Nokea
Which of the following are poorly perfused tissues?
- A. Heart
- B. Brain
- C. Liver
- D. Kidneys
Correct Answer: B
Rationale: This appears to be a trick question; heart, brain, liver, and kidneys are well-perfused. Assuming intent was poorly perfused, none fit, but B (Brain) is least correct here as it's well-perfused.
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Which of the following is an adverse event of glucocorticoids:
- A. Arterial hypotension
- B. Hyponatremia
- C. Hypoglicemia
- D. Facilitate the development of infections
Correct Answer: D
Rationale: Glucocorticoids suppress immunity, increasing infection risk due to reduced inflammatory and immune responses.
A patient's liquid cough medicine has been discontinued with one half of the bottle remaining. The home health nurse is aware that according to the U.S. Food and Drug Administration (FDA) guidelines on prescription medication disposal, the next step should be to:
- A. save the remainder for another patient with the same prescription.
- B. flush the remainder down the toilet.
- C. read the drug label for specific disposal instructions.
- D. pour remaining medication into a hazardous waste container.
Correct Answer: C
Rationale: The nurse must follow specific disposal instructions on the drug label or in the patient information leaflet that accompanies the medication. Prescription medications should not be shared among patients. Prescription drugs should not be flushed down the toilet unless specifically instructed to do so by the manufacturer. The first action to be taken is to follow disposal instructions on the label. If the drug label indicates it should be emptied into a hazardous waste container, measures should be taken to prevent leaking and/or accidental ingestion.
A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching?(Select one that does not apply.)
- A. I will stop taking this medication right away if I develop dizziness.
- B. I know the doctor will gradually increase my dose of this medication for a while.
- C. I should increase fiber to prevent constipation from this medication.
- D. I won't be able to drink alcohol while I'm taking this medication.
Correct Answer: A
Rationale: Gradual dosing , fiber for constipation , and no alcohol reflect baclofen teaching; stopping for dizziness is incorrect.
In post menopausal women who are receiving estrogen replacement therapy, medroxyprogesterone is administered concurrently to reduce the risk of:
- A. Atherosclerosis
- B. Endometrial cancer
- C. Hypertension
- D. Osteoporosis
Correct Answer: B
Rationale: Progestins like medroxyprogesterone reduce estrogen-induced endometrial hyperplasia and cancer risk.
The bronchodilator of choice for patients taking propranolol is:
- A. Albuterol
- B. Pirbuterol
- C. Formoterol
- D. Ipratropium
Correct Answer: D
Rationale: Ipratropium , an anticholinergic, avoids beta-blockade interference from propranolol, unlike beta-agonists .