Nokea
Education of patients who are taking warfarin includes discussing their diet. Instructions include:
- A. Avoiding all vitamin K-containing foods
- B. Avoiding high-vitamin K-containing foods
- C. Increasing intake of iron-containing foods
- D. Making sure they eat 35 grams of fiber daily
Correct Answer: B
Rationale: High vitamin K foods antagonize warfarin; total avoidance is unnecessary, and iron or fiber aren't relevant.
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The drug used for the treatment of trachomoniasis is:
- A. Tetracycline
- B. Suramin
- C. Metronidazole
- D. Pyrimethamine
Correct Answer: C
Rationale: Metronidazole is the standard treatment for trichomoniasis, a protozoal infection caused by Trichomonas vaginalis, due to its specific antiprotozoal activity.
A nurse is providing discharge teaching to a client who has a new prescription for Fluoxetine for PTSD. Which of the following statements should the nurse include in the teaching?
- A. You may have a decreased desire for intimacy while taking this medication.
- B. You should take this medication at bedtime to help promote sleep.
- C. You will have fewer urinary adverse effects if you urinate just before taking this medication.
- D. You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication.
Correct Answer: A
Rationale: Fluoxetine can decrease libido , a common SSRI side effect to inform clients about.
Strategies prescribers can use to prevent misuse of controlled prescription drugs include:
- A. Use of chemical dependency screening tools
- B. Firm limit-setting regarding prescribing controlled substances
- C. Practicing 'just say no' to deal with patients who are pushing the provider to prescribe controlled substances
- D. All of the above
Correct Answer: D
Rationale: All strategies "screening , limits , and refusal "help prevent misuse of controlled substances.
A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select ONE that does not apply.)
- A. Use of herbal teas
- B. Daily fluid intake
- C. Current health status
- D. Previous surgical history
Correct Answer: B
Rationale: Herbal teas , health status , surgical history , and allergies impact medication safety; fluid intake is less critical.
Traditional Chinese medicine utilizes yin (cooling) versus yang (warming) in assessing and treating disease. Menopause is considered a time of imbalance, therefore the Chinese herbalist would prescribe:
- A. Herbs which are yang in nature
- B. Herbs that are yin in nature
- C. Ginger
- D. Golden seal
Correct Answer: B
Rationale: Menopause is a yin-deficient state (hot flashes), so yin (cooling) herbs are prescribed.