Nokea
In Ayurvedic medicine, treatment is based on the 'tistidever' dosha, which is referred to as the person's:
- A. Vata
- B. Pitta
- C. Kapha
- D. Prakriti
Correct Answer: D
Rationale: Prakriti is the individual's constitution in Ayurveda, guiding treatment based on dosha balance.
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Colestipol comes in a powdered form. The patient is taught to:
- A. Take the powder dry and follow it with at least 8 ounces of water
- B. Take it with a meal to enhance its action on fatty food
- C. Mix the powder with 4 to 6 ounces of milk or fruit juice
- D. Take after the evening meal to coincide with cholesterol synthesis
Correct Answer: C
Rationale: Mixing colestipol with liquid improves palatability and administration.
While receiving treatment for kidney stones, a man complains of swelling and pain in his big toe and is found to have hyperuricemia
- A. Clomiphene
- B. Hydrochlorothiazide
- C. Furosemide
- D. Mifepristone
Correct Answer: B
Rationale: Thiazides like hydrochlorothiazide reduce uric acid excretion, causing hyperuricemia and gout.
Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with propylthiouracil. Patients should be taught to report:
- A. Tinnitus and decreased salivation
- B. Fever and sore throat
- C. Hypocalcemia and osteoporosis
- D. Laryngeal edema and difficulty swallowing
Correct Answer: B
Rationale: Fever and sore throat signal granulocytopenia with propylthiouracil; other symptoms are unrelated.
AH of the following do not cross the blood brain barrier except
- A. Pyridostigmine
- B. Neostigmine
- C. Physostigmine
- D. Ambenonium
Correct Answer: C
Rationale: Physostigmine, a tertiary amine, crosses the blood-brain barrier; others (quaternary amines) do not.
In today's health care environment there is often more contact between the patient and the nurse than between the patient and the physician. How does this increased patient contact impact drug therapy?
- A. Choosing the best medication to treat the patient's condition
- B. Assessing the patient's preferred communication strategies
- C. Assessing the therapeutic success of the drug therapy
- D. Reducing dosage quickly when adverse effects arise
Correct Answer: C
Rationale: More contact allows nurses to assess therapy success through observation and patient feedback.