Nokea
A patient who has a sulfa allergy can safely take:
- A. Sumatriptan (Imitrex)
- B. Celecoxib (Celebrex)
- C. Glimepiride (Amaryl)
- D. Silver sulfadiazine (Silvadene)
Correct Answer: A
Rationale: Sumatriptan does not contain sulfa and is safe for those with a sulfa allergy.
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A component of the mental health assessment includes:
- A. Sense of self-worth
- B. Global assessment of functioning
- C. Intelligence quotient level
- D. History of suicide attempts
Correct Answer: B
Rationale: The global assessment of functioning (GAF) evaluates overall mental health status and functioning.
The nurse is assessing a client with diabetes and notes that the client has a strong odor of acetone on their breath. What action should the nurse take next?
- A. Check the client’s blood glucose level.
- B. Offer the client a glass of water.
- C. Assess the client's urine for signs of infection.
- D. Administer insulin immediately.
Correct Answer: A
Rationale: The acetone odor on the breath is a sign of ketosis, which may indicate that the client’s blood glucose is elevated. Immediate blood glucose monitoring is needed.
What specific part of the eye is primarily examined using an ophthalmoscope?
- A. Cornea
- B. Lens
- C. Retina
- D. Iris
Correct Answer: C
Rationale: An ophthalmoscope is used to examine the retina, which includes the optic disc and blood vessels.
A 67-year-old woman with a history of A-fib and an ejection fraction of 48% has had normal digoxin levels. Which can cause a decrease in digoxin level?
- A. Decrease creatinine clearance
- B. Weight loss
- C. Increase exercise
- D. Regular use of antacid
Correct Answer: D
Rationale: Regular use of antacids can decrease the absorption of digoxin, potentially lowering its levels.
Which of the following is a typical sign of diabetic ketoacidosis (DKA)?
- A. Excessive urination
- B. Ketone bodies in the urine
- C. High blood pressure
- D. Slow heart rate
Correct Answer: B
Rationale: Diabetic ketoacidosis often results in the presence of ketone bodies in the urine, along with hyperglycemia.