Nokea
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.)
- A. Have the client lie on her side.
- B. Ask the client to look up at the nurse.
- C. Tell the client to blink when the drops enter her eye.
- D. Drop the medication into the center of the client's conjunctival sac.
Correct Answer: D
Rationale: Looking up exposes the conjunctival sac, where drops should be placed for effective administration and absorption.
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A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications?
- A. Neostigmine
- B. Naloxone
- C. Dantrolene
- D. Vecuronium
Correct Answer: A
Rationale: Neostigmine reverses nondepolarizing neuromuscular blockers by increasing acetylcholine.
Warfarin resistance may be seen in patients with VCORC1 mutation, leading to:
- A. Toxic levels of warfarin building up
- B. Decreased response to warfarin
- C. Increased risk for significant drug interactions with warfarin
- D. Less risk of drug interactions with warfarin
Correct Answer: B
Rationale: VCORC1 mutations reduce warfarin's anticoagulant effect , requiring higher doses, not toxicity or interaction changes .
A nurse is teaching a client who has a new prescription for Escitalopram for treatment of generalized Anxiety disorder. Which of the following statements by the client indicates understanding of the teaching?
- A. I should take the medication on an empty stomach.
- B. I will follow a low-sodium diet while making this medication.
- C. I should not crush this medication before swallowing.
- D. I should not crush this medication before swallowing.
Correct Answer: C
Rationale: Escitalopram should not be crushed to maintain its effectiveness; food and sodium restrictions are not required.
It is reasonable to recommend supplementation with in the treatment of hyperlipidemia.
- A. Omega-3 fatty acids
- B. Probiotics
- C. Plant sterols
- D. Calcium
Correct Answer: C
Rationale: Plant sterols reduce LDL cholesterol by inhibiting intestinal cholesterol absorption.
A 27-year-old man is admitted to the emergency department (ED) after a serious motorcycle accident. The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the intensive care unit (ICU). The nurse who is going to care for this patient in the ICU knows that a priority responsibility in regard to drug therapy is what?
- A. Support vital functions
- B. Continue curative treatment
- C. Institute life-saving treatment
- D. Monitor patient's response
Correct Answer: D
Rationale: Monitoring response ensures therapy adjusts to the patient's critical condition, a priority in ICU.