Mid term 1

An older patient with diabetes is visually impaired and asks if syringes can be prefilled and stored for use later. What is the nurse's best response?

"Yes, prefilled syringes can be stored for up to 3 weeks in the refrigerator in a vertical position with the needle pointing up."

A client is administered insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?

O 9 AM.

Which of the following substances would decrease the absorption-of oral iron?

O Antacids

Humoral immunity involves which type of white blood cells?

O B lymphocytes

A patient received the evening dose of Lispro subcutaneously at 1630. What time will symptoms of hypoglycemia likely occur?

1830

The nurse is assessing a client who is to receive multiple vaccinations. Which nursing diagnosis should the nurse prioritize for this client?

Acute Pain

A nurse teaching a client about acarbose. The nurse determines the teaching successful when the client correctly states which instruction to follow when administering the drug at home?

Administer the drug with the first bite of the meal.

A nurse is preparing to administer gonadotropin to a client. The nurse would question this order if which disorder is documented in the client's medical history?

Adrenal dysfunction

A child is brought to the health care center for MMR vaccination. On assessment, the nurse discovers that the child had received an antivenin injection for a snake bite 2 days before. When should the nurse instruct the caregivers to return for this vaccine for this child?

After 6 to 8 weeks

A nurse is preparing to administer ferrous to a client. Which adverse reaction should the nurse point out to the client to report if noted?

Allergic reaction

Which of the following adverse reactions to the antineoplastic drugs is most likely to affect the client's body image?

Alopecia

A client presents to the emergency department with an apparent reaction to recently started thyroid therapy. Which assessment finding would lead the nurse to question that this client is experiencing a thyroid storm?

Altered mental status

A nurse in the emergency department is assessing a client who has been bitten by a coral snake. Which drug does the nurse predict the client will be given as treatment?

Antivenin

A nurse is preparing to administer insulin glargine to a client. What precaution should the nurse take when administering this drug?

Avoid mixing glargine with other insulin.

A client comes to the clinic and tells the nurse that close family members are suspected of having pulmonary tuberculosis. Which vaccine

BCG vaccine

A nursing instructor is teaching the concept of cell-mediated immunity. The instructor determines that the session was successful when the students correctly choose

Bacterial Fungal Viral

A nurse is teaching a client about the thyroid hormone replacement therapy which has been prescribed. The nurse determines the teaching is successful when the client indicatees time to take the drug

Before breakfast

. A nurse is caring for a client prescribed gemcitabine. On the morning laboratory results, the nurse discovers the following: white blood cell count 4500/mm plateletes 13500/mm

Bloody urine

Which of the following findings would be most indicative to the nurse that the client has thrombocytopenia?

Blurred Easy Bruising

A nurse is monitoring a client who is prescribed short-term high-dose methylprednisolone. Which assessment findings should the nurse prioritize? Select all that apply.

Buffalo hump Moon face

A nurse is caring for a client with iron deficiency anemia who is receiving iron supplements. What information should the nurse point out in the teaching plan for this client?

Color of stools will become darker.

A nurse determines a nursing diagnosis of Constipation is appropriate for a client receiving iron supplements. Which suggestion would be appropriate for the nurse to recommend to the client to promote resolution of this problem?

Consume a diet high in fiber.

A nurse is caring for a client who is receiving corticosteroid therapy. Which nursing diagnosis would the nurse be least likely to prioritize for this client?

Deficient Fluid Volume

A client, diagnosed with cancer, is prescribed an antineoplastic drug. Which factor should the nurse include in the discussion about the prescribed therapy?

Delays spread of cancer to other sites

A nurse is preparing to administer exenatide to a client with type 2 diabetes. The nurse will question this order if which condition is noted in the client's medical record

Diabetic ketoacidosis

A vegan client has been diagnosed with iron deficiency. Which of the following foods would be recommended?

Dried beans

A client prescribed treatment for atrial fibrillation is now prescribed levothyroxine for hypothyroidism. The nurse prepares to monitor the client for increased cardiac dysfunction if the client is prescribed which current medication? Select all that apply.

E Digoxin Metoprolol

nurse is assessing a client's medical record and determines that the client has naturally acquired active immunity. Which example would most likely apply? Select all that apply.

Experiencing chickenpox results in immunity to the disease After recovering from pertussis, the client demonstrates immunity against repeat exposures.

