Nokea
The advantage of using information technology for patient education includes:
- A. The ability to track the number of times you have given the patient the same instructions regarding their medication
- B. Standardized and individualized patient education that is simultaneously recorded into the patient record
- C. Easy access to private patient information specific to populations with a similar diagnosis
- D. The ability to download and interpret patient information in multiple languages, easily and accurately
Correct Answer: B
Rationale: IT provides standardized, individualized education recorded in the patient record.
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In the liver insulin facilitates:
- A. Lypolisis
- B. Inhibit lipolysis
- C. Enhance lipoprotein lipase activity and support hydrolysis of triglycerides from lipoproteins
- D. Decrease production of glycerol phosphate and esterification of fatty acids
Correct Answer: B
Rationale: Insulin inhibits lipolysis in the liver, reducing fatty acid release.
A nurse is teaching a client who has a new prescription for Digoxin and has a new prescription for Colesevelam. Which of the following instructions should the nurse include in the teaching?
- A. Take digoxin with your morning dose of colesevelam.
- B. Your sodium and potassium levels will be monitored periodically while taking colesevelam.
- C. Watch for bleeding or bruising while taking colesevelam.
- D. Take colesevelam with food and at least one glass of water.
Correct Answer: D
Rationale: Colesevelam should be taken with food and water for proper absorption; digoxin timing needs separation.
Rifampin is a nonspecific CYP450 inducer that may:
- A. Lead to toxic levels of rifampin and must be monitored closely
- B. Cause toxic levels of drugs, such as oral contraceptives, when coadministered
- C. Induce the metabolism of drugs, such as oral contraceptives, leading to therapeutic failure
- D. Cause nonspecific changes in drug metabolism
Correct Answer: C
Rationale: Rifampin induces CYP450, speeding metabolism of drugs like oral contraceptives , reducing efficacy, not causing toxicity or nonspecificity .
Which source contains information specific to nutritional supplements?
- A. USP Dictionary of USAN & International Drug Names
- B. Natural Medicines Comprehensive Database
- C. United States Pharmacopoeia/National Formulary (USP NF)
- D. Drug Interaction Facts
Correct Answer: C
Rationale: United States Pharmacopoeia/National Formulary contains information specific to nutritional supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug names, pronunciation guide, and possible future FDA approved drugs; it does not include nutritional supplements. Natural Medicines Comprehensive Database contains evidence-based information on herbal medicines and herbal combination products; it does not include information specific to nutritional supplements. Drug Interaction Facts contains comprehensive information on drug interaction facts; it does not include nutritional supplements.
The nurse is preparing to administer an intravenous polymyxin antibiotic. The patient reports dizziness along with numbness and tingling of the hands and feet. The nurse will perform which action?
- A. Administer the drug since these are harmless side effects
- B. Hold the drug and notify the provider of these adverse reactions
- C. Obtain an order for an oral form of this medication
- D. Request an order for serum electrolytes
Correct Answer: B
Rationale: Polymyxin neurotoxicity (dizziness, numbness) warrants holding and reporting; these aren't harmless , and it's not oral . Polymyxins can cause nephrotoxicity and neurotoxicity.