Nokea
Anticholinesterase inhibitors are used to treat:
- A. Peptic ulcer disease
- B. Myasthenia gravis
- C. Both 1 and 2
- D. Neither 1 nor 2
Correct Answer: B
Rationale: Anticholinesterases (e.g., pyridostigmine) treat myasthenia gravis by increasing acetylcholine.
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A nurse is providing teaching to a client who has type 2 Diabetes Mellitus and is starting Repaglinide. Which of the following statements by the client indicates understanding of the administration of this medication?
- A. I'll take this medicine with my meals.
- B. I'll take this medicine 30 minutes before I eat.
- C. I'll take this medicine just before I go to bed.
- D. I'll take this medicine as soon as I wake up in the morning.
Correct Answer: B
Rationale: Repaglinide is taken 15-30 minutes before meals to control postprandial glucose.
Serum level of drug is monitored when the patient is on
- A. Lithium
- B. Haloperidol
- C. Diazepam
- D. Acetazolamide
Correct Answer: A
Rationale: Lithium requires monitoring due to its narrow therapeutic range.
In today's health care environment there is often more contact between the patient and the nurse than between the patient and the physician. How does this increased patient contact impact drug therapy?
- A. Choosing the best medication to treat the patient's condition
- B. Assessing the patient's preferred communication strategies
- C. Assessing the therapeutic success of the drug therapy
- D. Reducing dosage quickly when adverse effects arise
Correct Answer: C
Rationale: More contact allows nurses to assess therapy success through observation and patient feedback.
A primary health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate?
- A. Apply next dose to a new site.
- B. Check the infusion rate.
- C. Inject only the inner part of the forearm.
- D. Give small volumes of doses.
Correct Answer: A
Rationale: An important nursing intervention when administrating drugs through the transdermal route is to apply the next dose to a new site. It is important to check the infusion rate every 15 to 30 minutes in patients using infusion controllers or infusion pumps. When using the intradermal route, the inner part of the forearm should be used as the injection site and small volumes of doses should be administered.
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 22
- B. 25
- C. 20
- D. 18
Correct Answer: A
Rationale: Calculation: (100 mL / 45 min) 10 gtt/mL = 22.22, rounded to 22 gtt/min, matching the provided answer.