Exam 2 PrepU Questions
The nurse is instructing the parents of an 11-year-old male who has testosterone deficiency. Which symptom, if found in this child, would cause the discontinuation of this medication? Skeletal growth Enlarged penis Increased appetite Improved school skills
Enlarged penis
The nurse is aware that older men are more prone to urinary tract infections because of what physiologic change related to aging? Involuntary contractions of the bladder muscle Enlargement of the prostate Reduction in renal function Loss of muscle tone in the pelvic structures
Enlargement of the prostate
The nurse is teaching a female patient about newly prescribed digoxin. The patient tells the nurse that she occasionally uses herbal therapies. The nurse should caution the patient against using therapies that involve which herbs? Black cohosh Ginseng Saw palmetto Valerian
Ginseng
The nurse is providing education regarding lifestyle changes to a client diagnosed with hypertension. When providing dietary instruction on a low-sodium diet, which dietary choice would the nurse identify as most appropriate? Hot dog, baked beans, and coleslaw Grilled hamburger, French fries, and cola drink Grilled chicken, green salad, and apple Ham sandwich, potato chips, and cookie
Grilled chicken, green salad, and apple
A client with diabetes is prescribed propranolol. For what should the client be assessed? Hypercholesterolemia Hypermagnesemia Hypocalcemia Hypoglycemia
Hypoglycemia
When describing the major control mechanism for the inspiratory muscle contraction, which would be included? Medulla Vagus nerve Cilia Surfactant
Medulla
Proper function of the cardiovascular system relies on blood following the correct pathway through the heart. Valves within the heart separate the organ's chambers and prevent blood from flowing in the wrong direction. What valve separates the left atrium and left ventricle? Mitral Pulmonic Aortic Tricuspid
Mitral
A backflow of blood is noted in the left ventricle from the left atrium. The patient is suffering from a defect in which valve? Mitral valve Tricuspid valve Pulmonic valve Aortic valve
Mitral valve
Which hormone is involved if a couple engages in the rhythm method of birth control? Estradiol Estrone Estriol Progesterone
Progesterone
Which agent would the nurse instruct a client to use orally? Pseudoephedrine Phenylephrine Tetrahydrozoline Xylometazoline
Pseudoephedrine
Which term would the nurse use to describe the delivery of blood to the alveoli? Pulmonary perfusion Ventilation Respiration Gas exchange
Pulmonary perfusion
A client has been prescribed disopyramide (Norpace) to treat a tachyarrhythmia. Which factor would necessitate that the dose be reduced? Immobility Hypertension Renal impairment Chronic diarrhea
Renal impairment
Which is a phase of the human sexual response? (Select all that apply.) Pre-climax Resolution Climax Stimulation Plateau
Resolution Climax Stimulation Plateau
A client has a complex cardiac history that includes recurrent ventricular fibrillation. After the failure of more conservative treatments, the care team has introduced oral amiodarone. What assessments should be prioritized by the nurse who is providing care for this client? Orientation and cognition Respiratory assessment Neurological assessment Active and passive range of motion
Respiratory assessment
Which area of the heart is supplied by the right coronary artery? Left ventricle Right side of the heart Cardiac septum Conduction system
Right side of the heart
Which are components of the heart's conduction system? (Select all that apply.) SA node Purkinje fibers Bundle branches AV node Ectopic focus
SA node Purkinje fibers Bundle branches AV node
A patient is receiving estrogen therapy. What would the nurse instruct the patient to report immediately? Abdominal bloating Weight gain Dizziness Shortness of breath
Shortness of breath
Castration involves the removal of what structure of the male reproductive system? Testes Vas deferens Prostate gland Epidymis
Testes
A 37-year-old woman with moderately elevated lipid levels requests immediate pharmacotherapy for her dyslipidemia. The nurse explains that a period of intensive diet therapy and lifestyle modification will be utilized before drug therapy is considered. The nurse explains the rationale for this regimen as: Therapeutic lifestyle changes are the preferred method for lowering blood lipids. Continued therapeutic lifestyle changes during drug therapy will guarantee success. Therapeutic lifestyle changes work only when used in conjunction with medications.
Therapeutic lifestyle changes are the preferred method for lowering blood lipids.
A group of nursing students are reviewing cardiotonic drugs. The students demonstrate understanding of the information when they identify which adverse reaction associated with cardiotonic medications? Visual disturbances Diarrhea Constipation Restlessness
Visual disturbances
A 26-year-old white male client has been prescribed captopril for hypertension. A nurse has been assigned to the client to provide education regarding the use of this drug. The nurse will advise the client that: the first dose of the medication should be taken at breakfast. if sore throat, fever, and swollen hands or feet occur, do not be alarmed. These manifestations will subside. a persistent, dry cough may occur; however, it is not serious. he should use a salt substitute containing potassium to avoid hypokalemia.
a persistent, dry cough may occur; however, it is not serious
A client is receiving digoxin and experiences severe bradycardia. Which medication would the nurse anticipate administering if prescribed? atropine milrinone (Primacor) activated charcoal propafenone
atropine
The chest pain and pressure a client experiences during an anginal attack is caused by which of the following? decreased oxygen supply to the heart. increased oxygen supply to the heart. vasodilation of the arteries around the heart. decreased workload on the heart.
decreased oxygen supply to the heart.
An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make create a risk for: constipation. falls. xerostomia (dry mouth). depression.
falls
A female client is prescribed estradiol cypionate for treatment of severe vasomotor symptoms associated with menopause. The nurse would expect to administer this drug by which route? intramuscularly intravenously orally transdermally
intramuscularly
A new client telephones the clinic requesting a renewal prescription for contraceptives she has been taking for 4 years. It has been more than a year since her last health care visit, but she is unable to come into the clinic until next month. She insists she is "doing fine" on this medication and must have her prescription now. Considering the circumstances and related safety issues, how should the clinic nurse respond? "Before estrogen based drugs are prescribed, you must see the health care provider to get an order for a mammogram." "Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended." "Since you are doing well on this regimen, I'll arrange to get the prescription filled for a month to last until your clinic appointment." "If you have a physical within 2 years, I can get your medication refilled."
"Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended."
A client asks the nurse how long to use oxymetazoline (Afrin) nasal spray for nasal congestion. What is the nurse's best response? "Over-the-counter medications are safe for long-term use." "Consult with your primary care provider." "Afrin can be used as long as nasal burning and stinging do not occur." "Use the medication until your symptoms are completely relieved."
"Consult with your primary care provider."
A client, prescribed finasteride, asks the nurse how the medication works. Which statement best addresses the client's question? "Decreases proliferative prostatic cells." "Activates the metabolism of testosterone." "Decreases the acute inflammation of the urethra." "Initiates the dihydrotestosterone (DHT) androgen."
"Decreases proliferative prostatic cells."
A menopausal client prescribed estrogen asks what the implications of taking the medication are. Which response by the nurse bestdemonstrates an understanding of the associated implications? "Estrogen decreases the risk of dementia, myocardial infarctions, strokes, breast cancer, and blood clot." "Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots." "Estrogen has not been proven to increase the risk of any significant medical conditions." "If estrogen and progesterone are taken together, there are no increased health risks."
"Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots."
The nurse is educating an older adult client diagnosed with rhinosinusitis in an outpatient clinic about the prescribed topical oxymetazoline. The client has a history of hypertension and coronary artery disease. Which statement made by the client establishes the need for further clarification? "I will blow my nose before using the nasal spray." "I will rinse the spray tip off after each use." "I can take over-the-counter pseudoephedrine, too." "The drug is used no longer than 3 days."
"I can take over-the-counter pseudoephedrine, too."
An adolescent client is prescribed a leukotriene receptor antagonist as a part of a medication regime to manage his/her asthma. Which statement made by the client requires additional education on this classification of medications? "This medication is safe for kids like me." "We need to let the health care provider know if the medicine gives me a headache or makes me dizzy." "This is a new kind of asthma medication." "I need to take the medication when I start to have problems breathing."
"I need to take the medication when I start to have problems breathing."
After teaching a client who is prescribed sildenafil about using the drug, the nurse determines that the teaching was successful when the client states: "I need to take the pill about an hour before any sexual stimulation." "I should take the medication just before I start having sex." "I can take the pill in the morning before I engage in sex later in the day." "I should take the pill after dinner if I'm planning to have sex later that night."
"I need to take the pill about an hour before any sexual stimulation."
After teaching a client who is receiving an antitussive about the drug, which statement indicates the need for additional teaching? "I'll get a humidifier for my bedroom." "I'll keep the room warm and toasty." "I can use some lozenges for comfort." "I need to increase the amount of fluids I drink."
"I'll keep the room warm and toasty."
After explaining an electrocardiogram to a patient, which statement indicates that the patient understands this test? "It will show the chambers of my heart in different views." "It will measure the amount of blood being pumped." "It will show how impulses are moving through my heart." "It will help to identify how my heart is working mechanically."
"It will show how impulses are moving through my heart."
A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this client? "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision." "It will take 10 to 12 weeks before the birth control pills will actually prevent pregnancy, so be vigilant with other contraceptives until then." "Some women get some pain in their chest or abdomen when they take oral contraceptives, but this will pass as your body gets used to them." "You need to carefully consider whether you might want to get pregnant later in your life."
"Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."
A 72-year-old client has been diagnosed with benign prostatic hypertrophy (BPH) and will begin treatment with tamsulosin. The client admits that he is skeptical about the drug's ability to relieve his distressing symptoms. The nurse should respond in what way? "Tamsulosin can increase the amount of urine your kidneys produce, resulting in better urine flow." "Tamsulosin can relax your prostate and your bladder neck, making it easier to pass urine." "Tamsulosin makes your urine less alkaline, reducing the irritation that makes your prostate enlarge." "Tamsulosin increases the strength of your bladder muscle and results in a stronger flow of urine."
"Tamsulosin can relax your prostate and your bladder neck, making it easier to pass urine."
A male patient who uses sublingual nitroglycerin tells the nurse that when he puts it under his tongue, he feels a fizzing sensation. Which response by the nurse would be most appropriate? "That means that the drug is still potent and working." "You might have an irritation that's causing this." "You need a new supply because the drug has deteriorated." "That's a normal report we hear."
"That means that the drug is still potent and working."
A client is diagnosed with angina pectoris. What would the nurse include when explaining this condition to the client? "The heart muscle isn't getting enough oxygen." "The arteries are narrowed due to fatty deposits." "The heart muscle has grown larger to compensate." "The heart muscle has become damaged due to blocked blood flow."
"The heart muscle isn't getting enough oxygen."
The nurse is on the phone with a woman who is taking an antispasmodic for overactive bladder syndrome. The woman states that her mouth is very dry, but she is afraid to drink because she does not want the urge to urinate to increase. What is the nurse's best response to this client? "You will just have to put up with the dry mouth if you want to take this medication." "You shouldn't restrict your fluid intake because it will only make your bladder problems worse." "When your mouth is dry, rinse it with strong mouthwash." "To ensure that you don't have to go to the bathroom all the time, you should chew gum."
"You shouldn't restrict your fluid intake because it will only make your bladder problems worse."
The nurse instructs a patient who is using albuterol for exercise-induced bronchospasm to use the inhaler at which time? 15 minutes prior to exercising One hour before exercise Immediately on beginning to exercise In the morning of the day when exercise is planned
15 minutes prior to exercising
A patient receives guaifenesin. The nurse would expect the drug to begin acting within which time frame? 30 minutes 15 minutes 45 minutes 60 minutes
30 minutes
A nurse is administering digoxin intravenously as ordered. The nurse would administer the drug over which time frame? 2 minutes 3 minutes 4 minutes 5 minutes
5 minutes
Oral contraceptive use would be contraindicated by what in a client's medical history? A 40-year-old client who smokes 1 to 1½ packs of cigarettes per day A 50-year-old client who is taking a cholesterol-lowering medication A 45-year-old client who has a family history of pancreatic cancer A 40-year-old client who has a family history of hypofunction of the pituitary gland
A 40-year-old client who smokes 1 to 1½ packs of cigarettes per day
Which is analogous to female menopause in men? Andropause Castration Sterility Infertility
Andropause
Which disorder would alter the ability to move gases in and out of the lungs? (Select all that apply.) Atelectasis Common cold Bronchitis Respiratory distress syndrome Sinusitis Cystic fibrosis
Atelectasis Bronchitis Cystic fibrosis Respiratory distress syndrome
With which condition are the bronchial epithelial cells replaced by a fibrous scar tissue? Asthma Bronchiectasis Bronchitis Pneumonia
Bronchiectasis
When describing the drugs classified as class IV antiarrhythmics, the nurse would identify these as: calcium channel blockers. beta blockers. cardiac glycosides. vasodilators.
Calcium channel blockers
A female client asks the nurse about the use of progestins. The nurse shares with the client that clients who take this medication are at an increased risk for what serious adverse effect? Cardiovascular complications Respiratory difficulties Seizures Renal failure
Cardiovascular complications
With bronchitis, proteins leak into the area due to: Swelling Increased blood flow Changes in capillary permeability Inflammatory reaction
Changes in capillary permeability
The nurse is preparing discharge teaching for a client prescribed chronic antiarrhythmic medication therapy. Which signs/symptoms should be reported to the health care provider immediately? (Select all that apply.) Chest pain Dyspnea Nausea Heart palpations Diarrhea
Chest pain Dyspnea Heart palpations
The client's theophylline levels are increased when the lab results are added to the electronic health record. The nurse questions the client about his intake of which? Coffee Tea Carrots Cheese
Coffee
When describing the benefits of second-generation H1 receptor antagonists to those of first-generation H1 receptor antagonists, the nurse should cite what advantage? Lower cost Decreased sedation Absence of adverse effects Once-weekly dosing
Decreased sedation
Decongestants should be used cautiously in clients with which medical conditions? Select all that apply. Diabetes Thyroid disease Glaucoma Hypertension Asthma
Diabetes Thyroid disease Glaucoma Hypertension
Which symptoms would most likely be present in a client with left ventricular dysfunction? (Select all that apply.) Dyspnea Moist cough Restlessness Peripheral edema Neck vein distention
Dyspnea Moist cough Restlessness
A client has returned to the health care provider's office for follow up after receiving estrogen for symptoms of menopause. Which question should be included in the follow up? "Can you describe in detail the difference in how you are feeling today and the last visit?" "Tell me about your sexual interactions with your partner." "Do you feel that the medication is working?" "Do you think you are better than before?"
