Nokea
You are evaluating the discharge teaching you have done with your patient concerning drug therapy. What statement from the patient would indicate that teaching had been effective?
- A. I have to take three pills each day and I can take them at the time that fits my schedule.
- B. I should take the white pill in the morning because the doctor wants me to take it.
- C. I will add the names and dosages of these new drugs to my medication list in my wallet.
- D. I have prescriptions at different pharmacies. I shop around for the best price for each drug
Correct Answer: C
Rationale: Maintaining an updated medication list demonstrates understanding and responsibility, indicating effective teaching.
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Which of the following drugs is NOT an aminoglycoside?
- A. Streptomycin
- B. Neomycin
- C. Amikacin
- D. Azithromycin
Correct Answer: D
Rationale: Azithromycin is a macrolide antibiotic, not an aminoglycoside, unlike the others listed.
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which of the following would indicate the presence of systemic toxicity from this medication?
- A. Tinnitus
- B. Diarrhea
- C. Constipation
- D. Decreased respirations
Correct Answer: A
Rationale: Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation and diarrhea are not associated with salicylism.
Which of the following drug shows foetal hydantoin syndrome?
- A. Alcohol
- B. Phenytoin
- C. Ethosuximide
- D. Phenobarbitone
Correct Answer: B
Rationale: Phenytoin is associated with fetal hydantoin syndrome, characterized by craniofacial abnormalities and growth deficits, due to its teratogenic effects during pregnancy.
Both men and women experience bone loss with aging. The bones most likely to demonstrate significant loss are:
- A. Cortical bones
- B. Femoral neck bones
- C. Cervical vertebrae
- D. Pelvic bones
Correct Answer: B
Rationale: Femoral neck is a trabecular bone site prone to significant age-related loss, unlike cortical or other areas .
A patient who is unconscious arrives in the emergency department with clammy skin and constricted pupils. The nurse assesses a respiratory rate of 8 to 10 breaths per minute. The paramedics report obvious signs of drug abuse in the patient's home. The nurse suspects that this patient has had an overdose of which substance?
- A. Alcohol
- B. LSD
- C. An opioid
- D. Methamphetamine
Correct Answer: C
Rationale: Opioid overdose causes miosis and respiratory depression; alcohol or meth differ. Opioid overdose is characterized by constricted pupils and respiratory depression.