Nokea
A nurse is caring for a client who has a new prescription for Niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of Niacin?(Select one that does not apply.)
- A. Jaundice
- B. Hyperglycemia
- C. Hearing loss
- D. Flushing of the skin
Correct Answer: C
Rationale: Niacin causes hyperglycemia , flushing , and jaundice from liver effects.
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In clinical practice glucocorticoids are used for:
- A. Cavernosus tuberculosis
- B. Syphilis
- C. Fungal disease
- D. Colagenosis (Systemic connective tissue disorders, e.g. rheumatism, systemic lupus erythematosus, etc.)
Correct Answer: D
Rationale: Glucocorticoids are used for collagenoses like lupus due to their anti-inflammatory and immunosuppressive effects.
Which drug reference contains monographs about virtually every single-entity drug available in the United States and describes therapeutic uses of drugs, including approved and unapproved uses?
- A. Martindale: The Complete Drug Reference
- B. AHFS Drug Information
- C. Drug Reference
- D. Drug Facts and Comparisons
Correct Answer: B
Rationale: AHFS Drug Information contains monographs about virtually every single-entity drug available in the United States and describes therapeutic uses of drugs, including approved and unapproved uses.
The nurse, providing patient teaching about home medication use to an older adult, explains that even when drugs are taken properly they can produce negative or unexpected effects. What are these negative or unexpected effects called?
- A. Teratogenic effects
- B. Toxic effects
- C. Adverse effects
- D. Therapeutic effects
Correct Answer: C
Rationale: Negative or unexpected effects are known as adverse or side effects. Teratogenic effects are adverse effects on the fetus and not a likely concern for an older adult. Toxic effects occur when medication is taken in larger than recommended dosages caused by an increase in serum drug levels. Therapeutic effects are the desired actions for which the medication is prescribed.
When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3), instructions to the patient should include:
- A. The medication may cause sedation and they should not drive.
- B. Constipation is a common side effect and they should increase fluids and fiber.
- C. Patients should not take any other acetaminophen-containing medications at the same time.
- D. All of the above
Correct Answer: D
Rationale: All are critical: sedation, constipation, and acetaminophen overdose risks.
Phenylephrine is useful for all of the following except
- A. Anaphylactic shock
- B. Mydriasis
- C. Nasal decongestant
- D. Artial tachycardia
Correct Answer: A
Rationale: Phenylephrine (alpha-agonist) is not used in anaphylactic shock (epinephrine is preferred).