A nurse needs to check the labeled dosing and administration guidance for a medication. In the section titled “Dosage and ,” what word completes the heading?
5 Contraindications and Medication Risk Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Contraindications and Medication Risk, test your knowledge, and prepare for your next test or exam.
A patient who may be pregnant asks about a newly prescribed medication. The nurse should advise the patient to stop all prescribed medicines until pregnancy status is confirmed.
- A
True
- B
False
A patient reports regularly consuming a food that may interact with a prescribed medicine. Which prescribing-information section should the nurse check for interaction guidance?
True or false: A risk listed under a medication’s Warnings and Precautions section automatically prohibits giving the medication.
- A
True
- B
False
A contraindication is a situation in which the risk clearly outweighs the potential of treatment.
A medication’s Contraindications section lists a condition documented in the patient’s history, and the dose is due now. What is the best nursing action?
- A
Administer the dose and monitor for a reaction.
- B
Hold the dose and promptly clarify the order with the prescriber or pharmacist.
- C
Reduce the dose and administer it.
- D
Ask the patient to decide whether the listed risk is acceptable.
A patient with impaired kidney function has a new medication order. What should the nurse do before the first dose?
- A
Verify that kidney function and the medication’s renal dosing guidance have been reviewed; clarify the order if needed.
- B
Assume the standard dose is safe because a prescription was written.
- C
Increase the interval between doses without consulting the prescriber.
- D
Tell the patient to skip the medication until the next appointment.
A patient who may be pregnant asks whether a newly prescribed medication is safe. What is the best response?
- A
Reassure the patient that prescribed medicines are safe during pregnancy.
- B
Tell the patient to stop every medication immediately.
- C
Verify the medication-specific pregnancy information and consult the prescriber or pharmacist before advising about starting, stopping, or changing it.
- D
Recommend an herbal product instead.
During medication reconciliation, a patient reports using several kinds of products. Which items should be included in the medication history? Select all that apply.
- A
Include prescription medicines in the medication history.
- B
Record only prescribed medicines because other products are not relevant.
- C
Include over-the-counter medicines in the medication history.
- D
Tell the patient to stop all supplements permanently.
- E
Include vitamins and herbal or dietary supplements in the medication history.
A patient regularly drinks grapefruit juice, and the information for one of the patient’s medicines warns against grapefruit. Which actions are appropriate? Select all that apply.
- A
Assume grapefruit affects every medicine in the same drug class.
- B
Check the guidance for the specific medication.
- C
Tell the patient to stop all prescribed medicines.
- D
Consult the pharmacist or prescriber about the interaction and appropriate next steps.
A patient assumes that a grapefruit warning for one medication applies to every medicine in that drug class. Which response best corrects this assumption?
- A
Grapefruit affects every medicine in the same drug class.
- B
Grapefruit affects some medicines, so the specific medication guidance should be checked.
- C
Grapefruit cannot interact with medicines because it is a food.
- D
Anyone who drinks grapefruit juice should stop all prescribed medicines.
Shortly after a medication infusion begins, a patient develops facial or tongue swelling, wheezing, and difficulty breathing. What is the priority response?
- A
Slow the infusion and reassess after a delay.
- B
Stop the suspected medication, activate the emergency response, and follow the anaphylaxis protocol.
- C
Give an oral antihistamine and wait to see whether breathing improves.
- D
Document the symptoms and continue the infusion.
Which prescribing-information section should a nurse consult for a medication’s labeled dosing guidance?
A nurse reviewing a medication order finds that the patient has a condition mentioned in the medication’s Contraindications section. For a different medication, the patient has a finding covered by a precaution and an ordered hold parameter. Explain how the nurse’s response should differ in these two situations, including what the nurse should do before administering either dose.
A nurse needs to check a medication’s directions for use before giving a newly ordered dose. Which prescribing-information section should the nurse consult?
A patient reports using another medicine that may affect a newly ordered drug. Which prescribing-information section should the nurse check for potential medication interactions?
True or false: A medication history should include a patient’s reported prescription medicines, over-the-counter products, vitamins, and herbal or dietary supplements.
- A
True
- B
False
A patient regularly drinks grapefruit juice, and information for one of the patient’s medicines warns against grapefruit. What should the nurse do?
- A
Tell the patient grapefruit affects every medicine in that drug class.
- B
Check the specific medication guidance and consult the pharmacist or prescriber about the interaction and appropriate next steps.
- C
Tell the patient to stop all prescribed medicines.
- D
Ignore the concern because grapefruit is food rather than medication.
A patient with impaired kidney function has a new medication order. What is the most appropriate action before the first dose?
- A
Verify that the patient’s kidney function and the medication’s renal dosing guidance have been reviewed; clarify the order if needed.
- B
Assume the standard dose is safe because it was prescribed.
- C
Double the interval between doses without consulting the prescriber.
- D
Tell the patient to skip the medication until the next appointment.
A newly prescribed medication’s Contraindications section lists a condition documented in the patient’s history, and the dose is due now. What is the best nursing action?
- A
Administer the dose and monitor for an adverse effect.
- B
Hold the dose and promptly clarify the order with the prescriber or pharmacist.
- C
Reduce the dose and administer it.
- D
Ask the patient whether they are willing to take it.