Nokea
A patient with diabetes insipidus is treated with nasal desmopressin acetate (DDAVP). The nurse determines that the drug is not having an adequate therapeutic effect when the patient experiences
- A. Headache and weight gain.
- B. A urine specific gravity of 1.002.
- C. Nasal irritation and nausea.
- D. An oral intake greater than urinary output.
Correct Answer: B
Rationale: If the drug is not effective, the patient's urine specific gravity will remain low (1.002), indicating continued inability to concentrate urine.
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Dopamine intravenous infusion is used in the treatment of:
- A. Parkinsonism
- B. Hemorrhagic shock
- C. Acute attack of bronchial asthma
- D. Acute attack of psychosis
Correct Answer: B
Rationale: Rationale for choice B (Hemorrhagic shock): Dopamine is used in hemorrhagic shock to increase blood pressure by stimulating the heart and blood vessel constriction. Dopamine is not used for Parkinsonism, bronchial asthma, or psychosis as these conditions do not involve circulatory shock.
The tongue plays an important part in:
- A. Digestion, mastication, swallowing
- B. Ingestion, taste, digestion
- C. Mastication, elimination, swallowing
- D. Swallowing, mastication, taste
Correct Answer: D
Rationale: The correct answer is D because the tongue is primarily involved in swallowing, mastication (chewing), and taste perception. Swallowing is a crucial function of the tongue as it helps move food towards the throat. Mastication involves the tongue's movement to mix food with saliva and initiate the digestion process. Taste buds on the tongue are responsible for detecting different flavors. Choices A, B, and C are incorrect as they do not accurately describe the key functions of the tongue.
Which of the following drugs selectively stimulates β2 adrenoceptors:
- A. Adrenaline
- B. Noradrenaline
- C. Isoprenaline
- D. Salbutamol
Correct Answer: D
Rationale: The correct answer is D: Salbutamol. Salbutamol is a selective β2 adrenoceptor agonist. It has a higher affinity for β2 receptors compared to β1 receptors, leading to bronchodilation without significant effects on the heart. A: Adrenaline and C: Isoprenaline stimulate both β1 and β2 receptors, causing increased heart rate and bronchodilation. B: Noradrenaline stimulates α1, α2, and β1 receptors, leading to vasoconstriction and increased heart rate. Therefore, salbutamol is the only drug that selectively stimulates β2 adrenoceptors, making it the correct choice.
Which drug is most likely to cause muscle tremor:
- A. Ipratropium
- B. Terbutaline
- C. Atenolol
- D. Nicotinic acid
Correct Answer: B
Rationale: The correct answer is B: Terbutaline. Terbutaline is a beta-2 adrenergic agonist used as a bronchodilator. It can stimulate beta-2 receptors in skeletal muscle, leading to muscle tremors as a common side effect. Ipratropium (A) is an anticholinergic bronchodilator and typically does not cause muscle tremors. Atenolol (C) is a beta-blocker and is not associated with muscle tremors. Nicotinic acid (D) is used to treat dyslipidemia and does not commonly cause muscle tremors. Therefore, Terbutaline is the most likely drug to cause muscle tremor among the options provided.
Adrenaline can produce all of the following effects EXCEPT:
- A. Relaxation of bronchial muscle
- B. Increases cardiac contractility
- C. Increases intestinal motility
- D. Increases sweat secretion
Correct Answer: C
Rationale: Adrenaline, also known as epinephrine, is a hormone that activates the fight-or-flight response. It causes bronchial muscle relaxation (A), increases cardiac contractility (B), and increases sweat secretion (D) to prepare the body for action. However, adrenaline inhibits intestinal motility (C) to conserve energy for vital functions during stressful situations. Therefore, the correct answer is C because adrenaline does not increase intestinal motility. Relaxation of bronchial muscle, increased cardiac contractility, and increased sweat secretion are all effects of adrenaline, making choices A, B, and D incorrect, respectively.