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When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:
- A. They need to get any live vaccines before starting the medication
- B. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective
- C. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush
- D. They can triple the dose number of inhalations of medication during colds to prevent needing systemic steroids
Correct Answer: C
Rationale: Rinsing the mouth prevents oral thrush, a common side effect of inhaled corticosteroids; vaccines , exacerbation-only use , or dose tripling are incorrect.
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Prostaglandins play pathophysiological role in the following EXCEPT:
- A. Patency of ductus arteriosus
- B. Regulation of renal tubular salt absorption
- C. Ventricular remodelling after myocardial infarction
- D. Initiation of labour
Correct Answer: C
Rationale: Prostaglandins maintain ductus arteriosus patency, regulate renal salt absorption, and initiate labor, but ventricular remodeling post-myocardial infarction is primarily driven by other factors like cytokines and neurohormones.
Glucocorticoids:
- A. Decrease amount of immunocompetent cells and macrophages in the blood
- B. Stimulate activity of macrophages and monocytes
- C. Increase amount of T lymphocytes
- D. Stimulate production of antibodies
Correct Answer: A
Rationale: Glucocorticoids reduce immunocompetent cells and macrophages, contributing to their immunosuppressive effects.
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential. Under what category would morphine be classified?
- A. Schedule I
- B. Schedule II
- C. Schedule III
- D. Schedule IV
Correct Answer: B
Rationale: Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugs have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse potential and limited dependence liability.
The patient asks the nurse, Is it safe to take over-the-counter (OTC) medications with prescription medications? What is the nurses best response?(Select one that does not apply.)
- A. OTC medications can interact with prescription medications.
- B. It is important to tell your doctor all medications you take, including OTC.
- C. OTC medications could mask or hide signs and symptoms of a disease.
- D. You should avoid taking any OTC medication when taking prescription drugs.
Correct Answer: D
Rationale: OTC medications can interact with prescription medications or other OTC so it is always important to consult your pharmacist and provider for advice. To provide the most accurate instruction, the health care provider must know all medications taken including dietary supplements, OTC, and prescription. OTC medications could mask or hide symptoms of a disease so it is always important to consult a physician if symptoms persist. OTC medications are not prohibited when taking prescription drugs as long as no drug interaction occurs.
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.