Nokea
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes:
- A. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
- B. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
- C. Rapid strep test and symptomatic care if strep test is negative
- D. Observation only, with further assessment if she worsens
Correct Answer: B
Rationale: Fever and lymphadenopathy suggest a serious lamotrigine hypersensitivity reaction.
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Mutations in receptor tyrosine kinases would most likely be associated with :
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- B. Endocrine diseases
- C. Cancers
- D. Metabolic abnormalities
Correct Answer: C
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A nurse is caring for an older adult client who has a new prescription for Digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for Digoxin toxicity?
- A. Phenytoin
- B. Verapamil
- C. Warfarin
- D. Aluminum hydroxide
Correct Answer: B
Rationale: Verapamil increases digoxin levels by reducing clearance, risking toxicity.
Cost-effectiveness analysis compares two or more treatments or programs that are:
- A. Not necessarily therapeutically equivalent
- B. Considered equal in efficacy
- C. Compared with the dollar value of the benefit received
- D. Expressed in terms of patient preference or quality-adjusted life years
Correct Answer: A
Rationale: Cost-effectiveness analysis evaluates treatments that may differ in efficacy.
A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amount available is haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 2
- B. 6
- C. 1
- D. 8
Correct Answer: A
Rationale: Calculation: 2 mg ÷ 1 mg/tablet = 2 tablets, matching the provided answer.
Which of the following is natural mineralcorticoid:
- A. Methylprednisolone
- B. Betamethasone
- C. Triamcinolone
- D. Aldosterone
Correct Answer: D
Rationale: Aldosterone is the natural mineralocorticoid produced by the adrenal glands.