"Can you describe in detail the difference in how you are feeling today and the last visit?"
A nurse is giving discharge instructions to a client receiving nitroglycerin for angina. The nurse recognizes the client needs additional information when the client makes what statement? "I will keep my medication in the original container." "Before I take my medication, I will lie down." "I will take a pill every 15 minutes until the pain subsides." "I may get a headache after I take this medication."
"I will take a pill every 15 minutes until the pain subsides."
A male client has been diagnosed with impotence and is started on a regimen of androgens. Which statement by the client indicates that he has understood the teaching? "I should expect to see increasing baldness." "If my skin appears yellow or my urine turns dark, I will contact my health care provider." "My blood count will drop, but if I have bruising, I will contact my health care provider." "I know headaches are common, so I won't get alarmed if it is severe."
"If my skin appears yellow or my urine turns dark, I will contact my health care provider."
A client prescribed terazosin asks the nurse how the medication works. Which is the nurse's best statement? "It works by relaxing the smooth muscle of the prostate and the bladder neck." "It prevents the conversion of testosterone into the androgen DHT." "It stimulates the bladder to increase the urge to urinate." "It decreases the desire to have sexual relations."
"It works by relaxing the smooth muscle of the prostate and the bladder neck."
On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which response by the nurse is most appropriate? "We'll have to check your bone density first, because if it's too low then it's not safe to start HRT." "Actually, most of the current research is suggesting that HRT may not be all that effective in treating the symptoms of menopause." "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke" "HRT might be quite beneficial to you, and it carries the additional benefit of modest protection against breast cancer."
"It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"
By about which day in the menstrual cycle does ovulation occur? 5 14 21 28
14
The nurse assesses the serum theophylline of a client. Which finding would the nurse identify as being therapeutic? 15 mcg/mL 5 mcg/mL 25 mcg/mL 30 mcg/mL
15 mcg/mL
After teaching a woman using an intravaginal estrogen preparation, the nurse determines that the teaching was successful when the client states that she will remain lying for at least how long after instilling the drug? 30 minutes 10 minutes 20 minutes 45 minutes
30 minutes
A client diagnosed with erectile dysfunction has been advised to take sildenafil. For up to how many hours does the action of the drug persist? 4 hours 8 hours 12 hours 24 hours
4 hours
A client reports seeing halos around lights. The client takes digoxin by mouth every day. The health care provider orders the client to have serum digoxin level drawn. Which of the digoxin levels indicate the client is experiencing toxicity? 0.5 ng/mL 1.0 ng/mL 2.0 ng/mL 4.0 ng/mL
4.0 ng/mL
A client has been admitted to a health care facility with asthma. The nurse is to administer theophylline to the client. To which clients can the nurse safely administer theophylline? A 65-year-old male with asthma A 65-year-old female with hepatic disease An 83-year-old female with cardiac disease A 43-year-old male with hypertension
A 65-year-old male with asthma
A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they state: The breasts contain a limited supply of blood vessels. Progesterone is primarily responsible for the growth of breast tissue. Striated muscle in the nipples contract causing them to become erect. A primary function of the female breast is to produce milk.
A primary function of the female breast is to produce milk.
What statement should underlie the nurse's response when asked if ACE inhibitor therapy can be continued during pregnancy? Since ACE inhibitors cross the placenta, dosage during pregnancy should be reduced. ACE inhibitors are contraindicated during pregnancy because they are teratogenic. ACE inhibitors will exacerbate the fluid overload that commonly accompanies pregnancy. There is no research to support discontinuation of ACE inhibitor therapy during pregnancy.
ACE inhibitors are contraindicated during pregnancy because they are teratogenic.
What is the primary client result of a dysfunctional cardiovascular resistance system? Abnormal blood pressure Edema in the lower extremities A dangerous cardiac arrhythmia Ineffective blood flow through the heart chambers
Abnormal blood pressure
A client is admitted after overdose with acetaminophen. What medication would the nurse expect to be administered? Oxymetazoline hydrochloride Acetylcysteine Daptomycin Darbepoetin alfa
Acetylcysteine
A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which condition? Acne Fluid deficiency Excessive sedation Hypotension
Acne
When a client is prescribed nitroglycerin transdermal spray, what instructions should the nurse provide the client concerning how to administer the spray? Administer the spray if the angina pain is unrelieved by 30 minutes of rest. Administer the spray after consulting with the care provider or a nurse. Administer the spray after administering oxygen by nasal prongs. Administer the spray as soon as chest pain develops.
Administer the spray as soon as chest pain develops.
A male client presents with symptoms of bronchospasm that occurred during a birthday party for his grandson. What medication would the nurse expect the health care provider to give the client? Albuterol Asthmacort Theophylline Omalizumab
Albuterol
After reviewing information about drugs used to treat lower respiratory system conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)? Albuterol Formoterol Salmeterol Arformoterol
Albuterol
During the summer, a female client experiences increased periods of acute symptoms of her asthma. The health care provider increases the dose frequency of which of her medications? Epinephrine Omalizumab Salmeterol Albuterol
Albuterol
The parents of a 7-year-old client who has been diagnosed with allergic asthma are being taught about their son's medication regimen. The nurse is teaching about the appropriate use of a "rescue drug" for acute exacerbations. What drug should the nurse suggests the parents to use in these situations? Theophylline Albuterol Beclomethasone Acetylcysteine
Albuterol
The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum? Consists of protoplasm enclosed within a three-layered cell wall Contains a small nucleus, within which is a nucleolus called the germinal spot All the ova a female will ever have are present at birth Ovum is smaller than the sperm cell
All the ova a female will ever have are present at birth
A nurse is preparing to administer an antihistamine to a client. The nurse integrates knowledge about this class of drugs, identifying which condition or disease as a possible use to alleviate symptoms? Select all that apply. Allergic rhinitis Parkinsonism Nausea Dry mouth Reversal of sedation
Allergic rhinitis Parkinsonism Nausea
After puberty, secondary male sexual characteristics can be maintained by: estrogens. follicle-stimulating hormone. androgens. luteinizing hormone.
