Nokea
Tom is taking lithium for bipolar disorder. He should be taught to:
- A. Take his lithium with food
- B. Eat a diet with consistent levels of salt (sodium)
- C. Drink at least 2 quarts of water if he is in a hot environment
- D. Monitor blood glucose levels
Correct Answer: B
Rationale: Consistent sodium intake prevents fluctuations in lithium levels.
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A patient is to receive a daily dose of 240 mg of a medication. The dose is supposed to be divided evenly so that the drug is given every 6 hours. How much of the drug should be given at each dose?
- A. 30 mg
- B. 40 mg
- C. 50 mg
- D. 60 mg
Correct Answer: D
Rationale: Because there are 24 hours in a day, giving a drug every 6 hours would mean giving the drug four times a day. Because the total daily dose is 240 mg, dividing that dose by four would mean each dose should be 60 mg.
A nurse is teaching a client who has a new prescription for Diphenhydramine for allergic Rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (Select one that does not apply.)
- A. Dry mouth
- B. Nonproductive cough
- C. Urinary Hesitation
- D. Drowsiness
Correct Answer: B
Rationale: Diphenhydramine causes dry mouth , drowsiness , and urinary hesitation due to anticholinergic effects.
In the liver insulin facilitates:
- A. Lypolisis
- B. Inhibit lipolysis
- C. Enhance lipoprotein lipase activity and support hydrolysis of triglycerides from lipoproteins
- D. Decrease production of glycerol phosphate and esterification of fatty acids
Correct Answer: B
Rationale: Insulin inhibits lipolysis in the liver, reducing fatty acid release.
Which of the following is considered a unit dose system?
- A. Floor stock bottle of aspirin 81 mg
- B. A prefilled Lovenox syringe
- C. One cartoon of Phenergan suppository
- D. Floor stock bottle of ibuprofen suspension
Correct Answer: B
Rationale: Examples of unit dose medications include a package that contains one tablet or capsule, a premeasured amount of a liquid drug, a prefilled syringe, or one suppository.
It is important for the nurse to evaluate the efficacy of what parameter when evaluating the drug therapy of a patient?
- A. Appropriateness of drug dosages
- B. Compliance
- C. Caregivers' knowledge level
- D. Nursing interventions
Correct Answer: D
Rationale: Evaluating nursing interventions assesses their impact on therapy outcomes, encompassing dosage, compliance, and education.