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A patient is starting on alendronate (Fosamax) for osteoporosis. What specific instructions should the nurse provide to ensure proper administration?
- A. Take the medication with a full glass of water and remain upright for at least 30 minutes.
- B. Take the medication with milk to enhance calcium absorption.
- C. Take the medication at bedtime to ensure absorption during sleep.
- D. Take the medication with food to prevent nausea.
Correct Answer: A
Rationale: Alendronate should be taken with a full glass of water, and patients should remain upright for at least 30 minutes to prevent esophageal irritation and ensure proper absorption.
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A patient has been prescribed an estrogen-progestin oral contraceptive. The nurse should emphasize that the risk of thrombophlebitis is most likely in patients who:
- A. Are diabetic.
- B. Smoke cigarettes.
- C. Have a history of hypertension.
- D. Are older than 40.
Correct Answer: B
Rationale: Smoking is a significant risk factor for thrombophlebitis, particularly when combined with estrogen-progestin contraceptives.
A patient is being administered chemotherapeutic agents for the treatment of cancer. Which of the following blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy?
- A. White blood cells
- B. Red blood cells
- C. Phagocytes
- D. Myocardial cells
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 10-year-old male presents to his primary care provider reporting wheezing and difficulty breathing. History reveals that both of the child's parents suffer from allergies. Which of the following terms would be used to classify the child?
- A. Desensitized
- B. Atopic
- C. Hyperactive
- D. Autoimmune
Correct Answer: B
Rationale: In this case, the correct term to classify the child is 'Atopic.' Atopic individuals have a genetic predisposition to developing allergic conditions. 'Desensitized' refers to reduced sensitivity to an allergen, 'Hyperactive' relates to an exaggerated response, and 'Autoimmune' involves the immune system attacking its own cells, none of which accurately describe the child's classification based on the provided history.
Following a knee injury, a football player is taking ibuprofen, a nonsteroidal anti-inflammatory drug, for the control of pain. Which drug action is most likely to result in diminished sensation of pain for the player?
- A. Inhibition of cyclooxygenase (COX) enzymes
- B. Activation of opioid receptors
- C. Blocking of NMDA receptors
- D. Stimulation of serotonin receptors
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nursing student having trouble moving her head from side to side is likely experiencing a problem with which type of neurons?
- A. General visceral efferent neurons
- B. Preganglionic neurons
- C. Parasympathetic postganglionic neurons
- D. Pharyngeal efferent neurons
Correct Answer: D
Rationale: Pharyngeal efferent neurons are involved in head movement, including side-to-side motions.