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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Antiemitic used to prevent aspiration in emergency surgery
- A. Ondansetrone
- B. Promethazine
- C. Metoclopromide
- D. Ranitidine
Correct Answer: B
Rationale: Promethazine (antihistamine) prevents aspiration with sedative effects.
Irreversible interaction of an antagonist with a receptor is due to:
- A. Ionic bonds
- B. Hydrogen bonds
- C. Covalent bonds
- D. All of the above
Correct Answer: C
Rationale: Irreversible antagonism typically involves covalent bonding, making it permanent.
The nurse administers a prescribed medication that is supplied as an enteric-coated tablet. The patient asks the nurse about this form of tablet. When describing how this tablet is absorbed, which response by the nurse would be most accurate?
- A. The medication dissolves directly from the stomach into the body.'
- B. The drug breaks up into pieces as it moves through the stomach.'
- C. The medication bypasses the GI tract and goes quickly into the bloodstream.'
- D. The drug dissolves into fragments after it reaches your small intestine.'
Correct Answer: D
Rationale: Enteric-coated tablets disintegrate or fragment after reaching the alkaline medium of the small intestine. Tablets and capsules break up into small particles and dissolve into body fluids in the gastrointestinal tract. Liquids and parenteral drugs are quickly absorbed into the body system.
A nurse is teaching a client about preventing Otitis Externa. Which of the following instructions should the nurse include?
- A. Clean the ear with a cotton-tipped swab daily
- B. Place earplugs in the ears when sleeping at night.
- C. Use a cool water irrigation solution to remove earwax.
- D. Tip the head to the side to remove water from the ears after showering
Correct Answer: D
Rationale: Tipping the head removes water, preventing moisture that promotes otitis externa.
A primary health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate?
- A. Apply next dose to a new site.
- B. Check the infusion rate.
- C. Inject only the inner part of the forearm.
- D. Give small volumes of doses.
Correct Answer: A
Rationale: An important nursing intervention when administrating drugs through the transdermal route is to apply the next dose to a new site. It is important to check the infusion rate every 15 to 30 minutes in patients using infusion controllers or infusion pumps. When using the intradermal route, the inner part of the forearm should be used as the injection site and small volumes of doses should be administered.