DNRS6521 or NURS6521N midterm exam 2022 oct latest all 100 answers

Question # 00640453
Course Code : DNRS6521
Subject: Health Care
Due on: 10/17/2022
Posted On: 10/16/2022 08:42 PM
Tutorials: 1
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1 Question 1

The Nurse Practitioner is preparing to Prescribe a medication regimen for her patient. He or she recognizes that criteria for choosing an effective drug for any disorder include:

 

              Consulting nationally recognized guidelines for disease management

 

              Asking the patient what drug they think would work best for them

 

              Prescribing medications that are available as samples before writing a prescription

 

              Following U.S. Drug Enforcement Administration guidelines for prescribing

Question 2

NP is a 66-year-old male that is on Omeprazole for GERD and Clopidogrel for TIA prophylaxis. The pharmacist calls to tell you the Omeprazole should be switched due to a drug-drug interaction. This interaction is:

 

              Clopidogrel increases protein binding of Omeprazole, thus decreasing effectiveness of the Omeprazole

 

              Clopidogrel decreases clearance of Omeprazole, thus increasing the concentration and side effects of Omeprazole

 

              Omeprazole decreases hepatic CYP2C19, thus decreasing Clopidogrel effectiveness

 

              Omeprazole increases production of platelets and decreases Clopidogrel efficacy requiring larger doses

Question 3

The Family nurse practitioner prescribed losartan 50 mg PO daily for a hypertensive patient. This medication promotes vasodilation by:

 

              Blocking the action of angiotensin II

 

              Promoting the synthesis of prostaglandins

 

              Inhibiting calcium influx into smooth muscle cells

 

              Promoting the release of aldosterone

uestion 4

Proton Pump Inhibitors such as Protonix and Omeprazole are very effective at suppressing gastric acid but are associated with the risk of which of the conditions:

 

              Rhinitis

 

              Migraines

 

              Clostridium difficile

 

              Otitis Media

Question 5

An elderly patient with a history of congestive heart failure has been admitted to hospital with failure to thrive and admission blood work reveals a hemoglobin level of 6.9 g/dL. The care team has consequently administered two units of packed red blood cells, but auscultation of the client's lungs now reveals diffuse crackles. Administration of what drug is likely to resolve the patient's pulmonary edema?

 

              Furosemide

 

              Hydrochlorothiazide

 

              Mannitol

 

              Triamterene

Question 6

Which of the following does not come in an oral formulation for asthma?

 

              albuterol

 

              theophylline

 

              zafirlukast

 

              ipratropium

 

              Singulair

Question 7

A Nurse Practitioner is providing discharge instructions to a patient who will be taking fludrocortisone at home. The Nurse Practitioner will encourage the patient to eat a diet that is

 

              low in sodium and potassium.

 

              low in sodium, high in potassium.

 

              high in iron.

 

              low in proteins.

Question 8

KS is a 45-year-old female with current lipid levels of: TC: 282; HDL: 61; LDL: 122; TG: 163. What is the best initial treatment for KS if she has an ASCVD risk of 38%?

 

              Atorvastatin 20 mg daily

 

              Simvastatin 80 mg daily

 

              Tricor 45 mg daily

 

              Zetia 10 mg daily

Question 9

You are treating a patient for C. Diff and are discharging them on a course of Metronidazole. The main counseling point you need to address is:

 

              Avoid alcohol

 

              Take on an empty stomach

 

              Separate by 2 hours from all other meds

 

              Do not crush or chew

Question 10

A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following?

 

              The amount of the drug that must be given to produce a particular response

 

              How well a drug produces its desired effect

 

              A drug's strength of attraction for a receptor site

 

              A drug's ability to stimulate its receptor

Question 11

Destiny presents with a history of depression.  Her parents believe she took an overdose of an antidepressant medication.  Her temperature is 40.1 degrees C.  On exam, her pupils are dilated and she has hyperreflexia. Which of the following symptoms would not be expected?

