Nokea
A patient is diagnosed with tinea capitis. The provider will order which systemic antifungal medication for this patient?
- A. Anidulafungin (Eraxis)
- B. Fluconazole (Diflucan)
- C. Griseofulvin (Fulvicin)
- D. Ketoconazole (Nizoral)
Correct Answer: C
Rationale: Griseofulvin treats tinea capitis systemically; fluconazole or ketoconazole are less specific. Griseofulvin is used to treat tinea capitis.
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All increase dopaminergic transmission except
- A. Bromocriptine
- B. Metoclopramide
- C. Chlorpromazine
- D. Reserpine
Correct Answer: B
Rationale: Metoclopramide blocks dopamine receptors; others affect dopamine differently.
Glucocorticoids causes:
- A. Inhibition of lipolysis
- B. Disposition of fat in upper and lower extremities
- C. Atrophy of fatty tissue on face and paleness
- D. Catabolism of bone tissue
Correct Answer: D
Rationale: Glucocorticoids promote bone catabolism, leading to osteoporosis by inhibiting osteoblast activity and increasing osteoclast activity.
Niaspan is less likely to cause which side effect that is common to niacin?
- A. Gastrointestinal irritation
- B. Cutaneous flushing
- C. Dehydration
- D. Headaches
Correct Answer: B
Rationale: Niaspan's extended-release form reduces flushing compared to immediate-release niacin.
The following adverse effects are associated with niacin EXCEPT:
- A. Flushing and itching
- B. Hypercuricemia
- C. Hyperglycemia
- D. Pellagra
Correct Answer: D
Rationale: Pellagra is caused by niacin deficiency, not an adverse effect of niacin therapy.
A nurse is caring for a client who has increased intracranial pressure and is receiving Mannitol. Which of the following findings should the nurse report to the provider?
- A. Blood glucose 150 mg/dL
- B. Urine output 40 mL/hr
- C. Dyspnea
- D. Bilateral equal pupil size
Correct Answer: C
Rationale: Dyspnea may indicate pulmonary edema, a potential complication of mannitol therapy.