The following are H1 receptor antagonist, except :

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Question 1 of 5

The following are H1 receptor antagonist, except :

Correct Answer: D

Rationale: Terfenadine is a second-generation antihistamine, but it is not an H1 receptor antagonist like the other options listed. Terfenadine was once used for the treatment of allergic conditions, but it is known for its potential to cause cardiac side effects due to its interaction with other medications and prolongation of the QT interval. Consequently, terfenadine has been largely replaced by newer, safer antihistamines. The rest of the options listed (chlorpheniramine, promethazine, cimetidine, and diphenhydramine) are all H1 receptor antagonists commonly used to block the action of histamine and relieve symptoms of allergies.

Question 2 of 5

Bisoprolol (Zebeta) would be the drug of choice for which patient with a diagnosis of hypertension?

Correct Answer: D

Rationale: Bisoprolol is the drug of choice for older adults. It is not associated with as many adverse effects in the elderly and regular dosing profiles can be used. This drug does not have an established pediatric dosage. Although the 37-year-old patient is an adult, there are additional choices for this patient, with a more favorable adverse effect profile. The nurse should consider age-related factors when selecting antihypertensive medications.

Question 3 of 5

A patient comes to the office with a chief complaint of hair loss and peeling skin. The nurse notes many vitamins and minerals are on the medication list. The patient reports using vitamins to treat liver disease. The patient's complaint may be caused by an excess of which vitamin or mineral?

Correct Answer: A

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

Question 4 of 5

When caring for an elderly Chinese patient, the nurse recognizes that which of these cultural issues may influence the care of this patient?

Correct Answer: C

Rationale: In Chinese culture, the use of heat, such as through warm foods or heating pads, is often believed to restore balance and promote healing. This cultural practice may influence the patient's preferences and expectations during hospitalization. Radiographs, hospital diets, and the perception of hospitalization are less likely to be significant cultural factors in this context. Therefore, the nurse should consider the patient's cultural beliefs about heat and incorporate them into the care plan as appropriate.

Question 5 of 5

Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is a distinct advantage of using the CVAD for chemotherapeutic agent administration?

Correct Answer: C

Rationale: Central venous access devices (CVADs) are advantageous for chemotherapy administration because they allow caustic or vesicant drugs to be delivered directly into larger veins, reducing the risk of vein irritation, thrombosis, or extravasation. While CVADs may have other benefits, such as long-term use and reduced need for repeated IV insertions, their primary advantage in chemotherapy is the safe administration of potentially damaging agents. Home administration and cost are secondary considerations.

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