 

              Agitation

 

              Bradycardia

 

              Confusion

 

              Diarrhea

Question 12

Drugs that use CYP 3A4 isoenzymes for metabolism may:

 

A.           Induce the metabolism of another drug

 

B.           Inhibit the metabolism of another drug

 

C.           Both 1 and 2

 

D.           Neither 1 nor 2

Question 13

NP is a 72-year-ol female with Parkinson’s x 3 years. She has been controlled on Amantadine until recently when she has been having more rigidity. You decide to put her on a dopamine agonist. Counseling on the new dopamine agonist would include:

•            i. Delusions and hallucinations are common

•            ii. The medication can slow disease progression

•            iii. Doses should be tapered slowly if discontinuing

•            iv. Dyskinesias are common

•            v. Sleep attacks are a possible side effect

 

              i only

 

              i and iii only

 

              ii and iv only

 

              i, iii and v only

 

              All of the above

Question 14

What is the main difference between a first- and second-generation antihistamine drug?

 

              First generation antihistamines cause less drowsiness

 

              First generation antihistamines case more dry mouth

 

              Second generation antihistamines cause more dry eyes

 

              Second generation antihistamines cause less headaches

Question 15

A patient on valproic acid may experience which of the following symptoms?

 

              Weight gain

 

              Nausea

 

              Constipation

 

              All of the above

Question 16

Which laxative when used may cause aspiration pneumonia especially in the elderly:

 

              Bisacodyl

 

              Glycerin Suppository

 

              Polyethylene Glycol

 

              Mineral Oil

Question 17

A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a

 

              C-I drug.

 

              C-II drug.

 

              C-III drug.

 

              C-IV drug.

Question 18

A female patient has been taking zafirlukast for a week and is experiencing diarrhea. The nurse should instruct her to do which of the following?

 

              Take nonnarcotic analgesics

 

              Schedule blood tests

 

              Drink plenty of fluids

 

              Take the drug with food

Question 19

Which of the following is a 5HT3 receptor blocker for use in nausea/vomiting?

 

              Ondansetron

 

              Metoclopramide

 

              Promethazine

 

              Dicyclomine

Question 20

What is the primary source of histamine in the body during an allergic reaction?

 

              Mast cells

 

              T-lymphocytes

 

              White blood cells

 

              B-cells

A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive

 

              a higher-than-normal dose of drugs that bind to acid glycoproteins.

 

              a lower-than-normal dose of drugs that bind to acid glycoproteins.

 

              the recommended normal dose of drugs that bind to acid glycoproteins.

 

              one half the recommended dose of drugs that bind to acid glycoproteins.

Question 22

NP is a 72-year-ol female with Parkinson’s x 3 years. She has been controlled on Amantadine until recently when she has been having more rigidity. You decide to put her on a dopamine agonist. You know the following are dopamine agonists except:

 

              Carbidopa/Levodopa

 

              Ropinirole

 

              Pramipexole

 

              Bromocriptine

Question 23

A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease?

 

              Tositumomab plus 131I (Bexxar)

 

              Muromonab-CD3 (Orthoclone OKT3)

 

              Infliximab (Remicade)

 

              Eculizumab (Soliris)

Question 24

A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.

 

              Is there a need for the drug in treating the presenting problem?

 

              Is this the best drug for the presenting problem?

 

              Can the patient take the prescribed drug?

 

              None of the above.

Question 25

You are discharging a patient home after postoperative DVT. They ask you why they have to use Lovenox and Warfarin at the same time. You answer:

 

              Warfarin onset is delayed

 

              Warfarin affects platelets

 

              LMWH has a longer half life

 

              LMWH has few side effects than Warfarin

Question 26

Laxatives help to do all of the following except:

 

              Softening the stool

 

              Decrease the amount of strain needed to defecate

 

              Increase the presence of impaction of stool the colon

 

              Reduce the painful elimination that may be associated with hemorrhoids

Question 27

A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells?

 

              Giving the drug with food in order to delay absorption

 

              Administering the drug in small, frequent doses

 

              Limiting the patient's protein intake and encouraging fluids

 

              Administering the drug intravenously rather than orally

Question 28

A patient with a known history of benign prostatic hyperplasia (BPH) presents to the clinic 4 days after developing a cold. He tells you he began experiencing a sore throat and nasal congestion and began to take an over the counter decongestant.  Today, he complains of not urinating over the last 12 hours.  He also has suprapubic fullness on exam.  Which of the following medications are most likely responsible for this patient's urinary retention?

