Nokea
Zoster vaccine (Zostavax) is:
- A. A live varicella zoster vaccine from the same strain used to develop the varicella vaccine
- B. Effective in preventing varicella zoster in patients of all ages
- C. Recommended for patients age 40 to 80 who have had chickenpox
- D. Administered at the same time as other live vaccines, as long as they are given the same day
Correct Answer: A
Rationale: Zostavax is a live vaccine from the varicella strain, for adults 50+ (not all ages, B, or 40-80, C); timing with other vaccines has restrictions.
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A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client?
- A. Cardiovascular
- B. Immune
- C. Central nervous
- D. Gastrointestinal
Correct Answer: C
Rationale: Extrapyramidal effects are movement disorders caused by medications affecting the central nervous system , like antipsychotics.
Factors that facilitate keeping patient information confidential in an electronic health record (EHR) system include:
- A. Designing software so that only those who need the information can gain access
- B. Requiring providers to log off at the end of the clinical day
- C. Keeping a file of the login and password information for each provider in a secure place
- D. Having patients sign informed consent documents to have their data on an EHR
Correct Answer: A
Rationale: Restricted access software enhances EHR confidentiality.
A patient with anxiety and depression may respond to:
- A. Duloxetine (Cymbalta)
- B. Fluoxetine (Prozac)
- C. Oxazepam (Serax)
- D. Buspirone (Buspar) and an SSRI combined
Correct Answer: D
Rationale: Buspirone (anxiolytic) with an SSRI addresses both anxiety and depression effectively.
Which of the following is a contraindication of glucocorticoid use?
- A. Psychosis
- B. Allergic dermatitis
- C. Autoimmune hemolytic anemia
- D. Angioneurotic edema
Correct Answer: A
Rationale: Glucocorticoids can exacerbate psychosis, making it a contraindication, unlike the other conditions which they can treat.
The following drug may be used to relieve bladder spasm after urologic surgery:
- A. Atropine
- B. Dicyclomine
- C. Glycopyrrolate
- D. Oxybutynin
Correct Answer: D
Rationale: Oxybutynin, an antimuscarinic, reduces bladder spasms.