Androgens
On the advice of his brother, a 53-year-old man has made an appointment to request a prescription for sildenafil. The nurse who works at the clinic is reviewing the man's medical history and would recognize what health problem as being prohibitive to this treatment? Type 2 diabetes, treated with metformin Hypercholesterolemia, treated with simvastatin Angina, treated with nitroglycerin Hypertension, treated with metoprolol
Angina, treated with nitroglycerin
A 42-year-old client is seen by the health care provider for follow-up for diabetic nephropathy. The provider prescribed losartan for the treatment of this condition because the medication has been shown to reduce the rate of end-stage renal disease. Which drug class does this drug belong to? Antihyperlipidemic drugs Calcium channel blockers Selective aldosterone blockers Angiotensin II receptor blockers
Angiotensin II receptor blockers
Acetylcysteine may be used as a mucolytic agent. What is an additional indication for the drug? Conversion of cardiac dysrhythmias Treatment of peptic ulcer disease Antidote for acetaminophen poisoning Treatment of bronchospasm
Antidote for acetaminophen poisoning
A female patient diagnosed with chronic atrial flutter has been prescribed verapamil in conjunction with digoxin to control ventricular rate. To enhance the therapeutic effect of the drug, the nurse will instruct the patient to: take the medication with meals. avoid grapefruit and grapefruit juice. take an aspirin every day. avoid fresh fruit.
Avoid grapefruit and grapefruit juice
A client taking hormonal contraceptives will soon turn 35 years of age. She is moderately obese and has smoked for 15 years. Which action should the nurse encourage the client to take to bestminimize risk for complications associated with contraception use? Beginning an exercise regime Beginning smoking cessation Beginning daily aspirin therapy Beginning taking a loop diuretic to aid weight loss
Beginning smoking cessation
A patient with type 1 diabetes is prescribed acebutolol. What would be most important to monitor? Blood glucose levels Electrocardiogram Serum electrolyte levels Liver function studies
Blood glucose levels
When considering the hormonal changes that occur, the nurse should encourage which diagnostic screening for a postmenopausal woman? Bone calcium level Red blood cell count Serum potassium level Fasting blood sugar
Bone calcium level
Carter, age 13, is prescribed testosterone for delayed onset of puberty. What is a priority when monitoring the prepubescent? Fluid intake and output Bone growth Sodium and potassium levels Hemoglobin levels
Bone growth
What would a nurse attribute to estrogen? Breast growth Thickened cervical mucus Increased body temperature Increased appetite
Breast growth
A client is prescribed oxymetazoline. Which assessment data would indicate that the drug is effective? Breathing pattern is regular and without difficulty. Skin is effectively hydrated. Heart rate is maintained at a regular rate and rhythm. Urine output is at least 30 mL/hr.
Breathing pattern is regular and without difficulty
A nurse is educating a patient with hypertension who is prescribed losartan on the mechanism of action of the drug. Which mode of action helps losartan to bring about its antihypertensive effect? By blocking the aldosterone receptors By preventing the conversion of angiotensin I By blocking the angiotensin II receptors By preventing renin secretion
By blocking the angiotensin II receptors
An instructor is describing the respiratory membrane at the alveolar level. Which would the instructor include as a component? Cilia Goblet cells Mast cells Capillary endothelium
Capillary endothelium
A nurse would expect to increase the dosage of theophylline if the client has a current history of which of the following? Hyperthyroidism Cigarette smoking Gastrointestinal upset Alcohol intake
Cigarette smoking
Which phase of the human sexual response results from massive sympathetic stimulation? Stimulation Plateau Climax Resolution
Climax
The nurse is reviewing a client's morning blood work and notes a theophylline level of 22.2 mcg/mL (123.21 µmol/L). What action should the nurse take? Withhold the scheduled dose of theophylline pending the next day's blood work results. Administer the scheduled dose of theophylline with as needed (PRN) dose of a bronchodilator. Inform the care provider that an increase in the client's dose of theophylline may be necessary. Contact the care provider and inform him or her that the client has toxic theophylline levels.
Contact the care provider and inform him or her that the client has toxic theophylline levels.
A client is diagnosed with an atrial septal defect (ASD) that has caused a hole between the two upper chambers of the heart. What is the direct result of such a defect? The sinoatrial node will misfire Pulse pressure will widen Diastolic pressure will increase Deoxygenated and oxygenated blood will mix
Deoxygenated and oxygenated blood will mix
A 71-year-old male client has recently been diagnosed with hypertension. Which measurement is a partial indication of effective treatment and management? Systolic blood pressure above 140 mm Hg Diastolic blood pressure below 100 mm Hg Diastolic blood pressure below 90 mm Hg Systolic blood pressure below 160 mm Hg
Diastolic blood pressure below 90 mm Hg
What term is defined as the process by which oxygen and carbon dioxide are transferred between alveoli and blood and between blood and body cells? Ventilation Diffusion Perfusion Inhalation
Diffusion
Which would the nurse identify as a cardiac glycoside? Inamrinone Milrinone Digoxin Captopril
Digoxin
What is given to treat a massive digoxin overdose? Digoxin immune Fab (Digibind) Milrinone (Primacor) Activated charcoal Syrup of ipecac
Digoxin immune Fab (Digibind)
The health care provider has prescribed a class IV calcium channel blocker for a client diagnosed with acute supraventricular tachycardia. Which drug does this nurse expect to be prescribed? Bethanechol chloride Chlorambucil Diltiazem Midazolam hydrochloride
Diltiazem
An adult client has reported experiencing a dry mouth and urinary retention after several nights of taking an over-the-counter (OTC) sleep aid. The nurse should suspect that this medication contains what antihistamine? Loratadine Promethazine Diphenhydramine Olopatadine
Diphenhydramine
The nurse receives a call from a male client who takes finasteride (Proscar) for treatment of BPH, and tells the nurse that his wife may be pregnant. What does the nurse expect the health care provider to do? Discontinue the medication. Decrease the dose of medication. Increase the dose of medication. Change the finasteride to dutasteride.
Discontinue the medication
A 76-year-old client has been prescribed an oral antihistamine. What adverse effect presents a priority safety concern for older adult clients? Drowsiness Dry mouth Nasal burning Nonproductive cough
Drowsiness
In a bedridden, non-mobile patient, which activities would be mostbeneficial to preventing atelectasis? Encourage to cough and deep breathe several times per hour Place a chest tube for lung drainage Have patient remain on strict bed rest with the head of bed kept flat Administer oxygen at 4 Liters/minute
Encourage to cough and deep breathe several times per hour
A patient has an increased carbon dioxide level. Which cells combine with carbon dioxide to eliminate it from the body? Leukocytes Erythrocytes Macrophages Platelets
Erythrocytes
The pharmacology instructor is discussing the adverse effects of diphenhydramine. Which is not one of these effects? Dry mouth Blurred vision Excessive salivation Drowsiness
Excessive salivation
Cystic fibrosis is a hereditary disease that affects the respiratory system. In people with the disease, breathing performance is affected by: bronchospasm. infection. excessive secretions. chemical irritation of the respiratory tract.
