Nokea
A patient asks the nurse, What is a Drug Enforcement Agency (DEA) number? What is the nurse's best response?
- A. DEA Numbers are given to physicians and pharmacists when they register with the DEA to prescribe and dispense controlled substances.
- B. Physicians must have a DEA number in order to prescribe any type of medication for patients.
- C. DEA numbers are case numbers given when someone breaks the law involving a controlled substance.
- D. DEA numbers are contact numbers to talk with someone at the DEA when questions arise about controlled substances.
Correct Answer: A
Rationale: All pharmacists and physicians must register with the DEA. They are given numbers that are required before they can dispense or prescribe controlled substances. DEA numbers are only needed when prescribing controlled substances. A DEA number is neither a case number nor a phone number.
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Which of the following statements about NSAIDs is true?
- A. Most NSAIDs are weak acids
- B. Most NSAIDs are metabolised by the liver into inactive metabolites
- C. Oxicams tend to have the longest half-lives of all NSAIDs
- D. All of the above
Correct Answer: D
Rationale: All are true: NSAIDs are weak acids, metabolized by the liver, and oxicams (e.g., piroxicam) have long half-lives.
A nurse is caring for a client who is taking Propylthiouracil. For which of the following adverse effects of this medication should the nurse should be correct
- A. Bradycardia
- B. Insomnia
- C. Heat intolerance
- D. Weight loss
Correct Answer: A
Rationale: Propylthiouracil can cause bradycardia as a rare side effect, requiring monitoring.
Which of the following are well-perfused tissues?
- A. Brain
- B. Skeletal
- C. Bone
- D. Adipose
Correct Answer: A
Rationale: The brain is a well-perfused tissue due to its high blood flow, unlike skeletal muscle (moderate), bone (low), and adipose (poorly perfused).
While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as ordered 30 minutes pre-operatively. The nurse knows that teaching has been effective by which of the following client statements?
- A. The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.'
- B. This is a palliative medication to help ease the pain from surgery.'
- C. This medication will replace vitamins and minerals that may be lost due to bleeding during surgery.'
- D. This medication will help the surgeon identify areas of bone destruction due to arthritis.'
Correct Answer: A
Rationale: Cefazolin is administered pre-operatively as prophylaxis to prevent surgical site infections, aligning with standard practice and effective patient understanding.
Which of the following has a stimulative effect on adrenal glands:
- A. Gonadotropins
- B. Thyrotropic hormone
- C. Adrenocorticotropic hormone
- D. Melanocyt stimulating hormone
Correct Answer: C
Rationale: Adrenocorticotropic hormone (ACTH) stimulates the adrenal glands to produce cortisol and other steroids.