The patient with an RA flare is prescribed 3 weeks of prednisone. Which med dose may need to be adjusted?
Metoprolol
Acetaminophen
Lisinopril
Insulin
The Correct Answer is A
Choice A rationale: Prednisone can potentiate the effects of beta-blockers like metoprolol, and dose adjustments may be necessary to avoid excessive bradycardia.
Choice B rationale: Acetaminophen is not typically affected by prednisone in a way that requires dose adjustment.
Choice C rationale: Lisinopril is not typically affected by prednisone in a way that requires dose adjustment.
Choice D rationale: Insulin may need adjustment due to the hyperglycemic effects of prednisone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Temperature is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice B rationale: Urinary function is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice C rationale: Respiratory rate is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice D rationale: The priority assessment before the administration of metoprolol is the heart rate. Metoprolol is a beta-blocker that primarily affects the heart rate, so it is important to assess for bradycardia before administration.
Correct Answer is D
Explanation
Choice A rationale: Protamine sulfate is used to reverse the anticoagulant effects of heparin, not the effects of alprazolam.
Choice B rationale: Acetylcysteine is the antidote for acetaminophen (paracetamol) overdose and is not effective for alprazolam overdose.
Choice C rationale: Naloxone is an opioid antagonist and is not effective for benzodiazepine overdose.
Choice D rationale: This is correct. Flumazenil is a specific antagonist for benzodiazepines and can be used to reverse the sedative effects of alprazolam in the case of overdose.
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