Nursing Drug Classification System

Nursing Drug Classification System Related

Review Nursing Drug Classification System related questions and content

The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client, knowing that which of the following indicates that a systemic effect has occurred?

  • A. Hyperventilation
  • B. Elevated blood pressure
  • C. Local pain at the burn site
  • D. Local rash at the burn site
Correct Answer: A

Rationale: Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid, thereby causing acidosis. Clients receiving this treatment should be monitored for signs of an acid-base imbalance (hyperventilation). If this occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4 describe local rather than systemic effects. An elevated blood pressure may be expected from the pain that occurs with a burn injury.

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EHRs:

  • A. Are being discouraged by the Centers for Medicare and Medicaid Services due to cost issues
  • B. Allow for all patient data to be centralized in one location for access by multiple providers
  • C. Use macros and templates to individualize care
  • D. Use standardized software to facilitate interoperability between systems
Correct Answer: B

Rationale: EHRs centralize patient data for multi-provider access, improving care coordination.

Which one of the following is a fundamental difference between competitive and noncompetitive antagonist?

  • A. Competitive and non competitive work on different receptors
  • B. Competitive antagonist reduces agonist potency (increase EC50) and non competitive antagonist reduces agonist efficacy (decrease E max)
  • C. There is no difference between them, they are exactly the same
  • D. Non competitive antagonist causes an upward shift of the E max while competitive antagonist does the opposite
Correct Answer: B

Rationale: Competitive antagonists shift potency (EC50), while noncompetitive reduce efficacy (Emax), a key pharmacological distinction.

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: Discussing adverse reactions is key to patient safety and adherence, unlike rigid reading levels , language limits , or leftover storage (C, less critical).

The mean weight of 500 college students is 70 kg and the standard deviation is 3 kg. Assuming that the weight is normally distributed, determine how many students weigh between 60 kg and 75 kg.

  • A. 450
  • B. 476
  • C. 480
  • D. 490
Correct Answer: B

Rationale: Convert to z-scores: (60-70)/3 = -3.33, (75-70)/3 = 1.67. P(-3.33 < Z ≤ 1.67) = P(Z ≤ 1.67) - P(Z ≤ -3.33) = 0.9525 - (1 - 0.9996) = 0.9521. Then, 0.9521 * 500 ≈ 476, as per the document.

I.V. fluphenzine decanoate is drug of choice in:

  • A. Simple Schizophrenia
  • B. Hebephrenic Schizophrenia
  • C. Catatonic Schizophrenia
  • D. Paranoid Schizophrenia
Correct Answer: A

Rationale: Fluphenazine decanoate is used in chronic schizophrenia, often simple type.

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