Frusemide is:
- A. A loop diuretic
- B. Osmotic diuretic
- C. Aldosterone antagonist
- D. A carbonic anhydrase inhibitor
Correct Answer: A
Rationale: Furosemide (Frusemide) is a loop diuretic that inhibits sodium and chloride reabsorption in the loop of Henle, leading to increased urine output.
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In Ayurvedic medicine, treatment is based on the 'tistidever' dosha, which is referred to as the person's:
- A. Vata
- B. Pitta
- C. Kapha
- D. Prakriti
Correct Answer: D
Rationale: Prakriti is the individual's constitution in Ayurveda, guiding treatment based on dosha balance.
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 22
- B. 25
- C. 20
- D. 18
Correct Answer: A
Rationale: Calculation: (100 mL / 45 min) 10 gtt/mL = 22.22, rounded to 22 gtt/min, matching the provided answer.
Which medication ordered for a patient with a substance abuse history has the greatest risk for abuse?
- A. Lomotil
- B. Diazepam
- C. Phenobarbital
- D. Lortab
Correct Answer: D
Rationale: Lortab is a Schedule III drug with a higher potential for abuse than Lomotil (Schedule V), Diazepam (Schedule IV), and Phenobarbital (Schedule IV).
A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adverse effects that the nurse monitors for that are associated with this medication. (Select one that does not apply.)
- A. Tinnitus
- B. Ototoxicity
- C. Hyperkalemia
- D. Hypomagnesemia
Correct Answer: C
Rationale: Cisplatin is an alkylating medication. Alkylating medications are cell cycle phase-nonspecific medications that affect the synthesis of DNA by causing the cross-linking of DNA to inhibit cell reproduction. Cisplatin may cause ototoxicity, tinnitus, hypokalemia, hypocalcemia, hypomagnesemia, and nephrotoxicity. Amifostine (Ethyol) may be administered before cisplatin to reduce the potential for renal toxicity. Correct answers include: 1 (Tinnitus), 2 (Ototoxicity), 5 (Nephrotoxicity), 6 (Hypomagnesemia).
Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes:
- A. He should not play sports due to the risk of increased seizures
- B. He should monitor his temperature and ability to sweat in the heat while playing
- C. Reminding him that he may need higher dosages of topiramate when exercising
- D. Encouraging him to use sunscreen due to photosensitivity from topiramate
Correct Answer: B
Rationale: Topiramate can impair sweating, increasing heat-related risks during sports.