Shadow Health Questions.

Shadow Health Questions

A21patient21has21been21given21a21new21prescription21for21warfarin.21Which21statement21i
ndicates21the21need21for21additional21teaching?

-21I21will21use21a21soft21toothbrush21while21taking21this21medication
-21I21can21eat21moderate21amounts21of21foods21with21vitamin21K21on21a21regular21basis
-21I21should21report21unusual21bleeding21to21my21doctor
-
21I21can21keep21taking21a21daily21aspirin21to21protect21against21heart21disease21(Correct2
1Response)21-21answer---
21I21can21keep21taking21a21daily21aspirin21to21protect21against21heart21disease21


Aspirin21increases21the21effect21of21warfarin21and21may21cause21a21higher21risk21of21ble
eding;21the21patient21should21not21take21aspirin21while21on21warfarin21therapy.21All21othe
r21statements21are21consistent21with21safe21use21of21warfarin.

What21is21the21nurse's21priority21assessment21for21a21patient21receiving21heparin21treat
ment?

-21Assess21for21elevated21liver21enzymes
-21Assess21for21inflammation21at21the21injection21site
-21Assess21for21bruising21or21unusual21bleeding
-21Assess21aPTT21levels21-21answer---21Assess21for21bruising21or21unusual21bleeding

While21all21options21are21relevant21assessments,21bruising21or21unusual21bleeding21can2
1be21a21life21threatening21adverse21effect21of21heparin21treatment,21and21therefore21nee
ds21to21be21the21nurse's21priority.

A21patient21who21has21been21receiving21oxycodone21therapy21for21chronic21pain21report
s21no21relief21after21a2110mg21dose.21The21patient21is21exhibiting:

-21Opioid21addiction
-21Opioid21tolerance21
-21Drug-seeking21behaviour
-21Paradoxical21CNS21stimulation21-21answer---21Opioid21tolerance21

Prolonged21use21of21opioid21therapy21can21lead21to21tolerance,21where21a21patient21requ
ires21a21higher21dose21of21the21drug21to21achieve21an21analgesic21effect.

Which21meal21choice21exhibits21a21lack21of21understanding21of21atorvastatin's21drug-
food21interactions?

, -21Orange21juice,21banana,21and21toast
-21Grapefruit21juice21and21yogurt21
-21Orange21juice,21bacon,21and21eggs
-21Coffee21and21croissant21-21answer---21Grapefruit21juice21and21yogurt

Grapefruit21juice21is21contraindicated21for21patients21on21statin21therapy21and21it21may21i
ncrease21drug21levels21in21the21blood21and21increase21the21likelihood21of21rhabdomyolys
is.21None21of21the21other21choices21interact21harmfully21with21atorvastatin.

Which21statement21indicates21that21the21patient21understood21the21nurse's21discharge21i
nformation21about21his21albuterol21inhaler?

-21I21should21use21this21inhaler21five21minutes21after21my21beclomethasone21inhaler
-21I21should21use21this21inhaler21regularly21to21manage21my21asthma
-21I21should21use21this21inhaler21when21I21am21having21an21acute21attack
-21I21should21use21this21inhaler21to21reduce21inflammation21in21my21airways21-21answer---
21I21should21use21this21inhaler21when21I21am21having21an21acute21attack


Inhaled21albuterol21is21a21rescue21medication21that21reduces21bronchoconstriction21that2
1is21present21during21acute21attacks;21it21has21no21effect21on21inflammation.


A21patient21is21taking21promethazine21for21nausea21and21oxycodone21for21pain.21What21i
s21the21nurse's21priority21assessment?

-21Assess21for21breakthrough21pain
-21Assess21sedation21level21
-21Assess21for21constipation
-21Assess21for21dizziness21-21answer---21Assess21sedation21level

The21nurse21must21assess21sedation21level21as21the21additive21sedative21effect21when21
promethazine21and21oxycodone21are21administered21together21can21lead21to21life-
threatening21respiratory21depression.21The21other21side21effects21do21not21pose21immedi
ate21risk21and21are21therefore21lower-priority21assessments.

Which21information21is21essential21to21include21when21educating21the21patient21about21cl
indamycin?

-21Clindamycin21is21primarily21bacteriostatic
-21Clindamycin21should21be21continued21even21when21feeling21better21
-21Clindamycin21can21be21given21to21patients21with21penicillin21sensitivities
-21Clindamycin21can21cause21a21harmless21bitter21taste21-21answer---
21Clindamycin21should21be21continued21even21when21feeling21better