Nokea
A nurse is assessing a client who is taking Digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity?
- A. Bruising
- B. Report of metallic taste
- C. Muscle pain
- D. Report of anorexia
Correct Answer: D
Rationale: Anorexia is a common early sign of digoxin toxicity.
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Varicella vaccine is recommended to be given to patients who are:
- A. HIV positive with a CD4+ T-lymphocyte percentage less than 15%
- B. Taking corticosteroids (up to 2 mg/kg/day or less than 20 mg/day)
- C. Pregnant
- D. Immunocompromised
Correct Answer: B
Rationale: Varicella vaccine is safe with low-dose steroids; HIV with low CD4 , pregnancy , or immunocompromise contraindicate it.
A nurse is providing instructions to the parent of an adolescent client who has a new prescription for Albuterol, PO. Which of the following instructions should the nurse include?
- A. You can take this medication to abort an acute asthma attack.
- B. Tremors are an adverse effect of this medication.
- C. Prolonged use of this medication can cause hyperglycemia.
- D. This medication can slow skeletal growth rate.
Correct Answer: B
Rationale: Tremors are a common side effect of albuterol due to beta-agonist stimulation.
Which of the following statements about aminoglycosides is false?
- A. They have short half-lives
- B. They are bactericidal
- C. They exacerbate weakness in myasthenia gravis patients
- D. None of the Above
Correct Answer: D
Rationale: All statements are true: aminoglycosides have short half-lives (2-3 hours), are bactericidal, and can worsen myasthenia gravis by neuromuscular blockade.
EHRs:
- A. Are being discouraged by the Centers for Medicare and Medicaid Services due to cost issues
- B. Allow for all patient data to be centralized in one location for access by multiple providers
- C. Use macros and templates to individualize care
- D. Use standardized software to facilitate interoperability between systems
Correct Answer: B
Rationale: EHRs centralize patient data for multi-provider access, improving care coordination.
Glucocorticoids causes:
- A. Protein catabolism and muscle atrophy
- B. Protein anabolism and increase of muscle mass
- C. Stimulation of growth in children
- D. Decrease of \mathrm{Na}+ reabsorbtion and \mathrm{K}+\mathrm{K}+ excretion
Correct Answer: A
Rationale: Glucocorticoids cause protein catabolism and muscle atrophy by breaking down proteins.