Nokea
What is levothyroxine's pharmacologic classification?
- A. Thyroid Preparations
- B. Metabolic Inhibitors
- C. Analgesic
- D. Loop Diuretic
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?
- A. When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects.'
- B. Because pills cannot help your illness; you must have inhaled medications for relief of symptoms.'
- C. Because pills would produce too many side effects; you will have very few side effects with inhaled medications.'
- D. Because pills are less effective than inhalers for your condition.'
Correct Answer: A
Rationale: Albuterol, a bronchodilator for asthma or COPD, is inhaled to target lung airways directly. Choice A explains that inhalation allows rapid absorption via the lungs' rich blood supply, providing quicker relief (within minutes) compared to oral pills, which undergo slower gastrointestinal absorption. Choice B falsely claims pills can't help; oral bronchodilators exist but act slower. Choice C exaggerates side effect differences; inhaled albuterol minimizes systemic effects, but pills aren't inherently riskier. Choice D oversimplifies efficacy without context. The nurse's best response (A) accurately addresses the patient's question with pharmacokinetic reasoning, enhancing understanding and compliance.
What is the primary use of lithium?
- A. Lower blood glucose
- B. Slow the heart rate
- C. Stabilize mood
- D. Heal ulcers
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving vancomycin. Which of the following laboratory results should be monitored to evaluate the therapeutic effect of this medication?
- A. BUN
- B. Creatinine
- C. Hemoglobin
- D. White blood cell count
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which drug type used to treat depression works by preventing enzymatic destruction of the neurotransmitter norepinephrine?
- A. Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- B. Selective serotonin reuptake inhibitors (SSRIs)
- C. Tricyclic antidepressants (TCAs)
- D. Monoamine oxidase inhibitors (MAOIs)
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The toddler refuses to take his oral medication. What is the best suggestion to the mother from the nurse for ensuring the toddler receives his medication?
- A. Tell him you will buy him a toy if he takes the medication
- B. Crush the tablet and mix it with a small amount of jam
- C. Crush the tablet and mix it with milk
- D. Tell him he will be punished if he does not take the medicine
Correct Answer: B
Rationale: Toddlers (1-3) resist meds-crushing a tablet (if safe) and mixing with jam masks taste, easing intake, per developmental needs. Bribery with toys may not work long-term. Milk risks interactions (e.g., tetracycline) or dilution. Punishment distresses, not helps. Jam leverages taste preference, ensuring delivery.