Nokea
The first step in the prescribing process according to the World Health Organization is:
- A. Choosing the treatment
- B. Educating the patient about the medication
- C. Diagnosing the patient's problem
- D. Starting the treatment
Correct Answer: C
Rationale: The WHO prescribing process begins with diagnosing the problem to ensure treatment aligns with the condition, followed by choosing therapy and education.
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Which lab test(s) would be used to assess liver and/or renal function before administering medications? (Select one that does not apply.)
- A. CBC
- B. LDH
- C. ALT
- D. Crs
Correct Answer: A
Rationale: Liver function tests include LDH (lactic dehydrogenase) and ALT (alanine aminotransferase). Renal function tests include Crs (serum creatinine) and BUN (blood urea nitrogen). Although a CBC (complete blood count) and an aPTT are useful in assessing the patient before administration of medication, they are not renal or hepatic function tests.
Drugs bound to albumin are inactive.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True; drugs bound to albumin are inactive as only the free (unbound) fraction can interact with receptors or be metabolized/excreted.
Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring for this combination includes:
- A. Hemoglobin
- B. Serum potassium
- C. Blood urea nitrogen
- D. Serum glucose
Correct Answer: B
Rationale: Furosemide's potassium loss can enhance digoxin toxicity, requiring potassium monitoring.
A nurse is preparing to perform a follow-up assessment on a client who takes Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations?(Select one that does not apply.)
- A. Disorganized speech
- B. Bizarre behavior
- C. Impaired social interactions
- D. Hallucinations
Correct Answer: C
Rationale: Chlorpromazine improves positive symptoms like speech , behavior , and hallucinations , less so negative symptoms.
Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to:
- A. Search for information using the most common search engines
- B. Serve as content experts in developing, implementing, and evaluating information systems
- C. Write programs to assure the integrity of health information
- D. Use information technology to prescribe drugs
Correct Answer: B
Rationale: Advanced practice nurses contribute expertise in IT system development and evaluation.