What is the role of calcium supplements when patients take bisphosphonates?
- A. They must be restricted to allow the medication to work
- B. They must be taken in sufficient amounts to provide foundational elements for bone growth
- C. They must be taken at the same time as the bisphosphonates
- D. They only work with bisphosphonates if daily intake is restricted
Correct Answer: B
Rationale: Calcium supports bone health with bisphosphonates but must be timed separately (not C) to avoid interference.
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The nurse applies the nursing process in medication therapy to ensure what?
- A. That medications are given at the right time
- B. That care is efficient and effective
- C. That the right dose of the drug is given to the patient
- D. That the right drug is given to the right patient at the right time
Correct Answer: B
Rationale: The nursing process ensures efficient, effective care, encompassing all aspects of safe administration.
The American Heart Association and the American Dietetic Association recommend a minimum daily fiber intake of for cardiovascular health:
- A. 10 mg/day
- B. 15 mg/day
- C. 20 mg/day
- D. 25 mg/day
Correct Answer: D
Rationale: 25 g/day of fiber is recommended to reduce cardiovascular risk by lowering cholesterol and improving glucose control.
A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse should instruct the client that while taking this medication he will need to have which of the following laboratory tests completed periodically?
- A. Thrombocyte count
- B. Hematocrit
- C. Amylase
- D. Kidney function tests
Correct Answer: A
Rationale: Valproic acid requires monitoring of platelets for bleeding risk and liver function for hepatotoxicity.
A man is given a drug to reduce thyroid gland size and vascularity before surgical thyroidectomy. Which mechanism is responsible for its use in this setting?
- A. inhibition of the sodium/iodide symporter
- B. inhibition of thyroperoxidase
- C. inhibition of TSH secretion
- D. inhibition of thyroid hormone release
Correct Answer: D
Rationale: Inhibition of thyroid hormone release (e.g., by iodides) reduces gland size and vascularity pre-surgery.
The following relationship exist adrenal steroidal hormones, corticotropin and hypothalamic hormones.
- A. Short direct connection
- B. Long direct connection
- C. Short negative feedback
- D. Long negative feedback
Correct Answer: D
Rationale: Adrenal steroids, corticotropin (ACTH), and hypothalamic CRH form a long negative feedback loop in the HPA axis.
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