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A nurse is reviewing the order for a medication. Which of the following must be included?
- A. Client's name
- B. Drug name
- C. Dosage form
- D. All the above
Correct Answer: D
Rationale: A primary health care provider's order must include the client's name, the drug name, the dosage form and route, the dosage to be administered, and the frequency of administration.
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The following drug causes a decrease in aqueous humour secretions from the ciliary body:
- A. Propranolol
- B. Nadolol
- C. Carvedilol
- D. Timolol
Correct Answer: D
Rationale: Timolol, a beta-blocker, reduces aqueous humor production in glaucoma.
Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to:
- A. Search for information using the most common search engines
- B. Serve as content experts in developing, implementing, and evaluating information systems
- C. Write programs to assure the integrity of health information
- D. Use information technology to prescribe drugs
Correct Answer: B
Rationale: Advanced practice nurses contribute expertise in IT system development and evaluation.
A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for the client and the nurse reinforces teaching for the client about the medication. Which statement, if made by the client, indicates that further teaching is necessary?
- A. I can take aspirin or my antihistamine if I need it.'
- B. I need to take the medication every day at the same time.'
- C. I need to avoid coffee, tea, cola, and chocolate in my diet.'
- D. If I gain more than 5 pounds a week, I will call my doctor.'
Correct Answer: A
Rationale: Aspirin and other over-the-counter medications should not be taken unless the client consults with the health care provider (HCP). The client needs to take the medication at the same time every day and should be instructed not to stop the medication. A slight weight gain as a result of an improved appetite is expected, but after the dosage is stabilized, a weight gain of 5 lb or more weekly should be reported to the HCP. Caffeine-containing foods and fluids need to be avoided because they may contribute to steroid-ulcer development.
Oral iron supplements are prescribed for a 6 year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item?
- A. Milk
- B. Water
- C. Apple juice
- D. Orange juice
Correct Answer: D
Rationale: Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water will not assist in absorption. Orange juice contains a greater amount of vitamin C than apple juice.
What action does the nurse take during the intervention state of the nursing process related to drug therapy?
- A. Administer the medication.
- B. Determine medication effectiveness.
- C. read the medication document.
- D. Analyze the data collected.
Correct Answer: A
Rationale: Interventions include administering and documenting medications; effectiveness is evaluation, analysis is assessment.