Nokea
Nicotine gum products are:
- A. Chewed to release the nicotine and then swallowed for a systemic effect
- B. Parked' in the buccal area of the mouth to produce a constant amount of nicotine release
- C. Bound to exchange resins so the nicotine is only released during chewing
- D. Approximately the same in nicotine content as smoking two cigarettes
Correct Answer: B
Rationale: Nicotine gum is parked buccally for steady release.
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Sadie is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic long-term omeprazole use places her at increased risk for:
- A. Megaloblastic anemia
- B. Osteoporosis
- C. Hypertension
- D. Strokes
Correct Answer: B
Rationale: Chronic PPI use like omeprazole reduces calcium absorption, increasing osteoporosis risk; anemia is less direct.
Insulin is used for:
- A. Treatment of diabetes mellitus type I only
- B. Treatment of diabetes mellitus type II only
- C. Treatment of diabetes mellitus type III and IV only
- D. Treatment of diabetes mellitus type I and II
Correct Answer: D
Rationale: Insulin is used for both type 1 (insulin-dependent) and type 2 (when other treatments fail) diabetes.
Licorice root is a common treatment for dyspepsia. Drug interactions with licorice include:
- A. Antihypertensives, diuretics, and digoxin
- B. Antidiarrheals, antihistamines, and omeprazole
- C. Penicillin antibiotic class and benzodiazepines
- D. None of the above
Correct Answer: A
Rationale: Licorice affects potassium levels and blood pressure, interacting with antihypertensives, diuretics, and digoxin.
Which of the following would be most important for the nurse to do to ensure the safe use of prescription drugs in the institutional setting?(Select one that does not apply.)
- A. Administering drugs
- B. Monitoring clients for drug effects
- C. Prescribing drugs
- D. Evaluating clients for toxic effects
Correct Answer: C
Rationale: In the institutional setting, the nurse's role to ensure safe use of prescription drugs includes administering drugs, monitoring drug effects, evaluating for toxic effects, and educating clients and caregivers about drugs.
A group of nursing students are reviewing the concept known as the five +1 rights of drug administration. The group demonstrates understanding of this concept when they identify which of the following as being included?
- A. Right documentation
- B. Right patient
- C. Right route
- D. All the above
Correct Answer: D
Rationale: The five +1 rights of drug administration include the following: right patient, right drug, right dose, right route, right time, and right documentation.