Nokea
Mitoxantrone (Novantrone) is being considered as treatment for a patient with progressive-relapsing MS. The nurse explains that a disadvantage of this drug compared with other drugs used for MS is what?
- A. It must be given subcutaneously every day.
- B. It has a lifetime dose limit because of cardiac toxicity.
- C. It is an anticholinergic agent that causes urinary incontinence.
- D. It is an immunosuppressant agent that increases the risk for infection.
Correct Answer: B
Rationale: Mitoxantrone has a lifetime dose limit due to its potential for cardiac toxicity
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Which patient should the nurse assess first after change-of-shift report?
- A. A 42-year-old patient with carpal tunnel syndrome complaining of pain.
- B. A 64-year-old patient with osteoporosis who is waiting for discharge.
- C. A 28-year-old patient with fracture complaining that the cast is tight.
- D. A 56-year-old patient with left leg amputation complaining of phantom pain.
Correct Answer: C
Rationale: A tight cast can lead to compartment syndrome, which is a medical emergency.
Control of temperature, endocrine activity, metabolism, and thirst are functions associated with the:
- A. medulla oblongata
- B. cerebellum
- C. hypothalamus
- D. thalamus
Correct Answer: C
Rationale: The hypothalamus regulates temperature, endocrine activity, metabolism, and thirst. The medulla oblongata, cerebellum, thalamus, and cerebrum have different roles. Thus, C is the correct answer.
Dysdiadochokinesia refers to ___________.
- A. inability to walk
- B. excessive movements of the appendages
- C. ignoring one side of the body opposite brain damage
- D. inability to do alternating movements
Correct Answer: D
Rationale: Dysdiadochokinesia is the inability to perform rapid alternating movements, such as pronation and supination of the hand. It is often a sign of cerebellar dysfunction, which affects motor coordination.
The patient works on a computer 8 hours each day. What kind of repetitive strain injury would be expected in this patient?
- A. Meniscus injury
- B. Rotator cuff injury
- C. Radial-ulnar fracture
- D. Carpal tunnel syndrome
Correct Answer: D
Rationale: Carpal tunnel syndrome is a common repetitive strain injury associated with prolonged computer use.
During treatment of the patient with an acute attack of gout, the nurse would expect to administer which drug?
- A. Aspirin
- B. Colchicine
- C. Allopurinol (Zyloprim)
- D. Probenecid (Benemid)
Correct Answer: B
Rationale: Colchicine treats acute gout attacks.