NursGuru

    Exam Review

    1. A client with type 2 diabetes mellitus is managed with glimepiride. The primary healthcare provider (HCP) adds a new prescription for injectable exenatide. Which information is most important for the nurse to teach this client?
      A)
      Notify the healthcare provider if anorexia occurs.
      B)
      Consume additional sources of potassium.
      C)
      Watch for signs of jitteriness or diaphoresis.
      D)
      Administer subcutaneously after meals.
    2. Patient Data   The nurse is discussing the client's pain management with a student nurse. Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. Morphine is a ▾ Pure opioid agonist and it activates  ▾ Mureceptors and is used to relieve ▾ Severe pain
      Dropdown 1:
      Option 1: Pure opioid agonist
      Option 2: Mixed opioid antagonist
      Option 3: Non-opioid analgesic
      Dropdown 2:
      Option 1: Beta
      Option 2: Mu
      Option 3: Alpha
      Dropdown 3:
      Option 1: Severe pain
      Option 2: Hypertension
      Option 3: Depression
    3. Patient Data Which actions should the nurse take to assure safety during morphine administration? Select all that apply.
      (SATA)
      A)
      Have a manual resuscitation bag at the bedside.
      B)
      Suction the client to clear the airway.
      C)
      Ask the client about other medications she takes.
      D)
      Perform a 12-lead electrocardiogram.
      E)
      Restrain the client with soft restraints.
      F)
      Take an initial respiratory rate.
    4. Patient Data Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.
      (SATA)
      A)
      Propofol
      B)
      Methadone
      C)
      Docusate sodium
      D)
      Ibuprofen
      E)
      Naloxone
      F)
      Senna

    Exam Review

    1. Patient Data The charge nurse places a fall precautions sign on the client's door. Which side effects of morphine could contribute to this client's fall risk? Select all that apply
      (SATA)
      A)
      Nausea
      B)
      Euphoria
      C)
      Itching
      D)
      Orthostatic hypotension
      E)
      Seizures
      F)
      Urinary retention
      G)
      Sedation
    2. Patient Data Which should the nurse do immediately? Select all that apply.
      (SATA)
      A)
      Print an electrocardiogram strip
      B)
      Call for rapid response
      C)
      Perform chest compressions
      D)
      Apply oxygen via nasal cannula
      E)
      Give naloxone 2 mg intravenous push
      F)
      Provide rescue breaths with a manual ventilation bag
    3. Patient Data For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.
      UnderstandingNo Understanding
      "Naloxone will not affect the client's level of pain."✓
      "You can give naloxone intravenously intramuscularly, or subcutaneously."✓
      "When given IV, naloxone starts working immediately and can last several hours.✓
      "If the first dose does not work, you can give as many doses as needed to reverse respiratory depression."✓
      "Naloxone works best on pure agonist opioids."✓
    4. The nurse is caring for a client with type 2 diabetes mellitus who is taking liraglutide. Which problem(s) in the client's history may increase the risk for development of pancreatitis? Select all that apply.
      (SATA)
      A)
      High triglyceride levels.
      B)
      Chronic alcohol use.
      C)
      Gallstones.
      D)
      Moderate daily alcohol use.
      E)
      Pancreatitis.

    Exam Review

    1. The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?
      A)
      Promotes excretion of uric acid in the urine.
      B)
      Prevents the formation of kidney stones.
      C)
      Decreases pain and burning during urination.
      D)
      Increases the strength of the urine stream.
    2. Which action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate?
      A)
      Observe the client for the presence of pain behaviors before the next analgesic dose is due.
      B)
      Review the client's laboratory values for a change in the peak and trough levels of the analgesic
      C)
      Prolong the interval between analgesic medication doses and monitor the client's vital signs.
      D)
      Ask family members to report behaviors suggesting that the client's pain has returned.
    3. A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement?
      A)
      Explain the need to refrain from alcohol use while taking the drug
      B)
      Document the client's continued seizure activity.
      C)
      Advise the client to discontinue the medication immediately.
      D)
      Report these side effects to the healthcare provider.
    4. Patient Data Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

    Exam Review

    1. A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse education was effective?
      A)
      Consume foods that are high in iodine.
      B)
      Administer levothyroxine at bed time.
      C)
      Take medication on an empty stomach.
      D)
      Avoid the use of iron supplements.
    2. A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500 mg PO twice daily. Which action should the nurse take?
      A)
      Give with prescribed antihistamine.
      B)
      Administer the medication as prescribed
      C)
      Monitor the client for a rash or hives.
      D)
      Contact the healthcare provider (HCP)
    3. A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
      A)
      Insomnia may occur while taking the medication
      B)
      Another form of contraception is not needed.
      C)
      Hard candy can be used for a dry mouth.
      D)
      Sensitivity to the sun can develop.
    4. The nurse is preparing to administer the client's morning dose of digoxin. Which action should the nurse take prior to administering the digoxin?
      A)
      Verify that the urine output exceeds 30 mL per hour.
      B)
      Check the client for signs of orthostatic hypotension.
      C)
      Listen to the heart at the left 5th intercostal space.
      D)
      Obtain a left radial pulse rate for a full 30 seconds.

    Exam Review

    1. A client has a prescription for clopidogrel bisulfate 75 mg by mouth daily at 0900. In which situation should the nurse hold this medication?
      A)
      Elective surgery is scheduled in two hours.
      B)
      An abdominal sonogram is scheduled.
      C)
      Breakfast has not been eaten.
      D)
      The client's platelet level is high.
    2. A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?
      A)
      Avoid the use of alcohol.
      B)
      Drink a liter of water daily.
      C)
      Keep medication refrigerated.
      D)
      Take one hour after eating.
    3. The client is receiving fentanyl transdermal patch 25 mcg/hr. Which nursing intervention is most important for the nurse to initiate?
      A)
      Observe the client's mucous membranes.
      B)
      Auscultate the client's bowel sounds.
      C)
      Assess the client's level of consciousness (LOC).
      D)
      Record the client's urinary output.
    4. The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
      A)
      Assess for secondary Candida infection.
      B)
      Monitor for electrolyte imbalance.
      C)
      Administer sucralfate once a day, preferably at bedtime.
      D)
      Give sucralfate on an empty stomach.

    Exam Review

    1. The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is "Naloxone 0.4 mg/mL." How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
    2. Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?
      A)
      Absence of xerostomia.
      B)
      Denies stress incontinence.
      C)
      Urinary output equals intake.
      D)
      No terminal urinary dribbling.
    3. Patient Data Review H and P, nurse's notes, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.
      A)
      Non-blanchable red area
      B)
      Pain rating 2 on pain scale of 0 to 10
      C)
      Sinus tachycardia
      D)
      Itching in legs
      E)
      Blood pressure 135/81 mm Hg
      F)
      Semifluid stool
      G)
      Burning sensation
    4. The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?
      A)
      Hold the dose and notify the healthcare provider (HCP) of the changes in the laboratory studies.
      B)
      Hold the dose and notify the pharmacy to stop dispersing the next premixed doses.
      C)
      Begin the infusion and submit a drug reaction report to the nursing supervisor.
      D)
      Begin the infusion and monitor the client's blood urea nitrogen (BUN), serum creatinine, and liver function tests.