A patient is given a drug for the first time and develops shortness of breath. The patient’s heart rate is 76 beats/minute, the respiratory rate is 20 breaths/minute, and the blood pressure is $120 / 70 \mathrm{~mm} \mathrm{Hg}$. The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report what?

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Pharmacology/Lifespan Considerations Questions

Question 1 of 5

A patient is given a drug for the first time and develops shortness of breath. The patient’s heart rate is 76 beats/minute, the respiratory rate is 20 breaths/minute, and the blood pressure is $120 / 70 \mathrm{~mm} \mathrm{Hg}$. The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report what?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A nurse caring for a 5-year-old child notes that the child has discoloration of several teeth. When taking a medication history, the nurse will ask about which group of medications?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A nurse is reviewing an older adult patient’s chart before giving medications. Which patient information is of most concern?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient is taking a combination oral contraceptive (OC) and tells the nurse that she is planning to undergo knee replacement surgery in 2 months. What will the nurse recommend for this patient?

Correct Answer: B

Rationale: Combination oral contraceptives (OCs) containing estrogen increase the risk of thromboembolism, especially during surgery with immobilization like knee replacement. Stopping the OC at least 4 weeks prior and switching to an alternative contraception method (e.g., barrier methods) is recommended to minimize this risk. Progestin-only options or timing adjustments don’t address the estrogen-related thrombosis risk, making option B the best recommendation.

Question 5 of 5

A patient who is taking a combination oral contraceptive begins taking carbamazepine. After several weeks, the patient tells the nurse she has begun experiencing spotting during her cycle. What will the nurse tell her to do?

Correct Answer: B

Rationale: Carbamazepine, a P450 inducer, accelerates OC metabolism, reducing estrogen levels and causing breakthrough spotting. Increasing the estrogen dose can compensate for this. Condoms alone (A) abandon hormonal benefits, altering carbamazepine (C) affects its efficacy, and stopping OCs (D) risks pregnancy, making option B the best advice.

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