Nokea
A nurse in the operating room is caring for a client who received a dose of Succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications?
- A. Neostigmine
- B. Naloxone
- C. Dantrolene
- D. Vecuronium
Correct Answer: C
Rationale: Dantrolene treats malignant hyperthermia, characterized by rigidity and hyperthermia.
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Which hormones are produces by pancreas?
- A. Calcitirne
- B. Corticotropin
- C. Insuline
- D. Dopamine
Correct Answer: C
Rationale: Insulin and glucagon are produced by the pancreas, regulating blood glucose levels; the others are not pancreatic hormones.
The nurse is counseling a patient who wants to stop smoking. Which statement by the nurse is correct?
- A. Bupropion (Zyban) is effective and does not have serious adverse effects
- B. Nicotine replacement therapies are effective and eliminate the need for behavioral therapy
- C. Varenicline (Chantix) may be used short-term for 1 to 2 months
- D. You may experience headaches and increased appetite for several months after stopping smoking
Correct Answer: D
Rationale: Headaches and appetite increase are common nicotine withdrawal symptoms; bupropion has side effects, and varenicline is longer-term. Headaches and increased appetite are common during nicotine withdrawal and may last for several months.
Piroxicam has a particularly long half-life (50 hours) as it undergoes enterohepatic recycling.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Piroxicam's long half-life is due to enterohepatic recycling, prolonging its presence in the body.
Which statement(s) will be included when planning patient teaching regarding drug names?(Select one that does not apply.)
- A. Most drug companies place their products on the market under generic names
- B. The official name is the name under which the drug is listed by the US Food and Drug Administration (FDA)
- C. Brand names are easier to pronounce, spell, and remember
- D. The first letter of the generic name is not capitalized
Correct Answer: A
Rationale: The official name is listed by the FDA , brand names are easier for patients , and generic names are not capitalized . Most drugs are marketed under brand names, not generic.
A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which information should the nurse teach when carrying out plans for discharge?
- A. Keep insulin vials refrigerated at all times.
- B. Rotate the insulin injections systematically.
- C. Increase the amount of insulin before unusual exercise.
- D. Monitor the urine acetone level to determine the insulin dosage.
Correct Answer: B
Rationale: Insulin dosages should not be adjusted or increased before unusual exercise. If acetone is found in the urine, it may possibly indicate the need for additional insulin. To minimize the discomfort associated with insulin injections, the insulin should be administered at room temperature. Injection sites should be systematically rotated from one area to another. The client should be instructed to give injections in one area, about 1 inch apart, until the whole area has been used and then to change to another site. This prevents dramatic changes in daily insulin absorption.