Nokea
Which of the following drug shows foetal hydantoin syndrome?
- A. Alcohol
- B. Phenytoin
- C. Ethosuximide
- D. Phenobarbitone
Correct Answer: B
Rationale: Phenytoin is associated with fetal hydantoin syndrome, characterized by craniofacial abnormalities and growth deficits, due to its teratogenic effects during pregnancy.
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Please select a correct statement:
- A. The risk of glaucoma and cataract increases with long-term use of steroids
- B. in the case of long term corticosteroid therapy rapid withdrawal increase the risk of hypertonic crisis
- C. Prescribing steroids in the case of transplantation stimulated transplant rejection
- D. In the bone steroids decrease osteoclasts and increase osteoblasts
Correct Answer: A
Rationale: Long-term steroid use increases the risk of glaucoma and cataracts due to ocular effects.
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.
- A. Older adults because of reduced renal function
- B. Administration of aldosterone antagonist diuretics because of decreased potassium levels
- C. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin
- D. Doses between 0.25 and 0.5 mg/day
Correct Answer: A
Rationale: Older adults have reduced renal clearance, increasing digoxin toxicity risk.
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential. Under what category would morphine be classified?
- A. Schedule I
- B. Schedule II
- C. Schedule III
- D. Schedule IV
Correct Answer: B
Rationale: Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugs have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse potential and limited dependence liability.
A pharmaceutical lab states that a drug causes negative side effects in 3 of every 100 patients. To confirm this affirmation, another laboratory chooses 5 people at random who have consumed the drug. What is the probability that none of the five patients experience side effects?
- A. 0.8687
- B. 0.1313
- C. 0.00847
- D. 0.0003
Correct Answer: A
Rationale: Using the binomial distribution with n=5, p=0.03, and q=0.97, the probability of zero side effects is calculated as P(X=0) = (5 choose 0) * 0.97^5 = 0.8687, as shown in the document.
You are evaluating the discharge teaching you have done with your patient concerning drug therapy. What statement from the patient would indicate that teaching had been effective?
- A. I have to take three pills each day and I can take them at the time that fits my schedule.
- B. I should take the white pill in the morning because the doctor wants me to take it.
- C. I will add the names and dosages of these new drugs to my medication list in my wallet.
- D. I have prescriptions at different pharmacies. I shop around for the best price for each drug
Correct Answer: C
Rationale: Maintaining an updated medication list demonstrates understanding and responsibility, indicating effective teaching.