Nokea
Angiotensin-converting enzyme inhibitors are the drug of choice in treating hypertension in diabetic patients because they:
- A. Improve insulin sensitivity
- B. Improve renal hemodynamics
- C. Reduce the production of angiotensin II
- D. All of the above
Correct Answer: D
Rationale: ACE inhibitors benefit diabetics by enhancing insulin sensitivity, protecting kidneys, and blocking angiotensin II.
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The nurse is teaching a group in the community about drug abuse. Which statement by the nurse is correct?
- A. Cue-induced cravings eventually disappear after long periods of abstinence by the person addicted to drugs
- B. Drug abuse and drug addiction are synonymous terms, describing dependence on drugs
- C. Drug addiction is characterized by emotional, mental, and sometimes physical dependence
- D. Drug addiction occurs when physical dependence is present
Correct Answer: C
Rationale: Addiction involves emotional/mental dependence, with physical optional; cravings persist, and abuse differs from addiction. Drug addiction occurs when emotional and mental dependence on a drug are present.
Which of the following is thyroid hormone:
- A. Triiodthironine
- B. Monoiodthirozine
- C. Diiodthirozine
- D. Octaiodthironine
Correct Answer: A
Rationale: Triiodothyronine (T3) is a key thyroid hormone that regulates metabolism, unlike the others which are not primary hormones.
Which drug has a high first pass effect
- A. Amiodarone
- B. Phenytoin
- C. Verapamil
- D. Disopyramide
Correct Answer: C
Rationale: Verapamil undergoes extensive first-pass metabolism in the liver, reducing its bioavailability when taken orally.
Which of the following is used for treatment of mixedema:
- A. Triiodthironine
- B. Potassium perchlorate
- C. Mercazolil
Correct Answer: A
Rationale: Triiodothyronine (T3) is used to treat myxedema (severe hypothyroidism) by replacing deficient thyroid hormone.
A nurse is caring for a client who has Depression and a new prescription for Venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select all that apply)
- A. Cough
- B. Dizziness
- C. Increased libido
- D. Invention
Correct Answer: B
Rationale: Venlafaxine can cause dizziness , decreased libido , and hypotension ; 'invention' seems a typo.