Drug Classification Nursing

Drug Classification Nursing Related

Review Drug Classification Nursing related questions and content

A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for the client and the nurse reinforces teaching for the client about the medication. Which statement, if made by the client, indicates that further teaching is necessary?

  • A. I can take aspirin or my antihistamine if I need it.'
  • B. I need to take the medication every day at the same time.'
  • C. I need to avoid coffee, tea, cola, and chocolate in my diet.'
  • D. If I gain more than 5 pounds a week, I will call my doctor.'
Correct Answer: A

Rationale: Aspirin and other over-the-counter medications should not be taken unless the client consults with the health care provider (HCP). The client needs to take the medication at the same time every day and should be instructed not to stop the medication. A slight weight gain as a result of an improved appetite is expected, but after the dosage is stabilized, a weight gain of 5 lb or more weekly should be reported to the HCP. Caffeine-containing foods and fluids need to be avoided because they may contribute to steroid-ulcer development.

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Which mode of action has insulin in fatty cells?

  • A. Decrease glycerol synthesis
  • B. Increase synthesis of triglycerides
  • C. Decrease fatty acid synthesis
Correct Answer: B

Rationale: Insulin promotes triglyceride synthesis in fat cells by enhancing glucose uptake and lipogenesis.

A contraindication for topical corticosteroid usage in a male with atopic dermatitis (eczema) is:

  • A. Parasite infection
  • B. Viral infection
  • C. Bacterial infection
  • D. Spirochete infection
Correct Answer: B

Rationale: Topical corticosteroids worsen viral infections (e.g., herpes) due to immunosuppression.

When recommending dimenhydrinate (Dramamine) to treat motion sickness, patients should be instructed to:

  • A. Take the dimenhydrinate after they get nauseated
  • B. Drink lots of water while taking the dimenhydrinate
  • C. Take the dimenhydrinate 15 minutes before it is needed
  • D. Double the dose if one tablet is not effective
Correct Answer: C

Rationale: Dimenhydrinate is most effective taken 15-30 minutes before motion to prevent nausea; post-nausea , hydration , or doubling are less optimal.

Which cephalosporin generation is effective against methicillin-resistant Staphylococcus aureus (MRSA)?

  • A. First generation
  • B. Second generation
  • C. Third generation
  • D. Fifth generation
Correct Answer: D

Rationale: Fifth-generation cephalosporins, like ceftaroline, are effective against MRSA, unlike earlier generations.

An elderly person has been prescribed lactulose for treatment of chronic constipation. Monitoring with long-term treatment would include:

  • A. Electrolytes, including potassium and chloride
  • B. Bone mineral density for osteoporosis
  • C. Magnesium level
  • D. Liver function
Correct Answer: A

Rationale: Lactulose can alter electrolytes (e.g., potassium) in the elderly; osteoporosis or magnesium aren't directly linked.

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