Nokea
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:
- A. Serum glucose
- B. Stool culture
- C. Folate levels
- D. Vitamin B12
Correct Answer: A
Rationale: Corticosteroids raise glucose, requiring monitoring; stool or vitamins aren't routine.
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The elimination of following drugs is dose dependant except
- A. Phenytoin
- B. Salicylate
- C. Theophylline
- D. Chlorpromazine
Correct Answer: D
Rationale: Chlorpromazine follows first-order kinetics; others exhibit dose-dependent (zero-order) elimination.
A nurse is providing instructions to a client who has been experiencing Insomnia and has a new prescription for Temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select one that does not apply.)
- A. Incoordination
- B. Hypertension
- C. Amnesia
- D. Sleep driving
Correct Answer: B
Rationale: Temazepam can cause incoordination , sleep driving , and amnesia , common benzodiazepine effects.
A nurse is assessing a patient on ceftriaxone. Which allergy should be of particular concern?
- A. Sulfa
- B. Penicillin
- C. Tetracycline
- D. Macrolide
Correct Answer: B
Rationale: Ceftriaxone, a cephalosporin, has a risk of cross-reactivity with penicillin allergies due to similar beta-lactam structures.
The following drugs are correctly paired with a clinical use EXCEPT:
- A. Tiludronate to treat Paget's disease of bone
- B. Raloxifene to prevent osteoporosis
- C. Picamycin to treat hypercalcemia
- D. Parathyroid hormone treats hypocalcemia
Correct Answer: D
Rationale: Parathyroid hormone treats osteoporosis, not hypocalcemia; calcitonin or bisphosphonates treat hypocalcemia.
A nursing instructor is observing a nursing student prepare an oral drug for administration. The instructor determines that the student is performing the procedure correctly when the student compares the label of the drug with the MAR how many times?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: B
Rationale: The proper procedure is to compare the drug label with the MAR three times: when the drug is taken from its storage area, immediately before removing the drug from the container, and before administering the drug to the patient.