What is one of the therapeutic uses of Valproate?

Correct Answer: A

Rationale: Valproate, also known as Valproic acid, is commonly used in medicine for the suppression of seizure activity. It is an anticonvulsant medication that helps manage and prevent seizures in various conditions such as epilepsy. While it is not used for replacing hypothyroidism, maintaining blood glucose levels, or lowering blood pressure, its primary therapeutic use is in managing seizures.

Correct Answer: A

Rationale: It is essential for patients taking Digoxin to monitor their pulse regularly. If their pulse falls below 60 or exceeds 100 beats per minute, they should contact their healthcare provider immediately. This is crucial due to Digoxin's potential to affect heart rate, making pulse monitoring a vital aspect of patient care while on this medication.

Correct Answer: B

Rationale: The INR (International Normalized Ratio) is the most important lab value to monitor in a client taking warfarin. Warfarin is an anticoagulant, and the INR reflects the effectiveness of anticoagulation therapy. Monitoring the INR helps ensure the client is within the therapeutic range to prevent both clotting and bleeding complications.

Correct Answer: A

Rationale: A. You must limit certain types of food or concurrent administration of certain types of drugs: Some foods can interact with certain medications, either reducing their effectiveness or causing potentially harmful side effects. Therefore, it may be necessary to limit or avoid specific foods when taking certain medications.

Correct Answer: C

Rationale: Headache is a common side effect associated with the initial therapy of Nitroglycerine due to its vasodilatory properties. The vasodilation caused by Nitroglycerine leads to relaxation of blood vessels, including those in the head, which can result in headaches. This side effect is considered normal and is often transient, diminishing with continued use of the medication.

Correct Answer: D

Rationale: The statement "Convenient, safe, economical" does not accurately describe intravenous injection. Intravenous injection is generally considered to be less convenient compared to other routes of administration due to the need for proper training, sterile technique, and close monitoring during drug administration. While it can be effective in delivering drugs quickly and directly into the bloodstream, it is not always the safest or most economical option. Intravenous administration carries risks such as infection, phlebitis, and possible adverse reactions that need to be carefully monitored. Additionally, the cost of intravenous drug administration tends to be higher due to the need for specialized equipment and trained personnel.

Correct Answer: C

Rationale: Flushing and tachycardia are signs of Red Man Syndrome, which can be mitigated by decreasing the infusion rate.

Correct Answer: C

Rationale: Metformin is commonly prescribed to manage and control blood glucose levels in individuals with diabetes. It helps in reducing the amount of glucose produced by the liver and improves the body's response to insulin, thereby aiding in the regulation of blood sugar levels. It is not used to lower blood pressure, diminish seizure activity, increase heart rate, or decrease gastrointestinal secretions.

Correct Answer: D

Rationale: The plateau phase, where max effect holds despite dose increases, is the curve's top horizontal stretch, per pharmacodynamic curves. Beginning is pre-effect. Upward move is onset. Mid-upstroke is rising. Plateau marks saturation, standard in graphs.