Nursing 2470 Quizzes 1-7

The preoperative nurse is ready to perform a skin prep with povidone-iodine on a patient who is about to have abdominal surgery. Which allergies, if present, would be a contraindication to the povidone-iodine prep?

Shellfish

When given a scheduled morning medication, the patient states, "I haven't seen that pill before. Are you sure it's correct?" The nurse checks the medication administration record and verifies that it is listed. Which is the nurse's best response?

"Let me check on the order first before you take it"

A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel "normal" again. Which statement by the nurse is correct?

"The cravings may persist for a couple of months

A patient has just been told that she has the genetic markers for a severe type of breast cancer. After the patient meets with the physician, the patient's daughter asks the nurse, "What did the doctor tell my mother? She seems upset." What is the nurse's best response?

"This is information that your mother will need to discuss with you."

The patient has been taking an over-the-counter (OTC) acid-reducing drug because he has had "stomach problems" for several months. He tells the nurse that the medicine helps as long as he takes it, but once he stops it, the symptoms return. Which statement by the nurse is the best advice for this patient?

"Using this drug may relieve your symptoms, but it does not address the cause. Please make an appointment with your health care provider."

During the development of a new drug, which would be included in the study by the researcher to prevent any bias or unrealistic expectations of the new drug's usefulness?

A placebo

A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The nurse will use which angle for the needle insertion?

90 degrees

A patient is receiving instructions regarding the use of caffeine. The nurse shares that caffeine should be used with caution if which of these conditions is present?

A history of peptic ulcers

The nurse notes in the patient's medication history that the patient is taking cyclobenzaprine. Based on this finding, the nurse interprets that the patient has which disorder?

A musculoskeletal injury

A patient is in an urgent care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?

A short-acting beta2 agonist such as albuteral

Drug transfer to the fetus is more likely during the last trimester of pregnancy for which reason?

Enhanced blood flow to the fetus

A 22-year-old nursing student has been taking NoDoz (caffeine) tablets for the past few weeks to make it through the end of the semester and exam week. She is in the university clinic today because she is exhausted. What human needs statement may be appropriate for her?

Altered need for sleep

The nurse is monitoring a patient who is experiencing severe ethanol withdrawal. Which are signs and symptoms of severe ethanol withdrawal? (Select all that apply.)

Agitation, tremors, pulse rate 150 beats/min, systolic blood pressure higher than 200 mm Hg

The nurse is reviewing medications for the treatment of asthma. Which drugs are used for quick relief of asthma attacks? (Select all that apply.)

Albuterol nebulizer solution, intravenous systemic corticosteroids

The nurse reads in the patient's medication history that the patient is taking buspirone. The nurse interprets that the patient may have which disorder?

Anxiety Disorder

The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)

Appetite suppression, narcolepsy, ADHD, neonatal apnea

When teaching a patient about the proper application of eyedrops, the nurse will include which instruction?

Apply the drops into the conjunctival sac instead of directly onto the eye.

The patient is receiving two different drugs. At current dosages and dosage forms, both drugs have the same concentration of the active ingredient. Which term is used to identify this principle?

Bioequivalent

When monitoring a patient who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?

Bradycardia

A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?

Chronic pain

A patient has been given a prescription for levodopa-carbidopa for a new diagnosis of Parkinson's disease. The patient asks the nurse, "Why are there two drugs in this pill?" The nurse's best response reflects which fact?

Carbidopa prevents the breakdown of levadopa in the periphery

A patient has been admitted to the emergency department with a suspected overdose of a tricyclic antidepressant. The nurse will prepare for what immediate concern?

Cardiac Dysrhythmias

The nurse is administering a stat dose of epinephrine. Epinephrine is appropriate for which situation?

Cardiac arrest

The nurse is developing a human needs statement for a patient who has a new diagnosis of heart failure. Identification of human needs statements occur with which of these activities?

Collection of patient data

The nurse is setting up a teaching session with an 85-year-old patient who will be going home on anticoagulant therapy. Which educational strategy would reflect consideration of the age-related changes that may exist with this patient?

Develop large-print handouts that reflect the verbal information presented

The nurse has been monitoring the patient's progress on a new drug regimen since the first dose and documenting the patient's therapeutic response to the medication. Which phase of the nursing process do these actions illustrate?

Evaluation

The teaching for a patient who is taking tamsulosin to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?

Get up slowly from a lying or sitting position

The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?

I will need to take extra care of my teeth and gums while on this medication

A patient is brought to the emergency department for treatment of a suspected overdose. The patient was found with an empty prescription bottle of a barbiturate by his bedside. He is lethargic and barely breathing. The nurse would expect which immediate intervention?

Implementing measures to maintain the airway and support respirations

A patient is taking guaifenesin as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?

