Nokea
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?
- A. Platelet count
- B. Triglyceride level
- C. Complete blood count
- D. White blood cell count
Correct Answer: B
Rationale: Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured before treatment and periodically thereafter until the effect on the triglycerides has been evaluated. Options 1, 3, and 4 do not need to be monitored specifically during this treatment.
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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.
Following are the true receptors, except one
- A. Beta adrenergic receptors
- B. Na-K-ATP ase
- C. Phosphodiesterase
- D. Plasma proteins
Correct Answer: D
Rationale: Plasma proteins bind drugs but are not receptors.
A nurse is assessing a client after administering a prescribed medication. Which of the following would alert the nurse to suspect that the client is developing anaphylactic shock?Select one that does not apply.
- A. Wheezing
- B. Hypertension
- C. Dyspnea
- D. Urticaria
Correct Answer: B
Rationale: The symptoms of anaphylactic shock are dyspnea, feeling of fullness in the throat, cough, wheezing, extremely low blood pressure, tachycardia (heart rate >100 bpm), palpitations, syncope, cardiac arrest, urticaria, angioedema, pruritus, sweating, nausea, vomiting, and abdominal pain.
Zoster vaccine (Zostavax) is:
- A. A live varicella zoster vaccine from the same strain used to develop the varicella vaccine
- B. Effective in preventing varicella zoster in patients of all ages
- C. Recommended for patients age 40 to 80 who have had chickenpox
- D. Administered at the same time as other live vaccines, as long as they are given the same day
Correct Answer: A
Rationale: Zostavax is a live vaccine from the varicella strain, for adults 50+ (not all ages, B, or 40-80, C); timing with other vaccines has restrictions.
Brands of pancreatic enzyme replacement drugs are:
- A. Bioequivalent
- B. About the same in cost per unit of lipase across brands
- C. Able to be interchanged between generic and brand-name products to reduce cost
- D. None of the above
Correct Answer: D
Rationale: Pancreatic enzymes vary in potency and aren't bioequivalent or interchangeable ; cost differs .