Nokea
Passive monitoring of drug effectiveness includes:
- A. Therapeutic drug levels
- B. Adding or subtracting medications from the treatment regimen
- C. Ongoing provider visits
- D. Instructing the patient to report if the drug is not effective
Correct Answer: D
Rationale: Passive monitoring relies on patient feedback, like reporting ineffectiveness , rather than active interventions like levels or visits .
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How can the nurse find the most up-to-date information about emergency preparedness related to bioterrorism agents?
- A. Read textbooks devoted to the topic.
- B. Ask coworkers to explain current events.
- C. Read journal articles about bioterrorism agents.
- D. Visit the Centers for Disease Control and Prevention (CDC) Web site.
Correct Answer: D
Rationale: The most current information will be found on the CDC Web site because new information can be posted immediately whereas textbooks and journal articles take time to print. Coworkers may or may not remain current on emergency preparedness and should not be the primary source of information.
What aspect of pharmacology does a nurse study? (Select one that does not apply.)
- A. Adverse and anticipated drug effects
- B. Molecular pharmacology
- C. Impact of drugs on the body
- D. The bodys response to a drug
Correct Answer: B
Rationale: Nurses study pharmacology from a pharmacotherapeutic level, which includes the effect of drugs on the body, the bodys response to drugs, and both expected and unexpected drug effects. Chemical and molecular pharmacology (Options A and B) are not included in nursing pharmacology courses. Adverse and anticipated drug effects are part of pharmacotherapeutics, making C, D, and E correct.
A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client?
- A. Cardiovascular
- B. Immune
- C. Central nervous
- D. Gastrointestinal
Correct Answer: C
Rationale: Extrapyramidal effects are movement disorders caused by medications affecting the central nervous system , like antipsychotics.
The U.S. Food and Drug Administration MedWatch system is activated when:
- A. There is an adverse event to a vaccine.
- B. The patient has a severe reaction that is noted in the 'Severe Reaction' section in the medication label.
- C. A lactating woman takes a medication that is potentially toxic to the breastfeeding infant.
- D. An adverse event or serious problem occurs with a medication that is not already identified on the label.
Correct Answer: D
Rationale: MedWatch reports new, unlabeled adverse events , beyond vaccines , known reactions , or lactation risks .
Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:
- A. Black tarry stools
- B. Vomiting
- C. Tremors
- D. Tinnitus
Correct Answer: D
Rationale: Tinnitus is an early aspirin toxicity sign; black stools or vomiting are later.