A skilled nursing facility patient with persistent dysphagia asks the attending nurse to crush a sustained release Theophylline tablet into his applesauce. What should be the most appropriate response?

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Question 1 of 5

A skilled nursing facility patient with persistent dysphagia asks the attending nurse to crush a sustained release Theophylline tablet into his applesauce. What should be the most appropriate response?

A. Crushing this medication can cause profound hypoglycemia. B. Crushing this medication can cause acute kidney damage like ESRD. C. Crushing this medication can ruin your snack. D. Crushing this medication can cause severe toxicity like respiratory arrest.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which of the following is a correct combination of expected pharmacological action and therapeutic use of Inhaled anticholinergics like Ipratropium?

A. Blocks muscarinic receptors of the bronchi, resulting in bronchodilation. Used to treat allergen-induced and exercise-induced bronchospasm. B. Potentiates b2 adrenergic receptors of the bronchi, resulting in bronchoconstriction. Used to treat post-traumatic stress disease. C. Blocks a1 cholinergic receptors of the bronchi, resulting in bronchostimulation. Used to treat anaphylactoid hypotension. D. Potentiates b1 cholinergic receptors of the bronchi, resulting in hyperpnea. Used to treat hypoxia.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A nurse examining a patient receiving Prednisone for the past two weeks observes marked myopathy as evidenced by muscle weakness. What should be the most logical next step?

A. Medication dosage should be increased. B. Medication route of administration should be changed. C. Medication dosage should be decreased. D. Myopathy is not a known side-effect of glucocorticoids, continue Prednisone as prescribed.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Caution should be taken regarding clients who have been prescribed guaifenesin in the presence of asthma diagnosis because

A. guaifenesin can cause bronchospasm. B. guaifenesin can cause bronchoconstriction. C. guaifenesin can cause decreased diameter of bronchial lumina D. All of the above

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A nurse who's been regularly treating patients diagnosed with conditions like hypertension, cerebrovascular disease, dysrhythmias and coronary artery disease, should educate then to avoid decongestants like Phenylephrine due to its

A. vasodilatory effects B. vasoconstrictive effects C. sedative effects D. mucolytic effects

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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