Nokea
Which statement(s) will be included when planning patient teaching regarding drug names?(Select one that does not apply.)
- A. Most drug companies place their products on the market under generic names
- B. The official name is the name under which the drug is listed by the US Food and Drug Administration (FDA)
- C. Brand names are easier to pronounce, spell, and remember
- D. The first letter of the generic name is not capitalized
Correct Answer: A
Rationale: The official name is listed by the FDA , brand names are easier for patients , and generic names are not capitalized . Most drugs are marketed under brand names, not generic.
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The following drugs reduce mortality in congestive cardiac failure EXCEPT:
- A. Captopril
- B. Carvedilol
- C. Digoxin
- D. Enalapril
Correct Answer: C
Rationale: Digoxin improves symptoms but does not reduce mortality in heart failure.
Administration of sulfonamide may intensify the action of tolbutamide, through:
- A. Activation of the islets of pancreas
- B. Direct action on the utilization of glucose
- C. Synergistic action
- D. Competing with tolbutamide in plasma protein binding
Correct Answer: D
Rationale: Sulfonamides displace tolbutamide from plasma proteins, increasing free drug levels and enhancing its hypoglycemic effect.
Persistent dry cough is a common side effect of:
- A. ACE inhibitor
- B. Calcium channel blockers
- C. Beta blockers
- D. Angiotensin receptor blockers
Correct Answer: A
Rationale: ACE inhibitors, such as lisinopril, frequently cause a persistent dry cough due to increased bradykinin levels irritating the respiratory tract.
A patient is considering using herbal supplements and asks the nurse about them. Which response by the nurse would be most appropriate?
- A. Herbal supplements are safe to use because they are regulated closely.'
- B. Herbal supplements can affect the way other medications will act.'
- C. Taking more than the recommended amount usually is not harmful because they are natural.'
- D. The risk of the supplement interacting with any prescription medications is extremely low.'
Correct Answer: B
Rationale: The nurse needs to explain to the patient that just because an herbal supplement is labeled 'natural' does not mean the supplement is safe or without harmful effects. Herbal supplements can act the same way as drugs and can cause medical problems if not used correctly or if taken in large amounts. Herbal supplements are not regulated by the FDA, so products lack standardization in relation to purity and potency. In addition, the patient should be warned not to take more than the recommended dose of any herbal health product or supplement. The problems that these products can cause are much more likely to occur if the patient takes too much or takes them for too long.
A 27-year-old male is admitted to the Emergency Department (ED) after a serious motorcycle accident. The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the ICU. The nurse who is going to care for this patient in the ICU knows that one of their most important responsibilities in regard to drug therapy is what?
- A. Support vital functions
- B. Continue curative treatment
- C. Institute life-saving treatment
- D. Monitor the patient's response
Correct Answer: D
Rationale: Monitoring drug response ensures timely adjustments in critical care, optimizing therapy amidst multiple injuries.