Nokea
All are true except
- A. Acidic drugs bind to albumin & basic to acid glucoprotein
- B. All drugs have the same binding sites and mev compete for them
- C. Increased dosage will cause decrease in free drug in plasma throughout the therapeutic range
Correct Answer: D
Rationale: Acidic drugs bind albumin, basic drugs bind alpha-1-acid glycoprotein; binding sites differ, and increased dosage increases free drug levels.
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A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 125
- B. 120
- C. 150
- D. 110
Correct Answer: A
Rationale: Calculation: 750 mL ÷ 6 hr = 125 mL/hr, matching the answer.
Insulin is used for:
- A. Treatment of diabetes mellitus type I only
- B. Treatment of diabetes mellitus type II only
- C. Treatment of diabetes mellitus type III and IV only
- D. Treatment of diabetes mellitus type I and II
Correct Answer: D
Rationale: Insulin is used for both type 1 (insulin-dependent) and type 2 (when other treatments fail) diabetes.
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:
- A. Serum glucose
- B. Stool culture
- C. Folate levels
- D. Vitamin B12
Correct Answer: A
Rationale: Corticosteroids raise glucose, requiring monitoring; stool or vitamins aren't routine.
James tells you that he is confused by his Medicare Part D coverage plan. An appropriate intervention would be:
- A. Order cognitive testing to determine the source of his confusion.
- B. Sit down with him and explain the whole Medicare Part D process.
- C. Refer him to the Medicare specialist in his insurance plan to explain the benefit to him.
- D. Request his son come to the next appointment so you can explain the benefit to him.
Correct Answer: C
Rationale: Referring to a specialist ensures accurate explanation of Medicare Part D.
A 12-month-old child just received the first measles, mumps, and rubella (MMR) vaccine. For which of the following possible reactions to this vaccine should the nurse teach the parents to monitor? (Select all that apply.)
- A. Bleeding
- B. Swollen glands
- C. Bruising
- D. Headache
Correct Answer: B
Rationale: Rash and swollen glands are common MMR reactions; bruising and headache are less typical.