Nokea
Azathioprine is useful in the following diseases EXCEPT:
- A. Rheumatoid arthritis
- B. Psoriatic arthritis
- C. Reactive arthritis
- D. osteoarthritis
Correct Answer: D
Rationale: Azathioprine is not typically used for osteoarthritis, a degenerative condition.
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Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for to be used for an episode of status epilepticus.
- A. IV phenobarbital
- B. Rectal diazepam (Diastat)
- C. IV phenytoin (Dilantin)
- D. Oral carbamazepine (Tegretol)
Correct Answer: B
Rationale: Rectal diazepam is a rescue medication for status epilepticus at home.
Immune globulin serums:
- A. Provide active immunity against infectious diseases
- B. Are contraindicated during pregnancy
- C. Are heated to above body temperature to kill most hepatitis, HIV, and other viruses such as parvovirus
- D. Are derived from pooled plasma of adults and contain specific antibodies in proportion to the donor population
Correct Answer: D
Rationale: Immune globulins are passive immunity from pooled plasma; they're not active , not contraindicated in pregnancy , and not heated .
Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for serious consequences of rapid withdrawal are those with:
- A. Angina
- B. Coronary artery disease
- C. Both 1 and 2
- D. Neither 1 nor 2
Correct Answer: C
Rationale: Patients with angina and CAD are at high risk for rebound effects like myocardial infarction.
A nurse is completing a nursing history for a client who takes Simvastatin. The nurse should identify which of the following disorders as a contraindication to adding Ezetimibe to the client's medications?
- A. History of severe constipation
- B. History of hypertension
- C. Active hepatitis C
- D. Type 2 diabetes mellitus
Correct Answer: C
Rationale: Active hepatitis C contraindicates ezetimibe due to increased liver risk with statins.
One barrier to use of the Internet for both prescribing and for patient teaching is:
- A. Lack of free public access to the Internet
- B. Age, with older adults rarely understanding how to use a computer
- C. Web pages and hyperlinks may change, be deleted, or be replaced
- D. Few Web sites with information about drugs are free
Correct Answer: C
Rationale: Changing or deleted web content is a barrier to reliable online information use.