Which of the following glucocorticosteroids are used for cerebral oedema:
- A. Triamcinolon
- B. Prednisolon
- C. Prednison
- D. Dexamethasone
Correct Answer: D
Rationale: Dexamethasone is preferred for cerebral edema due to its potent anti-inflammatory effects and minimal mineralocorticoid activity.
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Glucocorticoid effects of carbohydrate metabolism is facilitated with:
- A. Gluconeogenesis
- B. Hypoglicemia
- C. Enhance of glucose utilization with peripherial tissues
- D. Decrease of glycogen reserve in the liver
Correct Answer: A
Rationale: Glucocorticoids promote gluconeogenesis, increasing blood glucose levels by converting non-carbohydrate sources into glucose.
A nurse is preparing to perform a follow-up assessment on a client who takes Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations?(Select one that does not apply.)
- A. Disorganized speech
- B. Bizarre behavior
- C. Impaired social interactions
- D. Hallucinations
Correct Answer: C
Rationale: Chlorpromazine improves positive symptoms like speech , behavior , and hallucinations , less so negative symptoms.
Which cephalosporin generation is effective against methicillin-resistant Staphylococcus aureus (MRSA)?
- A. First generation
- B. Second generation
- C. Third generation
- D. Fifth generation
Correct Answer: D
Rationale: Fifth-generation cephalosporins, like ceftaroline, are effective against MRSA, unlike earlier generations.
While collecting a medication history, the patient admits to doubling the recommended dosage of an over-the-counter (OTC) medication, saying It's harmless or they would require a prescription. What is the nurse's best response?
- A. OTC drugs are serious medications and carry serious risks if not taken as directed.
- B. Taking medications like that is careless and you could kill yourself doing it.
- C. Sometimes you need to take more than the package directs to treat the symptoms.
- D. Did you notify your doctor of the increased dosage you were taking?
Correct Answer: A
Rationale: OTC drugs are no less a medication than prescription drugs and carry the same types of risks for overdosage and toxicity if directions are not followed. Although increasing the dosage is careless and dangerous, it is important to use the information as a teaching opportunity rather than scolding the patient. Agreeing with the patient or asking her if she talked to the doctor misses the teaching opportunity, which could be harmful for the patient.
Which mode of action has insulin in fatty cells?
- A. Decrease glycerol synthesis
- B. Increase synthesis of triglycerides
- C. Decrease fatty acid synthesis
Correct Answer: B
Rationale: Insulin promotes triglyceride synthesis in fat cells by enhancing glucose uptake and lipogenesis.
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