Excessive secretions
When describing the process of fertilization, the nurse would explain that it normally occurs in which structure? Endometrium Vagina Cervix Fallopian tube
Fallopian tube
An older adult client who resides in a care facility has been prescribed antihypertensives for the first time following many years of generally good health. When administering the first dose of the prescribed antihypertensive medication to an older adult, the nurse should recognize the related risk to which possible side effect? Falls Infection Acute confusion Impaired oxygenation
Falls
Using herbal or dietary supplements as safe, natural alternatives for building muscle may result in: decreased serum testosterone levels. feminizing effects. increased muscle development with resistance training. decreased estradiol.
Feminizing effects
A client who is taking an estrogen reports swelling and weight gain. The nurse notes some peripheral edema. Which nursing diagnosis would the nurse identify as the priority? Fluid volume excess Imbalanced nutrition, less than body requirements Acute pain Ineffective peripheral tissue perfusion
Fluid volume excess
Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.) Estrogen Progesterone Testosterone Follicle-stimulating hormone (FSH) Luteinizing hormone (LH)
Follicle-stimulating hormone (FSH) Luteinizing hormone (LH)
Which hormones are not released during childhood? Growth hormone (GH) Gonadotropin-releasing hormone (GnRH) Thyroid Parathyroid
Gonadotropin-releasing hormone (GnRH)
An older adult client has been prescribed an inhaled corticosteroid for the treatment of chronic obstructive pulmonary disease (COPD). Which action should the nurse perform to reduce the client's risk for developing oral candidiasis? Administer prophylactic antifungal medications. Have the resident rinse his or her mouth after each dose of the drug. Encourage the resident not to deeply inhale the medication. Have the client gargle with normal saline prior to administering the drug.
Have the resident rinse his or her mouth after each dose of the drug.
The client is taking a calcium-channel blocker. What adverse effects might the client experience? Hypertension and tachycardia Headache and dizziness Flushing and rash Fever and bronchospasm
Headache and dizziness
The client has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. What condition is the client most likely experiencing? Pneumonia Liver disease Heart failure Myocardial infarction
Heart failure
A nurse is required to educate a woman taking oral contraceptives for birth control about the risks involved. Which condition is more likely to increase with the use of oral contraceptives? Fibrocystic breast disease Ovarian cysts Endometrial cancer Hepatic adenoma
Hepatic adenoma
What is the most common reason for an elevated cholesterol level in a client who does not have a genetic disorder of lipid metabolism? His dietary intake of saturated fat His sedentary lifestyle His waist size His alcohol intake
His dietary intake of saturated fat
A client experiences bronchospasm with asthma. The nurse understands that this is due to: Cytokines Histamine Norepinephrine Serotonin
Histamine
What is the chemical mediator released in immune and inflammatory response to allergic reactions? Norepinephrine Mast cells Epinephrine Histamine
Histamine
Fluid moves into the arterial end of a capillary due to: Hydrostatic pressure Fluid needs of the cells Oncotic pressure Loose endothelial cells
Hydrostatic pressure
Which would the nurse identify as being involved with asthma? Acute infection Hyperactive airways Alveolar collapse Progressive loss of lung compliance
Hyperactive airways
The nurse is encouraging a client to cough frequently and complete deep breathing exercises. The nurse knows that many factors can cause a decrease of gas exchange for clients. Based on this information, what factors can cause a decrease in gas exchange? Select all that apply. Immobility Shaken baby syndrome Thoracic/pulmonary surgery Pneumonia
Immobility Thoracic/pulmonary surgery Pneumonia
A nurse is describing the events associated with a common cold to a local community group. Which would the nurse include? Release of epinephrine Shrinkage of the mucous membranes Increased activity of the goblet cells Invasion by a bacterium
Increased activity of the goblet cells
The nurse is administering quinidine to a client who is also taking digoxin. The nurse will assess this client for which important adverse effect? Increased anticoagulant effects Increased digoxin level Decreased red blood cell count Decreased white blood cell count
Increased digoxin level
In older adult men, anabolic steroids may be prescribed for a deficiency condition. If hypertensive, what might be the cause for an increase in blood pressure? Increased RBD production Increased fluid and sodium retention Potassium retention Increased bioavailability of androgens
Increased fluid and sodium retention
Sympathetic nervous system stimulation of the respiratory tract would result in: Diaphragmatic contraction Bronchoconstriction Increased respiratory rate Inspiratory movement
Increased respiratory rate
The nurse is providing education to a client diagnosed with the common cold. What measure should the nurse recommend implementing to help liquefy cold-related secretions? Reducing salt intake Deep breathing Gargling with normal saline Increasing fluid intake
Increasing fluid intake
An electrocardiogram (ECG) is prescribed for a client experiencing signs and symptoms associated with a cardiac dysfunction. Which function of the heart will this diagnostic tool help evaluate? Ineffective pumping Insufficient valve closure Ineffective oxygenation of the blood Insufficient deoxygenation of the blood
Ineffective pumping
A client is prescribed salmeterol. The nurse would expect this drug to be administered by which route? Inhalation Oral Subcutaneous Intravenous
Inhalation
The nurse is providing education to a client with asthma on the therapeutic action of inhaled corticosteroid agents. How will the nurse describe the action? Inhaled corticosteroid agents will depress the central nervous system. Inhaled corticosteroid agents reduce respiratory rate. Inhaled corticosteroid agents reduce bronchodilation. Inhaled corticosteroid agents reduce airway inflammation.
Inhaled corticosteroid agents reduce airway inflammation.
The nurse is reviewing with a group of clients about the regulators of breathing and how they function. What is the best explanation by the nurse to the clients about the role of the medulla in the regulation of respirations? Works to produce a normal breathing rhythm Allows some voluntary control over breathing Stimulates the muscles of respiration Involuntary control of the depth and rate of respirations
Involuntary control of the depth and rate of respirations
The patient has been placed on a nitroprusside drip for the treatment of a hypertensive crisis. Which mechanism of action does the nurse know is true for nitroprusside? It blocks the action of angiotensin II from all the different pathways where it is formed, not just the single substrate altered by ACE inhibitors. It directly relaxes vascular smooth muscle, allowing dilation of peripheral arteries and veins. It binds selectively to the mineralocorticoid receptors. It inhibits the movement of calcium ions across cell membranes.
It directly relaxes vascular smooth muscle, allowing dilation of peripheral arteries and veins.