 

              Tamsulosin

 

              Phenylephriine

 

              Clonazepam

 

              Finasteride

 

 

1 points  

Question 29

The American Geriatric Society provides the Beers Criteria to aid providers in knowing

 

              Dosage adjustments necessary in chronic renal disease

 

              Potentially inappropriate medications that should be avoided in the geriatric population

 

              Medications that cannot be crushed

 

              Medications that are safe to use in the pediatric population

Question 30

A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to

 

              permanent liver damage.

 

              rebound bronchoconstriction.

 

              community-acquired pneumonia.

 

              severe anticholinergic effects.

Question 31

Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for "investigational use only" by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this?

 

              Schedule 1

 

              Schedule 2

 

              Schedule 3

 

              Schedule 4

Question 32

A Nurse Practitioner is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The Nurse Practitioner should anticipate that the drug will be administered

 

              intravenously.

 

              subcutaneously.

 

              transdermally.

 

              orally.

Question 33

A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid

 

              hypokalemia.

 

              gastrointestinal problems.

 

              adrenal insufficiency.

 

              menstrual irregularities.

Question 34

After a recent history of shortness of breath that has become increasingly severe, a woman has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What patient teaching should the nurse provide to this patient?

 

              "Make sure that you take this at the scheduled times, regardless of whether you feel short of breath."

 

              "Most people find that ipratropium cures their lung disease within a few months."

 

              "You should think of this as an 'emergency drug', and it should only be used when you experience symptoms."

 

              "It's important that you perform deep breathing exercises before and after taking ipratropium."

Question 35

JJ is a 62-year-old male who has hypertension. He currently takes HCTZ 25 mg daily, Amlodipine 5 mg daily and Lisinopril 10 mg daily. He has developed a dry cough that has persisted. Which med could this potentially be due to and what is an acceptable alternative?

 

              HCTZ; change to Diltiazem

 

              Lisinopril; change to Spironolactone

 

              Amlodipine; stop Amlodipine

 

              Lisinopril; change to Losartan

Question 36

The hypersecretion of gastric acid and development of peptic ulcers is a characterization of what condition:

 

              Cystic Fibrosis

 

              Huntington's Disease

 

              Sickle Cell Anemia

 

              Zollinger-Ellison Syndrome

Question 37

A patient is taking cholestyramine. The Nurse Practitioner will assess for which of the following common adverse effects of the drug?

 

              Abdominal pain

 

              Headache

 

              Constipation

 

              Indigestion

Question 38

Phenytoin acts to reduce seizures by:

 

              Blocking K+ channels that open and close at low frequencies

 

              Blocking K+ channels that open and close at high frequencies

 

              Blocking Na+ channels that open and close at low frequencies

 

              Blocking Na+ channels that open and close at high frequencies

Question 39

Which of the following affects drug distribution throughout the body?

 

              Presence of food in the gastrointestinal tract

 

              Increase in hepatic enzymes

 

              Protein binding

 

              High blood levels

Question 40

A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring?

 

              Enlarged prostate gland

 

              Need for additional bronchodilation

 

              Signs of an active lung infection

 

              Hypersensitivity to povidone

Question 41

A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to

 

              crush the tablet before swallowing.

 

              swallow the tablet whole.

 

              swallow the tablet with milk or food.

 

              avoid drinking milk for 3 hours after swallowing the tablet.

Question 42

A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse?

 

              "Yes, the drug dosage will probably have to be increased."

 

              "No, the drug dosage will likely stay the same."

 

              "No, the drug dosage will have to be decreased."

 

              "I don't know; I will have to ask your physician."

Question 43

A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states

 

              Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed.

 

              Consult with several pharmacists to determine the cost of each drug.

 

              educate the patient to discard syringes in recycle bin

 

              consult with the physician concerning choice of medications for the patient.

uestion 44

A 66-year-old female recently diagnosed with hyperthyroidism and was started on therapy. 6 weeks later her lab results showed: RBC of 4.6, WBC of 0.9 and Platelets of 456. Which of the following would be the most likely cause?

