Nokea
Which of the following adverse effects are less likely in a beta1-selective blocker?
- A. Dysrhythmias
- B. Impaired insulin release
- C. Reflex orthostatic changes
- D. Decreased triglycerides and cholesterol
Correct Answer: B
Rationale: Beta1-selective blockers (e.g., atenolol) have less impact on insulin release compared to non-selective blockers.
You may also like to solve these questions
Which cephalosporin is often used to treat complicated skin and soft tissue infections?
- A. Cefazolin
- B. Cefepime
- C. Ceftaroline
- D. Cephalexin
Correct Answer: C
Rationale: Ceftaroline, a fifth-generation cephalosporin, is effective against complicated skin/soft tissue infections, including MRSA.
What aspect of pharmacology does a nurse study? (Select one that does not apply.)
- A. Adverse and anticipated drug effects
- B. Molecular pharmacology
- C. Impact of drugs on the body
- D. The bodys response to a drug
Correct Answer: B
Rationale: Nurses study pharmacology from a pharmacotherapeutic level, which includes the effect of drugs on the body, the bodys response to drugs, and both expected and unexpected drug effects. Chemical and molecular pharmacology (Options A and B) are not included in nursing pharmacology courses. Adverse and anticipated drug effects are part of pharmacotherapeutics, making C, D, and E correct.
Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best recommendation is:
- A. Ibuprofen 400 mg three times a day
- B. Acetaminophen, not to exceed 4 grams per day
- C. Prescribe acetaminophen with codeine
- D. Aspirin 640 mg three times a day
Correct Answer: B
Rationale: Acetaminophen is safest with warfarin, avoiding bleeding risks from ibuprofen or aspirin ; codeine is unnecessary for minor pain.
Zoster vaccine (Zostavax) is:
- A. A live varicella zoster vaccine from the same strain used to develop the varicella vaccine
- B. Effective in preventing varicella zoster in patients of all ages
- C. Recommended for patients age 40 to 80 who have had chickenpox
- D. Administered at the same time as other live vaccines, as long as they are given the same day
Correct Answer: A
Rationale: Zostavax is a live vaccine from the varicella strain, for adults 50+ (not all ages, B, or 40-80, C); timing with other vaccines has restrictions.
A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client?
- A. Cardiovascular
- B. Immune
- C. Central nervous
- D. Gastrointestinal
Correct Answer: C
Rationale: Extrapyramidal effects are movement disorders caused by medications affecting the central nervous system , like antipsychotics.