Nokea
Persistent dry cough is a common side effect of:
- A. ACE inhibitor
- B. Calcium channel blockers
- C. Beta blockers
- D. Angiotensin receptor blockers
Correct Answer: A
Rationale: ACE inhibitors, such as lisinopril, frequently cause a persistent dry cough due to increased bradykinin levels irritating the respiratory tract.
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A nurse in the operating room is caring for a client who received a dose of Succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications?
- A. Neostigmine
- B. Naloxone
- C. Dantrolene
- D. Vecuronium
Correct Answer: C
Rationale: Dantrolene treats malignant hyperthermia, characterized by rigidity and hyperthermia.
A nurse is providing teaching to a client who has a prescription for Pramlintide for type 1 Diabetes Mellitus. Which of the following should the nurse include in the teaching?(Select one that does not apply.)
- A. Take oral medications 1 hr before injection.
- B. Use upper arms as preferred injection sites.
- C. Mix pramlintide with breakfast dose of insulin.
- D. Inject pramlintide just before a meal.
Correct Answer: D
Rationale: Injecting before meals and discarding after 28 days are key for pramlintide; it's not mixed with insulin.
The American Dietetic Association has recommended the use of specific nutritional supplements in the following population(s):
- A. 400 IU per day of vitamin D in all infants and children
- B. 1,000 IU per day of vitamin D for all pregnant women
- C. 60 mg per day of iron for all adults over age 50 years
- D. All of the above
Correct Answer: A
Rationale: The ADA recommends 400 IU/day of vitamin D for infants and children to support bone health.
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?
- A. Betamethasone, an inhaled corticosteroid
- B. Salmeterol, an inhaled long-acting beta-agonist
- C. Albuterol, a short-acting beta-agonist
- D. Montelukast, a leukotriene modifier
Correct Answer: B
Rationale: Salmeterol carries a Black Box Warning for increased asthma-related deaths, especially in African Americans, requiring caution; others are safer.
It is often necessary to obtain baseline data prior to initiating many forms of drug therapy. These baseline data include what? (Select all that apply.)
- A. Education level
- B. Allergies
- C. wealth
- D. Number of members in family
Correct Answer: B
Rationale: Allergies and drug use directly impact therapy safety and efficacy; education and family size are less relevant.