A nurse is obtaining a health history from a patient. The nurse ...

[skymedlock]

A nurse is obtaining a health history from a patient. The nurse suspects a drug-drug interaction and instructs the patient to list every medication he is taking.
 
  Which statement would indicate that the patient needs further teaching regarding inclusion of medication history? a. The patient would be correct to include prescription medications.
  b. The patient would be correct to include vitamins and over-the-counter medica-tions.
  c. The patient would be correct to omit listing his daily use of herbal teas.
  d. The patient would be correct to omit listing occasional (once a week) use of al-cohol.

Question 2

A woman who has arthritis is breast-feeding her infant and asks the nurse if it is safe to take NSAIDs while nursing. What will the nurse tell this patient?
 
  a. NSAIDs are safe to take while breast-feeding.
  b. NSAIDs are not safe, even in small amounts.
  c. She should take only COX-2 inhibitors while breast-feeding.
  d. She should request a prescription for nar-cotic analgesics.

[cadimas]

Answer to Question 1

C
A patient who omits listing herbal teas as part of the medication history demonstrates a need for further teaching. Herbal teas may interact with certain drugs and therefore should be included.
A patient who lists prescription medication shows that he understands and therefore requires no further education.
A patient who lists vitamins and over-the-counter medications shows that he understands and therefore requires no further education.
The occasional use of alcohol, although important in the patient history, is not considered a component of the medication history.

DIF: Cognitive Level: Application REF: p. 10
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

Answer to Question 2

A
NSAIDs are safe and may be taken while breast-feeding. It is not necessary to use a COX-2 in-hibitor while breast-feeding. Narcotics cross breast milk and should be used cautiously while breast-feeding.

[skymedlock]

Both answers were spot on, thank you once again

[cadimas]

Great! Please up vote