Nokea
Half-lives of hydrophilic beta-blockers tend to be longer than their lipophilic counterparts.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Hydrophilic beta-blockers (e.g., atenolol) have longer half-lives due to renal elimination, unlike lipophilic ones (e.g., propranolol) metabolized by the liver.
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A nursing is planning care for a client who is receiving Furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
- A. Assess for tinnitus.
- B. Report urine output 50 mL/hr.
- C. Monitor Calcium levels.
- D. Elevate the head of bed slowly before ambulation.
Correct Answer: A
Rationale: Furosemide can cause tinnitus , hypokalemia , and requires potassium-rich foods like bananas.
Which of the following can be used with parenteral route for the treatment of diabetes mellitus
- A. Insulin preparations
- B. Sulfonilureas
- C. Biguanides
- D. Acarbose
Correct Answer: A
Rationale: Insulin is the only diabetes medication administered parenterally (e.g., subcutaneous or IV).
When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3), instructions to the patient should include:
- A. The medication may cause sedation and they should not drive.
- B. Constipation is a common side effect and they should increase fluids and fiber.
- C. Patients should not take any other acetaminophen-containing medications at the same time.
- D. All of the above
Correct Answer: D
Rationale: All are critical: sedation, constipation, and acetaminophen overdose risks.
Chlorpropamide metabolism is enhanced by
- A. Ethyl alcohol
- B. Diazepam
- C. Lorazepam
- D. Chloridazepoxide
Correct Answer: A
Rationale: Ethyl alcohol induces hepatic enzymes, enhancing the metabolism of chlorpropamide, a sulfonylurea antidiabetic drug.
Which of the following is a side effect of propylthiouracil?
- A. Agranulocytosis
- B. Arrhythmias
- C. Diabetes
- D. Hypertension
Correct Answer: A
Rationale: Propylthiouracil can cause agranulocytosis, a severe drop in white blood cells.