Specialized Pharmacotherapy Topics

1. Mrs. Dubois, 29 years old, is 10 weeks pregnant and visits the clinic for a routine prenatal checkup. She asks if she can receive the MMR (measles, mumps, rubella) vaccine, since she was never immunized as a child. What should the nurse explain? *
2. A 4-year-old child is prescribed amoxicillin for an ear infection. The nurse reviews the prescription and notes that the dose was calculated using adult dosing parameters. What is the nurse’s best action? *
3. Mr. Tremblay, 78 years old, is prescribed several medications, including diazepam (Valium) for anxiety. Which factor increases his risk of adverse effects? *
4. Mrs. Leclerc, 55 years old, takes warfarin for atrial fibrillation and recently began using ginkgo biloba for memory improvement. What complication should the nurse monitor for? *
5. Mr. Deschênes, 60 years old, is newly diagnosed with Parkinson’s disease and prescribed levodopa-carbidopa (Sinemet). Which patient statement indicates a need for further teaching? *
6. A nurse is reviewing medications for a breastfeeding mother who takes antibiotics for a urinary tract infection. Which antibiotic is safe for breastfeeding women? *
7. A 68-year-old woman is taking digoxin and furosemide for heart failure. She reports weakness and irregular heartbeat. What should the nurse suspect? *
8. Mrs. Nguyen, 35 years old, is prescribed phenytoin for seizure control. She recently discovered she is pregnant. What should the nurse emphasize during teaching? *
9. Mr. Caron, 50 years old, uses St. John’s wort for depression and is prescribed sertraline (Zoloft) by his physician. What complication should the nurse monitor for? *
10. Ms. Lavoie, 19 years old, takes isotretinoin (Accutane) for acne. Her pregnancy test result today is positive. What is the nurse’s immediate action? *