Nokea
What medication most likely caused patient's hypoglycaemia?
- A. Acarbose
- B. Exenatide
- C. Glyburide
- D. Metformin
Correct Answer: C
Rationale: Glyburide, a sulfonylurea, is most likely to cause hypoglycemia due to excessive insulin release.
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A nurse is caring for a client who is taking Propylthiouracil. For which of the following adverse effects of this medication should the nurse should be correct
- A. Bradycardia
- B. Insomnia
- C. Heat intolerance
- D. Weight loss
Correct Answer: A
Rationale: Propylthiouracil can cause bradycardia as a rare side effect, requiring monitoring.
Hannah will be traveling to Mexico with her church group over spring break to build houses. She is concerned she may develop traveler's diarrhea. Advice includes following normal food and water precautions as well as taking:
- A. Loperamide four times a day throughout the trip
- B. Bismuth subsalicylate with each meal and at bedtime
- C. A prescription for diphenoxylate with atropine to use if she gets diarrhea
- D. None of the above
Correct Answer: B
Rationale: Bismuth subsalicylate prevents traveler's diarrhea when taken prophylactically; loperamide or diphenoxylate are for treatment, not prevention.
The patient is prescribed a medication that was just placed in Phase IV study. The patient tells the nurse, This medication is too expensive. Could the doctor order a generic form of this medication? What is the nurses most accurate response?
- A. Medications are not produced in generic form until the patent expires, which normally takes several years.
- B. You can request the generic form but the binder used may make the drug less effective for this medication.
- C. The generic form of the medication would not be any less expensive because this is a relatively new medication.
- D. Generic medications are lower quality drugs and that would mean you would not be getting the best treatment available.
Correct Answer: A
Rationale: When a new drug enters the market, it is given a time-limited patent; generic forms of the medication cannot be produced until the patent expires. Because no generic version of this drug will exist because it is so new, it is impossible to predict what binder will be used or what the cost would be.
Cost-effectiveness analysis compares two or more treatments or programs that are:
- A. Not necessarily therapeutically equivalent
- B. Considered equal in efficacy
- C. Compared with the dollar value of the benefit received
- D. Expressed in terms of patient preference or quality-adjusted life years
Correct Answer: A
Rationale: Cost-effectiveness analysis evaluates treatments that may differ in efficacy.
When assessing a patient prior to starting a drug regimen it is often necessary to have a baseline kidney function study done. What might kidney impairment indicate in relation to drug therapy?
- A. Pharmacodynamics stable at the therapeutic dose
- B. Contraindication to the use of a drug
- C. Increased dosage of a drug
- D. Decreased adverse effects of a drug
Correct Answer: B
Rationale: Kidney impairment may contraindicate certain drugs due to reduced clearance, risking toxicity.