Nokea
A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of the following manifestations as adverse effects of daily aspirin therapy? (Select one that does not apply.)
- A. Hypertension
- B. Coffee-ground emesis
- C. Tinnitus
- D. Nausea
Correct Answer: A
Rationale: Aspirin can cause GI bleeding , tinnitus , and nausea ; 'possessias' is likely a typo.
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Not a prodrug
- A. Lisinopril
- B. Enalapril
- C. Ramipril
- D. Famotidine
Correct Answer: A
Rationale: Lisinopril is active; others are prodrugs.
A patient on furosemide is at risk for which electrolyte imbalance?
- A. Hyperkalemia
- B. Hypernatremia
- C. Hypokalemia
- D. Hypomagnesemia
Correct Answer: C
Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to hypokalemia as a common electrolyte imbalance.
A nurse is reviewing a new prescription for oxcarbazepine with a female client who has partial seizures. Which of the following instructions should the nurse include?
- A. Use caution if given a prescription for a diuretic medication.
- B. Consider using oral contraceptives.
- C. Chew gum to increase saliva production.
- D. Avoid driving until you see how the medication affects you.
Correct Answer: D
Rationale: Oxcarbazepine reduces contraceptive efficacy , requires driving caution , and rash monitoring .
Which of the following is synthetic mineralocorticoids:
- A. Testosterone
- B. Estradiol
- C. Fludrocortisone
- D. Hydrocortisone
Correct Answer: C
Rationale: Fludrocortisone is a synthetic mineralocorticoid used to mimic aldosterone's effects on sodium retention.
Which action would the FDA take to expedite drug development and approval for an outbreak of smallpox?
- A. List smallpox as a health orphan disease
- B. Omit the preclinical research phase
- C. Extend the clinical research phase
- D. Fast track the investigational drug
Correct Answer: D
Rationale: Fast tracking prioritizes the drug within the FDA, expediting development for urgent needs like a smallpox outbreak. Orphan disease status, omitting preclinical phases, or extending clinical phases would not align with rapid response needs.