Nokea
Drugs that are designated Schedule II by the U.S. Drug Enforcement Administration:
- A. Are known teratogens during pregnancy
- B. May not be refilled; a new prescription must be written
- C. Have a low abuse potential
- D. May be dispensed without a prescription unless regulated by the state
Correct Answer: B
Rationale: Schedule II drugs (e.g., opioids) require new prescriptions without refills due to high abuse potential, unlike teratogenicity or OTC status .
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A nurse is planning caring for a client who is has a new prescription for Torsemide. The nurse should plan to monitor for which of the following adverse reactions of this medications? (Select one that does not apply.)
- A. Respiratory acidosis
- B. Hypokalemia
- C. Hypotension
- D. Ototoxicity
Correct Answer: A
Rationale: Torsemide can cause hypokalemia , hypotension , ototoxicity , and dysrhythmias , typical loop diuretic effects.
You are the home health nurse caring for a 77-year-old patient with congestive heart failure. When assessing this patient, in relation to their drug therapy, what is one thing that would be important for you to include in your assessment?
- A. Patient's age
- B. Required lifestyle changes
- C. Family members in the community
- D. Compliance with nutritional recommendations
Correct Answer: B
Rationale: Lifestyle changes (e.g., salt restriction) impact CHF drug therapy efficacy and adherence, critical for assessment.
In response to the patient's question about how to know whether drugs are safe, the nurse explains that all medications undergo rigorous scientific testing controlled by what organization?
- A. Food and Drug Administration (FDA)
- B. Drug Enforcement Agency (DEA)
- C. Centers for Disease Control and Prevention (CDC)
- D. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Correct Answer: A
Rationale: The FDA is responsible for controlling and regulating the development and sale of drugs in the United States, allowing new drugs to enter the market only after being subjected to rigorous scientific testing. The DEA regulates and controls the use of controlled substances. The CDC monitors and responds to infectious diseases. The JCAHO is an accrediting body that inspects acute care facilities to ensure minimum standards are met.
Alpha-beta blockers are especially effective to treat hypertension for which ethnic group?
- A. White
- B. Asian
- C. African American
- D. Native American
Correct Answer: C
Rationale: Alpha-beta blockers are particularly effective in African Americans due to their dual mechanism.
If an agonist can produce maximal effects and has high efficacy it's called:
- A. Partial agonist
- B. Antagonist
- C. Agonist-antagonist
- D. Full agonist
Correct Answer: D
Rationale: A full agonist achieves maximal receptor activation and effect.