A client is receiving a colony-stimulating factor and experiences dilutional anemia. The nurse would most likely determine which nursing diagnosis is most appropriate for this client?

Fatigue

After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students correctly choose which drug as a rhineralocorticoid?

Fludrocortisone

A nursing instructor is teaching a class on pituitary gland hormones. The instructor determines the class is successful when the students correctly choose which hormones as being secreted by the anterior pituitary gland? Select all that apply.

Growth hormone Prolactin Adrenocorticotropic hormone

Filgrastim is contraindicated in which of the following conditions?

Hypothyroidism

nurse is conducting the preadministration assessment on a client who is prescribed ferrous and notes the client is also currently prescribed ascorbic acid. Which potential reaction of these two drugs should the nurse prioritize for monitoring?

Increased absorption of iron

A nurse has administered levothyroxine to a client for hypothyroidism. The nurse determines the client is responding appropriately to the therapy based on which assessment finding?

Increased appetite

The nurse has administered glipizide and warfarin to a client. Which finding on assessment should nurse prioritize?

Increased hypoglycemic effect

A client is receiving corticosteroids and digoxin. The nurse will carefully monitor client for which potential adverse reaction?

Increased risk for toxicity

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client?

Ineffective Breathing Pattern

A nurse is presenting out which potential effect of green tea? information at a health fair concerning cancer. When questioned about the use of green tea, the nurse would point

Insomnia

A client with hyperthyroidism, who is prescribed methimazole, reports a skin rash to the nurse. Which instruction should the nurse prioritize when assessing the client?

Instruct the client to use soap sparingly.

A nurse is preparing to administer a long-acting insulin to a client. Which insulin might the nurse administer? Select all that apply.

Insulin detemir Insulin glargine

The nurse is preparing a presentation for a local community group about diabetes. Which facts should the nurse include when explaining type 1 diabetes? Select all that apply.

Insulin supplementation required for survival Occurs before age 20

A nursing instructor conducting a class discussion on the actions of vincristine. The instructor determines the class is successful when the student choose

Interfere with amino acid production in the S phase

During which phase of the cell cycle does a cell split into two daughter cells?

M

Hypothalamus Gland?

Negative feedback system Tells the pituitary what to do Located in the brain

A nurse is caring for a client with hypertension and anemia. Which action would the nurse include in the plan of care when administering epoetin alfa to the client?

Note the hematocrit value before each dose during therapy.

A nurse has determined a client has developed a hypoglycemic reaction. Which interventions should the nurse perform if the client can adequately demonstrate swallowing and gag reflexes?

O Give oral fluids or candy.

A health care provider has prescribed growth hormone for a client. Which periodic tests would the nurse anticipate monitoring at different intervals during the treatment?

O Glucose tolerance

The nurse is assessing a clicnt for risk factors associated with type 2 diabetes. Which findings would the nurse prioritize? Select all that apply.

O History of gestational diabetes O Impaired glucose tolerance Obesity

A nurse is preparing to administer insulin to the client. Which interventions should the nucse perform before administering each insulin dose?

O Inspect the previous injection site for inflammation.

After teaching an in-service presentation to a group of nurses about diabetes and insulin, the presenter determines that the session was successful when the group correctly chooses which insulins as rapid-acting? Select all that apply.

O Insulin glulisine Insulin aspart

Immunity is the body's ability to identify and resist potentially harmful?

O Microorganisms

A client with nocturnal enuresis is prescribed desmopressin acetate. Which assessment finding should the nurse prioritize for this client?

O Nasal congestion

The nurse determines a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements is the priority for a client receiving antineoplastic therapy. Which suggestion would be least appropriate for the nurse to include in the client's plan care?

O Offer fatty foods to stimulate the taste buds

Which medication is used to treat hyperthyroidism?

O Propylthiouracil (Propacil)

An erythrocyte is commonly known as a

O Red blood cells

Which of the following is necessary for oral hypoglycemic agents to be effective in managing Type 2 diabetes?

O Release of some endogenous insulin by the pancreas

The caregivers of a child who is recovering from chickenpox tell the nurse the child was given aspirin for a fever. The nurse would prioritize the assessment for indications of which adverse reaction?

O Reye syndrome

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The instructor determines the session is successful when

Obesity

A health care provider has prescribed vasopressin to the client. Which assessment should the nurse perform on the ongoing assessment?

Observe the client for blanching of the skin, abdominal cramps, and nausea.

