Nokea
A patient receiving gentamicin should be monitored for which potential adverse effect?
- A. Nephrotoxicity
- B. Hepatotoxicity
- C. Ototoxicity
- D. Both A and C
Correct Answer: D
Rationale: Gentamicin, an aminoglycoside, commonly causes nephrotoxicity and ototoxicity , requiring monitoring of renal function and hearing.
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A nurse is caring for a client who is receiving moderate sedation with Diazepam IV. The client is oversedated. Which of the following medications should the nurse anticipate administering to this client?
- A. Ketamine
- B. Naltrexone
- C. Flumazenil
- D. Fluvoxamine
Correct Answer: C
Rationale: Flumazenil reverses benzodiazepine oversedation, like diazepam.
Isoproterenol produces maximal contraction of cardiac muscle in a manner similar to epinephrine. Which of the following best describe isoproterenol?
- A. Fuller agonist
- B. Partial agonist
- C. Irreversible antagonist
- D. Inverse agonist
Correct Answer: A
Rationale: Isoproterenol's maximal effect similar to epinephrine indicates it is a full agonist at beta receptors.
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.
Suzanne is started on paroxetine (Paxil), a selective serotonin reuptake inhibitor (SSRI), for depression. Education regarding her antidepressant includes:
- A. SSRIs may take 2 to 6 weeks before she will have maximum drug effects.
- B. Red-green color blindness may occur and should be reported.
- C. If she experiences dry mouth or heart rates greater than 80, she should stop taking the drug immediately.
- D. She should eat lots of food high in fiber to prevent constipation.
Correct Answer: A
Rationale: SSRIs require 2-6 weeks for full effect, a key patient education point.
A nurse is assessing a client's IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis?
- A. Factor
- B. Darkness
- C. Erythema
- D. Coolness
Correct Answer: C
Rationale: Erythema and pain are classic signs of phlebitis, inflammation of the vein.