Question

1. An older adult resident of a long-term care facility has been prescribed calcium citrate to address decreasing bone density. The nurse should review the resident’s medication administration record knowing that what medication may decrease the effects of calcium?

   1. Hydrochlorothiazide

   2. Ibuprofen

   3. Prednisone

   4. Diltiazem

2. An older adult client has been diagnosed with osteoporosis and has begun taking alendronate. The nurse should be aware that this drug can increase bone density by which mean?

   1. Decreasing renal excretion of calcium

   2. Increasing the binding of vitamin D to calcium ions

   3. Suppressing the function of osteoclasts

   4. Enhancing the function of osteoblasts

3. Epinephrine performs what function when administered with lidocaine to affect local anesthesia?

   1. Promoting vasodilation

   2. Prolonging the effects of lidocaine

   3. Preventing adverse effects of lidocaine

   4. Blocking the afferent nerve pathways

4. A client has been treated for migraines on an ongoing basis, and the care provider has just prescribed sumatriptan. What statement made by the nurse reflects the priority education intervention for a client prescribed sumatriptan?

   1. “You might get dizzy light-headed after you take sumatriptan, but this is normal.”

   2. “It’s important that you never take acetaminophen within 12 hours of sumatriptan.”

   3. “Make sure that you stop taking ergotamine before you get the prescription filled.”

   4. “You will likely experience a brief worsening of your migraine before this drug relieves the pain.”

Answer 1

Answer 1: A, sexually dysfunction.

The major adverse reactions and impact of finasteride as it causes decrease in the Sexual health causing sexually dysfunction.

Answer 2: C, Sexually dysfunction.

Answer 3: A, If I have erection more than four hours, I need to seek medical attention.

The adverse effects of the sidenafil causes erection of penis for 4 or more hours.

Answer 4: D, Bleeding.

Warfarin causes heavy bleeding as it is anticoagulant.