Nokea
A nurse is teaching a client who has a new prescription for Nitroglycerin transdermal patch for Angina Pectoris. Which of the following instructions should the nurse include?
- A. Remove the patch each evening.
- B. Cut each patch in half if angina attacks are under control.
- C. Take off the nitroglycerin patch for 30 min if a headache occurs.
- D. Apply a new patch every 48 hr
Correct Answer: A
Rationale: Removing the patch nightly prevents tolerance to nitroglycerin.
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Amphetamine is used in
- A. Narcolepsy
- B. Psychosis
- C. Anxiety disorders
- D. Obsessive compulsive neurosis
Correct Answer: A
Rationale: Amphetamine treats narcolepsy by promoting wakefulness.
Prior to administering a prescribed drug, the nurse correctly identifies the client by which method?
- A. Checking a client's name on his or her wristband
- B. Checking a client's chart
- C. Asking the client if the are Mr. Jones
- D. Asking a client if he or she is the correct client
Correct Answer: A
Rationale: Client identifiers can include visual and verbal methods. Visual methods include use of a recent picture of the client or client wristband. Verbal methods include asking the client for his or her name and another unique identifier, such as his or her birth date. Never ask a client, 'Are you Mr. Jones?' because some clients may respond by answering 'yes' even though that is not their name due to confusion or difficulty hearing. Checking the client's chart would be inappropriate to use for identifying the client.
You are designing a drug regimen for a patient. What should be considered?
- A. Quality-of-life issues
- B. Ethnicity of patient
- C. Gender
- D. Quantity-of-life issues
Correct Answer: A
Rationale: Quality-of-life issues ensure the regimen aligns with patient needs and tolerability, enhancing adherence.
The patient is prescribed a medication that was just placed in Phase IV study. The patient tells the nurse, This medication is too expensive. Could the doctor order a generic form of this medication? What is the nurse's most accurate response?
- A. Medications are not produced in generic form until the patent expires, which normally takes several years.
- B. You can request the generic form but the binder used may make the drug less effective for this medication.
- C. The generic form of the medication would not be any less expensive because this is a relatively new medication.
- D. Generic medications are lower quality drugs and that would mean you would not be getting the best treatment available.
Correct Answer: A
Rationale: When a new drug enters the market, it is given a time-limited patent; generic forms of the medication cannot be produced until the patent expires. Because no generic version of this drug will exist because it is so new, it is impossible to predict what binder will be used or what the cost would be.
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for:
- A. Urinary retention
- B. Cardiac output
- C. Peripheral edema
- D. Skin rash
Correct Answer: A
Rationale: Diphenhydramine , an antihistamine, has anticholinergic effects that can cause urinary retention, especially in older males; other effects are less common.