Nokea
A nurse is caring for a client who is taking Propylthiouracil. For which of the following adverse effects of this medication should the nurse should be correct
- A. Bradycardia
- B. Insomnia
- C. Heat intolerance
- D. Weight loss
Correct Answer: A
Rationale: Propylthiouracil can cause bradycardia as a rare side effect, requiring monitoring.
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A nurse is reading a journal article about seasonal allergies and comes across the name of the drug loratadine. The nurse identifies this drug name as which of the following?
- A. Chemical
- B. Generic
- C. Trade
- D. Brand
Correct Answer: B
Rationale: The generic name is the name given to a drug that can be made or marketed by any company and is the name given to the drug by the FDA. The chemical name is the scientific term that describes the molecular structure of the drugs, typically the chemical components. The trade or brand name of the drug is the name selected by a specific company for marketing purposes and is followed by a trademark symbol or registered trademark symbol.
Which of the following are well-perfused tissues?
- A. Brain
- B. Skeletal
- C. Bone
- D. Adipose
Correct Answer: A
Rationale: The brain is a well-perfused tissue due to its high blood flow, unlike skeletal muscle (moderate), bone (low), and adipose (poorly perfused).
The nurse knows that which medication requires monitoring of thyroid function?
- A. Dofetilide
- B. Amiodarone
- C. Sotalol
- D. Flecainide
Correct Answer: B
Rationale: Amiodarone can cause hypo- or hyperthyroidism due to its iodine content, necessitating thyroid function monitoring.
Hannah will be traveling to Mexico with her church group over spring break to build houses. She is concerned she may develop traveler's diarrhea. Advice includes following normal food and water precautions as well as taking:
- A. Loperamide four times a day throughout the trip
- B. Bismuth subsalicylate with each meal and at bedtime
- C. A prescription for diphenoxylate with atropine to use if she gets diarrhea
- D. None of the above
Correct Answer: B
Rationale: Bismuth subsalicylate prevents traveler's diarrhea when taken prophylactically; loperamide or diphenoxylate are for treatment, not prevention.
The major factor in terminating the action of ethanol is
- A. Biotransformation
- B. Excretion through lungs
- C. Excretion unchanged in urine
- D. Excretion in feces
Correct Answer: A
Rationale: Ethanol is primarily metabolized by the liver (biotransformation) via alcohol dehydrogenase.