Nokea
Which of the following statement is not correct for insulin medications:
- A. Effective for treatment of diabetes type I
- B. Effective for treament of diabetes type II
- C. Is for parenteral use
- D. Is for intravenous use only
Correct Answer: D
Rationale: Insulin is not exclusively for IV use; it's typically subcutaneous, though IV is used in emergencies.
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Which of the following medications is a potassium-sparing diuretic?
- A. Bumetanide
- B. Hydrochlorothiazide
- C. Spironolactone
- D. Torsemide
Correct Answer: C
Rationale: Spironolactone is a potassium-sparing diuretic, blocking aldosterone, unlike the others which promote potassium loss.
While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effective if the patient includes which of the following foods in his daily menus?
- A. Broccoli and kiwi
- B. Oranges and sweet potatoes
- C. Kale and cucumbers
- D. Bananas and melon
Correct Answer: D
Rationale: Furosemide (Lasix) is a loop diuretic that can cause potassium loss; bananas and melon are potassium-rich, aiding in replacing this electrolyte, unlike the other options.
Colestipol comes in a powdered form. The patient is taught to:
- A. Take the powder dry and follow it with at least 8 ounces of water
- B. Take it with a meal to enhance its action on fatty food
- C. Mix the powder with 4 to 6 ounces of milk or fruit juice
- D. Take after the evening meal to coincide with cholesterol synthesis
Correct Answer: C
Rationale: Mixing colestipol with liquid improves palatability and administration.
A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response?
- A. Swelling of the tongue or hoarseness are the most common symptoms.
- B. It appears to be related to the decrease in aldosterone production.
- C. Presence of a dry, hacky cough indicates a high risk for this adverse response.
- D. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week.
Correct Answer: A
Rationale: Angioedema presents with tongue swelling or hoarseness and is not linked to cough or aldosterone.
Medication agreements or 'Pain Medication Contracts' are recommended to be used:
- A. Universally for all prescribing for chronic pain
- B. For patients who have repeated requests for pain medication
- C. When you suspect a patient is exhibiting drug-seeking behavior
- D. For patients with pain associated with malignancy
Correct Answer: A
Rationale: Pain contracts are recommended universally for chronic pain to set expectations, not just for repeated requests , suspicion , or cancer .