Nokea
A patient has been diagnosed with cytomegalovirus (CMV). Which of the following drugs would be ineffective in the treatment of this disease?
- A. Ribavirin (Rebetol)
- B. Ganciclovir (Cytovene) IV
- C. Foscarnet (Foscavir) IV
- D. Valganciclovir hydrochloride (Valcyte)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 43-year-old man has tested positive for systemic candidiasis, and the care team has decided on IV fluconazole as a first-line treatment. When administering this medication, the nurse should
- A. administer the drug with lactated Ringer's.
- B. infuse the drug no faster than 200 mg/h.
- C. avoid administering the drug through a peripheral IV.
- D. administer prophylactic heparin prior to the fluconazole.
Correct Answer: C
Rationale: Progestin-only contraceptives are less likely to cause hypertension compared to combined oral contraceptives and may be preferred in women with cardiovascular risk factors.
A male patient with benign prostatic hyperplasia (BPH) is prescribed tamsulosin (Flomax). What is the primary therapeutic effect of this medication?
- A. Relaxation of the muscles in the prostate and bladder neck, leading to improved urinary flow.
- B. Reduction in prostate size and improvement in urinary symptoms.
- C. Increase in urine flow and relief of urinary obstruction.
- D. Improvement in erectile function.
Correct Answer: A
Rationale: Tamsulosin relaxes the muscles in the prostate and bladder neck, leading to improved urinary flow and reduced symptoms of BPH.
When planning care for a cardiac patient, the nurse knows that in response to an increased workload, cardiac myocardial cells will:
- A. Increase in size
- B. Decrease in length
- C. Increase in excitability
- D. Increase in number
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient is prescribed estradiol (Estrace) for hormone replacement therapy (HRT). What should the nurse monitor during this therapy?
- A. Blood glucose levels
- B. Liver function tests
- C. Kidney function tests
- D. Blood pressure
Correct Answer: B
Rationale: Liver function tests should be monitored during estradiol therapy due to the potential for liver dysfunction.
A physician is noting the recent vital signs for several clients on an acute medical ward of a hospital. Which hospital client with a noninfectious diagnosis would be most likely to have a fever?
- A. A 71-year-old female with limited mobility, chronic obstructive pulmonary disease (COPD), and vascular dementia
- B. A 33-year-old female with a postoperative deep vein thrombosis and pulmonary embolism
- C. A 51-year-old obese male with hepatic encephalopathy secondary to alcohol abuse
- D. A 71-year-old male with congestive heart failure and peripheral edema
Correct Answer: B
Rationale: Pulmonary emboli can produce fever, even without infection.