Nokea
Which of the following drug can cause hypoglycemia:
- A. Acarbose
- B. Glipizide
- C. Metformin
- D. Pramlintide
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia by excessively stimulating insulin release from pancreatic beta cells.
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James tells you that he is confused by his Medicare Part D coverage plan. An appropriate intervention would be:
- A. Order cognitive testing to determine the source of his confusion.
- B. Sit down with him and explain the whole Medicare Part D process.
- C. Refer him to the Medicare specialist in his insurance plan to explain the benefit to him.
- D. Request his son come to the next appointment so you can explain the benefit to him.
Correct Answer: C
Rationale: Referring to a specialist ensures accurate explanation of Medicare Part D.
Which advantage(s) does the unit dose drug distribution system include? (Select one that does not apply.)
- A. Credit is given to the patient for unused medications.
- B. The pharmacist is able to analyze prescribed medications for each client for drug interactions and contraindications.
- C. There is less waste of medications.
- D. The time spent by nursing personnel preparing these medications is increased.
Correct Answer: D
Rationale: Because the pharmacist has a profile of all medications for each patient, he or she is able to analyze prescribed medications for each patient for drug interactions and contraindications. This is an advantage of the unit dose drug distribution system. Less waste of medications is an advantage of the unit dose drug distribution system. Because each dose is individually packaged, credit can be given to the patient for unused medications. There is increased pharmacist involvement and better use of his or her extensive drug knowledge and nursing personnel time is decreased with this method.
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:
- A. Serum glucose
- B. Stool culture
- C. Folate levels
- D. Vitamin B12
Correct Answer: A
Rationale: Corticosteroids raise glucose, requiring monitoring; stool or vitamins aren't routine.
A nurse is providing instructions to a client who has been experiencing Insomnia and has a new prescription for Temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select one that does not apply.)
- A. Incoordination
- B. Hypertension
- C. Amnesia
- D. Sleep driving
Correct Answer: B
Rationale: Temazepam can cause incoordination , sleep driving , and amnesia , common benzodiazepine effects.
A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 125
- B. 120
- C. 150
- D. 110
Correct Answer: A
Rationale: Calculation: 750 mL ÷ 6 hr = 125 mL/hr, matching the answer.