Beta blocker are used in all, except
- A. Variant angina
- B. Mild hypertension
- C. Glaucoma
- D. Thyrotoxicosis
Correct Answer: A
Rationale: Beta-blockers worsen variant angina due to unopposed alpha constriction.
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Which source contains information specific to nutritional supplements?
- A. USP Dictionary of USAN & International Drug Names
- B. Natural Medicines Comprehensive Database
- C. United States Pharmacopoeia/National Formulary (USP NF)
- D. Drug Interaction Facts
Correct Answer: C
Rationale: United States Pharmacopoeia/National Formulary contains information specific to nutritional supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug names, pronunciation guide, and possible future FDA approved drugs; it does not include nutritional supplements. Natural Medicines Comprehensive Database contains evidence-based information on herbal medicines and herbal combination products; it does not include information specific to nutritional supplements. Drug Interaction Facts contains comprehensive information on drug interaction facts; it does not include nutritional supplements.
A nurse is teaching a female client who has tobacco use disorder about Nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching?
- A. I should avoid eating right before I chew a piece of nicotine gum.
- B. I will need to stop using the nicotine gum after 1 year.
- C. I know that nicotine gum is a safe alternative to resulting if I become pregnant.
- D. I must chew the nicotine gum quickly for about 15 minutes.
Correct Answer: A
Rationale: Avoiding food before chewing enhances nicotine absorption; gum isn't safe in pregnancy, and chewing is slow.
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication?
- A. One
- B. Two
- C. Three
- D. Four
Correct Answer: A
Rationale: A long half-life of 4 days means the drug remains effective for an extended period, typically requiring once-daily dosing.
A 24 year-old man with a history of substance abuse is suffering from generalized anxiety disorder. Which of the following drugs would be the most suitable for the management of his condition?
- A. Zolpidem
- B. Buspirone
- C. Midazolam
- D. Triazolam
Correct Answer: B
Rationale: Buspirone, a non-benzodiazepine, treats anxiety without dependence risk.
Influenza vaccine may be administered annually to:
- A. Patients with an egg allergy
- B. Pregnant patients
- C. Patients age 6 weeks or older
- D. Patients with acute febrile illness
Correct Answer: B
Rationale: Influenza vaccine is safe in pregnancy; egg allergy requires caution, 6 weeks is too young, and fever delays it.