One major drug used to treat bipolar disease is lithium. Because lithium has a narrow therapeutic range, it is important to recognize symptoms of toxicity, such as:
- A. Orthostatic hypotension
- B. Agitation and irritability
- C. Drowsiness and nausea
- D. Painful urination and abdominal distention
Correct Answer: C
Rationale: Lithium toxicity commonly presents with drowsiness and nausea.
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Which statement is not correct regarding acarbose:
- A. Is for internal use
- B. Inhibiting alfa glucosidase
- C. Inhibits carbohydrates absorbtion in the gut
- D. Is effective for diabetes mellitus type I
Correct Answer: D
Rationale: Acarbose is primarily effective for type 2 diabetes by delaying carbohydrate absorption, not type 1, which relies on insulin deficiency.
What is the advantage of sublingual route of administration of drugs
- A. Prevents first pass effect
- B. Easy to administer
- C. Lipid soluble
- D. Can be spitted out with signs of toxicity
Correct Answer: A
Rationale: Sublingual administration bypasses hepatic first-pass metabolism.
There is evidence that dietary supplementation or adequate intake of fish oils and omega-3 fatty acids have well-documented:
- A. Concern for developing cardiac dysrhythmias
- B. Anti-inflammatory effects
- C. Total cholesterol-lowering effects
- D. Effects on fasting blood sugar
Correct Answer: B
Rationale: Omega-3 fatty acids have proven anti-inflammatory effects, beneficial in cardiovascular health.
Identify poor metabolizers of tamoxifen
- A. Not provided in document
- B. Not provided in document
- C. Not provided in document
- D. Not provided in document
Correct Answer: C
Rationale: This question lacks options, but the answer key (ANS: 3) indicates the third choice. Poor metabolizers of tamoxifen can be identified through CYP2D6 genotyping, as this enzyme converts tamoxifen to its active metabolite.
A nurse is teaching the family of a child who has Cystic Fibrosis and a new prescription for Acetylcysteine. Which of the following information should the nurse include in the instructions?
- A. Expect this medication to suppress your cough.
- B. Expect this medication to smell like rotten eggs.
- C. Expect this medication to cause euphoria.
- D. Expect this medication to turn your urine orange.
Correct Answer: B
Rationale: Acetylcysteine has a sulfur-like odor , a notable characteristic to prepare the family for.
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