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Patient Counseling & Safety Flashcards

7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Patient Counseling & Safety flashcards as text

  1. A patient on warfarin reports starting a new fish oil supplement (2g/day). What is the most appropriate counseling action?

    Answer: Counsel the patient to notify their prescriber and monitor INR more closely

    Fish oil at higher doses can potentiate warfarin's anticoagulant effect, so closer INR monitoring and prescriber notification are warranted.

  2. During a medication review, a consultant pharmacist identifies that an elderly patient is taking diphenhydramine nightly for sleep. According to the Beers Criteria, what is the primary concern?

    Answer: Anticholinergic effects including cognitive impairment and urinary retention

    Diphenhydramine is a Beers Criteria drug in older adults due to strong anticholinergic properties that increase risk of confusion, falls, and urinary retention.

  3. A patient with dysphagia is prescribed an extended-release potassium chloride tablet. What is the safest counseling recommendation?

    Answer: Consult the prescriber about switching to a liquid or immediate-release formulation

    Extended-release potassium tablets must not be crushed because doing so can cause GI ulceration; a liquid or alternative formulation is safer for dysphagia patients.

  4. Which technique best assesses patient comprehension during medication counseling?

    Answer: Use the teach-back method by asking the patient to explain the information back

    The teach-back method requires patients to repeat information in their own words, validating true understanding rather than passive acknowledgment.

  5. A nursing home resident on metformin develops acute kidney injury. What is the primary safety concern the consultant pharmacist should address?

    Answer: Lactic acidosis due to metformin accumulation in renal impairment

    Metformin accumulates when renal clearance is reduced, increasing the risk of potentially fatal lactic acidosis.

  6. A patient is counseled about taking alendronate for osteoporosis. Which instruction is MOST critical for safety?

    Answer: Remain upright for at least 30 minutes after taking and take with plain water only

    Bisphosphonates like alendronate can cause esophageal ulceration if the patient lies down after dosing; patients must stay upright for at least 30 minutes.

  7. A patient using a metered-dose inhaler (MDI) without a spacer reports poor asthma control. What counseling intervention is most appropriate?

    Answer: Assess and correct the patient's MDI technique, including coordination of actuation and inhalation

    Poor inhaler technique is a leading cause of suboptimal asthma control, and correcting technique—including adding a spacer—significantly improves drug delivery.