 

              Iodine

 

              Levothyroxine

 

              Methimazole

 

              Cytomel

Question 45

Which of the following medications is an analog of meperidine and treats diarrhea by suppressing both bowel motility and fluid secretion in the intestinal lumen:

 

              Loperamide

 

              Diphenoxylate

 

              Bismuth Subsalicylate

 

              Difenoxin

 

Question 62

Which combination of drugs is considered first line therapy in the treatment of nausea and vomiting in pregnancy:

 

              Lorazepam and Scopolamine

 

              Dronabinol and Diphenhydramine

 

              Doxylamine and Vitamin B6

 

              Metoclopramide and Vitamin B6

 

 

1 points  

uestion 63

A Nurse Practitioner is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient?

 

              Ensure that the woman receives care solely from Spanish-speaking caregivers.

 

              Consider dimensions of the woman's cultural background when planning care.

 

              Integrate teaching about American culture when interacting with the patient.

 

              Address the woman's children first when explaining her care and changes in her health status.

Question 64

Which antihypertensive has been shown to have mild uricosuric effects in gout patients?

 

              Losartan

 

              Lisinopril

 

              Atenolol

 

              Amlodipine

Question 65

A 48-year-old woman who works as an office manager is prescribed metoclopramide (Reglan) for diabetic gastroparesis. The nurse will be sure to assess the patient for

 

              tachycardia.

 

              depression.

 

              hypotension.

 

              anemia.

uestion 66

A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He has been prescribed theophylline by his family doctor. What effect will the patient's smoking status have on the therapeutic use of theophylline?

 

              Theophylline may be contraindicated due to the risk of an anaphylactoid reaction

 

              The patient may require higher doses of theophylline than a nonsmoker

 

              The patient may require administration of an inhaled bronchodilator before each dose of theophylline

 

              The patient will require serial blood testing to ensure a safe serum level of theophylline

uestion 67

A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is

 

              headache.

 

              irritability.

 

              dry mouth.

 

              heart palpitations.

 

s Question 73

The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations?

 

              Theophylline

 

              Albuterol

 

              Beclomethasone

 

              Acetylcysteine

Question 74

A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery. The nurse's response to this request should be

 

              "I'm sorry, but that will not be possible."

 

              "I will need to inform the doctor and see if he will allow this."

 

              "As long as the ritual does not interfere with the patient's preoperative care, it will be okay."

 

              "I don't think that will help, but you have the right to perform the ritual."

Question 75

Ms. Simpson has a known history of asthma. She is on Theophylline daily.  The NP contemplates giving her an antibiotic for her respiratory infection. The NP knows that which choice below could elevate theophylline levels?

 

              Augmentin

 

              Amoxicillin

 

              Ciprofloxacin

 

              Mucinex

ss Question 76

JM is a 72-year-old male who has been diagnosed with gout and started on Allopurinol. What lab test are you most concerns with when starting the medication?

 

              LFTs

 

              Blood glucose

 

              GFR

 

              Serum Calcium

Question 77

John is a newly diagnosed diabetic that contacts the office  with complaints of severe nausea and vomiting.  What instructions should the APRN provide related to his insulin doses?

 

              Monitor your blood sugar every 4  hours and take regular insulin based on the blood sugar reading.

 

              Stop your insulin while you are not eating and restart it at half strength when you can keep liquids down.

 

              There is no need to change your insulin dosage while sick.  Continue your regular doses

 

              I will call in a prescription for metformin for you to take in place of your insulin.

Question 77

John is a newly diagnosed diabetic that contacts the office  with complaints of severe nausea and vomiting.  What instructions should the APRN provide related to his insulin doses?

 

              Monitor your blood sugar every 4  hours and take regular insulin based on the blood sugar reading.

 

              Stop your insulin while you are not eating and restart it at half strength when you can keep liquids down.

 

              There is no need to change your insulin dosage while sick.  Continue your regular doses

 

              I will call in a prescription for metformin for you to take in place of your insulin.

Question 78

A Nurse Practitioner is caring for a female patient who has developed atelectasis because of thick mucus secretions. The Nurse Practitioner is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient's face is flushed. The appropriate nursing action would be to

 

              stop the administration of acetylcysteine.

 

              slow the administration of acetylcysteine and administer diphenhydramine if ordered.

 

              remove any residual drug from the patient's face.

 

              dilute the acetylcysteine solution.

Question 79

According to the American College of Gastroenterology, the recommended course that should be employed to treat H.Pylori is:

 

              3 days

 

              14 days

 

              28 days

 

              7 days

Question 80

Your patient is on Warfarin 2.5 mg daily. Which statement would be most concerning?

