Nokea
It is important to evaluate the efficacy of what parameter when evaluating the drug therapy of a patient?
- A. Appropriateness of drug dosages
- B. Compliance
- C. Caregivers knowledge level
- D. Nursing interventions
Correct Answer: D
Rationale: Evaluating nursing interventions assesses their effectiveness in achieving drug therapy goals.
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A nurse in an acute care facility is caring for a client who is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?
- A. Intestinal ileus
- B. Neutropenia
- C. Deurium
- D. Hyperthermia
Correct Answer: C
Rationale: Nitroprusside can cause delirium (C, likely typo for delirium), a CNS side effect in toxicity.
A nurse is teaching a client about preventing Otitis Externa. Which of the following instructions should the nurse include?
- A. Clean the ear with a cotton-tipped swab daily
- B. Place earplugs in the ears when sleeping at night.
- C. Use a cool water irrigation solution to remove earwax.
- D. Tip the head to the side to remove water from the ears after showering
Correct Answer: D
Rationale: Tipping the head removes water, preventing moisture that promotes otitis externa.
A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response?
- A. Swelling of the tongue or hoarseness are the most common symptoms.
- B. It appears to be related to the decrease in aldosterone production.
- C. Presence of a dry, hacky cough indicates a high risk for this adverse response.
- D. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week.
Correct Answer: A
Rationale: Angioedema presents with tongue swelling or hoarseness and is not linked to cough or aldosterone.
A child with severe asthma is being treated oral prednisone. Which of the following adverse effects is of particular concern?
- A. Hypoglycemia
- B. Hirsutism
- C. Growth suppression
- D. Cushing syndrome
Correct Answer: C
Rationale: Growth suppression is a significant concern in children on long-term prednisone due to its impact on bone growth and development.
Indirect costs associated with drug therapy include:
- A. The cost of diagnostic tests to monitor therapeutic levels
- B. Health-care provider time to prescribe and educate the patient
- C. Child-care expenses incurred while receiving therapy
- D. Loss of wages while undergoing drug therapy
Correct Answer: D
Rationale: Indirect costs include societal impacts like lost wages due to treatment.