Nokea
The nurse is teaching a patient about rifampin. Which statement by the patient indicates understanding of the teaching?
- A. I should not wear soft contact lenses while taking rifampin
- B. I will need regular eye examinations while taking this drug
- C. I will report orange urine to my provider immediately
- D. I understand that renal toxicity is a common adverse effect
Correct Answer: A
Rationale: Rifampin stains fluids red-orange, risking soft lens damage; eye exams are for ethambutol, and urine color is benign. Patients taking rifampin should be warned that urine, feces, saliva, sputum, sweat, and tears may turn a harmless red-orange color.
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Glucocorticoids causes:
- A. Protein catabolism and muscle atrophy
- B. Protein anabolism and increase of muscle mass
- C. Stimulation of growth in children
- D. Decrease of \mathrm{Na}+ reabsorbtion and \mathrm{K}+\mathrm{K}+ excretion
Correct Answer: A
Rationale: Glucocorticoids cause protein catabolism and muscle atrophy by breaking down proteins.
You are treating a patient with a diagnosis of Alzheimer's disease. The patient's wife mentions difficulty with transportation to the clinic. Which medication is the best choice?
- A. Donepezil
- B. Tacrine
- C. Doxazosin
- D. Verapamil
Correct Answer: A
Rationale: Donepezil, with once-daily dosing, is practical for patients with transportation issues.
Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic secretions. Each replacement drug has lipase, protease, and amylase components, but the drug is prescribed in units of:
- A. Lipase
- B. Protease
- C. Amylase
- D. Pancreatin
Correct Answer: A
Rationale: Pancreatic enzymes are dosed by lipase units, targeting fat malabsorption in cystic fibrosis.
A nurse is assessing a client who is taking Digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity?
- A. Bruising
- B. Report of metallic taste
- C. Muscle pain
- D. Report of anorexia
Correct Answer: D
Rationale: Anorexia is a common early sign of digoxin toxicity.
The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:
- A. 48 hours
- B. 4 to 6 days
- C. 4 weeks
- D. 2 months
Correct Answer: B
Rationale: Aspirin's anti-inflammatory effect for RA takes 4-6 days; 48 hours is too short.