Nokea
Regarding sumatriptan:
- A. It has a good oral bioavailability
- B. Its onset of action is within 15 minutes of subcutaneous administration
- C. Is a 5-HT agonist
- D. Acts on adrenergic and muscarinic receptors
Correct Answer: B
Rationale: Its onset of action is within 15 minutes of subcutaneous administration
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The nurse is preparing a client for discharge who was recently diagnosed with Addison's disease. Which instruction is most important for the nurse to include in the client's discharge teaching plan?
- A. Use a walker when weakness occurs
- B. Avoid extreme environmental temperatures
- C. Increase daily intake of sodium in diet
- D. Take prescribed cortisone accurately
Correct Answer: D
Rationale: Taking prescribed cortisone accurately is crucial for managing Addison's disease and preventing an adrenal crisis.
Shone complex consist of the following EXCEPT
- A. coarctation of the aorta
- B. subvalvar aortic stenosis
- C. valvar aortic stenosis
- D. pulmonic stenosis
Correct Answer: D
Rationale: Pulmonic stenosis is not part of Shone complex.
The following investigations are not needed in a 3-year old on TPN for the past 3 weeks:
- A. Serum selenium
- B. Serum manganese
- C. Serum iron
- D. Serum calcium
Correct Answer: C
Rationale: The correct answer is C because serum iron is not typically monitored in children on total parenteral nutrition (TPN). The other options (a, b, d, e) are commonly monitored to prevent deficiencies or toxicities.
The family suspects that AIDS dementia is occurring in their son who is HIV positive. Which symptom confirms their suspicions?
- A. A change has recently occurred in his handwriting.
- B. The client has a persistent cough and fever.
- C. The client experiences shortness of breath.
- D. The client exhibits a loss of appetite.
Correct Answer: A
Rationale: Changes in handwriting may indicate cognitive decline, a hallmark of AIDS dementia.
Membranous glomerulonephritis:
- A. Is typically associated with immune complex deposition
- B. Presents with nephritic syndrome
- C. Is associated with highly selective proteinuria
- D. Deposits of IgG on the glomerular membrane
Correct Answer: A
Rationale: Membranous glomerulonephritis is characterized by immune complex deposition, particularly IgG, on the glomerular basement membrane, leading to proteinuria.