Nokea
When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs:
- A. Omeprazole, a proton pump inhibitor
- B. Combined oral contraceptives
- C. Diphenhydramine, an antihistamine
- D. Warfarin, an anticoagulant
Correct Answer: D
Rationale: NSAIDs increase bleeding risk with warfarin; interactions with PPIs or contraceptives are less significant.
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A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which of the following instructions?
- A. Remove the prior dose before applying a new dose.
- B. Rub the ointment directly into your skin until it is no longer visible.
- C. Cover the applied ointment with a clean gauze pad.
- D. Apply the ointment to the same skin area each time.
Correct Answer: A
Rationale: Removing the prior dose prevents overdose and ensures accurate dosing.
Treatment goals in prescribing should:
- A. Always be curative
- B. Be patient-centered
- C. Be convenient for the provider
- D. Focus on the cost of therapy
Correct Answer: B
Rationale: Patient-centered goals prioritize individual needs and outcomes, not just cure , provider convenience , or cost alone .
Immunomodulators such as azathioprine may cause a delayed adverse drug reaction known as a type D reaction because they are known:
- A. Teratogens
- B. Carcinogens
- C. To cause hypersensitivity reactions
- D. Hypothalamus-pituitary-adrenal axis suppressants
Correct Answer: B
Rationale: Azathioprine's Type D (delayed) ADRs, like cancer risk , emerge long-term, unlike teratogenicity , hypersensitivity , or HPA suppression .
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.
- A. Older adults because of reduced renal function
- B. Administration of aldosterone antagonist diuretics because of decreased potassium levels
- C. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin
- D. Doses between 0.25 and 0.5 mg/day
Correct Answer: A
Rationale: Older adults have reduced renal clearance, increasing digoxin toxicity risk.
There is strong evidence to support that adequate vitamin C intake prevents:
- A. The common cold
- B. Breast cancer
- C. Scurvy
- D. All of the above
Correct Answer: C
Rationale: Adequate vitamin C prevents scurvy, a deficiency disease, but does not prevent colds or cancer.