Nokea
In teaching about the use of sublingual nitroglycerine, the patient should be instructed:
- A. To swallow the tablet with a full glass of water
- B. To place one tablet under the tongue if chest pain occurs and allow it to dissolve
- C. To take one tablet every 5 minutes until the chest pain goes away
- D. That it should 'burn' when placed under the tongue or it is no longer effective
Correct Answer: B
Rationale: Sublingual nitroglycerin is placed under the tongue for rapid absorption.
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The most frequent type of drug-food interaction is food:
- A. Causing increased therapeutic drug levels
- B. Affecting the metabolism of the drug
- C. Altering the volume of distribution of drugs
- D. Affecting the gastrointestinal absorption of drugs
Correct Answer: D
Rationale: Food most commonly affects drug absorption in the GI tract by altering pH, delaying gastric emptying, or binding to drugs, impacting bioavailability.
The advantage of using information technology for patient education includes:
- A. The ability to track the number of times you have given the patient the same instructions regarding their medication
- B. Standardized and individualized patient education that is simultaneously recorded into the patient record
- C. Easy access to private patient information specific to populations with a similar diagnosis
- D. The ability to download and interpret patient information in multiple languages, easily and accurately
Correct Answer: B
Rationale: IT provides standardized, individualized education recorded in the patient record.
Choose a drug that is used for both non-Hodgkin's lymphoma and rheumatoid arthritis:
- A. Doxorubicin
- B. Vincristine
- C. Infliximab
- D. Rituximab
Correct Answer: D
Rationale: Rituximab targets CD20 in lymphoma and is also used in rheumatoid arthritis.
A nurse is teaching a client who has a new prescription for Diphenhydramine for allergic Rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (Select one that does not apply.)
- A. Dry mouth
- B. Nonproductive cough
- C. Urinary Hesitation
- D. Drowsiness
Correct Answer: B
Rationale: Diphenhydramine causes dry mouth , drowsiness , and urinary hesitation due to anticholinergic effects.
Beta blocker are used in all, except
- A. Variant angina
- B. Mild hypertension
- C. Glaucoma
- D. Thyrotoxicosis
Correct Answer: A
Rationale: Beta-blockers worsen variant angina due to unopposed alpha constriction.