Nokea
Which priority action should be implemented when hives are assessed on a patient started on a new medication?
- A. Notify physician of allergic reaction
- B. Notify physician of idiosyncratic reaction
- C. Notify physician of potential teratogenicity
- D. Notify physician of potential tolerance
Correct Answer: A
Rationale: Hives indicate an allergic reaction (hypersensitivity), requiring immediate physician notification for management.
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Ipratropium bromide is
- A. Bronchoselective anticholinergic
- B. Used as mydriatic
- C. A selective MI anticholinergic useful in peptic ulcer
- D. An antiparkinsonism drug
Correct Answer: A
Rationale: Ipratropium is a bronchoselective anticholinergic used in COPD/asthma.
A nurse is caring for a 77-year-old patient. The nurse would know that a normal physiologic change that must be considered when planning drug therapy, and is associated with aging is what?
- A. Blood volume decreases
- B. Subcutaneous tissue increases
- C. Total body water increases
- D. Muscle mass increases
Correct Answer: A
Rationale: Aging reduces blood volume, altering drug distribution and requiring dosage adjustments.
When the costs of a specific treatment or intervention are calculated and then compared with the dollar value of the benefit received it is referred to as:
- A. Cost-minimization analysis
- B. Cost-of-illness analysis
- C. Cost-effectiveness analysis
- D. Cost-benefit analysis
Correct Answer: D
Rationale: Cost-benefit analysis quantifies both costs and benefits in monetary terms.
The nurse applies the nursing process in medication therapy to ensure what?
- A. That medications are given at the right time
- B. That care is efficient and effective
- C. That the right dose of the drug is given to the patient
- D. That the right drug is given to the right patient at the right time
Correct Answer: B
Rationale: The nursing process ensures efficient, effective care, encompassing all aspects of safe administration.
The nurse is discussing smoking cessation with a nurse colleague who smokes. Which statement indicates a readiness to quit smoking?
- A. I don't smoke around my children or inside the house
- B. I want to stop smoking, but I will need help to do it
- C. I will quit so my co-workers will stop harassing me about it
- D. If I cut down gradually, I should be able to quit
Correct Answer: B
Rationale: Readiness shows intent and help-seeking; external pressure or gradual cutdown don't confirm it. Patients exhibit readiness when they state a desire to quit along with a request for professional assistance.