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What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)
- A. Teaching the patient how to cope with therapy to ensure the best outcome
- B. Providing therapy as well as medications
- C. Changing of therapy routines
- D. Altering the drug regimen to optimize outcome
Correct Answer: A
Rationale: Nurses teach patients, evaluate therapy effectiveness, but do not alter regimens (physician's role) or provide therapy beyond medication administration.
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A group of nursing students are reviewing information about the process of drug development in the United States. The students demonstrate understanding of this process when they identify that which of the following categories are assigned by the Food and Drug Administration to newly approved drugs?Select one that does not apply
- A. Metabolite
- B. controlled substance
- C. Prescription
- D. Nonprescription
Correct Answer: A
Rationale: Once drugs are approved for use, the FDA assigns the drug to one of the following categories: prescription, nonprescription, or controlled substance. Metabolite refers to the inactive form of the drug. Noncontrolled substance is a term that is not used.
A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 6.5
- B. 5
- C. 4.8
- D. 6
Correct Answer: A
Rationale: Calculation: 650 mg ÷ (500 mg/5 mL) = 6.5 mL, matching the answer.
The hypoglycemic mechanism of action of pioglitazone and rosiglitazon is:
- A. They are peroxisome proliferator activating receptor gamma (PPAR-Y) ligands and enhance absorption of glucose and fatty acid
- B. Enhance closure of ATP sensitive K+ channels and entrance of calcium in intracellular efflux via Ca2+ channels
- C. Decrease gluconeogenesis in the liver
- D. Increase tyrosine kinase activity
Correct Answer: A
Rationale: Pioglitazone and rosiglitazone activate PPAR-gamma, improving insulin sensitivity and glucose uptake in tissues.
Which of the following is a carbapenem antibiotic?
- A. Meropenem
- B. Ceftriaxone
- C. Amoxicillin
- D. Aztreonam
Correct Answer: A
Rationale: Meropenem is a carbapenem, a broad-spectrum beta-lactam antibiotic, unlike ceftriaxone (cephalosporin) or amoxicillin (penicillin).
Which of the following reflects a nurse's responsibility when a drug is prescribed for a client? (Select one that does not apply.)
- A. Administering the drug to the client
- B. Monitoring for therapeutic response
- C. Checking for drug-drug interactions
- D. Reporting adverse reactions
Correct Answer: C
Rationale: When a drug is prescribed to a client, the nurse is responsible for the administration of the drug, monitoring for therapeutic effects, reporting adverse drug reactions, and teaching the client information needed to administer the drug safely at home. A pharmacist checks for drug-drug interactions prior to dispensing a drug for administration.