Nokea
What action does the nurse take during the intervention state of the nursing process related to drug therapy?
- A. Administer the medication.
- B. Determine medication effectiveness.
- C. read the medication document.
- D. Analyze the data collected.
Correct Answer: A
Rationale: Interventions include administering and documenting medications; effectiveness is evaluation, analysis is assessment.
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James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a corticosteroid) use. He is at risk for what type of adverse drug reaction?
- A. Type B
- B. Type C
- C. Type E
- D. Type F
Correct Answer: B
Rationale: Chronic prednisone use causing HPA suppression is a Type C (chronic) ADR , linked to prolonged exposure, not idiosyncratic , withdrawal , or failure .
Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring for this combination includes:
- A. Hemoglobin
- B. Serum potassium
- C. Blood urea nitrogen
- D. Serum glucose
Correct Answer: B
Rationale: Furosemide's potassium loss can enhance digoxin toxicity, requiring potassium monitoring.
Cholinergic blockers are used to:
- A. Counteract the extrapyramidal symptoms (EPS) effects of phenothiazines
- B. Control tremors and relax smooth muscle in Parkinson's disease
- C. Inhibit the muscarinic action of ACh on bladder muscle
- D. All of the above
Correct Answer: D
Rationale: Cholinergic blockers address EPS, Parkinson's symptoms, and bladder overactivity.
Which mode of action has insulin in fatty cells?
- A. Decrease glycerol synthesis
- B. Increase synthesis of triglycerides
- C. Decrease fatty acid synthesis
Correct Answer: B
Rationale: Insulin promotes triglyceride synthesis in fat cells by enhancing glucose uptake and lipogenesis.
A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for the client and the nurse reinforces teaching for the client about the medication. Which statement, if made by the client, indicates that further teaching is necessary?
- A. I can take aspirin or my antihistamine if I need it.'
- B. I need to take the medication every day at the same time.'
- C. I need to avoid coffee, tea, cola, and chocolate in my diet.'
- D. If I gain more than 5 pounds a week, I will call my doctor.'
Correct Answer: A
Rationale: Aspirin and other over-the-counter medications should not be taken unless the client consults with the health care provider (HCP). The client needs to take the medication at the same time every day and should be instructed not to stop the medication. A slight weight gain as a result of an improved appetite is expected, but after the dosage is stabilized, a weight gain of 5 lb or more weekly should be reported to the HCP. Caffeine-containing foods and fluids need to be avoided because they may contribute to steroid-ulcer development.