Nokea
Which of the following is a contraindication of glucocorticoid use?
- A. Psychosis
- B. Allergic dermatitis
- C. Autoimmune hemolytic anemia
- D. Angioneurotic edema
Correct Answer: A
Rationale: Glucocorticoids can exacerbate psychosis, making it a contraindication, unlike the other conditions which they can treat.
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The mean weight of 500 college students is 70 kg and the standard deviation is 3 kg. Assuming that the weight is normally distributed, determine how many students weigh more than 90 kg.
- B. 5
- C. 10
- D. 15
Correct Answer: A
Rationale: Z-score: (90-70)/3 = 6.67. P(Z > 6.67) is effectively 0 since it's far beyond the normal distribution's tail (P(Z < 6.67) ≈ 1), so 0 students, consistent with the document's calculation.
A nurse is assessing a client who has taken Procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication? (Select one that does not apply.)
- A. Joint swelling
- B. Widened QRS complex
- C. Narrowed QT interval
- D. Easy bruising
Correct Answer: C
Rationale: Procainamide can widen QRS , cause bruising from lupus-like syndrome, and joint swelling .
A 35-year-old male patient is admitted to the hospital with pneumonia. He was originally being treated at home, but became worse when he quit taking his medicine. What would be an appropriate nursing diagnosis for this patient?
- A. Deficient knowledge: monitoring temperature
- B. Noncompliance
- C. Risk for injury related to office visits
- D. Non-adherence: overuse
Correct Answer: B
Rationale: Noncompliance reflects the patient's failure to continue prescribed treatment, worsening his condition.
Pernicious anemia is treated with:
- A. Folic acid supplements
- B. Thiamine supplements
- C. Vitamin B12
- D. Iron
Correct Answer: C
Rationale: Pernicious anemia requires B12 due to absorption defect; folate masks it without fixing neuropathy.
A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
- A. Weight gain
- B. Nervousness
- C. Bradycardia
- D. Constipation
Correct Answer: A
Rationale: Prednisone causes weight gain due to fluid retention and increased appetite.