Nokea
To prevent life-threatening events from rapid withdrawal of a beta blocker:
- A. The dosage interval should be increased by 1 hour each day.
- B. An alpha blocker should be added to the treatment regimen before withdrawal.
- C. The dosage should be tapered over a period of weeks.
- D. The dosage should be decreased by one-half every 4 days.
Correct Answer: C
Rationale: Tapering over weeks prevents rebound hypertension or ischemia.
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Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes:
- A. Throwing away eye makeup and purchasing new
- B. Redness and intense burning is normal with ophthalmic antibiotics
- C. When applying eye ointment, set the tip of the tube on the lower lid and squeeze in 1/4 inch
- D. Use a cotton swab to apply ointment, spreading the ointment all over the lid and in the conjunctival sac
Correct Answer: A
Rationale: Discarding makeup prevents reinfection; burning isn't normal, and application is incorrect.
A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications?
- A. Neostigmine
- B. Naloxone
- C. Dantrolene
- D. Vecuronium
Correct Answer: A
Rationale: Neostigmine reverses nondepolarizing neuromuscular blockers by increasing acetylcholine.
A 27-year-old man is admitted to the emergency department (ED) after a serious motorcycle accident. The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the intensive care unit (ICU). The nurse who is going to care for this patient in the ICU knows that a priority responsibility in regard to drug therapy is what?
- A. Support vital functions
- B. Continue curative treatment
- C. Institute life-saving treatment
- D. Monitor patient's response
Correct Answer: D
Rationale: Monitoring response ensures therapy adjusts to the patient's critical condition, a priority in ICU.
A nurse is caring for a client who has a new prescription for Niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of Niacin?(Select one that does not apply.)
- A. Jaundice
- B. Hyperglycemia
- C. Hearing loss
- D. Flushing of the skin
Correct Answer: C
Rationale: Niacin causes hyperglycemia , flushing , and jaundice from liver effects.
An overdose of amitriptyline may precipitate all the following adverse effects EXCEPT:
- A. Cardiac arrhythmias
- B. Hypotension
- C. Sedation
- D. Jaundice
Correct Answer: D
Rationale: Amitriptyline overdose does not typically cause jaundice; it causes anticholinergic and cardiac effects.