Nokea
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.
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A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give?
- A. Be sure to limit your potassium intake while taking the medication.
- B. You should check your blood pressure every 8 hours while taking this medication.
- C. Your medication dosage will be increased if you develop tachycardia.
- D. Change positions slowly when you move from sitting to standing.
Correct Answer: D
Rationale: Antihypertensives can cause orthostatic hypotension; changing positions slowly prevents dizziness or falls.
Inhaled corticosteroids in Bronchial Asthma:
- A. Produce modest immediate bronchodilation
- B. Are synergistic with inhaled methacholine
- C. Are antagonized by atropine
- D. Inhibit IgE-antigen binding
Correct Answer: D
Rationale: Inhaled corticosteroids reduce inflammation by inhibiting IgE-mediated responses.
Varicella vaccine is recommended to be given to patients who are:
- A. HIV positive with a CD4+ T-lymphocyte percentage less than 15%
- B. Taking corticosteroids (up to 2 mg/kg/day or less than 20 mg/day)
- C. Pregnant
- D. Immunocompromised
Correct Answer: B
Rationale: Varicella vaccine is safe with low-dose steroids; HIV with low CD4 , pregnancy , or immunocompromise contraindicate it.
Symptoms of folate deficiency include:
- A. Thinning of the hair
- B. Bruising easily
- C. Glossitis
- D. Numbness and tingling of the hands and feet
Correct Answer: C
Rationale: Glossitis (inflamed tongue) is a classic symptom of folate deficiency.
Patient education regarding prescribed medication includes:
- A. Instructions written at the high school reading level
- B. Discussion of expected adverse drug reactions
- C. How to store leftover medication such as antibiotics
- D. Verbal instructions always in English
Correct Answer: B
Rationale: Discussing adverse reactions is key to patient safety and adherence, unlike rigid reading levels , language limits , or leftover storage (C, less critical).