Increase liquid intake to loosen and liquify secretions

When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

Increased heart rate

The U.S. Food and Drug Administration has issued a warning for users of antiepileptic drugs. Based on this report, the nurse will monitor for which potential problems with this class of drugs?

Increased risk for suicidal thoughts and behaviors.

The nurse is discussing gene therapy in a continuing education class. Which is the best definition of eugenics?

Intentional selection, before birth, of genotypes that are considered more desirable than others

When discussing dosage calculation for pediatric patients with a clinical pharmacist, the nurse notes that which type of dosage calculation is used most commonly in pediatric calculations?

Milligram per kilogram of body weight per formula

The wife of a patient who has been diagnosed with depression calls the office and says, It's been an entire week since he started that new medicine for his depression, and there's no change! The medicine is not working! What is the nurse's best response?

It may take up to 6 weeks for the drug to kick in, lets wait a little bit longer.

A patient has been advised to add a nasal spray (an adrenergic decongestant) to treat a cold. The nurse will include which instruction?

Limit use of this spray to 3-5 days

While monitoring a patient who had surgery under general anesthesia 2 hours ago, the nurse notes a sudden elevation in body temperature. This finding may be an indication of which problem?

Malignant hyperthermia

During discharge patient teaching, the nurse reviews prescriptions with a patient. Which statement is correct about refills for an analgesic that is classified as Schedule C-III?

May not have more than 5 refills in a 6 month period

The nurse is giving a lecture about current U.S. laws and regulations of herbal products. According to the Dietary Supplement and Health Education Act of 1994, which statement is true?

Medicinal herbs are viewed as dietary supplements

A patient is being prepared for an oral endoscopy, and the nurse anesthetist reminds him that he will be awake during the procedure but probably will not remember it. What type of anesthetic technique is used in this situation?

Moderate sedation

A patient is receiving a dose of edrophonium. The nurse recognizes that this drug is given to determine the diagnosis of which disease?

Myasthenia gravis

A patient is going home with a new prescription for the beta-blocker atenolol. The nurse will include which content when teaching the patient about this drug?

Never stop taking this medication abruptly

The nurse is reviewing the use of anticholinergic drugs. Anticholinergic drugs block the effects of which nervous system?

Parasympathetic nervous system

The nurse is administering parenteral drugs. Which statement is true regarding parenteral drugs?

Parenteral drugs bypass the first-pass effect

A patient who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this patient to look for which therapeutic effect?

Passage of flatus

The nurse is preparing to administer a new order for eardrops. Which is a potential contraindication to the use of many otic preparations?

Perforated eardrum

The nurse needs to administer insulin subcutaneously to an obese patient. Which is the proper technique for this injection?

Pinching the skin at the injection site, and then inserting the needle to below the tissue fold at a 90-degree angle

When giving a buccal medication to a patient, which action by the nurse is appropriate?

Placing the medication between the upper or lower molar teeth and the cheek

The nurse is teaching a patient's wife about administering eardrops to her husband. The nurse will use which technique when demonstrating the skill?

Pull the pinna of the ear up and back

Which are appropriate considerations when the nurse is assessing the learning needs of a patient? (Select all that apply.)

Readiness to learn, level of education, cultural background, and health beliefs

The nurse working in a preoperative admitting unit administers an anticholinergic medication to a patient before surgery. What is the purpose of this drug in the preoperative setting?

Reduce oral and gastrointestinal secretions

The nurse is reviewing the medical record of a patient and notes an order for ophthalmic dexamethasone solution. The nurse knows that indications for ophthalmic dexamethasone include which conditions? (Select all that apply.)

Removal of foreign bodies, uveitis, allergic conditions, conjunctival inflammation

The nurse is assessing a patient who has been admitted to the emergency department for a possible opioid overdose. Which assessment finding is characteristic of an opioid drug overdose?

Respirations of 6 breath/min

When teaching a patient about taking a newly prescribed antiepileptic drug (AED) at home, the nurse will include which instruction?

Take the drug at the same time everyday

The nurse is reviewing medication errors. Which situation is an example of a medication error?

The patient is receiving double doses because the nurse did not cut the pill in half

During therapy with a beta blocker, the patient notices that she has swollen feet, has gained 3 pounds within 2 days, feels short of breath even when walking around the house, and has been dizzy. The nurse suspects that which of these is occurring?

The patient may be developing heart failure

The nurse is developing a care plan for a patient who will be self-administering a metered-dose inhaler. Which statement reflects a measurable outcome?

The patient will demonstrate the proper technique of self-administering a metered-dose inhaler.

A patient had abdominal surgery this morning. The patient is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient?

The patient's respiratory rate

When a patient is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?

Use artificial saliva, sugar free gum, or hard candy to counteract the dry mouth

A female patient will be starting therapy with oral isotretinoin as part of treatment for severe acne, and the nurse is providing teaching. Which teaching point will the nurse include in her teaching plan about isotretinoin?

You will have to use two contraceptives while on this medication