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Decision support systems often provide medication alerts that tell the prescriber:
- A. Patient history data with a summary of their diagnoses
- B. The usual dosage for the drug being prescribed
- C. The patient's latest laboratory values, such as potassium levels
- D. Potential drug-to-drug interactions with other medications the patient is taking
Correct Answer: D
Rationale: Decision support systems primarily alert prescribers to drug-drug interactions.
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A nurse is working as a member of a research team involved in exploring the unique response to drugs each individual displays based on genetic make-up. What is this area of study called?
- A. Pharmacotherapeutics
- B. Pharmacodynamics
- C. Pharmacoeconomics
- D. Pharmacogenomics
Correct Answer: D
Rationale: Pharmacogenomics is the area of study that includes mapping of the human genome. In the future, medical care and drug regimens may be personally designed based on a patients unique genetic make-up. Pharmacotherapeutics is the branch of pharmacology that deals with the uses of drugs to treat, prevent, and diagnose disease. Pharmacodynamics involves how a drug affects the body. Pharmacoeconomics includes the costs involved in drug therapy.
The NP orders a thyroid panel for a patient on amiodarone. The patient tells the NP that he does not have thyroid disease and wants to know why the test is ordered. Which is a correct response?
- A. Amiodarone inhibits an enzyme that is important in making thyroid hormone and can cause hypothyroidism.
- B. Amiodarone damages the thyroid gland and can result in inflammation of that gland, causing hyperthyroidism.
- C. Amiodarone is a broad-spectrum drug with many adverse effects. Many different tests need to be done before it is given.
- D. Amiodarone can cause corneal deposits in up to 25% of patients.
Correct Answer: A
Rationale: Amiodarone inhibits thyroid hormone synthesis, risking hypothyroidism.
Monitoring a patient on a high-dose aspirin level includes:
- A. Salicylate level
- B. Complete blood count
- C. Urine pH
- D. All of the above
Correct Answer: D
Rationale: High-dose aspirin requires salicylate levels , CBC for bleeding, and urine pH for excretion monitoring.
Which of the following is not a dose related reaction:
- A. Myocardial Irritation of Quinidine
- B. Hypoglycemia of tolbutamide
- C. Digitalis induced arrythmia
- D. Drug fever of sulpha
Correct Answer: D
Rationale: Drug fever from sulfa is an idiosyncratic/hypersensitivity reaction, not dose-related.
The Vaccine Adverse Events Reporting System is:
- A. A mandatory reporting system for all health-care providers when they encounter an adverse vaccine event
- B. A voluntary reporting system that health-care providers or consumers may use to report vaccine adverse events
- C. Utilized to send out safety alerts regarding emerging vaccine safety issues
- D. Activated when a vaccine has been proven to cause significant adverse effects
Correct Answer: B
Rationale: VAERS is a voluntary system for reporting vaccine ADRs by providers or consumers, not mandatory or alert-only .