Nokea
A 24-year-old male received multiple fractures in a motor vehicle accident that required significant amounts of opioid medication to treat his pain. He is at risk for a __ adverse drug reaction when he no longer requires the opioids.
- A. Rapid
- B. First-dose
- C. Late
- D. Delayed
Correct Answer: A
Rationale: Opioid withdrawal after heavy use is a Type E (end-of-use) ADR, but 'Rapid' fits the abrupt cessation context here, though not standard typology.
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The adverse event of thiazolidinedione's is:
- A. Water retention and edema
- B. Weight loss
- C. Facilitation of rhinitis and upper respiratory tract infection
- D. Pancreatitis
Correct Answer: A
Rationale: Thiazolidinediones like pioglitazone cause water retention and edema, increasing heart failure risk.
A nurse is preparing to administer tobramycin. Which lab value should be monitored closely?
- A. Liver function tests
- B. BUN and creatinine
- C. Complete blood count
- D. Electrolytes
Correct Answer: B
Rationale: Tobramycin, an aminoglycoside, is nephrotoxic; BUN and creatinine monitor kidney function, critical for safe administration.
The nurse transcribes an order to administer Valium 10 mg IV stat. This order is correctly interpreted by the nurse to mean it should be provided how? (Select all that apply.)
- A. As needed
- B. Immediately
- C. One time only
- D. Intravenously
Correct Answer: D
Rationale: The stat order is generally used on an emergency basis. It means that the drug is to be administered as soon as possible, but only once. IV indicates the route is intravenous. A PRN order means administer if needed. The order would specify divided doses and amount per dose if indicated.
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied:
- A. Immediately before swimming
- B. 15 minutes before exposure to the sun
- C. Immediately before exposure to the sun
- D. At least 30 minutes before exposure to the sun
Correct Answer: D
Rationale: Sunscreens are most effective when applied at least 30 minutes before exposure to the sun so that they can penetrate the skin. All sunscreens should be reapplied after swimming or sweating.
A nurse has received an order to administer two drugs at the same time of the day. The nurse should first:
- A. Wash her hands before handling the medications
- B. Consult a drug guide for compatibility
- C. Question the patient concerning drug allergies
- D. Identify the patient by checking the armband and asking the patient to state his or her name
Correct Answer: B
Rationale: Consulting a drug guide for compatibility is critical to avoid adverse interactions when administering two drugs simultaneously. Hand washing, allergy checks, and patient identification are also essential but follow ensuring drug compatibility to prevent harm.