N352 Learner Prep 3

Which instruction about clopidogrel (Plavix) should be included in the discharge teaching for a patient who has received a coronary stent? "Constipation is a common side effect of clopidogrel, so take a stool softener daily." "Do not worry if you see blood in your urine or black stools, this is a common side effect." "Check with your healthcare provider before taking any over-the-counter medications for gastric acidity." "Keep the amounts of foods containing vitamin K, such as mayonnaise, canola and soybean oil, and green, leafy vegetables, consistent in your diet."

"Check with your healthcare provider before taking any over-the-counter medications for gastric acidity."

The nurse is providing teaching for a patient receiving glipizide (Glucotrol). Which patient statement indicates understanding of this medication? "I need to notify my doctor if I have episodes of shakiness and sweating." "Since this is an oral diabetic control medication, I will never have hypoglycemia." "I can eat whatever I wish as long as I take my medication daily as prescribed." "I will not have to test my blood sugars at home because this medication will cure my diabetes."

"I need to notify my doctor if I have episodes of shakiness and sweating."

The nurse is caring for a patient with asthma who is scheduled to start taking a glucocorticoid medication with a metered-dose inhaler (MDI). The nurse should give the patient which instruction about correct use of the inhaler? "After you inhale the medication once, repeat until you obtain symptomatic relief." "Wait no longer than 30 seconds after the first puff before taking the second one." "Use a spacer with the inhaler and rinse your mouth after each dose administration." "Breathe in through the nose and hold for 2 seconds just before activating the inhaler."

"Use a spacer with the inhaler and rinse your mouth after each dose administration."

A patient is scheduled to start taking sildenafil (Viagra) for erectile dysfunction. A nurse should recognize that the patient is at risk for developing an adverse cardiac event if the patient's history reveals which conditions? Angina Hypertension Varicose veins Prosthetic mitral valve

Angina

The nurse is caring for a patient with asthma. The nurse assess increased wheezes upon asuscultation after ambulation. The nurse administers an "as needed" dose of Albuterol (Proventil) via nebulizer treatment. After the treatment, the patient is resting quietly with an SaO2 of 94%. What is the next action by the nurse? Auscultate bilateral lung fields. Continue the ambulation. Put the patient on oxygen by mask. Repeat the nebulizer treatment.

Auscultate bilateral lung fields.

The nurse is caring for a client who has diabetes mellitus Type II. Before administering metformin (Glucophage), the nurse should notify the prescriber about which laboratory value? Creatinine (Cr) level of 2.1 mg/dL Hemoglobin (Hgb) level of 9.5 gm/dL Sodium (Na) level of 131 mEq/dL Platelet count of 120,000/mm3

Creatinine (Cr) level of 2.1 mg/dL

A patient with deep vein thrombosis is receiving an intravenous (IV) heparin infusion. He asks the nurse how this medication will help him. The nurse's response is accurately based on which concept? Heparin prevents the activation of vitamin K and thus blocks synthesis of some clotting factors. Heparin suppresses coagulation by helping antithrombin perform its natural functions. Heparin works by converting plasminogen to plasmin, which in turn dissolves the clot matrix. Heparin inhibits the enzyme responsible for platelet activation and aggregation within vessels.

Heparin suppresses coagulation by helping antithrombin perform its natural functions.

A patient newly diagnosed with type 1 diabetes asks a nurse, "How does insulin normally work in my body?" The nurse explains that normal insulin has which action in the body? It stimulates the pancreas to reabsorb glucose. It promotes the synthesis of amino acids into glucose. It stimulates the liver to convert glycogen to glucose. It promotes the passage of glucose into cells for energy.

It promotes the passage of glucose into cells for energy.

The nurse is caring for a patient who has asthma. The nurse teaches a patient with chronic asthma to use an inhaled glucocorticoid medication according to which schedule? Only in an emergency. On a continuing, daily basis. To abort an asthma attack. 2 weeks on, 2 weeks off.

On a continuing, daily basis.

The nurse is providing education to a 35 year old woman who is being prescribed oral contraceptives. Which risk factor would increase the risk of thromboembolic phenomena (Blood clots) arising from Oral Contraceptives use in this patient? Alcohol consumption. Asthma. Smoking. Noncompliance.

Smoking.