Nokea
The role of the NP in the use of herbal medication is to:
- A. Maintain competence in the prescribing of common herbal remedies
- B. Recommend common over-the-counter herbs to patients
- C. Educate patients and guide them to appropriate sources of care
- D. Encourage patients to not use herbal therapy due to the documented dangers
Correct Answer: C
Rationale: NPs should educate patients and guide them to safe herbal use, not universally discourage it.
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The primary use of aminoglycosides is to treat:
- A. Gram-positive infections
- B. Gram-negative infections
- C. Fungal infections
- D. Viral infections
Correct Answer: B
Rationale: Aminoglycosides like gentamicin are primarily effective against Gram-negative bacteria due to their mechanism targeting bacterial ribosomes.
A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone. Which of the following instructions should the nurse include in the teaching?
- A. Add extra snacks to your diet to prevent weight loss.
- B. Notify the provider if you develop breast enlargement.
- C. You may begin to have mild seizures while taking this medication.
- D. This medication is likely to increase your libido.
Correct Answer: B
Rationale: Risperidone can cause gynecomastia , a side effect to report; it often decreases libido and causes weight gain.
When the nurse reads in the drug handbook the section related to recommended dosage, it is important to remember that this suggested dosage is based on what?
- A. A 40-year-old man
- B. An average-sized adult
- C. A 150-pound adult male
- D. A healthy young adult
Correct Answer: B
Rationale: Recommended dosages are typically based on an average-sized adult, not specific age, weight, or health status unless specified.
Live attenuated influenza vaccine (FluMist) may be administered to:
- A. All patients over 6 months of age
- B. Patients between ages 2 and 49 with no risk factors
- C. Patients with an upper respiratory infection (URI) or asthma
- D. Pregnant women
Correct Answer: B
Rationale: FluMist is approved for healthy individuals aged 2-49; URI/asthma or pregnancy are contraindications.
Anaphylactic shock is a:
- A. Type I reaction, called immediate hypersensitivity reaction
- B. Type II reaction, called cytotoxic hypersensitivity reaction
- C. Type III allergic reaction, called immune complex hypersensitivity
- D. Type IV allergic reaction, called delayed hypersensitivity reaction
Correct Answer: A
Rationale: Anaphylactic shock is a Type I immediate hypersensitivity reaction , IgE-mediated, unlike cytotoxic (II), immune complex (III), or delayed (IV).