Nokea
Which is the most authoritative reference for medications that are injected?
- A. Martindale: The Complete
- B. Handbook on Injectable Drugs
- C. DailyMed
- D. Handbook of Nonprescription Drugs
Correct Answer: B
Rationale: The Handbook on Injectable Drugs is the most comprehensive reference available on the topic of compatibility of injectable drugs.
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Education of patients who are taking warfarin includes discussing their diet. Instructions include:
- A. Avoiding all vitamin K-containing foods
- B. Avoiding high-vitamin K-containing foods
- C. Increasing intake of iron-containing foods
- D. Making sure they eat 35 grams of fiber daily
Correct Answer: B
Rationale: High vitamin K foods antagonize warfarin; total avoidance is unnecessary, and iron or fiber aren't relevant.
Which is true regarding the unit dose drug distribution system?
- A. The inventory is delivered to each nursing unit on a regular and recurring basis.
- B. The system delivers one dose of each medication to be administered until the subsequent delivery of inventory.
- C. The use of single dose packages of drugs dispensed to fill each dose requirement as it is ordered.
- D. The amount of inventory needed to dose all patients on the unit for a 24 hour interval.
Correct Answer: C
Rationale: The unit dose drug distribution system uses single unit packages of drugs dispensed to fill each dose requirement as it is ordered.
Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include:
- A. Moisten a cotton swab (Q-tip) and swab the ear canal twice daily
- B. Instill tap water in both ears while bathing
- C. Squirt hydrogen peroxide into ears with each bath
- D. Instill carbamide peroxide (Debrox) twice daily until canals are clear
Correct Answer: D
Rationale: Carbamide peroxide softens cerumen safely; Q-tips risk impaction, and water or peroxide are less effective.
Felicity has been prescribed colestipol to treat her hyperlipidemia. Unlike other anti-lipidemics, this drug:
- A. Blocks synthesis of cholesterol in the liver
- B. Exchanges chloride ions for negatively charged acids in the bowel
- C. Increases HDL levels the most among the classes
- D. Blocks the lipoprotein lipase pathway
Correct Answer: B
Rationale: Colestipol, a bile acid resin, binds bile acids in the bowel.
A patient asks the nurse, What is a Drug Enforcement Agency (DEA) number? What is the nurses best response?
- A. DEA Numbers are given to physicians and pharmacists when they register with the DEA to prescribe and dispense controlled substances.
- B. Physicians must have a DEA number in order to prescribe any type of medication for patients.
- C. DEA numbers are case numbers given when someone breaks the law involving a controlled substance.
- D. DEA numbers are contact numbers to talk with someone at the DEA when questions arise about controlled substances.
Correct Answer: A
Rationale: All pharmacists and physicians must register with the DEA. They are given numbers that are required before they can dispense or prescribe controlled substances. DEA numbers are only needed when prescribing controlled substances. A DEA number is neither a case number nor a phone number.