Avoid concurrent administration of exenatide with which of the following drugs?
- A. Digoxin
- B. Warfarin
- C. Lovastatin
- D. All of the above
Correct Answer: D
Rationale: Exenatide delays gastric emptying, potentially affecting absorption of digoxin , warfarin , and lovastatin .
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Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for:
- A. Hypokalemia
- B. Impotence
- C. Decreased renal function
- D. Inability to concentrate
Correct Answer: C
Rationale: ACE inhibitors can worsen renal function, necessitating baseline assessment.
Angina is caused by:
- A. Blocking beta1 receptors with a constant binding of noradrenaline
- B. Activating beta2 receptors
- C. Beta1 receptors are not active anymore
- D. Extreme binding of noradrenaline due to up regulation
Correct Answer: D
Rationale: Angina results from myocardial ischemia, often due to excessive demand or reduced supply, which can be exacerbated by upregulated noradrenaline binding increasing heart workload.
Which of the following drugs do not cross the placenta
- A. Dilantin
- B. Diazepam
- C. Acinocoumarin
- D. Heparin
Correct Answer: D
Rationale: Heparin does not cross the placenta due to its large size.
Strategies prescribers can use to prevent misuse of controlled prescription drugs include:
- A. Use of chemical dependency screening tools
- B. Firm limit-setting regarding prescribing controlled substances
- C. Practicing 'just say no' to deal with patients who are pushing the provider to prescribe controlled substances
- D. All of the above
Correct Answer: D
Rationale: All strategies "screening , limits , and refusal "help prevent misuse of controlled substances.
Which is the most authoritative reference for medications that are injected?
- A. Martindale: The Complete
- B. Handbook on Injectable Drugs
- C. DailyMed
- D. Handbook of Nonprescription Drugs
Correct Answer: B
Rationale: The Handbook on Injectable Drugs is the most comprehensive reference available on the topic of compatibility of injectable drugs.
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