A nurse is caring for a client with diabetes mellitus who is receiving an oral antidiabetic drug. Which ongoing assessments should the nurse prioritize when caring for this client?

Observe the client for hypoglycemic episodes.

A forest ranger arrives at a community clinic for prophylactic vaccination. The nurse predicts the health care provider will prescribe which vaccine for this client?

Rabies vaccine

An elderly client with diabetes insipidus has been prescribed vasopressin. Which nursing action should the nurse prioritize for this client?

Refilling the water container at frequent intervals

A nursing instructor is teaching a session illustrating the various forms of immunity utilized by the human body. The instructor determines its successful when the student correctly choose which type of immunity developing from animals?

Passive immunity

What type of immunity does an antivenin produce?

Passive immunity

A client with megaloblastic anemia is prescribed leucovorin. The nurse would question administration of this drug if which additional disorder is noted in the client's medical record?

Pernicious anemia

A group of nursing students are comparing antineoplastic drugs. The instructor determines the class is successful when the students point out which type of drugs exerts a cell cycle-specific action? Select all that apply.

Plant alkaloids Antimetabolites

A client, who is prescribed vinblastine, is also currently administered warfarin. The nurse will carefully monitor the client for which reaction?

Prolonged bleeding

The nurse is preparing to administer vitamin B12 to a client. The nurse would administer the drug cautiously if the client had which condition noted in the medical record?

Pulmonary disease

A client is prescribed cyanocobalamin following gastric bypass surgery. The nurse will prioritize which finding on the ongoing assessment?

Pulmonary edema

The nurse is preparing to administer dexamethasone to a client diagnosed with aspiration pneumonia. Which assessments should the nurse prioritize on the preadministration assessment? Select all that apply.

Pulse Lung auscultation

A nurse is preparing to teach a client about vasopressin. Which factors would the nurse integrate into the teaching? Select all that apply.

Regulates the reabsorption of water from the kidney. Secreted when body fluids must be conserved.

The nurse is preparing discharge teaching for a client with anemia who is prescribed epoetin alfa for the next week. Which instructor should the nurse prioritize to the client?

Report signs of joint pain the primary health care provider.

A client who is right-handed is to receive a booster injection for a previous vaccination. The nurse prepares to administer the injection at which site?

Right arm

A health care provider has prescribed methimazole for an elderly client with hyperthyroidism who lives alone. Which potential nursing diagnosis should the nurse prioritize for this client?

Risk for Ineffective Health Management

A group of nursing students are preparing a'presentation depicting the cell cycles and the antineoplastic agents which work best at each phase. The instructor determines the students have correctly illustrated the information by including antimetabolites at which phase?

S phase

A nurse is teaching a client about the antineoplastic agent which has been prescribed. When asked about potential hair loss, which answer should the nurse prioritize?

Suggest the use of a wig or cap

A group of nursing students are preparing to assess clients for potential thyroid disorders. The mentor determines the students are well prepared when they correctly point out which assessment findings could indicate hyperthyroidism? Select all that apply.

Tachycardia Weight loss

A client has been prescribed glucocorticoids for the treatment of congenital adrenal hyperplasia. Which should the nurse prioritize on the ongoing assessment for the client?

Take and record vital signs every 4 to 8 hours.

A nurse is preparing discharge teaching for a client who is prescribed glucocorticoid therapy. Which instructions should the nurse point out in the teaching plan for the client and caregivers?

Take the oral drug with meals or snacks.

The nurse is preparing to administer an antineoplastic drug to a client. Which preadministration assessments should the nurse prioritize? Select all that apply.

Temperature Blood pressure Weight

Cell mediated Immunity involves the?

Tlymphocytes

The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize?

Visual disturbances

A nurse is caring for a client during antineoplastic drug therapy and determines a nursing diagnosis of Impaired Tissue Integrity is appropriate.

Wear loose protective clothing.

A client presents to the clinic for a routine visit. The nurse suspects the client is experiencing hypothyroidism based on which assessment findings? Select all that apply.

Weight gain Bradycardia Sleepiness

Hypothyroidism tends to occur in geographic regions that are deficient in which of the following?

lodine

A nurse is providing care for a client diagnosed with thyroid cancer. Which drug would the nurse anticipate being prescribed for the client?

lodine-131

Hyperglycemia in excess can lead to problems with?

nerve damage wound healing blood pressure

The active and passive immunity of vaccinations focus on the?

passive antibody-mediated immunity