A nurse is taking a medication history from a client who has Angina and is to begin taking Ranolazine. The nurse should report which of the following medications in the client's history that can interact with Ranolazine?(Select one that does not apply.)
- A. Digoxin
- B. Simvastatin
- C. Verapamil
- D. Amlodipine
Correct Answer: D
Rationale: Ranolazine interacts with digoxin , simvastatin , and verapamil , increasing levels or effects.
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What is the interaction of pheno barbiton and warfarin
- A. Displacement of warfarin from binding site
- B. Decreased absorption of warfarin
- C. Increased metabolism of warfarin
- D. Decreased metabolism of warfarin
Correct Answer: C
Rationale: Phenobarbitone induces liver enzymes, increasing warfarin metabolism.
A client asks the NP about the differences in drug effects between men and women. What is known about the differences between the pharmacokinetics of men and women?
- A. Body temperature varies between men and women.
- B. Muscle mass is greater in women.
- C. Percentage of fat differs between genders.
- D. Proven subjective factors exist between the genders.
Correct Answer: C
Rationale: Gender differences in pharmacokinetics are largely due to fat percentage , affecting drug distribution; muscle mass is greater in men (B is false), and temperature/subjective factors are less impactful.
After teaching a group of nursing students about nonprescription drugs, the nursing instructor determines that the teaching was successful when the students identify which of the following?
- A. They require a licensed health care provider's signature.
- B. They are referred to as over-the-counter drugs.
- C. They can be taken without risk to the client.
- D. They do not have certain labeling requirements.
Correct Answer: B
Rationale: Nonprescription drugs are often referred to as over-the-counter (OTC) drugs. They do not require a prescription (a licensed health care provider's signature) but do not come without risk to the client. The federal government has imposed labeling requirements of OTC drugs and they should only be taken as directed on the label unless under the supervision of a health care provider.
The role of the NP in the use of herbal medication is to:
- A. Maintain competence in the prescribing of common herbal remedies
- B. Recommend common over-the-counter herbs to patients
- C. Educate patients and guide them to appropriate sources of care
- D. Encourage patients to not use herbal therapy due to the documented dangers
Correct Answer: C
Rationale: NPs should educate patients and guide them to safe herbal use, not universally discourage it.
Which of the following stimulated production of thyroid hormones:
- A. Thyrotropic hormone
- B. Corticosteroids
- C. Dopamine
- D. Somatostatine
Correct Answer: A
Rationale: Thyrotropic hormone (TSH) stimulates the thyroid to produce T3 and T4.
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