Exam 2 tutor practice questions

a client with rheumatoid arthritis has been taking Methotrexate a disease-modifying antirheumatic drug for two weeks. 1 point a serum creatinine level of 0.9 mg per deciliter a red blood cell count of 2.5 million white blood cell count of 9 thousand a hemoglobin of 14.5 grams per deciliter and a hematocrit of 43%

A red blood cell count if 2.5 million

A nurse is admitting a toddler to the hospital after an acetaminophen overdose. Which of the following medications should the nurse anticipate administering to the client 1 point Acetylcysteine Naltrexone Misoprostol naloxone

Acetylcysteine

The nurse is preparing to administer an opioid analgesic. Which factors should be assessed before the dose is given? (select all that apply and) 1 point the level of pain rated on a scale blood clotting times Preveous analgesic use dietary history Allergies vital signs

Allergies The level if pain rated on a scale Preveous analgesic use

acetaminophen is similar to NSAIDs with the exception that it lacks which effects 1 point Analgesia Antipyretic Anti-inflammatory Gi irritation Antiplatelet

Anti-inflammatory

The nurse answers a call to the ED from a woman who is prescribed fentanyl on a stick. she states that she found her two-year-old grandson with the medication in his mouth. she took it away from him and he is standing next to her crying. What action should be the greatest priority 1 point call 911 assess how much drug was consumed contact the poison hotline rinse out the child's mouth

Call 911

a fentanyl patch has been prescribed for a patient after multiple musculoskeletal injuries. The most important reason why the nurse should teach the patient to not apply heat in the area of the patch is that it might... 1 point Inactivate the drug loosen the patch from the skin Prolong the drug effect Cause respiratory depression

Cause respiratory depression

a nurse is reviewing the medication administration record for a client who is receiving transdermal fentanyl for severe pain. Which of the following medication should the nurse expect to cause an adverse effect when administered concurrently with fentanyl? 1 point Ampicillin prednisone Furosemide Diazepam

Diazepam

A patient is admitted to the Ed after a traumatic injury and is in severe pain from compound fractures which chronic condition would be of greatest concern when administering an opioid 1 point Asthma Diabetes head injury Hypertension

Head injury

A nurse is teaching a client who has a new prescription for Alprazolam for treatment of generalized anxiety disorder which of the following statements by the client indicates understanding of the teaching 1 point I should take this medication on an empty stomach I will follow a low sodium diet while taking this medication I need to discontinue this medication slowly I should not crush this medication before swallowing

I need to discontinue this medication slowly

A nurse is working in the emergency department for a client who has benzodiazepine toxicity due to overdose which of the following actions is the nurses priority 1 point administer flumazenil identify the clients level of orientation Infuse IV fluid prepare the client for gastric lavage

Identify the clients level of orientation

a young man has been taken to the emergency department because of a suspected overdose on morphine tablets. The nurse prepares to administer which drug? 1 point flumazenil Naloxone Meperidine Atropine

Naloxone

the elderly client diagnosed with a panic disorder is in the busy day room for a long-term care facility and appears anxious, and is starting to hyperventilate, is trembling, and sweating. Which action should the nurse implement first? 1 point administer the benzodiazepine alprazolam assess the clients vital signs remove the client from the dayroom administering selective serotonin reuptake inhibitor sertraline

Remove the client from the dayroom

a nurse in the emergency department is performing an admission on a client who has severe aspirin toxicity. which of the following findings should the nurse expect 1 point body temperature of 35 degrees Celsius lung crackles cool dry skin respiratory depression

Respiratory depression

what is the most common nursing concern when a patient is receiving Ziconotide 1 point Breathing Circulation elimination safety

Safety

the nurse should consult the prescriber if the nurse identified that a patient has a history of a chronic condition and was prescribed Tramadol for pain relief 1 point heart failure COPD Dementia seizure disorder

Seizure disorder

the nurse is caring for a client who takes paroxetine to treat post-traumatic stress disorder and reports that he grinds his teeth at night the nurse should identify which of the following interventions to manage bruxism? select all that apply 1 point concurrent administration of buspirone administration of different SSRI use of a mouth guard changing to a different class of antidepressant medication increasing the dose of paroxetine

Use mouth guard

a nurse is taking a history on a client who reports that he is taking aspirin about 4 times a day for a sprained wrist.which of the following prescribed medications taken by the client is contraindicated with Aspirin? 1 point Digoxin Metformin Warfarin Nitroglycerin

Warfarin

the primary side effects of SSRI's include which of the following symptoms 1 point rash and alopecia gastritis and diarrhea weight gain and sexual dysfunction photosensitivity and discoloration of the skin

Weight gain and sexual dysfuntion

A cancer patient received instructions regarding administration of Oxycodone. Which of these statements made by the patient would indicate that the patient needs further teaching? 1 point I need to inform my doctor if I experience episodes of pain between doses if I have difficulty swallowing the pill, I should crush it and take it in a small amount of applesauce I should tell my healthcare providers that I'm taking this drug regularly I should not take this drug if I am allergic to Percocet but it is okay if I'm only allergic to acetaminophen

if I have difficulty swallowing the pill, I should crush it and take it in a small amount of applesauce

A nurse is teaching a client who has obsessive compulsive disorder and has a new prescription of paroxetine. which of the following instructions would the nurse include 1 point it can take several weeks before you start feeling like this medication is helping take the medication just before bedtime to promote sleep you should take the medication when needed for obsessive urges monitor for weight gain while taking this medication

it can take several weeks before you start feeling like this medication is helping

The client diagnosed with obsessive-compulsive disorder is prescribed a selective serotonin reuptake inhibitor sertraline (Zoloft). Which statement indicates the client understands the medication teaching 1 point if I got a headache or become nauseated, I will notify my hcp it will take a couple months before I see a change in my behavior I need to be careful because ssris can cause physical addiction I'm glad to not need to see my psychiatrist

it will take a couple months before I see a change in my behavior

the client is receiving the end zeolitic Alprazolam for generalized anxiety disorder. Which assessment data best indicates the medication is effective 1 point the client reports not feeling anxious the client pulse is not greater than 100 the clients respiratory rate is not greater than 22 the client reports a one on a scale of 1 to 10 anxiety

the client reports a one on a scale of 1 to 10 anxiety in

a client with rheumatoid arthritis is prescribed prednisone a glucocorticoid for acute episodes of pain. The client asks the nurse, why can't I be on this forever since it helps the pain so much? Which statement by the nurse is the best response which laboratory data would warrant intervention by the nurse? 1 point the medication will cause you to have a buffalo hump or moon face the medication has long-term side effects such as osteoporosis if you continue taking this medication it may cause addisonian crisis there are other medications that can be prescribed to help the pain

the medication has long-term side effects such as osteoporosis

Which instruction should the nurse discuss when the client diagnosed with rheumatoid arthritis is prescribed methotrexate, a disease-modifying antirheumatic drug 1 point use a soft bristle toothbrush when brushing your teeth wear warm clothes when it is less than 40 degrees gargle With mouthwash at least 4 times a day use a sunscreen with an SPF of 15 or lower when outside

use a soft bristle toothbrush when brushing your teeth