Nokea
Which of the following is true regarding the Dietary Supplement Health and Education Act (DSHEA)?Select one that does not apply.
- A. The act allows for DEA enforcement of the act.
- B. The act gives the FDA power to enforce the laws governed by the act.
- C. The act permits general health claims.
- D. The act does not permit curative health claims.
Correct Answer: A
Rationale: The DSHEA defines substances such as herbs, vitamins, minerals, amino acids, and other natural substances as 'dietary supplements' and permits general health claims as long as the label also has a disclaimer stating that the supplements are not approved by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. The act gives the FDA the power to enforce the laws governed by the act.
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One barrier to use of the Internet for both prescribing and for patient teaching is:
- A. Lack of free public access to the Internet
- B. Age, with older adults rarely understanding how to use a computer
- C. Web pages and hyperlinks may change, be deleted, or be replaced
- D. Few Web sites with information about drugs are free
Correct Answer: C
Rationale: Changing or deleted web content is a barrier to reliable online information use.
Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:
- A. None, wait for the culture results to determine the course of treatment
- B. Ciprofloxacin (Ciloxan) ophthalmic drops
- C. IM ceftriaxone
- D. High-dose oral amoxicillin
Correct Answer: C
Rationale: Gonococcal conjunctivitis requires urgent IM ceftriaxone; waiting risks progression.
What aspect of pharmacology does a nurse study? (Select one that does not apply.)
- A. Adverse and anticipated drug effects
- B. Molecular pharmacology
- C. Impact of drugs on the body
- D. The body's response to a drug
Correct Answer: B
Rationale: Nurses study pharmacology from a pharmacotherapeutic level, which includes the effect of drugs on the body, the body's response to drugs, and both expected and unexpected drug effects. Chemical and molecular pharmacology (Options A and B) are not included in nursing pharmacology courses.
Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for serious consequences of rapid withdrawal are those with:
- A. Angina
- B. Coronary artery disease
- C. Both 1 and 2
- D. Neither 1 nor 2
Correct Answer: C
Rationale: Patients with angina and CAD are at high risk for rebound effects like myocardial infarction.
The nurse is conducting an admission assessment on a patient. When collecting data related to medications the nurse asks, What medications are you currently taking? After collecting this information, what other questions should the nurse ask?
- A. Do you take any medications?
- B. What over-the-counter (OTC) medications do you take?
- C. Do you take gym sessions?
- D. Do you take medications safely when you take them?
Correct Answer: B
Rationale: OTC meds and supplements can affect therapy; 'current medications' already covers A, and D is vague.