After teaching a group of students about the cardiovascular system and pressures, the students demonstrate understanding of the information when they identify which area as having the highest pressure? Left ventricle Right ventricle Right atrium Left atrium
Left ventricle
Which cells in the testes produce testosterone? T-cells Sertoli cells Leydig cells B-cells
Leydig cells
Which would be most important to assess in a client receiving testosterone for a prolonged period of time? Liver function studies Complete blood count Serum electrolyte levels Platelet count
Liver function studies
When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as: Menarche Puberty Menstruation Ovulation
Menarche
A 38-year-old female client has just visited the health care provider and has received a prescription for birth control pills. The client calls the nurse and states that she doesn't need birth control pills because she had voluntary sterilization after her third child. The nurse explains that birth control pills may be used for what other reason? Thrombophlebitis Menstrual disorders Breast lumps Heart rhythm irregularities
Menstrual disorders
Which medication is used to treat acute airflow obstruction? Metaproterenol Beclomethasone Montelukast Azelastine
Metaproterenol
The nurse is preparing to administer digoxin to a 9-month-old infant. What must the nurse do prior to administration of this medication? Monitor the infant's respiratory rate Monitor the infant's blood pressure Monitor the infant's temperature Monitor the infant's apical pulse
Monitor the infant's apical pulse
The ICU nurse is caring for a patient in shock. What is one of the most important functions of the nursing role in caring for this patient? Documenting the administration of medications Monitoring for complications and side effects of treatment Reporting adverse effects of treatment Safely administering prescribed fluids
Monitoring for complications and side effects of treatment
After receiving the results of an echocardiogram, a client has many questions regarding the results and their impact on the client's lifestyle. The client is a 57-year-old Hispanic man with a 10-year history of hypertension. The client would like to know what effect hypertension has on the heart. What is the nurse's best reply? Myocardium hypertrophy Decreased risk of thrombosis Increased risk for hepatic damage Arterial lumen dilation
Myocardium hypertrophy
After teaching a group of students about drugs used as antianginal agents, the instructor determines that the teaching was successful when the students identify which as a beta-blocker antianginal agent? Amlodipine Nadolol Verapamil Ranolazine
Nadolol
A 21-year-old woman is prescribed an oral contraceptive pill to prevent pregnancy. The nurse should inform the client of which adverse effects of this medication? Cessation of bleeding and/or spotting Nausea Weight loss Reduction of breast tissue
Nausea
A 79-year-old client calls the clinic requesting advice for something that will relieve nasal congestion. The nurse is aware that oral decongestants may cause which adverse effects in older adults? (Select all that apply.) Excessive sleepiness Hypertension Heart rhythm abnormalities Bradycardia Nervousness
Nervousness Hypertension Heart rhythm abnormalities
The pathway for external breathing is given to the nurse in random order after the nurse educator dropped the note cards on the floor. What is the correct sequence for the pathway for external breathing to the alveoli level in the pathway? 1Nose 2Pharynx 3Larynx 4Trachea 5Bronchi 6Bronchioles
Nose Pharynx Larynx Trachea Bronchi Bronchioles
The nurse is to administer digoxin to a client with heart failure. The nurse auscultates an apical pulse rate of 52. What action should the nurse take? Administer medication Notify the health care provider Assess the blood pressure Administer half of the dose
Notify the health care provider
A patient is using propranolol for treatment of angina. The nurse understands that this drug is administered by which route? Oral Sublingual Transdermal Intravenous
Oral
Estropipate is sometimes administered to postmenopausal women to prevent which condition? Endometriosis Dysfunctional uterine bleeding Osteoporosis Uterine cancer
Osteoporosis
A nurse is obtaining a history from an older adult woman. During the interview, the woman states, "When I feel like I have to urinate, the urge is really strong and I go to the bathroom really frequently, often waking up several times during the night to go." The nurse would most likely identify this as which condition? overactive bladder syndrome stress incontinence urge incontinence neurogenic bladder
Overactive bladder syndrome
While reviewing a client's history, an allergy to which of the following would alert the nurse to a possible problem with the use of ipratropium? Eggs Dairy Peanuts Shellfish
Peanuts
The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? Sperm emission Penile vasodilation Psychological release Ejaculation
Penile vasodilation
After reviewing the signs and symptoms of heart failure, a student demonstrates understanding when the student identifies which finding as associated with right sided heart failure? Peripheral edema Hemoptysis Dyspnea Polyuria
Peripheral edema
Which would a nurse expect to assess if a client is experiencing right-sided heart failure? Wheezing Peripheral edema Hemoptysis Dyspnea
Peripheral edema
Sodium ion concentrations are equal inside and outside the cell during which phase of the action potential of the cardiac muscle? Phase 0 Phase 1 Phase 2 Phase 3
Phase 1
A client recently admitted to the emergency department (ED) with digitalis toxicity suddenly develops these signs and symptoms: BP 88/50, HR 30, RR 28, presence of pallor, weakness, dizziness, and diaphoresis. Which action would the nurse implement first? Place client on continuous electrocardiogram (ECG) monitoring. Administer atropine 0.5 mg intravenous push (IVP) per order. Obtain serum electrolytes STAT and notify ED personnel with results. Place client in supine position with feet elevated above level of heart.
Place client in supine position with feet elevated above level of heart
During pregnancy, what becomes a massive endocrine gland? Umbilical cord Placenta Embryo Uterus
Placenta
When stimulation levels off during the human sexual response, the person is said to be in which of the following phases? Stimulation Plateau Climax Resolution
Plateau
A client is prescribed aliskiren. The nurse would monitor the laboratory test results of which electrolyte closely? Potassium Sodium Magnesium Chloride
Potassium
A teenage client who is using testosterone to treat a hormone deficiency calls the clinic to report acne-like skin eruptions on the face. How should the nurse counsel this client? Stop taking this drug immediately. Practice frequent and thorough skin cleansing. Make an immediate appointment with a dermatologist. Gradually decrease the dose of testosterone.
Practice frequent and thorough skin cleansing.
Of the following factors, which increases the heart's output, and is dependent on the actions of the heart and the vasculature before contraction? Preload Afterload Cardiac contractility Heart rate
Preload
A client is started on terbutaline therapy. What would indicate that the therapy has been successful? The mother did not require any labor induction. Premature birth is avoided for at least 24 hours. There has been less or no bleeding in the delivery. The mother does not experience adverse effects.
Premature birth is avoided for at least 24 hours.
A patient is admitted to the cardiology unit of a health care facility for ventricular arrhythmia. In which condition can an anti-arrhythmic drug be safely administered? Aortic stenosis Premature ventricular contraction Third-degree heart block Severe congestive heart failure
Premature ventricular contraction
A nurse is measuring the BP of a client. The client asks what the BP measures. What is the best response by the nurse about the measurement of BP? Pressure of blood within the veins Pressure of blood within the arteries Pressure of blood within the heart Pressure of blood within the lungs
Pressure of blood within the arteries
A patient is advised to take a decongestant drug to relieve nasal congestion associated with hay fever. The patient is not comfortable with a nasal spray or drops and prefers an oral tablet. Which oral decongestant drugs can be administered to the patient? Xylometazoline Pseudoephedrine Ephedrine Tetrahydrozoline
Pseudoephedrine
A patient, admitted to a health care facility with cardiac arrhythmia, is prescribed propranolol. Which factor should the nurse closely monitor as a part of the ongoing assessment during the therapy? Pulse rate Tendon reflexes Hydration Visual acuity
Pulse rate
A client reports experiencing severe nasal congestion since starting to use an over-the-counter (OTC) nasal decongestant spray a week ago. This symptomology most supports what possible medical condition? bronchitis rebound congestion sinusitis a drug allergy
Rebound congestion
A male client presents to the health care provider's office with reports of inability to breathe freely. When the nurse reviews his use of over-the-counter medications, it is discovered that the client routinely uses nasal spray three times a day for 1 year. The nurse knows that what may be causing this client's continuous nasal congestion? Chronic nasal polyps Burning of the nares secondary to chronic use of nasal sprays Rebound nasal swelling Damage of the nasal concha
Rebound nasal swelling
The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus? Produces female gametes or ova and secretes female sex hormones Receives the fertilized ovum and provides housing and nourishment for a fetus Receives sperm, provides an exit for menstrual flow, and serves as the birth canal Small erectile structure that responds to sexual stimulation
Receives the fertilized ovum and provides housing and nourishment for a fetus
A 6-year old client is prescribed lidocaine to treat a ventricular arrhythmia after cardiac surgery. Which nursing intervention is especially important for the safety of this client as long as the therapy is continued? (Select all that apply.) Regular monitoring of serum lidocaine levels Continuous cardiac monitoring Accurate assessment of weight Assess for known allergies Monitor for signs of developmental regression
Regular monitoring of serum lidocaine levels Continuous cardiac monitoring
A female client presents to the emergency department with acutely deteriorating asthma. Her husband tells the nurse that his wife takes salmeterol. He then tells the nurse that he gave her three extra puffs when she became ill. What statement is correct in this situation? The husband made the correct decision in giving the extra doses. The extra doses facilitated bronchodilation and probably saved her life. Salmeterol is contraindicated based on his wife's condition. The health care provider will most likely order continuation of the salmeterol with increased dosage.
