Nokea
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).
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Which statement(s) is/are true regarding the types of medication orders? (Select one that does not apply.)
- A. Stat orders are the same as single dose orders.
- B. Verbal orders should be used as much as possible.
- C. Renewal orders facilitate physician review before continuance of high risk medications.
- D. PRN medications will designate a mandatory number of times the medication is to be administered.
Correct Answer: C
Rationale: Standing orders state the frequency of medication dosages to be administered or indicate the time frame of administration. Renewal orders require the physician to review medications that have expired orders, as determined by facility policy. Renewal policies facilitate physician verification of the necessity to continue a medication beyond a usual time frame and help ensure patient safety. Single dose and stat orders are not the same. PRN medications are not ordered a mandatory number of times, although a maximum number might be specified. Verbal orders should be avoided whenever possible.
Thyroxin is contributed in all listed processes except one:
- A. Increase tissue demand of oxygen consumption
- B. Activating protein, carbohydrates and fats metabolism
- C. Increase the main metabolism
- D. Decrease the main metabolism
Correct Answer: D
Rationale: Thyroxine (T4) increases metabolism, not decreases it, by enhancing oxygen use and nutrient breakdown.
Prior to administering a prescribed drug, the nurse correctly identifies the client by which method?
- A. Checking a client's name on his or her wristband
- B. Checking a client's chart
- C. Asking the client if the are Mr. Jones
- D. Asking a client if he or she is the correct client
Correct Answer: A
Rationale: Client identifiers can include visual and verbal methods. Visual methods include use of a recent picture of the client or client wristband. Verbal methods include asking the client for his or her name and another unique identifier, such as his or her birth date. Never ask a client, 'Are you Mr. Jones?' because some clients may respond by answering 'yes' even though that is not their name due to confusion or difficulty hearing. Checking the client's chart would be inappropriate to use for identifying the client.
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.
Pregnant patients who are taking isoniazid (INH) should take 25 mg/day of vitamin B6 (pyridoxine) to prevent:
- A. Beriberi
- B. Peripheral neuropathy
- C. Rickets
- D. Megaloblastic anemia
Correct Answer: B
Rationale: Vitamin B6 supplementation prevents INH-induced peripheral neuropathy.