Shadow Health Questions and Answers 2023 Latest | Rated and Graded A+
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Course
Shadow health
Institution
Shadow Health
Shadow Health Questions and Answers 2023 Latest | Rated and Graded A+
Shadow Health Questions and Answers 2023 Latest | Rated and Graded A+
Shadow Health Questions and Answers 2023 Latest | Rated and Graded A+
Shadow Health Questions and Answers
2023 Latest | Rated and Graded A+
A patient who has been receiving oxycodone therapy for chronic pain reports no
relief after a 10mg dose. The patient is exhibiting:
- Opioid addiction
- Opioid tolerance
- Drug-seeking behaviour
- Paradoxical CNS stimulation
- Correct Answer - - Opioid tolerance
Rationale: Prolonged use of opioid therapy can lead to tolerance, where a patient
requires a higher dose of the drug to achieve an analgesic effect.
Which meal choice exhibits a lack of understanding of atorvastatin's drug-food
interactions?
- Orange juice, banana, and toast
- Grapefruit juice and yogurt
- Orange juice, bacon, and eggs
- Coffee and croissant
- Correct Answer - - Grapefruit juice and yogurt
Rationale: Grapefruit juice is contraindicated for patients on statin therapy and it
may increase drug levels in the blood and increase the likelihood of
rhabdomyolysis. None of the other choices interact harmfully with atorvastatin.
,Which statement indicates that the patient understood the nurse's discharge
information about his albuterol inhaler?
- I should use this inhaler five minutes after my beclomethasone inhaler
- I should use this inhaler regularly to manage my asthma
- I should use this inhaler when I am having an acute attack
- I should use this inhaler to reduce inflammation in my airways
- Correct Answer - I should use this inhaler when I am having an acute attack
Rationale: Inhaled albuterol is a rescue medication that reduces
bronchoconstriction that is present during acute attacks; it has no effect on
inflammation.
A patient is taking promethazine for nausea and oxycodone for pain. What is the
nurse's priority assessment?
- Assess for breakthrough pain
- Assess sedation level
- Assess for constipation
- Assess for dizziness
- Correct Answer - - Assess sedation level
Rationale: The nurse must assess sedation level as the additive sedative effect
when promethazine and oxycodone are administered together can lead to life-
threatening respiratory depression. The other side effects do not pose immediate
risk and are therefore lower-priority assessments.
Which information is essential to include when educating the patient about
clindamycin?
- Clindamycin is primarily bacteriostatic
- Clindamycin should be continued even when feeling better
, - Clindamycin can be given to patients with penicillin sensitivities
- Clindamycin can cause a harmless bitter taste
- Correct Answer - - Clindamycin should be continued even when feeling better
To resolve the infection and prevent the development of resistant pathogens, it is
important that the patient understands she must take an entire course of
antibiotics even if she is feeling better.
A patient with a penicillin allergy needs antibiotic treatment. Which antibiotic
choice would require close monitoring for hypersensitivity due to cross
sensitivity?
- vancomycin
- azithromycin
- cefazolin
- levofloxacin
- Correct Answer - - cefazolin
Cefazolin is a cephalosporin, which is a family of antibiotics that has a high risk of
cross-sensitivity in patients with penicillin allergies.
A patient has been receiving 40mg of pravastatin daily. The nurse should closely
monitor for which of the following:
- Muscle pain
- Dizziness
- Blurred vision
- Hypoglycemia
- Correct Answer - - Muscle pain
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