 

              “I take my Warfarin on an empty stomach.”

 

              “I eat a salad every day for lunch.”

 

              “I take an Excedrin for Migraine one day a week.”

 

              “I drink 8 glasses of water a day.”

 

              “I am going out of town next week.”

Question 81

A Nurse Practitioner is teaching a patient about his newly prescribed drug, colchicine, for gout. The Nurse Practitioner will instruct the patient to avoid which of the following foods?

 

              Green beans

 

              Shrimp

 

              Eggs

 

              Milk

Question 81

A Nurse Practitioner is teaching a patient about his newly prescribed drug, colchicine, for gout. The Nurse Practitioner will instruct the patient to avoid which of the following foods?

 

              Green beans

 

              Shrimp

 

              Eggs

 

              Milk

 

Question 88

Bioavailability is best described as:

 

              Amount of drug give that is metabolized

 

              Extent and rate which a drug enters the circulation

 

              Amount of drug that facilitates effects in the body

 

              Amount of time drug is present in the body

uestion 89

Which of the following medications is not included on Beers Criteria?

 

              diphenhydramine

 

              naproxen

 

              glyburide

 

              metformin

 

              amitriptyline

 

 

1 points  

Question 90

It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy?

 

              Water levels in the colon

 

              Oncotic pressure in the colon

 

              Blood ammonia levels

 

              Relief from symptoms

Question 91

Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes?

 

              Diuretics

 

              Beta Blocker

 

              Calcium Channel Blocker

 

              ACE Inhibitor

 

 

1 points  

Question 92

Corticosteroids in asthma do what?

 

              Increase responsiveness to beta agonists

 

              Relax pulmonary smooth muscle

 

              Decrease airway obstruction in acute asthma

 

              Inhibit the inflammatory response

Question 93

Gentamicin is a highly water-soluble drug with a large volume of distribution. This would distribute into:

 

              Adipose tissue

 

              Total body water

 

              Plasma only

 

              Plasma, blood, interstitial fluid

ss Question 94

Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina?

 

              Ranolazine confers protection from myocardial infarction but does not relieve symptoms of angina.

 

              Amlodipine will now be contraindicated in the treatment of Mr. Penny's angina.

 

              Mr. Penny will need to be taught to monitor his blood pressure and heart rate.

 

              Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker.

ss Question 95

A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic reaction?

 

              Call the prescriber immediately regarding her allergic reactions

 

              Hold the medication for her muscle spasms until she can be treated for a possible allergic reaction

 

              Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patient's record

 

              Call the dietary staff and make sure that the patient is not served eggs for breakfast

Question 96

A patient with a history of bronchial asthma is seen in the clinic for increased episodes of difficulty breathing. He has been taking theophylline 100 mg PO tid. He is 40 years old and obese with an 16-pack-year history of cigarette smoking and excessive intake of coffee daily. He eats a low-carbohydrate, high-protein diet. Which identified factors decrease the therapeutic effects of the theophylline?

 

              Age and gender

 

              Coffee intake and weight

 

              Age and weight

 

              Smoking history and diet

s Question 97

The following are all categories of drugs used to treat Hypertension except:

 

              Diuretics

 

              ACE inhibitors

 

              Dipeptyl peptidase-IV inhibitors

 

              Calcium channel blockers

Question 98

What information would the Nurse Practitioner include in teaching a patient about the treatment of vitamin B12 deficiency following a total gastrectomy?

 

              The patient will be taking vitamin B12 tablets twice daily for 1 year.

 

              The patient will be taking oral folic acid supplements daily for life.

 

              The patient will receive monthly cyanocobalamin (vitamin B12) injections for life (after being given daily weekly injections for the first month).

 

              The patient will require iron supplementation and monthly blood transfusions until the deficiency is corrected.

Question 99

All of the following are considered major groups in treating ulcers except:

 

              Proton Pump Inhibitors

 

              Antibiotics

 

              NSAIDS

 

              Mucosal Protectants

Question 100

During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives

 

              may cause nutrient deficiencies.

 

              may counter the therapeutic effect of other drugs.

 

              causes acidic urine and urinary tract infections.

 

              inhibits biotransformation of drugs.

 

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