Nokea
Reasons for restricted distribution of drugs include:
- A. High cost
- B. Serious safety concerns
- C. Limited supply
- D. All of the above
Correct Answer: B
Rationale: Choice B is correct because restricted distribution (e.g., REMS) is primarily for drugs with serious safety risks (e.g., thalidomide), not cost or supply alone. Choice A is incorrect as cost doesn't mandate restriction—insurance handles that. Choice C is wrong because limited supply isn't a REMS trigger. Choice D is incorrect since only B is the core reason.
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A patient takes an oral medication that causes gastrointestinal upset. The patient asks the primary care NP why the drug information insert cautions against using antacids while taking the drug. The NP should explain that the antacid may:
- A. alter drug absorption.
- B. alter drug distribution.
- C. lead to drug toxicity.
- D. increase stomach upset.
Correct Answer: A
Rationale: The correct answer is A because antacids change gastric pH, affecting drug absorption. Choice B is incorrect as distribution isn’t directly altered. Choice C is wrong since toxicity isn’t the primary concern here. Choice D is inaccurate as antacids typically reduce upset.
The healthcare provider is monitoring a client following cardioversion. Which observation should be of the highest priority to the healthcare provider?
- A. Blood pressure
- B. Status of airway
- C. Oxygen flow rate
- D. Level of consciousness
Correct Answer: B
Rationale: The status of the airway is the highest priority following cardioversion as it ensures proper oxygenation and helps prevent complications such as airway obstruction and respiratory distress. Maintaining a patent airway is crucial for the client's respiratory function and overall well-being immediately after cardioversion. Monitoring the airway ensures that the client can breathe effectively and minimizes the risk of hypoxia and other serious respiratory issues. While blood pressure, oxygen flow rate, and level of consciousness are also important parameters to monitor, they are secondary to ensuring a clear and patent airway for adequate oxygenation.
A patient takes an oral medication that causes gastrointestinal upset. The patient asks the primary care NP why the drug information insert cautions against using antacids while taking the drug. The NP should explain that the antacid may:
- A. alter drug absorption.
- B. alter drug distribution.
- C. lead to drug toxicity.
- D. increase stomach upset.
Correct Answer: A
Rationale: The correct answer is A because antacids change gastric pH, affecting drug absorption. Choice B is incorrect as distribution isn’t directly altered. Choice C is wrong since toxicity isn’t the primary concern here. Choice D is inaccurate as antacids typically reduce upset.
Patient education for the elderly should include:
- A. Explanation of drug purpose
- B. Instructions for safe administration
- C. Potential side effects
- D. All of the above
Correct Answer: D
Rationale: Choice D is correct because explaining purpose (improves adherence), safe administration (prevents errors), and side effects (enhances safety) are all key for elderly education, per geriatric care. Choice A is incorrect alone as it's one aspect. Choice B is wrong by itself because administration is just part. Choice C is incorrect solo since side effects are only one element.
A woman who is pregnant develops gestational diabetes. The NP's initial action is to:
- A. prescribe an oral antidiabetic agent.
- B. give her information about diet and exercise.
- C. begin treating her with daily insulin injections.
- D. reassure her that her glucose levels will return to normal after pregnancy.
Correct Answer: B
Rationale: The correct answer is B because diet and exercise are the initial management for gestational diabetes. Choice A is incorrect (oral agents lack sufficient safety data). Choice C is wrong (insulin isn’t first-line). Choice D is inaccurate (reassurance alone doesn’t address current needs).