Nokea
During what phase of the nursing process would the nurse be required to consider the efficacy of nursing interventions related to drug therapy?
- A. Assessment
- B. Nursing diagnosis
- C. Interventions
- D. Evaluation
Correct Answer: D
Rationale: Evaluation phase assesses the effectiveness of interventions, including those related to drug therapy.
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In deciding which of multiple drugs used to use to treat a condition, the NP chooses Drug A because it:
- A. Has serious side effects and it is not being used for a life-threatening condition
- B. Will be taken twice daily and will be taken at home
- C. Is expensive, but covered by health insurance
- D. None of these are important in choosing a drug
Correct Answer: B
Rationale: Choosing a drug taken twice daily at home reflects practical considerations like adherence, outweighing side effects or cost alone . All factors matter (D is false).
Characteristics of vitamin D and its metabolites include which of the following?
- A. Act to decrease serum levels of calcium
- B. Activation of vitamin D receptors in the major cells of
- C. Calcitriol is the major derivative responsible for increasing intestinal absorption of phosphate
- D. Metabolites of vitamin D increase renal excretion of calcium
Correct Answer: C
Rationale: Calcitriol increases intestinal absorption of calcium and phosphate.
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the client and tells the client that the most likely time for a hypoglycemic reaction to occur is:
- A. 2 to 4 hours after administration
- B. 4 to 12 hours after administration
- C. 16 to 18 hours after administration
- D. 18 to 24 hours after administration
Correct Answer: B
Rationale: Humulin NPH is an intermediate-acting insulin. The onset of action is 1.5 hours, it peaks in 4 to 12 hours, and its duration of action is 24 hours. Hypoglycemic reactions most likely occur during peak time.
Select a suitable therapeutic indication for bethanechol:
- A. To decrease the heart rate
- B. To decrease the blood pressure
- C. For urinary retention
- D. Decrease intraocular pressure
Correct Answer: C
Rationale: Bethanechol, a muscarinic agonist, stimulates bladder contraction for urinary retention.
You are designing a drug regimen for a patient. What should be considered?
- A. Quality-of-life issues
- B. Ethnicity of patient
- C. Gender
- D. Quantity-of-life issues
Correct Answer: A
Rationale: Quality-of-life issues ensure the regimen aligns with patient needs and tolerability, enhancing adherence.