthritis. What are the
specific classes of drugs used to manage arthritis? (select all that apply)
Select all that apply.
a) Vitamins
b) Pain control
c) Hyperuricemia
d) Antibiotics
e) Calcium supplements
f) Anti-inflammatory drugs
b
The nurse is administering a uric acid synthesis inhibitor to a patient.
What is the action of this class of drug?
,a) Removes uric acid crystals from the kidneys.
b) Reduces an enzyme needed to convert purines into uric acid.
c) Decreases calcium levels in the blood preventing conversion to purines.
d) Inhibits the formation of nitric acid that can be converted to uric acid.
a,b,c,d
The nurse is admitting a patient with a diagnosis of arthritis. What
different types of arthritis are there? (select all that apply)
Select all that apply.
a) Osteoarthritis
b) Gouty arthritis
c) Psoriatic arthritis
d) Rheumatoid arthritis
e) Ligamentous arthritis
f) Inflammatory arthritis
b
The nurse is giving a muscle relaxant to a patient. What class of skeletal
muscle relaxant drug is similar in structure to tricyclic antidepressants?
a) carbamates
b) cyclobenzaprines
c) benzodiazapines
d) non-steroidal anti-inflammatory
a,d,f,g
Which drugs belong to the bisphosphonate class? Select all that apply
a) alendronate (Fosamax)
, b) denosumab (Prolia)
c) estrogen/bazedoxifene (Duavee)
d) ibandronate (Boniva)
e) reraloxifene (Evista)
f) risedronate (Actonel)
g) zoledronic acid (Reclast)
c
Which class of drugs to treat osteoporosis is most likely to cause a severe
allergic or hypersensitivity reaction?
a) bisphonates
b) estrogen agonists/antagonists
c) monoclonal antibodies
d) nutritional supplements
c
Which class of drugs is most effective at reducing episodes of gouty
arthritis?
a) anti-inflammatories
b) opiods or narcotics
c) uric acid synthesis inhibitors
d) disease-modifying antirheumatic drugs
b
For which condition or health problem is a contraindication for the use of
rasburicase (Elitek)?
a) osteoporosis