Nokea
A patient taking Isoniazid (INH) should be monitored for what deficiency?
- A. Vitamin C
- B. Calcium
- C. Vitamin B6
- D. Potassium
Correct Answer: C
Rationale: This medication can lead to low Vitamin B6 levels. Most patients will take a supplement of B6 while taking this medication.
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Select all the following that can trigger an asthma attack:
- A. Sulfites
- B. Smoke
- C. Caffeine
- D. GERD
- E. Cold, windy weather
- F. Beta agonist
- G. Cockroaches
Correct Answer: A,B,D,E,G
Rationale: Triggers include sulfites, smoke, GERD, cold weather, and cockroaches. Caffeine and beta agonists are not typical triggers; beta agonists are treatments.
A patient is admitted with rupture of the Achilles tendon. The patient was recently treated with antibiotics for pneumonia. Which of the following medications below can cause this adverse effect?
- A. Penicillin
- B. Fluroquinolones
- C. Tetracyclines
- D. Macrolides
Correct Answer: B
Rationale: Fluoroquinolones are associated with tendon rupture, including Achilles tendon, as a rare but serious side effect. Other antibiotics listed (A, C, D) are not commonly linked to this adverse effect.
The nurse is discharging a client newly diagnosed with restrictive airway disease (asthma). Which statement indicates the client understands the discharge instructions?
- A. I will call 911 if my medications don't control an attack.
- B. I will wash my bedding in warm water.
- C. I can still eat at the Chinese restaurant when I want.
- D. If I get a headache, I should take a nonsteroidal anti-inflammatory drug.
Correct Answer: A
Rationale: Calling 911 for uncontrolled asthma (A) shows understanding of emergency action. Warm water (B) is insufficient (hot water needed), Chinese food (C) may contain MSG, and NSAIDs (D) can trigger asthma.
The client has been diagnosed with chronic sinusitis. Which sign/symptom alerts the nurse to a potentially life-threatening complication?
- A. Muscle weakness.
- B. Purulent sputum.
- C. Nuchal rigidity.
- D. Intermittent loss of muscle control.
Correct Answer: C
Rationale: Nuchal rigidity (C) suggests meningitis, a life-threatening sinusitis complication. Muscle weakness (A) and loss of control (D) are unrelated, and purulent sputum (B) is more typical of respiratory infections.
A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?
- A. The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone.
- B. The patient inhales the Fluticasone first and then waits 5 minutes before inhaling the Salmeterol.
- C. The patient inhales the Salmeterol first and then waits 1 minute before inhaling the Fluticasone.
- D. The patient inhales the Fluticasone and immediately inhales the Salmeterol.
Correct Answer: A
Rationale: Salmeterol, a long-acting bronchodilator, should be inhaled first to open the airways, followed by Fluticasone, a corticosteroid, after a 5-minute wait to ensure optimal delivery and reduce inflammation.