Nokea
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.
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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.
Commercials on TV for erectile dysfunction (ED) medications warn about mixing them with nitrates. Why?
- A. Increased risk of priapism
- B. Profound hypotension
- C. Development of blue discoloration to the visual field
- D. Inactivation of the ED medication effect
Correct Answer: B
Rationale: ED drugs (PDE5 inhibitors) with nitrates cause severe vasodilation, leading to hypotension.
All of the following pairs of drug compete for the same receptors except
- A. Ranitidine and histamine
- B. Metoclopramide and dopamine
- C. Dicyclomine and adrenaline
- D. Benzhexol and acetylcholine
Correct Answer: C
Rationale: Dicyclomine (anticholinergic) and adrenaline (adrenergic) act on different receptors; others compete at the same receptor sites.
Which of the following is antithyroidal drugs:
- A. Thyroxine
- B. Liothironine
- C. Propilthyouracil
- D. Triiodthironine
Correct Answer: C
Rationale: Propilthyouracil (propylthiouracil) is an antithyroid drug that inhibits thyroid hormone synthesis by blocking the iodination of tyrosine residues in thyroglobulin.
All are pro drugs except
- A. Sulindac
- B. Codeine
- C. Talampicillin
- D. Chlorpromazine
Correct Answer: D
Rationale: Chlorpromazine is active as is; others are prodrugs.