What is the antidote for Warfarin?

Correct Answer: C

Rationale: Vitamin K is the antidote for Warfarin toxicity as it helps reverse the anticoagulant effects of Warfarin. Warfarin works by inhibiting vitamin K-dependent clotting factors, and administering vitamin K can replenish these factors, thereby counteracting the anticoagulant effects of Warfarin.

Correct Answer: C

Rationale: Thrombolytic drugs, also known as clot busters, are used to dissolve blood clots, specifically in the coronary artery for patients with acute myocardial infarction (heart attack). These medications work by activating the body's natural plasminogen system to break down the clot and restore blood flow to the heart muscle. By helping to dissolve the clot, thrombolytic therapy can help to minimize damage to the heart muscle and improve the patient's outcome following a heart attack. It is crucial for patients to receive this treatment promptly after the onset of symptoms for the best chance of success.

Correct Answer: B

Rationale: When a client is receiving Gentamicin, the nurse should monitor serum creatinine levels to assess for nephrotoxicity. Gentamicin is known to potentially cause nephrotoxicity, leading to impaired kidney function. Monitoring serum creatinine levels helps in early detection of any kidney damage or dysfunction.

Correct Answer: A

Rationale: Taking Dabigatran with food is recommended to reduce gastrointestinal discomfort, a common side effect associated with this medication. Food can help minimize stomach irritation and improve tolerability.

Correct Answer: C

Rationale: Pain is described as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It serves as a protective mechanism to alert the body of potential harm and encourage appropriate action to avoid further injury. Pain can be acute or chronic, and it can vary in intensity and duration depending on the underlying cause. In contrast, the other options do not directly correspond to the described sensation of pain associated with tissue damage.

Correct Answer: D

Rationale: Glargine (Lantus) is classified as a long-acting insulin, providing a slow, steady release of insulin over an extended period, making it suitable for basal insulin requirements. It has a duration of action that can last up to 24 hours, helping to maintain more stable blood sugar levels throughout the day.

Correct Answer: D

Rationale: The nurse should identify that colestipol should be administered 1 hour before or 4 to 6 hours after any other oral medication. This is because colestipol can interfere with the absorption of other medications due to its binding properties in the gut. Administering it separately from other medications helps to avoid any potential interaction and ensures the effectiveness of both the colestipol and other medications. Additionally, colestipol is typically taken with meals to enhance its tolerability and effectiveness in lowering cholesterol levels.

Correct Answer: C

Rationale: Lithium is typically administered orally to ensure proper absorption and distribution in the body. It is important to follow the prescribed route of administration to achieve the desired therapeutic effect and avoid potential adverse effects.

Correct Answer: C

Rationale: Phenytoin is commonly used as an anticonvulsant and antiarrhythmic medication. In addition to its approved uses, phenytoin has demonstrated effectiveness in managing neuropathic pain, which is pain caused by damage or dysfunction of the nervous system. While this use for phenytoin is off-label, it has been shown to be beneficial in certain individuals with neuropathic pain conditions. However, it is essential for a healthcare provider to prescribe phenytoin off-label for neuropathic pain, as the dosage and monitoring may differ from its standard use for epilepsy and arrhythmias.