Nokea
Monitoring for a patient being prescribed iron for iron deficiency anemia includes:
- A. Reticulocyte count 1 week after therapy is started
- B. Complete blood count every 2 weeks throughout therapy
- C. Hemoglobin level at 1 week of therapy
- D. INR weekly throughout therapy
Correct Answer: A
Rationale: Reticulocyte count at 1 week assesses iron therapy response; CBC or hemoglobin checks are later, and INR is irrelevant.
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A patient with asthma has been using a nicotine transdermal 24-hour patch for 3 weeks to quit smoking. The patient reports having difficulty sleeping. What action will the nurse take?
- A. Ask the provider for a prescription for Nicotrol NS
- B. Recommend removing the patch at bedtime
- C. Suggest using an 18-hour patch instead
- D. Tell the patient to stop the patch and join a support group
Correct Answer: C
Rationale: An 18-hour patch reduces sleep disruption while aiding cessation; Nicotrol is risky with asthma. The patient should try an 18-hour patch to help with sleep.
Hannah will be traveling to Mexico with her church group over spring break to build houses. She is concerned she may develop traveler's diarrhea. Advice includes following normal food and water precautions as well as taking:
- A. Loperamide four times a day throughout the trip
- B. Bismuth subsalicylate with each meal and at bedtime
- C. A prescription for diphenoxylate with atropine to use if she gets diarrhea
- D. None of the above
Correct Answer: B
Rationale: Bismuth subsalicylate prevents traveler's diarrhea when taken prophylactically; loperamide or diphenoxylate are for treatment, not prevention.
Which of the following statements about NSAIDs is true?
- A. Most NSAIDs are weak acids
- B. Most NSAIDs are metabolised by the liver into inactive metabolites
- C. Oxicams tend to have the longest half-lives of all NSAIDs
- D. All of the above
Correct Answer: D
Rationale: All are true: NSAIDs are weak acids, metabolized by the liver, and oxicams (e.g., piroxicam) have long half-lives.
A patient asks the nurse, What is a Drug Enforcement Agency (DEA) number? What is the nurse's best response?
- A. DEA Numbers are given to physicians and pharmacists when they register with the DEA to prescribe and dispense controlled substances.
- B. Physicians must have a DEA number in order to prescribe any type of medication for patients.
- C. DEA numbers are case numbers given when someone breaks the law involving a controlled substance.
- D. DEA numbers are contact numbers to talk with someone at the DEA when questions arise about controlled substances.
Correct Answer: A
Rationale: All pharmacists and physicians must register with the DEA. They are given numbers that are required before they can dispense or prescribe controlled substances. DEA numbers are only needed when prescribing controlled substances. A DEA number is neither a case number nor a phone number.
A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amount available is haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 2
- B. 6
- C. 1
- D. 8
Correct Answer: A
Rationale: Calculation: 2 mg ÷ 1 mg/tablet = 2 tablets, matching the provided answer.