Not an antidepressant
- A. Amitryptilline
- B. Fluoxetin
- C. Trazodone
- D. Pimozide
Correct Answer: D
Rationale: Pimozide is an antipsychotic, not an antidepressant.
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Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include:
- A. Understanding that obesity is a contraindication to prescribing phentermine
- B. Anorexiants may cause tolerance and should only be prescribed for 6 months
- C. Patients should be monitored for postural hypotension
- D. Renal function should be monitored closely while on anorexiants
Correct Answer: C
Rationale: Phentermine can cause postural hypotension, requiring monitoring.
A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client?
- A. Varicella vaccine
- B. Rubella vaccine
- C. Inactivated influenza vaccine
- D. Measles vaccine
Correct Answer: C
Rationale: Inactivated influenza vaccine is safe in pregnancy; live vaccines (A, B, D) are contraindicated.
Nonselective beta blockers and alcohol create serious drug interactions with insulin because they:
- A. Increase blood glucose levels
- B. Produce unexplained diaphoresis
- C. Interfere with the ability of the body to metabolize glucose
- D. Mask the signs and symptoms of altered glucose levels
Correct Answer: D
Rationale: Nonselective beta blockers and alcohol mask hypoglycemia symptoms (e.g., tachycardia), complicating detection.
A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis. Before administering this medication, the nurse will review which laboratory values in the patient's medical record?
- A. Complete blood count (CBC) with differential white cell count
- B. Blood urea nitrogen (BUN) and creatinine
- C. Potassium and magnesium levels
- D. Serum fasting glucose
Correct Answer: B
Rationale: Streptomycin risks nephrotoxicity, requiring renal function (BUN, creatinine) checks; CBC or electrolytes are less critical. Streptomycin can cause significant renal toxicity.
A nurse is caring for a patient who is supposed to receive two drugs at the same time. What is the nurses priority action?
- A. Wash her hands before handling the medications.
- B. Consult a drug guide for compatibility.
- C. Question the patient concerning drug allergies.
- D. Identify the patient by checking the armband and asking the patient to state his name.
Correct Answer: B
Rationale: A nurse should first consult a drug guide for compatibility when two or more drugs are being given at the same time. After compatibility is determined the medication can be administered. The nurse will perform hand hygiene, check for patient allergies, and ensure the right patient receives the medication by using two identifiers.
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