Nokea
Factors that facilitate keeping patient information confidential in an electronic health record (EHR) system include:
- A. Designing software so that only those who need the information can gain access
- B. Requiring providers to log off at the end of the clinical day
- C. Keeping a file of the login and password information for each provider in a secure place
- D. Having patients sign informed consent documents to have their data on an EHR
Correct Answer: A
Rationale: Restricted access software enhances EHR confidentiality.
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Which of the following adverse effects are less likely in a beta1-selective blocker?
- A. Dysrhythmias
- B. Impaired insulin release
- C. Reflex orthostatic changes
- D. Decreased triglycerides and cholesterol
Correct Answer: B
Rationale: Beta1-selective blockers (e.g., atenolol) have less impact on insulin release compared to non-selective blockers.
Release of the mineralcorticoids is stimulated with:
- A. Low concentration of \mathrm{Na}+ in the blood
- B. Hypokalemia
- C. Low concentration of angiotensin II in the blood
- D. Low concentration of \mathrm{Mg} 2+ in the blood
Correct Answer: A
Rationale: Low blood sodium stimulates aldosterone release via the renin-angiotensin system.
A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client?
- A. Cardiovascular
- B. Immune
- C. Central nervous
- D. Gastrointestinal
Correct Answer: C
Rationale: Extrapyramidal effects are movement disorders caused by medications affecting the central nervous system , like antipsychotics.
A nurse is teaching a school-age child and his parents about a new prescription for Lisdexamfetamine. Which of the following information should the nurse include in the teaching? (Select one that does not apply.)
- A. An adverse effect of this medication is CNS stimulation.
- B. Administer the medication before bedtime.
- C. Monitor blood pressure while taking this medication.
- D. Increased dopamine leads to more activity
Correct Answer: B
Rationale: CNS stimulation , BP monitoring , and dopamine increase are key; it's taken in the morning, not bedtime.
Bromocriptine is (select one that does not apply)
- A. A partial agonist of dopamine
- B. A partial antagonist of dopamine
- C. Used in the treatment of parkinsonism
- D. Used to reduce GH secretion in acromegaly
Correct Answer: B
Rationale: Bromocriptine is a dopamine agonist used in parkinsonism and acromegaly; all except B are correct.