Salmeterol is contraindicated based on his wife's condition.
During fetal development, the descent of the testes into what structure helps prevent injury to the sperm-producing cells? Urethra Scrotum Epididymis Vas deferens
Scrotum
A group of students are reviewing the common conditions associated with the upper respiratory tract. The students demonstrate understanding of the material when they identify what as a response to a specific antigen? Asthma Seasonal rhinitis Sinusitis Pharyngitis
Seasonal rhinitis
After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries? Carrying the ovum to the endometrium Secretion of estrogen and progesterone Secretion of mucus that supplies lubrication for intercourse Location for implantation of a fertilized ovum
Secretion of estrogen and progesterone
A group of students are reviewing the drugs available for treating penile erectile dysfunction. The students demonstrate understanding when they identify which drug as a PDE5 inhibitor? Alprostadil Sildenafil Oxandrolone Danazol
Sildenafil
A woman is diagnosed with pulmonary hypertension. The nurse explains the drug prescribed and the patient states, "That's a drug that used to treat erectile dysfunction." Which drug would this mostlikely be? Sildenafil Vardenafil Tadalafil Alprostadil
Sildenafil
The nurse is reviewing a patient's ECG and notes that the ECG is normal, but the rate is 110 beats/minute. The nurse would identify this as: Sinus tachycardia Atrial flutter Atrial fibrillation Paroxysmal atrial tachycardia
Sinus tachycardia
An instructor is teaching a class about the disorders that may affect the movement of gases into and out of the lungs. The instructor determines the need for additional teaching when the students identify which condition as being involved? Sinusitis Bronchitis Atelectasis Cystic fibrosis
Sinusitis
What should the nurse suggest to assist a client to improve his cholesterol levels? Smoking cessation Diet high in polysaturated fats Limit exercise to the weekends Weight lifting
Smoking cessation
A client with a blood pressure of 165/95 mmHg would be in classified as which stage of hypertension? Stage 2 Stage 1 Prehypertension Normotensive Hypertensive urgency
Stage 2
Which single class drug is known to be most effective in reducing the major types of dyslipidemia? Statins Bile acid sequestrants Fibrates Niacin
Statins
What would castration prior to puberty result in? (Select all that apply.) Increased testosterone production Sterility Failure to develop normal male characteristics Viable sperm production All the above
Sterility Failure to develop normal male characteristics
The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system? Stimulation Plateau Climax Recovery
Stimulation
When describing the human sexual response cycle, which would a nurse include as occurring first? Recovery Climax Stimulation Plateau
Stimulation
The nurse is providing education to a client who has been prescribed albuterol. What adverse reaction should the nurse discuss during teaching? Polydipsia Tachycardia Hypotension Diarrhea
Tachycardia
What is most important to tell the client who will be taking adrenergic blocking drugs for benign prostatic hypertrophy? Take with food. Take the medication at the same time each day. Reduce the amount of liquid that you drink to prevent nocturia. If you experience adverse effects, stop the medication for a week and then restart.
Take the medication at the same time each day.
Hormonal regulation of reproductive functions in both the male and the female are complicated processes. In the male where are the male sex hormones produced? Cowper's glands Testes Seminal vesicles Bulbourethral glands
Testes
A female client expresses the desire to suppress her female sex characteristics to facilitate a transition to being male. Which androgen does the nurse anticipate the provider will prescribe? Testosterone Estrogen Dihydrotestosterone (DHT) Progesterone
Testosterone
Your patient, a 73-year-old Hispanic man, has a 40 pack/year history of cigarette smoking and was admitted with an exacerbation of COPD. As his nurse, you understand the efficacy of his respiratory system depends on: The ability of O2 and CO2 to cross the vascular-capillary membrane. The ability of the lungs to expand and contract. The quality of the CO2 inhaled. An inadequate O2 supply.
The ability of the lungs to expand and contract.
The nurse monitors which client for an increased risk of digoxin toxicity? The client with liver dysfunction The client with renal dysfunction The client with an integumentary dysfunction The client with a peripheral vascular dysfunction
The client with renal dysfunction
An obese client who has an elevated triglyceride level and reduced high-density lipoprotein cholesterol is seen by the primary health care provider. What do these data suggest in this client? The development of arthritic syndrome The development of metabolic syndrome The development of Reye's syndrome The development of Tay-Sachs disease
The development of metabolic syndrome
What primary event has occurred when a client experiences an ectopic focus? The contractibility of the heart has been diminished greatly. The arterial resistance has been increased significantly Fluid is no longer being pulled back int the venous system effectively The location of the heart's functioning pacemaker is no longer the sinoatrial (SA) node
The location of the heart's functioning pacemaker is no longer the sinoatrial (SA) node
The nurse is reviewing with the client the three major layers of the heart wall and how they relate to the pericardium. What is the bestdescription by the nurse to the client about the myocardium layer of the heart? Thick, strong muscles making up the middle layer Thin outer layer of the cardiac wall A membrane lining the heart's interior wall Outermost layer anchoring the heart
Thick, strong muscles making up the middle layer
A nurse is assessing the vital signs of a client. The client inquires about the functions of the arteries. What should the nurse include in the client education about the function of arteries? To serve as a capacitance vessels for blood To exchange oxygen and nutrients with body cells To take the blood back into the heart's chambers To carry oxygenated blood to the body cells
To carry oxygenated blood to the body cells
A 7 months' pregnant woman is experiencing contractions. She is admitted to the hospital in preterm labor. What will be prescribed to stop the labor? Oxytocics Estrogen Tocolytics Prostaglandins
Tocolytics
What information would be included in a lipoprotein profile? Select all that apply: Total cholesterol Triglycerides LDL ALT AST
Total cholesterol Triglycerides LDL
A nurse may administer norethindrone (Aygestin) to a female client for which reason? (Select all that apply.) Treatment of amenorrhea Treatment of edema Treatment of endometriosis Prevention of pregnancy Prevention of estrogen-dependent breast carcinoma
Treatment of endometriosis Prevention of pregnancy Treatment of amenorrhea
A patient with metabolic syndrome usually has increased plasminogen activator levels. True False
True
The nurse is caring for a 42-year-old peri-menopausal client recently diagnosed with hypertension and prescribed benazepril. The client also takes over-the-counter ibuprofen for headaches. The nurse would provide which important points when educating the client on taking the new medication? Select all that apply. Use barrier contraceptives while taking benazepril to prevent pregnancy, as it may cause severe birth defects. Take the medication one hour before meals or two hours after meals to enhance absorption of antihypertensives. If swelling of the face, throat, or extremities occurs, hold the next dose and call the primary care provider immediately. Taking ibuprofen can make the drug more potent and decrease your blood pressure more, so take acetaminophen instead. A dry cough may develop when taking benazepril and it is not harmful, but if it is bothersome tell the primary care provider.
