Return to course: QBANK (In progress – I am currently making this)
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Patient Teaching and Safe Medication Practices
1. Mrs. Léger, 28 years old, is prescribed tetracycline for acne. During discharge teaching, she mentions that she often drinks milk with her morning pills. Which statement by the new LPN requires correction?
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“You can take tetracycline with milk to prevent stomach upset.”
“Avoid taking this medication with dairy products or antacids.”
“Use sunscreen when going outdoors.”
Take the medication on an empty stomach with water.”
2. Mr. Beaulieu, 65 years old, has hypothyroidism and has recently started levothyroxine (Synthroid). He takes multiple medications, including calcium supplements at breakfast. What is the best instruction to ensure effective therapy?
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Take levothyroxine at bedtime with other medications.
Take levothyroxine on an empty stomach 30–60 minutes before breakfast.
Take levothyroxine together with calcium for better absorption.
Skip the dose if he feels well.
3. Mrs. Côté, 72 years old, is prescribed warfarin (Coumadin) after a hip replacement. She states she enjoys eating spinach daily. Which teaching should the nurse provide?
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“Avoid all green vegetables completely.”
“Increase your intake of spinach to help blood clot faster.”
“Stop eating spinach until your INR stabilizes.”
“Keep your intake of green vegetables consistent from day to day.”
4. Mr. Raymond, 50 years old, is being discharged on nitroglycerin sublingual tablets for angina. The nurse reviews self-administration. Which statement shows the patient understood the teaching?
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“I can take three tablets at once if chest pain is severe.”
“I’ll store the tablets in a dark, tightly closed container.”
“I’ll swallow the tablet with water during chest pain.”
“If I feel dizzy, I should take another dose right away.”
5. Ms. Nguyen, 34 years old, is prescribed oral contraceptives. She is also taking rifampin for latent tuberculosis. What teaching should the nurse emphasize?
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“Rifampin may reduce the effectiveness of your birth control pills.”
“There is no interaction between these medications.”
“Rifampin makes your birth control pills stronger.”
“Take both medications at night to prevent side effects.”
6. Mr. Ouellet, 60 years old, is being discharged with a prescription for furosemide (Lasix). Which statement by the patient indicates a need for further teaching?
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“I’ll take my dose in the morning.”
“I’ll report muscle cramps or weakness to my nurse.”
“I’ll eat foods rich in potassium.”
“I’ll take it right before bedtime to avoid forgetting.”
8. Mr. Girard, 55 years old, has been prescribed insulin glargine (Lantus) for diabetes. During discharge, he asks if he should mix it with his regular insulin. What is the correct nursing response?
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“You can mix glargine with regular insulin in the same syringe.”
“Mix both insulins immediately before injection.”
“Do not mix glargine with any other insulin.”
“Mixing glargine will make it act faster.”
9. Ms. Bellemare, 25 years old, is discharged on isotretinoin (Accutane) for severe acne. Which teaching is the nurse’s priority?
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“Avoid sunlight while taking this medication.”
“Use effective birth control while on this medication.”
“Avoid spicy foods to reduce skin irritation.”
“Take the medication with milk to reduce nausea.”
10. During discharge, the nurse reviews all medications with Mr. Lefebvre, who is prescribed several new drugs. The nurse asks him to repeat back how and when he will take each one. What is the purpose of this approach?
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To test the patient’s memory
To assess his reading comprehension
To verify his understanding through the teach-back method
To speed up the discharge process
Patient Teaching and Safe Medication Practices
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