Nokea
The Vaccine Adverse Events Reporting System is:
- A. A mandatory reporting system for all health-care providers when they encounter an adverse vaccine event
- B. A voluntary reporting system that health-care providers or consumers may use to report vaccine adverse events
- C. Utilized to send out safety alerts regarding emerging vaccine safety issues
- D. Activated when a vaccine has been proven to cause significant adverse effects
Correct Answer: B
Rationale: VAERS is a voluntary system for reporting vaccine ADRs by providers or consumers, not mandatory or alert-only .
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A nurse is preparing to administer Propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take?
- A. Hold propranolol for an apical pulse greater than 100/min.
- B. Administer propranolol to increase the client's blood pressure.
- C. Assist the client when she sits up or stands after taking this medication.
- D. Check for hypokalemia frequently due to the risk for propranolol toxicity.
Correct Answer: C
Rationale: Propranolol can cause orthostatic hypotension; assisting with position changes prevents falls.
Monitoring a patient on a high-dose aspirin level includes:
- A. Salicylate level
- B. Complete blood count
- C. Urine pH
- D. All of the above
Correct Answer: D
Rationale: High-dose aspirin requires salicylate levels , CBC for bleeding, and urine pH for excretion monitoring.
The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
- A. Weight loss
- B. Relief of heartburn
- C. Reduction of steatorrhea
- D. Absence of abdominal pain
Correct Answer: C
Rationale: Pancrelipase (Pancrease MT) is a pancreatic enzyme used in clients with pancreatitis as a digestive aid. The medication should reduce the amount of fatty stools (steatorrhea). Another intended effect could be improved nutritional status. It is not used to treat abdominal pain or heartburn. Its use could result in weight gain but should not result in weight loss if it is aiding in digestion.
Candesartan and irbesartan are angiotensin receptor blockers that are used to treat hypertension. The therapeutic dose range for candesartan is 4 to 32 mg, as compared to 75 to 300 mg for irbesartan. which of the following regarding this statement is correct?
- A. Candesartan is more potent than is irbesartan
- B. Candesartan and irbesartan have different efficacy
- C. Candesartan is a non competitive antagonist for irbesartan
- D. Irbesartan is a competitive antagonist for candesartan
Correct Answer: A
Rationale: Lower dose range for candesartan indicates higher potency (lower EC50) compared to irbesartan.
Your patient calls for an appointment before going on vacation. Which medication should you ensure he has an adequate supply of before leaving to avoid life-threatening complications?
- A. Carvedilol
- B. Donepezil
- C. Bethanechol
- D. Tacrine
Correct Answer: A
Rationale: Abrupt carvedilol withdrawal can cause life-threatening rebound hypertension or ischemia.