Use barrier contraceptives while taking benazepril to prevent pregnancy, as it may cause severe birth defects. If swelling of the face, throat, or extremities occurs, hold the next dose and call the primary care provider immediately. A dry cough may develop when taking benazepril and it is not harmful, but if it is bothersome tell the primary care provider.
The nurse would be alert for signs and symptoms of which if methylergonovine is prescribed for a client who is a heavy smoker? vasoconstriction vasodilation diuresis electrolyte imbalance
Vasoconstriction
When describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which mechanism? Vasoconstriction of small blood vessels of the nasal membranes Selectively binding to peripheral H1 receptors Nonselectively binding to central and peripheral H1 receptors Anesthetizing stretch receptors in the respiratory passages
Vasoconstriction of small blood vessels of the nasal membranes
Blood returning to the heart arrives at the right atrium by way of what vessel(s)? aorta pulmonary vein vena cava tricuspid valve
Vena cava
What would a nurse attribute to the effect of testosterone? (Select all that apply.) Increased high-density lipoprotein levels Vocal cord thickening Increased hematocrit Facial hair growth Increased skin elasticity
Vocal cord thickening Increased hematocrit Facial hair growth
Which would a nurse identify as being found in the larynx? (Select all that apply.) Vocal cords Epiglottis Trachea Pharynx Eustachian tube
Vocal cords & Epiglottis
The pubescent girl exhibits many changes as a result of estrogen production. Her mother asks the nurse what secondary sexual characteristics to look for in her daughter. What is the bestinformation for the nurse to provide to the mother about secondary sexual characteristics? (Select all that apply.) Spinal curvature Lower percentage of body fat tissue Wider hip structure Pubic and axillary hair Breast development
Wider hip structure Pubic and axillary hair Breast development
A nurse assessing a client on digoxin suspects toxicity. Which visual disturbances would the nurse expect to assess? Complete loss of vision Double vision Yellow or green vision Difficulty of near vision
Yellow or green vision
Sildenafil has been prescribed to a client in his 60s, and the nurse is providing health education about the safe and effective use of the drug. The nurse should teach the client to: avoid taking sildenafil if he experiences heartburn. take the drug every 30 minutes if necessary, to a maximum of three doses. take the drug on an empty stomach. avoid taking the drug more than once in any 24-hour period.
avoid taking the drug more than once in any 24-hour period.
A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to avoid taking the drug with a high-protein meal. avoid taking the drug with a high-fat meal. drink plenty of fluids. take a double dose of the drug.
avoid taking the drug with a high-fat meal.
Anabolic steroid use causes an increase in muscular work capacity, which is what makes these agents popular as performance-enhancing drugs. They are dangerous specifically to teens because they: are ergogenic. are schedule 3 controlled substances. can damage the heart, liver, and kidneys. are as popular as illegal drugs.
can damage the heart, liver, and kidneys.
If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the: corpus albicans. Graafian follicle. maturing follicle. menarche.
corpus albicans.
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by: blocking adrenergic receptors and producing antisympathetic effects. inhibiting the movement of calcium ions across the cardiac muscle cell membrane. decreasing sodium and potassium conduction. weakening diastolic depolarization and the action potential duration.
inhibiting the movement of calcium ions across the cardiac muscle cell membrane.
What is the primary goal of antidysrhythmic drug therapy for a client who has been successfully cardioverted? maintenance of normal sinus rhythm (NSR) proof of increased cardiac contractility suppression of original arrhythmia increase in blood pressure
maintenance of normal sinus rhythm (NSR)
Regular monthly menstrual cycles cease at the time of: menses. menopause. menstruation. menorrhea. menarche.
menopause
Ovulation is: release of an ovum from the ovary. disintegration of an ovum during the menstrual cycle. cessation of monthly cycles. weakening of bone tissue. tubal ligation.
release of an ovum from the ovary.
The nurse monitors a patient receiving oxytocin for water intoxication based on the understanding that this condition is the result of: stimulation of the neuroreceptor sites. release of antidiuretic hormone. effects secondary to ergotism. blockage of estrogen receptor sites.
release of antidiuretic hormone
The client has been taking rosuvastatin for hyperlipidemia. The client now presents with severe weakness and states barely being able to move the extremities. The nurse suspects the client has which? pruritis. rhabdomyolysis. cholelithiasis. cholecystitis.
rhabdomyolysis.
What effect, if any, would extensive facial and oral trauma have on a client's sublingual nitroglycerin therapy prescribed to manage the angina? no effect increase in prescribed dosage temporary discontinuation of medication therapy route changed to transdermal
route changed to transdermal
A 70-year-old man has enjoyed good overall health for all of his adult life, but he has been experiencing urinary frequency and dribbling that has culminated in a diagnosis of benign prostatic hypertrophy (BPH). As a result, the client has been prescribed finasteride. When teaching the client about the potential adverse effects of the drug, the nurse should ensure that he knows about the possibility of: sexual dysfunction. urethral burning. kidney stones. visual disturbances.
sexual dysfunction
A client with a recent history of benign prostatic hypertrophy (BPH) will soon begin treatment with finasteride. Before beginning this course of therapy, the nurse should caution the client to be aware of what potentially adverse effect? sexual dysfunction photosensitivity urinary retention tinnitus
sexual dysfunction
What structure makes it possible for the heart to be harvested for transplantation when donated by a client who is declared "brain dead"? atrioventricular (AV) node sinoatrial (SA) node bundle of His left bundle branch
sinoatrial (SA) node
A 24-year-old woman has come to the clinic with an infection and has been prescribed penicillin. The nursing assessment reveals that she is taking oral contraceptives. The nurse will instruct her to: include adequate proteins and vitamins in her diet. stop using oral contraceptives and focus on the penicillin therapy. use an additional form of birth control while taking penicillin. abstain from intercourse for at least 48 hours after taking penicillin.
use an additional form of birth control while taking penicillin.
