Nokea
A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing Serotonin syndrome?
- A. Bruising
- B. Fever
- C. Abdominal pain
- D. Rash
Correct Answer: B
Rationale: Fever is a key sign of serotonin syndrome, a potentially life-threatening condition from SSRI overdose.
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In Ayurvedic medicine, treatment is based on the 'tistidever' dosha, which is referred to as the person's:
- A. Vata
- B. Pitta
- C. Kapha
- D. Prakriti
Correct Answer: D
Rationale: Prakriti is the individual's constitution in Ayurveda, guiding treatment based on dosha balance.
While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effective if the patient includes which of the following foods in his daily menus?
- A. Broccoli and kiwi
- B. Oranges and sweet potatoes
- C. Kale and cucumbers
- D. Bananas and melon
Correct Answer: D
Rationale: Furosemide (Lasix) is a loop diuretic that can cause potassium loss; bananas and melon are potassium-rich, aiding in replacing this electrolyte, unlike the other options.
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 22
- B. 25
- C. 20
- D. 18
Correct Answer: A
Rationale: Calculation: (100 mL / 45 min) 10 gtt/mL = 22.22, rounded to 22 gtt/min, matching the provided answer.
A nurse is providing teaching to a client who has type 2 Diabetes Mellitus and is starting Repaglinide. Which of the following statements by the client indicates understanding of the administration of this medication?
- A. I'll take this medicine with my meals.
- B. I'll take this medicine 30 minutes before I eat.
- C. I'll take this medicine just before I go to bed.
- D. I'll take this medicine as soon as I wake up in the morning.
Correct Answer: B
Rationale: Repaglinide is taken 15-30 minutes before meals to control postprandial glucose.
The FDA issued a safety announcement regarding the use of erythropoiesis-stimulating agents (ESAs) in 2010 with the recommendation that:
- A. ESAs no longer be prescribed to patients with chronic renal failure
- B. The risk of tumor development be explained to cancer patients on ESA therapy
- C. Patients should no longer receive ESA therapy to prepare for allogenic transfusions
- D. ESAs be prescribed only to patients staying
Correct Answer: B
Rationale: The 2010 FDA warning highlighted tumor progression risks in cancer patients on ESAs; renal use continues with caution.