Nokea
Which medication ordered for a patient with a substance abuse history has the greatest risk for abuse?
- A. Lomotil
- B. Diazepam
- C. Phenobarbital
- D. Lortab
Correct Answer: D
Rationale: Lortab is a Schedule III drug with a higher potential for abuse than Lomotil (Schedule V), Diazepam (Schedule IV), and Phenobarbital (Schedule IV).
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Digoxin levels need to be monitored closely when the following medication is started:
- A. Loratadine
- B. Diphenhydramine
- C. Ipratropium
- D. Albuterol
Correct Answer: D
Rationale: Albuterol , a beta-agonist, can increase digoxin levels by enhancing its effects, requiring close monitoring; antihistamines and ipratropium have minimal impact.
Osteoporosis is a major adverse effect caused by the glucocorticoids. It is due to their ability to:
- A. Increase the excretion of calcium
- B. Inhibit absorption of calcium
- C. Stimulate the hypothalamic-pituitary-adrenal axis
- D. Decrease production of prostaglandins
Correct Answer: B
Rationale: Glucocorticoids inhibit calcium absorption in the gut, contributing to osteoporosis.
A primary health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate?
- A. Apply next dose to a new site.
- B. Check the infusion rate.
- C. Inject only the inner part of the forearm.
- D. Give small volumes of doses.
Correct Answer: A
Rationale: An important nursing intervention when administrating drugs through the transdermal route is to apply the next dose to a new site. It is important to check the infusion rate every 15 to 30 minutes in patients using infusion controllers or infusion pumps. When using the intradermal route, the inner part of the forearm should be used as the injection site and small volumes of doses should be administered.
It is important to evaluate the efficacy of what parameter when evaluating the drug therapy of a patient?
- A. Appropriateness of drug dosages
- B. Compliance
- C. Caregivers knowledge level
- D. Nursing interventions
Correct Answer: D
Rationale: Evaluating nursing interventions assesses their effectiveness in achieving drug therapy goals.
Colestipol comes in a powdered form. The patient is taught to:
- A. Take the powder dry and follow it with at least 8 ounces of water
- B. Take it with a meal to enhance its action on fatty food
- C. Mix the powder with 4 to 6 ounces of milk or fruit juice
- D. Take after the evening meal to coincide with cholesterol synthesis
Correct Answer: C
Rationale: Mixing colestipol with liquid improves palatability and administration.