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AK23-year-
oldKwomanKisKadmittedKtoKtheKinfusionKclinicKafterKaKMultipleKSclerosis Exacerbation.KTheK
physicianKordersKmethylprednisoloneKinfusionsK(Solu-
Medrol).KThe nurseKwouldKexpectKwhichKofKtheKfollowingKoutcomesKafterKadministrationKo
fKthis Kmedication?
1.a1AKdecreaseKinKmuscleKspasticityKandKinvoluntaryKmovement
s2.a1AKslowedKprogressionKofKMultipleKSclerosisKrelatedKplaque
s3. a1AKdecreaseKinKtheKlengthKofKtheKexacerbatio
KWhileKmuscleKspasticityKandKinvoluntaryKmovementsKcanKbeKsymptomsKofKMS,
n
4. a1AKKstabilization
teroid KofKmoodKandKsleepK
infusionKisKnotKmeantKtoKdirectlyKtreatKtheseKsymptoms.
-ans1.KAKdecreaseKinKmuscleKspasticityKandKinvoluntaryKmovements
K
IncorrectK-
aKcorticos
2.a1AKslowedKprogressionKofKMultipleKSclerosisKrelatedKplaque
sIncorrectK-
KSpecialKdrugsKlikeKInterferonKBeta,KNatalizumab,KorKGlatiramirKacetateKare usedKasKfirst-
lineKtreatmentsKtoKslowKtheKprogressionKofKMS.KWhileKcorticosteroidsKcanKbeKusedKinKconj
unctionKwithKtheseKdrugsKonKaKlong-termKbasis,KtheyKwouldKnotKbeKinfused.
TheyKwouldKbeKtakenKorally.
3.a1AKdecreaseKinKtheKlengthKofKtheKexacerbatio
n
CorrectK-
KAKmethylprednisoloneKinfusionKisKtheKfirstKlineKofKtreatmentKduringKanKacute exacerbation
KandKisKusedKtoKdecreaseKtheKlengthKandKseverityKofKaKrelapse.
4.a1AKstabilizationKofKmoodKandKslee
p
IncorrectK-
KSomeKofKtheKfrequentKsideKeffectsKofKaKMethylprednisoloneKinfusionKare anxiety,Kinsomni
a,KandKmoodKswings.
AK30-
yearKoldKCaucasianKwomanKwhoKworksKtheKnightKshiftKhasKbeenKfoundKtoKhaveKearly bone
KlossKandKhasKaKhighKriskKforKosteomalaciaKandKboneKdegradation.KSheKasksKtheKnurseKex
actlyKwhyKsheKshouldKtakeKVitaminKDKsupplements.KWhatKisKtheKnurse'sKbest response?
1.a1"It'sKaKstandardKpartKofKtheKoverallKnutritionalKtreatmentKforKtheKpreventionKof
osteomalacia"
2.a1"ItKhelpsKyourKintestinesKabsorbKcalcium,KwhichKisKimportantKforKboneKformation."
3.a1"ItKstimulatesKskinKcellsKtoKproduceKcalcium,KwhichKisKthenKreleasedKintoKthe
bloodstreamKtoKbeKusedKforKboneKformation."
,4.a1"VitaminKDKsupplementsKshouldKnotKbeKtakenKbyKsomeoneKofKyourKage."K-
Kans1.K"It'sKa standardKpartKofKtheKoverallKnutritionalKtreatmentKforKtheKpreventionKofKoste
omalacia"KIncorrectK-KWhileKthisKisKtrue,KitKdoesn'tKanswerKtheKwoman'sKquestion.
,2.a1"ItKhelpsKyourKintestinesKabsorbKcalcium,KwhichKisKimportantKforKboneKformation."
, CorrectK-KThisKisKtheKcorrectKmechanismKofKactionKforKVitaminKD
3.a1"ItKstimulatesKskinKcellsKtoKproduceKcalcium,KwhichKisKthenKreleasedKintoKthe
bloodstreamKtoKbeKusedKforKboneKformation."
Incorrect-KThisKisKnotKtheKcorrectKmechanismKofKactionKforKVitaminKD
4.a1"VitaminKDKsupplementsKshouldKnotKbeKtakenKbyKsomeoneKofKyourKage."
IncorrectK-
KVitaminKDKsupplementsKshouldKbeKtakenKforKpatientsKwhoKareKhomebound, institutionaliz
ed,KorKbyKsomeKotherKlimitations,KunableKtoKmeetKdailyKrequirements.KThis womanKworksKt
heKnightKshift,KwhichKmayKlimitKherKabilityKtoKabsorbKVitaminKDKnaturally. a1
AK45-
yearKoldKwomanKisKprescribedKropiniroleK(Requip)KforKParkinson'sKDisease.KThe patientKis
KlivingKatKhomeKwithKherKdaughter.KTheKnurseKisKmostKconcernedKaboutKwhich sideKeffectK
ofKropinirole?
1.a1SlurredKspeec
h
2.a1SuddenKdizzines
s3.a1MasklikeKfacialKexpressio
n
4.a 1 StoopedKPostureK-
Incorrect
ans1. Slurred
K-KSlurred
speech
KspeechKisKaKcommonKsymptomKofKPD,KnotKaKsideKeffectKofKthisKdrug.
2.a1SuddenKdizzines
sCorrectK-
KDizzinessKandKorthostaticKhypotensionKareKseriousKadverseKeffectsKofKthisKdrug thatKcanK
leadKtoKanKincreasedKriskKofKfalls.KRopinirole'sKdrugKclassKisKaKdopamineKagonist, whichKm
imicKdopamineKinKtheKbrainK(PDKisKcharacterizedKbyKaKlackKofKdopamine).
3.a1MasklikeKfacialKexpressio
n
IncorrectK-
KMasklikeKfacialKexpressionKisKaKcommonKsymptomKofKPD,KnotKaKsideKeffectKof thisKdrug.
4.a1StoopedKPostur
e
IncorrectK-KStoopedKPostureKisKaKcommonKsymptomKofKPD,KnotKaKsideKeffectKofKthisKdrug.
AK65KyearKoldKmanKisKprescribedKFlomaxK(Tamsulosin)KforKBenignKProstaticKHyperplasia.
TheKpatientKlivesKinKanKupstairsKapartment.KTheKnurseKisKmostKconcernedKaboutKwhich si
deKeffectKofKFlomax?
1. Hypotension
2. Tachycardia
3.a1BackKPai
n
4.a 1 DifficultyKUrinatingK-
Correct
ans1. Hypotension
K-KHypotensionKcanKleadKtoKdizzinessKandKaKriskKforKinjuryKtoKtheKpatient.
2.a1Tachycardia