Nokea
The following topical antifungal drugs include all EXCEPT: *
- A. Tolnaftate
- B. Crotamiton
- C. Terbinane
- D. Ciclopirox
Correct Answer: B
Rationale: The correct answer is B: Crotamiton. Crotamiton is not an antifungal drug; it is actually a scabicide and antipruritic agent used to treat scabies and itching.
A: Tolnaftate is an antifungal commonly used to treat fungal skin infections like athlete's foot.
C: Terbinafine is an antifungal medication used to treat fungal infections of the skin and nails.
D: Ciclopirox is an antifungal used to treat fungal infections of the nails and skin.
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While managing a client after a medical or surgical procedure for bladder stones, when should the nurse notify the physician?
- A. Assessment of sexual habits
- B. Assessment and recognition of abnormal findings
- C. Assessment of allergies to seafood
- D. Assessment of insurance coverage
Correct Answer: B
Rationale: The correct answer is B because assessing and recognizing abnormal findings is crucial in post-procedure care for bladder stones. This includes monitoring for signs of infection, urinary retention, bleeding, or other complications that may require immediate medical intervention. Notifying the physician promptly allows for timely treatment and prevents potential complications. Choices A, C, and D are incorrect as they are not directly related to the immediate post-procedure care for bladder stones and do not require immediate physician notification.
The patient has a thoracic spinal cord lesion and incontinence that occurs equally during the day and night. What type of incontinence is this patient experiencing?
- A. Reflex incontinence
- B. Overflow incontinence
- C. Functional incontinence
- D. Incontinence after trauma
Correct Answer: A
Rationale: The correct answer is A: Reflex incontinence. This type of incontinence occurs due to a lack of voluntary control over the bladder, usually resulting from a spinal cord lesion. In this case, the thoracic spinal cord lesion is causing the incontinence. The fact that incontinence occurs equally during the day and night suggests a lack of awareness or sensation of bladder fullness, characteristic of reflex incontinence.
Summary of other choices:
B: Overflow incontinence is due to bladder overdistension and is commonly associated with conditions like BPH or spinal cord injuries at the sacral level.
C: Functional incontinence is when a person is unable to reach the toilet in time due to physical or cognitive impairments.
D: Incontinence after trauma is a broad term and does not specifically address the pattern of incontinence described in the question.
Dipstick testing of an older adult patients urine indicates the presence of protein. Which of the following statements is true of this assessment finding?
- A. This finding needs to be considered in light of other forms of testing.
- B. This finding is a risk factor for urinary incontinenc
- D. This finding is likely the result of an ag
Correct Answer: A
Rationale: Rationale:
1. Protein in urine can indicate renal issues, so further testing like urine protein/creatinine ratio is needed.
2. Proteinuria doesn't directly relate to urinary incontinence.
3. The finding is not related to age or gender, ruling out options B and D.
4. Option A is correct as it emphasizes the need for additional testing to confirm the presence and significance of protein in urine.
A 75 year old man is suffering from benign prostatic hypertrophy and is being * treated with terazosin. Which of the following adverse reaction would be expected taking this drug?
- A. Erectile dysfunction
- B. Orthostatic hypotension
- C. GI distress
- D. Gynecomastia
Correct Answer: B
Rationale: The correct answer is B: Orthostatic hypotension. Terazosin is an alpha-1 blocker commonly used to treat BPH. It can cause vasodilation, leading to a drop in blood pressure, especially when standing up suddenly, resulting in orthostatic hypotension. This is because terazosin relaxes smooth muscle in blood vessels, causing dilation and blood pooling in the extremities. Erectile dysfunction (A) is not a common side effect of terazosin. GI distress (C) is less likely because terazosin does not directly affect the gastrointestinal system. Gynecomastia (D) is not a typical side effect of terazosin since it does not impact hormone levels significantly.
A nurse is caring for a patient with impaired renal which the nurse should monitor the patient?
- A. Accumulation of wastes
- B. The nurse should facilitate collection of what
- C. Retention of potassium
- D. Depletion of calcium
Correct Answer: A
Rationale: The correct answer is A because impaired renal function can lead to the accumulation of wastes in the body, causing toxicity. Monitoring this is crucial for the patient's overall health. Choice B is incorrect as it does not directly relate to the consequences of impaired renal function. Choice C, retention of potassium, is also incorrect as it is a specific outcome of impaired renal function and not the primary focus of monitoring. Choice D, depletion of calcium, is incorrect as impaired renal function is more likely to lead to hypercalcemia rather than hypocalcemia. Therefore, the nurse should prioritize monitoring the accumulation of wastes in a patient with impaired renal function.