A nurse is caring for a patient with gallstones who has been prescribed ursodeoxycholic acid (UDCA). The patient askshow this medicine is going to help his symptoms. The nurse should be aware of what aspect of this drug's pharmacodynamics?

A) It inhibits the synthesis of bile.
B) It inhibits the synthesis and secretion of cholesterol.
C) It inhibits the secretion of bile.
D) It inhibits the synthesis and secretion of amylase.


Ans: B
Feedback:
UDCA acts by inhibiting the synthesis and secretion of cholesterol, thereby desaturating bile. UDCA does not directly inhibit either the synthesis or secretion of bile or amylase.

Nursing

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a. It provides facts that nurses can add to their knowledge base. This makes practice more objective and quantifiable. b. It provides scientific support for policies already in place. More evidence makes an existent policy more defensible. c. It provides evidence opposing policies already in place. Evidence in opposition to policies may result in new policies. d. It allows the nurse to understand the personal experience of illness and the meaning the client attaches to it. This engenders compassion. e. It contributes evidence that will make nursing practice almost completely evidence-based, eliminating different styles of nursing practice.

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The nurse is assessing heart rate for children on the pediatric ward. Which of the following is a normal finding based on developmental age?

A) An infant's rate is 90 bpm. B) A toddler's rate is 150 bpm. C) A preschooler's rate is 130 bpm. D) A school-age child's rate is 50 bpm.

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Why is pain usually worse at night?

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Nursing

A nurse attempts to change a pathologic cardiac rhythm to normal sinus rhythm using a device that applies synchronized electrical countershocks to the heart. What is the term for this procedure?

A) Cardiopulmonary Resuscitation (CPR) B) Electrocardiogram C) Cardiac monitoring D) Cardioversion

Nursing