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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AH are prodrugs except
- A. Enalapril
- B. Paracetamol
- C. Sulphamethoxazole
- D. Trimethoprim
Correct Answer: D
Rationale: Enalapril is a prodrug; paracetamol, sulphamethoxazole, and trimethoprim are active drugs.
A patient taking an oral diuretic for about six (6) months presents with elevated fasting and post prandial blood glucose levels. You suspect the glycemic problems are diuretic induced. What is the most likely cause?
- A. Acetazolamide
- B. Amiloride
- C. Chlorothiazide
- D. Spironolactone
Correct Answer: C
Rationale: Thiazides like chlorothiazide impair glucose tolerance by reducing insulin sensitivity.
Ultra-rapid metabolizers of drugs may have:
- A. To have dosages of drugs adjusted downward to prevent drug accumulation
- B. Active drug rapidly metabolized into inactive metabolites, leading to potential therapeutic failure
- C. Increased elimination of active, nonmetabolized drug
- D. Slowed metabolism of a prodrug into an active drug, leading to an accumulation of prodrug
Correct Answer: B
Rationale: Ultra-rapid metabolizers (e.g., CYP2D6) quickly inactivate drugs , risking therapeutic failure, requiring higher doses, not lower or slowed metabolism .
A client is being treated for tuberculosis. Which medications are used to treat this condition?(Select one that does not apply.)
- A. Streptomycin sulfate
- B. rifabutin
- C. Ethambutol (Myambutol)
- D. Gentamicin (Garamycin)
Correct Answer: D
Rationale: TB treatment uses streptomycin, ethambutol, rifabutin, ethionamide, and pyrazinamide; amoxicillin and gentamicin are not standard. Streptomycin sulfate, ethambutol, rifabutin, ethionamide, and pyrazinamide are used to treat tuberculosis.
The nurse is applying the Centers for Disease Control and Prevention (CDC) recommendations for the possibility of bioterrorism. What action should the nurse perform?
- A. Post updated information on signs and symptoms of infections caused by biological agents
- B. Provide guidelines for treating clients exposed to, or potentially exposed to, biological agents
- C. Remain current on recognition and treatment of infections caused by biological weapons
- D. Advocate for increased funding for research involving bioterrorism and client treatment
Correct Answer: C
Rationale: Staying current on recognition and treatment aligns with CDC recommendations for nurse preparedness in bioterrorism scenarios.