Nokea
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for recalcitrant depression. The NP managing his primary health care needs to understand the following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs):
- A. He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex)
- B. MAOIs interact with many common foods, including yogurt, sour cream, and soy sauce
- C. Symptoms of hypertensive crisis (headache, tachycardia, sweating) require immediate treatment
- D. All of the above
Correct Answer: D
Rationale: MAOIs have serotonergic interactions, food restrictions (tyramine), and hypertensive crisis risks.
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The nurse is reviewing the patient's admission medication orders. What order would the nurse to question?
- A. Digoxin .5 mg orally now give one dose only
- B. Lasix 20 mg. IV every 4 hours times 3
- C. Gentamicin 80 mg IV to infuse over 1 hour every 12 hours
- D. Acetaminophen 650 mg PO every 4 hours as needed for pain
Correct Answer: A
Rationale: Digoxin .5 mg (0.5 mg) is a high initial dose; typical is 0.125-0.25 mg, requiring clarification.
Prostaglandins play pathophysiological role in the following EXCEPT:
- A. Patency of ductus arteriosus
- B. Regulation of renal tubular salt absorption
- C. Ventricular remodelling after myocardial infarction
- D. Initiation of labour
Correct Answer: C
Rationale: Prostaglandins maintain ductus arteriosus patency, regulate renal salt absorption, and initiate labor, but ventricular remodeling post-myocardial infarction is primarily driven by other factors like cytokines and neurohormones.
What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)
- A. Teaching the patient how to cope with therapy to ensure the best outcome
- B. Providing therapy as well as medications
- C. Changing of therapy routines
- D. Altering the drug regimen to optimize outcome
Correct Answer: A
Rationale: Nurses teach patients, evaluate therapy effectiveness, but do not alter regimens (physician's role) or provide therapy beyond medication administration.
A nurse at a provider's office is preparing to administer RV, DTaP, Hib, PCV13, and IPV immunizations to a 4-month-old infant. Which of the following actions should the nurse plan to take?
- A. Administer IPV orally
- B. Administer subcutaneous injections in the anterolateral thigh.
- C. Administer IM injections in the deltoid muscle.
- D. Give the infant a phone during vaccine injections.
Correct Answer: B
Rationale: Subcutaneous injections in the thigh and pacifier use are appropriate for a 4-month-old; IPV is IM, not oral.
A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 6.5
- B. 5
- C. 4.8
- D. 6
Correct Answer: A
Rationale: Calculation: 650 mg ÷ (500 mg/5 mL) = 6.5 mL, matching the answer.