Nokea
Which of the following is an antianginal and nitrate?
- A. Iron
- B. ACE Inhibitors
- C. Nitroglycerin
- D. Heparin
Correct Answer: C
Rationale: Nitroglycerin is an antianginal medication that belongs to the class of nitrates. It is used to relieve chest pain or angina by dilating blood vessels, which reduces the workload of the heart and improves blood flow to the heart muscle. Nitroglycerin helps to relax and widen blood vessels, increasing the supply of oxygen and blood to the heart. It is often used for the treatment and prevention of angina attacks. In contrast, options A, B, and D are not antianginal medications or nitrates.
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Phenytoin is an antiarrhythmic and anticonvulsant that has an unlabeled use for:
- A. headaches
- B. cold remedy
- C. neurothpathic pain
- D. antianxiety
Correct Answer: C
Rationale: Phenytoin is commonly used as an anticonvulsant and antiarrhythmic medication. In addition to its approved uses, phenytoin has demonstrated effectiveness in managing neuropathic pain, which is pain caused by damage or dysfunction of the nervous system. While this use for phenytoin is off-label, it has been shown to be beneficial in certain individuals with neuropathic pain conditions. However, it is essential for a healthcare provider to prescribe phenytoin off-label for neuropathic pain, as the dosage and monitoring may differ from its standard use for epilepsy and arrhythmias.
A client has a prescription for Amphotericin B. Which of the following laboratory values should be monitored by the nurse to assess for an adverse effect of this medication?
- A. Serum creatinine.
- B. Serum potassium.
- C. Serum sodium.
- D. Serum calcium.
Correct Answer: A
Rationale: Amphotericin B is known to cause nephrotoxicity, a potential adverse effect that can be monitored by checking the client's serum creatinine levels. Regular monitoring of serum creatinine helps in early identification of kidney damage and allows for timely intervention to prevent further complications.
What is the therapeutic action of Phenytoin?
- A. Antidiabetic
- B. Anticonvulsant
- C. Mood stabilizer
- D. Antianxiety agent
Correct Answer: B
Rationale: Phenytoin is primarily used as an anticonvulsant to prevent and control seizures. It works by stabilizing electrical activity in the brain, making it effective in managing conditions like epilepsy. Antidiabetic medications are used to regulate blood sugar levels, mood stabilizers help manage mood disorders, and antianxiety agents are used to reduce anxiety symptoms, none of which are the primary therapeutic action of Phenytoin.
When teaching a client who has a prescription for Lisinopril, which of the following instructions should the nurse include?
- A. Take the medication at bedtime.
- B. Monitor for a persistent cough.
- C. Expect to have increased appetite.
- D. Avoid foods high in potassium.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When admitting a client and completing a preassessment before administering medications, which of the following data should the nurse include? (Select all that apply.)
- A. Use of herbal teas
- B. Daily fluid intake
- C. Current health status
- D. Previous surgical history
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.