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Signs that a drug may be counterfeit include:
- A. Unusual packaging
- B. Lower than expected cost
- C. Different taste or texture
- D. All of the above
Correct Answer: D
Rationale: Choice D is correct because unusual packaging (e.g., misspellings), suspiciously low cost (too good to be true), and odd taste/texture (formulation issues) are all counterfeit indicators, per FDA warnings. Choice A is incorrect alone as it's one sign. Choice B is wrong by itself because cost is just part. Choice C is incorrect solo since taste/texture is only one clue.
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A healthcare professional is assessing a client who has been taking furosemide. Which of the following findings should the healthcare professional report to the provider?
- A. Weight gain
- B. Dry cough
- C. Hypokalemia
- D. Increased appetite
Correct Answer: C
Rationale: Hypokalemia is a known side effect of furosemide, a loop diuretic. Furosemide causes increased excretion of potassium in the urine, leading to low potassium levels in the body which can result in serious complications such as cardiac dysrhythmias. Therefore, any signs or symptoms of hypokalemia should be promptly reported to the healthcare provider for appropriate management. Choices A, B, and D are incorrect because weight gain, dry cough, and increased appetite are not typically associated with furosemide use and are not concerning side effects that require immediate reporting to the provider.
A client has a new prescription for lisinopril. Which of the following findings should be reported to the provider by the nurse?
- A. Weight gain
- B. Dry cough
- C. Hypokalemia
- D. Increased appetite
Correct Answer: B
Rationale: The correct answer is B - Dry cough. Lisinopril is known to cause a persistent dry cough as a common side effect. This adverse reaction can be bothersome to the client and may necessitate discontinuation of the medication. Weight gain, hypokalemia, and increased appetite are not typically associated with lisinopril and would not be as concerning as a dry cough when assessing for adverse effects.
Patient education regarding prescribed medication includes:
- A. Instructions written at the high school reading level
- B. Discussion of expected adverse drug reactions
- C. How to store leftover medication such as antibiotics
- D. Verbal instructions always in English
Correct Answer: B
Rationale: Choice B is correct because educating patients about expected adverse reactions prepares them to manage side effects and seek help if needed, enhancing safety and adherence. Choice A is incorrect as reading level should match the patient's, not a fixed standard. Choice C is wrong because storing leftovers encourages misuse—antibiotics should be completed. Choice D is incorrect since language should suit the patient, not always English.
Drugs that should be avoided in men with a history of prostate cancer include:
- A. Testosterone
- B. Estrogen
- C. Progesterone
- D. All of the above
Correct Answer: A
Rationale: Choice A is correct because testosterone can fuel prostate cancer growth, so it's avoided in men with that history, per oncology standards. Choice B is incorrect as estrogen isn't typically contraindicated here. Choice C is wrong because progesterone lacks a strong link. Choice D is incorrect since only testosterone is key.
Management of tolerance includes:
- A. Increasing the dose
- B. Switching to a different drug
- C. Drug holidays
- D. All of the above
Correct Answer: D
Rationale: Choice D is correct because increasing doses (short-term fix), switching drugs (new mechanism), and drug holidays (reset sensitivity) all manage tolerance, per clinical strategies. Choice A is incorrect alone as it's one method. Choice B is wrong by itself because switching is just part. Choice C is incorrect solo since holidays are only one option.