Nokea
The nurse is gathering assessment data from a medication history of a 38-year-old man with four children. What assessment information would be most important in providing care for this patient?
- A. The medication history of the patient's mother and/or father
- B. The name of the patient's pharmacy
- C. Insurance, financial support, and stability for the patient and his family
- D. The last time the patient was hospitalized
Correct Answer: C
Rationale: Financial and insurance status directly impacts access to medications and care, critical for a family man, more than pharmacy name or parental history.
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Which of the following drug can cause hypoglycemia:
- A. Acarbose
- B. Glipizide
- C. Metformin
- D. Pramlintide
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia by excessively stimulating insulin release from pancreatic beta cells.
Taylor is a 10-year-old child diagnosed with major depression. The appropriate first-line antidepressant for children is:
- A. Fluoxetine
- B. Fluvoxamine
- C. Sertraline
- D. Escitalopram
Correct Answer: A
Rationale: Fluoxetine is FDA-approved as a first-line treatment for pediatric depression.
Licorice root is a common treatment for dyspepsia. Drug interactions with licorice include:
- A. Antihypertensives, diuretics, and digoxin
- B. Antidiarrheals, antihistamines, and omeprazole
- C. Penicillin antibiotic class and benzodiazepines
- D. None of the above
Correct Answer: A
Rationale: Licorice affects potassium levels and blood pressure, interacting with antihypertensives, diuretics, and digoxin.
Nicotine gum products are:
- A. Chewed to release the nicotine and then swallowed for a systemic effect
- B. Parked' in the buccal area of the mouth to produce a constant amount of nicotine release
- C. Bound to exchange resins so the nicotine is only released during chewing
- D. Approximately the same in nicotine content as smoking two cigarettes
Correct Answer: B
Rationale: Nicotine gum is parked buccally for steady release.
While studying for the test, the nursing student encounters the following drug: papaverine (Pavabid). What does the nursing student identify the name Pavabid as?
- A. The generic name
- B. The chemical name
- C. The brand name
- D. The chemical and generic name
Correct Answer: C
Rationale: Several clues indicate the brand name including capitalization of the first letter in the name and in parentheses. Generic names are not capitalized; chemical names are descriptions of the chemistry of the medication resulting in complicated names.