Nokea
When using a bar-code point-of-care medication system, the nurse would scan which of the following prior to drug administration?(Select one that does not apply.)
- A. Client's hospital chart
- B. Client's identification band
- C. Drug unit dose package
- D. Nurse's identification badge
Correct Answer: A
Rationale: The bar-code point-of-care medication system requires that the client's identification band, the drug unit dose package, and the nurse's identification badge are all scanned prior to drug administration.
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Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include:
- A. Understanding that obesity is a contraindication to prescribing phentermine
- B. Anorexiants may cause tolerance and should only be prescribed for 6 months
- C. Patients should be monitored for postural hypotension
- D. Renal function should be monitored closely while on anorexiants
Correct Answer: C
Rationale: Phentermine can cause postural hypotension, requiring monitoring.
The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be considered in which patients?
- A. Pregnant women
- B. Elderly men
- C. Overweight or obese patients
- D. Patients with multiple comorbidities
Correct Answer: C
Rationale: Overweight/obese patients may need higher warfarin doses due to larger volume of distribution; pregnancy contraindicates warfarin.
Which of the following drugs used for gout decreases net renal tubular reabsorption of uric acid?
- A. Hypoxanthine
- B. Indomethacin
- C. Colchicine
- D. Allopurinol
Correct Answer: C
Rationale: Colchicine reduces inflammation but also decreases uric acid reabsorption indirectly.
Which of these beta-blockers is a Class III antiarrhythmic agent?
- A. Metoprolol
- B. Esmolol
- C. Sotalol
- D. Bucindolol
Correct Answer: C
Rationale: Sotalol has both beta-blocking and potassium channel-blocking (Class III) properties, prolonging the action potential.
There is evidence that dietary supplementation or adequate intake of fish oils and omega-3 fatty acids have well-documented:
- A. Concern for developing cardiac dysrhythmias
- B. Anti-inflammatory effects
- C. Total cholesterol-lowering effects
- D. Effects on fasting blood sugar
Correct Answer: B
Rationale: Omega-3 fatty acids have proven anti-inflammatory effects, beneficial in cardiovascular health.