A patient has an order for the monoclonal
antibody adalimumab (Humira). The nurse notes that the patient does not have a history of cancer. What is another possible reason for administering this drug?
a. Severe anemia
b. Rheumatoid arthritis
c. Thrombocytopenia
d. Osteoporosis
ANS: B
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A male patient is taking cimetidine (Tagamet). Which adverse effect is more likely to occur with cimetidine than with other histamine2 receptor antagonists?
A) Hypoxia B) Hypertension C) Gynecomastia D) Seizures
The patient calls the clinic and talks to the nurse saying, "I found the same drug the provider prescribed on the Internet and it is much cheaper. Is it safe for me to order my drug from this site?" What is the nurse's best response?
A) "It is usually safe to order drugs from Internet Web sites if it is a reliable site." B) "Most drugs ordered online come from another country and are safely used there." C) "The drug you get will be the same chemical prescribed but the dosage may differ." D) "The Food and Drug Administration (FDA) has issued warnings to consumers about the risk of taking unregulated drugs."
A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg/dL
Which of the following would the nurse do next? A) Administer a sliding-scale dose of insulin B) Give 10 to 15 grams of a simple carbohydrate C) Offer a complex carbohydrate snack D) Administer glucagon intramuscularly
Elderly clients with clotting disorders should avoid which of the following medications?
A. narcotics B. antipsychotics C. aspirin D. steroids