Nokea
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.
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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.
In today's healthcare environment there is often more contact between the patient and the nurse than between the patient and the physician. What does this make the nurse in the best position to do?
- A. Assess the patient's inability to document medication taken
- B. Assess the patient's inability to communicate with caregivers
- C. Assess the therapeutic success of the drug therapy
- D. Assess the patient's reluctance to purchase the prescribed drug
Correct Answer: C
Rationale: Frequent contact positions nurses to evaluate drug therapy success through direct observation and patient feedback.
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.
Glucocorticoid effects of carbohydrate metabolism is facilitated with:
- A. Gluconeogenesis
- B. Hypoglicemia
- C. Enhance of glucose utilization with peripherial tissues
- D. Decrease of glycogen reserve in the liver
Correct Answer: A
Rationale: Glucocorticoids promote gluconeogenesis, increasing blood glucose levels by converting non-carbohydrate sources into glucose.
Smokers are at risk for vitamin C deficiency. It is recommended that smokers take vitamin C supplement.
- A. 100 mg/day
- B. 500 mg/day
- C. 1,000 mg/day
- D. 35 mg/day more than nonsmokers
Correct Answer: D
Rationale: Smokers require an additional 35 mg/day of vitamin C due to increased oxidative stress.