Nokea
Anaphylactic shock is a:
- A. Type I reaction, called immediate hypersensitivity reaction
- B. Type II reaction, called cytotoxic hypersensitivity reaction
- C. Type III allergic reaction, called immune complex hypersensitivity
- D. Type IV allergic reaction, called delayed hypersensitivity reaction
Correct Answer: A
Rationale: Anaphylactic shock is a Type I immediate hypersensitivity reaction , IgE-mediated, unlike cytotoxic (II), immune complex (III), or delayed (IV).
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Research has shown that when patients who are covered by Medicare Part D reach the 'donut hole' in coverage they:
- A. Ask for extra refills of medication to get them through the months of no coverage
- B. Fill their prescriptions less frequently, including critical medications such as warfarin or a statin
- C. Fill their critical medications, but hold off on filling less-critical medications
- D. Demonstrate no change in their prescription filling pattern
Correct Answer: B
Rationale: Patients reduce prescription filling, even for critical drugs, during the donut hole.
Which statement(s) is/are true regarding computerized prescriber order entry (CPOE)?(Select one that does not apply.)
- A. Integrates the ordering system with the pharmacy, laboratory, and nurses
- B. Provides instant access to online information to facilitate patient care needs
- C. Facilitates review of ordered medications for potential drug interactions
- D. Alleviates the need to perform mathematical computations
Correct Answer: D
Rationale: CPOE systems integrate patient information, provide instant access, facilitate review of ordered medications for potential drug interactions, and facilitate review of drugs for appropriateness of dosages. Alleviation of the need to perform mathematical computations is not a component of the CPOE system.
A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone. Which of the following instructions should the nurse include in the teaching?
- A. Add extra snacks to your diet to prevent weight loss.
- B. Notify the provider if you develop breast enlargement.
- C. You may begin to have mild seizures while taking this medication.
- D. This medication is likely to increase your libido.
Correct Answer: B
Rationale: Risperidone can cause gynecomastia , a side effect to report; it often decreases libido and causes weight gain.
Vitamin B12 deficiency may lead to:
- A. Hair loss
- B. Insomnia
- C. Dry scales on the scalp
- D. Numbness and tingling of the hands
Correct Answer: D
Rationale: Vitamin B12 deficiency causes neurological symptoms like numbness and tingling due to nerve damage.
Which of the following is used for treatment of hyperthyroidism:
- A. Liothironine
- B. Levothiroxine
- C. Propilthiouracil
- D. Liotrix
Correct Answer: C
Rationale: Propylthiouracil inhibits thyroid hormone synthesis, making it a standard treatment for hyperthyroidism.