Nokea
Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes:
- A. It is okay to double the dose of Vicodin if the pain is severe
- B. Vicodin is not habit-forming
- C. He should not take any other acetaminophen-containing medications
- D. Vicodin may cause diarrhea; increase his fluid intake
Correct Answer: C
Rationale: Avoiding extra acetaminophen prevents overdose; Vicodin is habit-forming , and constipation, not diarrhea , is common.
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Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to:
- A. Search for information using the most common search engines
- B. Serve as content experts in developing, implementing, and evaluating information systems
- C. Write programs to assure the integrity of health information
- D. Use information technology to prescribe drugs
Correct Answer: B
Rationale: Advanced practice nurses contribute expertise in IT system development and evaluation.
Which of the following glucocorticosteroids are used for cerebral oedema:
- A. Triamcinolon
- B. Prednisolon
- C. Prednison
- D. Dexamethasone
Correct Answer: D
Rationale: Dexamethasone is preferred for cerebral edema due to its potent anti-inflammatory effects and minimal mineralocorticoid activity.
James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a corticosteroid) use. He is at risk for what type of adverse drug reaction?
- A. Type B
- B. Type C
- C. Type E
- D. Type F
Correct Answer: B
Rationale: Chronic prednisone use causing HPA suppression is a Type C (chronic) ADR , linked to prolonged exposure, not idiosyncratic , withdrawal , or failure .
The first step in the prescribing process according to the World Health Organization is:
- A. Choosing the treatment
- B. Educating the patient about the medication
- C. Diagnosing the patient's problem
- D. Starting the treatment
Correct Answer: C
Rationale: The WHO prescribing process begins with diagnosing the problem to ensure treatment aligns with the condition, followed by choosing therapy and education.
Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring for this combination includes:
- A. Hemoglobin
- B. Serum potassium
- C. Blood urea nitrogen
- D. Serum glucose
Correct Answer: B
Rationale: Furosemide's potassium loss can enhance digoxin toxicity, requiring potassium monitoring.