Nokea
Long-term monitoring of patients who are taking carbamazepine includes:
- A. Routine troponin levels to assess for cardiac damage
- B. Annual eye examinations to assess for cataract development
- C. Monthly pregnancy tests for all women of childbearing age
- D. Complete blood count every 3 to 4 months
Correct Answer: D
Rationale: CBC monitoring detects carbamazepine-induced blood dyscrasias.
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Niaspan is less likely to cause which side effect that is common to niacin?
- A. Gastrointestinal irritation
- B. Cutaneous flushing
- C. Dehydration
- D. Headaches
Correct Answer: B
Rationale: Niaspan's extended-release form reduces flushing compared to immediate-release niacin.
A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select ONE that does not apply.)
- A. Maintain skill competency.
- B. Determine the dosage.
- C. Monitor for adverse effects.
- D. Safeguard medications.
Correct Answer: B
Rationale: Nurses must maintain competency , monitor effects , and safeguard meds ; determining dosage is the prescriber's role.
Glucocorticoids causes:
- A. Inhibition of lipolysis
- B. Disposition of fat in upper and lower extremities
- C. Atrophy of fatty tissue on face and paleness
- D. Catabolism of bone tissue
Correct Answer: D
Rationale: Glucocorticoids promote bone catabolism, leading to osteoporosis by inhibiting osteoblast activity and increasing osteoclast activity.
Patients receiving heparin therapy require monitoring of:
- A. Platelets every 2 to 3 days for thrombocytopenia that may occur on day 4 of therapy
- B. Electrolytes for elevated potassium levels in the first 24 hours of therapy
- C. INR throughout therapy to stay within the range of 2.0
- D. Blood pressure for hypertension that may occur in the first 2 days of treatment
Correct Answer: A
Rationale: Heparin can cause thrombocytopenia (HIT) around day 4, requiring platelet checks; INR is for warfarin, not heparin.
When administering an intradermal injection, the nurse would use a 1-mL syringe with which gauge of needle? Select one that does not apply.
- A. 26 gauge
- B. 27 gauge
- C. 29 gauge
- D. 25 gauge
Correct Answer: C
Rationale: A 1-mL syringe with a 25- to 27-gauge needle that is 1/4 to 5/8 inches long is best suited for intradermal injections.