Nokea
A 64-year-old woman with a history of type 2 diabetes is diagnosed with heart failure. Which of the following medications would be a poor choice for controlling her diabetes?
- A. Exenatide
- B. Glyburide
- C. Nateglinide
- D. Rosiglitazone
Correct Answer: D
Rationale: Rosiglitazone can worsen heart failure due to fluid retention and edema.
You may also like to solve these questions
Monitoring for a child on methylphenidate for attention deficit hyperactivity disorder (ADHD) includes:
- A. ADHD symptoms
- B. Routine height and weight checks
- C. Amount of methylphenidate being used
- D. All of the above
Correct Answer: D
Rationale: All are monitored: symptom control, growth effects, and medication use.
Which of the following NSAIDs has greater inhibitory selectivity for COX-1 than COX-2?
- A. Flurbiprofen
- B. Indomethacin
- C. Diclofenac
- D. Celecoxib
Correct Answer: B
Rationale: Indomethacin is more selective for COX-1, whereas celecoxib is COX-2 selective; others have mixed activity.
What describes the action of a drug on the body?
- A. Pharmacodynamics
- B. Pharmacokinetics
- C. Microbiology
- D. Physiology
Correct Answer: A
Rationale: Pharmacodynamics studies the effects of a drug on the body, including mechanisms of action and therapeutic effects, unlike pharmacokinetics, which focuses on drug movement.
Information technology can also be used for patient teaching during the encounter and after it. The provider can help patients and their families become savvy consumers of health-care information by:
- A. Warning them about the questionable quality of health information online
- B. Identifying easily used 'apps' that patients can use to manage their medications
- C. Teaching them how to identify high-quality Web sites and 'red flags' signaling inaccurate content
- D. All of the above
Correct Answer: D
Rationale: All these strategies help patients navigate health information effectively.
A client has an order to receive 10 units of intermediate-acting insulin at bedtime via subcutaneous injection. The nurse would expect to administer the injection at which site? Select one that does not apply.
- A. Upper arm
- B. Inner forearm
- C. Upper abdomen
- D. Upper thigh
Correct Answer: B
Rationale: The sites for subcutaneous injection are the upper arms, the upper abdomen, and the upper thighs.