Nokea
After admitting a patient to the unit, the nurse is organizing times to administer ordered medications. What important consideration will guide the nurse's timing of each medication?
- A. Comfort
- B. Ethnicity of patient
- C. Gender
- D. Age
Correct Answer: D
Rationale: Age affects metabolism and timing needs (e.g., elderly may need adjusted schedules).
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Traditional Chinese medicine utilizes yin (cooling) versus yang (warming) in assessing and treating disease. Menopause is considered a time of imbalance, therefore the Chinese herbalist would prescribe:
- A. Herbs which are yang in nature
- B. Herbs that are yin in nature
- C. Ginger
- D. Golden seal
Correct Answer: B
Rationale: Menopause is a yin-deficient state (hot flashes), so yin (cooling) herbs are prescribed.
Ultra-rapid metabolizers of drugs may have:
- A. To have dosages of drugs adjusted downward to prevent drug accumulation
- B. Active drug rapidly metabolized into inactive metabolites, leading to potential therapeutic failure
- C. Increased elimination of active, nonmetabolized drug
- D. Slowed metabolism of a prodrug into an active drug, leading to an accumulation of prodrug
Correct Answer: B
Rationale: Ultra-rapid metabolizers (e.g., CYP2D6) quickly inactivate drugs , risking therapeutic failure, requiring higher doses, not lower or slowed metabolism .
A nurse is caring for a client who is receiving daily doses of Oprelvekin. Which of the following laboratory values should the nurse monitor to determine effectiveness of this medication?
- A. Hemoglobin
- B. Absolute neutrophil count
- C. Platelet count
- D. Total white blood count
Correct Answer: C
Rationale: Oprelvekin increases platelet count , its primary therapeutic effect.
Pharmacoeconomics is:
- A. The study of the part of the U.S. economy
- B. The study of the impact of prescription drug costs on the overall economy
- C. The analysis of the costs and consequences of any health-care-related treatment or service
- D. The analysis of the clinical efficacy of the drug
Correct Answer: C
Rationale: Pharmacoeconomics evaluates costs and outcomes of health-care interventions.
Education of patients who are taking warfarin includes discussing their diet. Instructions include:
- A. Avoiding all vitamin K-containing foods
- B. Avoiding high-vitamin K-containing foods
- C. Increasing intake of iron-containing foods
- D. Making sure they eat 35 grams of fiber daily
Correct Answer: B
Rationale: High vitamin K foods antagonize warfarin; total avoidance is unnecessary, and iron or fiber aren't relevant.