A nurse is assessing the patient's home medication use.
After listening to the patient's list of current medications, the nurse asks what priority query?
Do you take any generic medications?
Do you take over-the-counter medication?
Are these medications safe to take during pregnancy?
Are any of these medications orphan drugs?
The Correct Answer is B
Choice A rationale
Generic medications are equivalents to brand name drugs and are not typically a priority query unless there's an issue of consistency in medication use.
Choice B rationale
Over-the-counter (OTC) medications can interact with prescription medications or have side effects, so it’s crucial to know if a patient is taking any.
Choice C rationale
This question is important for women who are pregnant but is not the primary concern when assessing general medication use.
Choice D rationale
Orphan drugs are used to treat rare conditions and are less likely to be encountered in a general assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sumatriptan does not cause vasodilation of peripheral blood vessels. Instead, it has vasoconstrictive properties.
Choice B rationale
Sumatriptan does not depress pain response in the central nervous system. Its primary action is on the cranial blood vessels.
Choice C rationale
Sumatriptan is a selective serotonin receptor agonist that causes vasoconstriction of cranial blood vessels, relieving migraine headaches.
Choice D rationale
Sumatriptan does not bind to acetylcholine receptors or prevent nerve transmission. It specifically targets serotonin receptors in cranial blood vessels.
Correct Answer is C
Explanation
Choice A rationale
Myasthenia gravis primarily affects voluntary muscles, especially those involved in breathing and facial movements. Gastrointestinal (GI) and lower extremity muscles are generally not the main muscles affected by this condition. It is an autoimmune disorder that impacts the neuromuscular junction, where nerves communicate with muscles, leading to muscle weakness and fatigue.
Choice B rationale
The central nervous system (CNS), memory, and cognition are not typically impacted by myasthenia gravis. This disorder primarily involves peripheral nervous system issues that affect voluntary muscle control rather than cognitive functions. Myasthenia gravis does not cause alterations in memory or cognition as seen with central nervous system disorders like Alzheimer's disease.
Choice C rationale
Myasthenia gravis notably affects respiratory and facial muscles. The autoimmune attack on acetylcholine receptors leads to muscle weakness, particularly in muscles controlling eye movements, facial expressions, and breathing. Patients may experience difficulty breathing, swallowing, and maintaining an open airway due to this muscle weakness.
Choice D rationale
The cardiovascular system and postural muscles are not commonly affected by myasthenia gravis. This condition involves the neuromuscular junction and leads to fatigue in voluntary muscles, primarily those involved in eye movement, facial expressions, and respiration. Cardiovascular symptoms are not a direct consequence of myasthenia gravis.
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