Nokea
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.
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A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select ONE that does not apply.)
- A. Use of herbal teas
- B. Daily fluid intake
- C. Current health status
- D. Previous surgical history
Correct Answer: B
Rationale: Herbal teas , health status , surgical history , and allergies impact medication safety; fluid intake is less critical.
Milk and other foods that alkalinize the urine may:
- A. Result in basic drugs, being, reabsosibet in
- B. Increase the elimination of basic drugs in the urine
- C. Decrease the elimination of acidic drugs
- D. Not alter drug elimination due to the minimal change in urine pH
Correct Answer: C
Rationale: Alkalinizing urine increases ionization of acidic drugs, reducing their reabsorption and thus decreasing elimination.
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.
Which of the following is a disadvantage of using oral drugs
- A. First pass effect
- B. Low bioavailability
- C. Overdose overcome by antidotes
- D. A and B
Correct Answer: D
Rationale: Oral drugs face the first-pass effect and often have lower bioavailability due to liver metabolism, making D (A and B) the correct combined disadvantage.
Which of the following inhibit production of triiodethyronine (T4) from tetraiodethyronine (T3)?
- A. Iodides
- B. Thiocyanate
- C. Perchlorate
- D. Amiodarone
Correct Answer: D
Rationale: Amiodarone inhibits the peripheral conversion of T4 to T3, reducing active thyroid hormone levels.