MED Surg Exam 2

A 28 year old quadriplegic complains of burning pain in his lower legs. What type of pain should the nurse suspect? A. Neuropathic pain B. Chronic pain C. somatic pain D. "hot abdomen" effect

A

This immunoglobulin is on lymphocytes and is "buddies" with IgM a. IgA b. IgD c. IgE d. IgG

B

A nurse reviews laboratory results for a client with chronic rhinitis. During an allergic response, in which immunoglobulin should the nurse expect to see an elevation? a. IgG b. IgE c. IgM d. IgA

B

This immunoglobulin is the largest in size and is the first antibody to form after an infection a. IgA b. IgD c. IgM d. IgG

C

The nurse is teaching a women's group about prevention of hypertension. What information should be included in the teaching for all the women (select all that apply)? A Lose weight. B Limit nuts and seeds. C Limit sodium and fat intake. D Increase fruits and vegetables. E Exercise 30 minutes most days

C D E

Pain that has no purpose and is often tolerated by the patient a. visceral b. cutaneous c. chronic d. acute

c

This immunoglobulin crosses placenta a. IgA b. IgD c. IgM d. IgG

d

A 72 year old patient is hospitalized after a fall at home, is restless, has elevated blood pressure, and moans with turns. When the nurse asks, the patient denies being in pain. What initial interventions should the nurse employ? A.Discuss the symptoms and explain how medication will increase comfort and increase healing B. Remind the patient they are in pain and admininster pain medication C. Ignore the signs, if the patient denies pain you must listen to what they say D. call the provider

A

A nurse is caring for a client who has a new diagnosis of hypertension and a new prescription for spironolactone (Aldactone) 25 mg/day. Which of the following statements by the client indicates a need for further teaching? A. I should eat fruits, veggies, bananas and potatoes b. report and changes of heart rate to my provider C. I will decrease the dose when i no longer have headaches D. I will decrease the does when my allergies are gone.

A

A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which laboratory value? a. IgE b. IgA c. Basophils d. Neutrophils

A

The nurse is caring for a patient with hypertension who is scheduled to receive a dose of esmolol (Brevibloc). The nurse should withhold the dose and consult the prescribing physician for which vital sign taken just before administration? A Pulse 48 B Respirations 24 C Blood pressure 118/74 D Oxygen saturation 93%

A

The nurse teaches a patient with hypertension that uncontrolled hypertension may damage organs in the body primarily by which mechanism? A Hypertension promotes atherosclerosis and damage to the walls of the arteries. B. Hypertension causes direct pressure on organs, Bresulting in necrosis and replacement of cells with scar tissue. C Hypertension causes thickening of the capillary membranes, leading to hypoxia of organ systems. D Hypertension increases blood viscosity, which contributes to intravascular coagulation and tissue necrosis distal to occlusions.

A

The nurse who is a member of the palliative care team is assessing a patient. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadequate. What teaching should the nurse do with this patient? A) Medication should be taken when pain levels are low so the pain is easier to reduce. B) Pain medication can be increased when the pain becomes intense. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. D) The patient will likely benefit more from distraction than pharmacologic interventions.

A

The reason newborns are protected for the first 6 months of life from bacterial infections is because of the maternal transmission of a.IgG. b.IgA. c.IgM. d.IgE.

A

This hypersensitivity classification is destructive and immediate. The most common form would be allergic rhinitis A. Type 1 B. Type 2 C. Type 3 D. Type 4

A

This type of immunity is from present antigens and causes long term immunity to develop a. active immunity b. passive immunity c. natural active immunity d. natural passive immunity

A

Two patients on your unit have recently returned to the postsurgical unit after knee arthroplasty. One patient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other patient is reporting a pain level of 3 to 4 on the same pain scale. What is the nurse's most plausible rationale for understanding the patients' different perceptions of pain? A) Endorphin levels may vary between patients, affecting the perception of pain. B) One of the patients is exaggerating his or her sense of pain. C) The patients are likely experiencing a variance in vasoconstriction. D) One of the patients may be experiencing opioid tolerance

A

What intervention does the nurse implement to provide for client safety during intradermal allergy testing? A. Stay with the client and ensure that emergency equipment is in the room. B. Pretreat the skin area to be tested with a cortisone-based cream. C. Apply oxygen by mask or nasal cannula before injecting the test agent. D. Cover the examination table and pillow with plastic or an ultrafine mesh.

A

Which hypertension medication stops the ability to produce angiotensin II, which is also known as one of the most potent vasoconstrictor. a. Renin inhibitors b. angiotensin II receptor antagonists c. calcium channel blockers d. beta-adrenergic blockers

A

A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which laboratory value? a. IgE b. IgA c. Basophils d. Neutrophils

A IgE is a mediator for allergic reactions

A healthy 65-year-old man who lives at home is at the clinic requesting a "flu shot." When assessing the patient, what other vaccinations should the nurse ask the patient about receiving (select all that apply)? A. Shingles B. Pneumonia C. Meningococcal D. Haemophilus influenzae type b (Hib) E. Measles, mumps, and rubella (MMR)

A C

Neuropathic pain can be caused by any of the following, select all that applies A. phantom pain B. exercise C. neuritis D. diabetic neuropathy E. etopic pregnancy

A C D

On initial assessment of an older patient, the nurse knows to look for certain types of diseases because which immunologic response increases with age? A. Autoimmune response B. Cell-mediated immunity C. Hypersensitivity response D. Humoral immune response

A. Autoimmune response With aging, autoantibodies increase, which lead to autoimmune diseases (e.g., systemic lupus erythematosus, acute glomerulonephritis, rheumatoid arthritis, hypothyroidism). Cell-mediated immunity decreases with decreased thymic output of T cells and decreased activation of both T and B cells. There is a decreased or absent delayed hypersensitivity reaction. Immunoglobulin levels decrease and lead to a suppressed humoral immune response in older adults.

A nurse is caring for a client who has a new diagnosis of hypertension and a new prescription for spironolactone (Aldactone) 25 mg/day. Which of the following statements by the client indicates an understanding? A. I should eat fruits, veggies, bananas and potatoes b. report and changes of heart rate to my provider C. I will decrease the dose when i no longer have headaches D. I should use a salt substitue

B

A patient's low hemoglobin and hematocrit have necessitated a transfusion of packed red blood cells (RBCs). Shortly after the first unit of RBCs starts to infuse, the patient develops signs and symptoms of a transfusion reaction. Which type of hypersensitivity reaction has the patient experienced? A. Type I B. Type II C. Type III D. Type IV

B

HMG-CoA Reductase Inhibitors, also known as the "satins" are known to do what? a. They inhibit the absorption of cholesterol b. They inhibit the body's cholesterol production c. They inhibit medial hyperplasia d. cure dyslipidemia

B

Select the best pain remedy for a patient who is experience anxiety and is has what is thought to be a low pain tolerance a. Asprin b. reassurance and assistance with breathing exercises c. gabapentin d. call the provider to get an order for Xanax STAT

B

Select the correct response in relation to visceral and somatic pain. a. Visceral pain involves deeper tissues, bones and organs while somatic pain involves joints and arthritis b. Visceral pain involves organ pain that is often referred while somatic pain involves deep tissues, bones and joints c. Visceral pain involves superficial skin and tissues, while somatic pain involves deeper tissues

B

The nurse is assessing a patient's pain while the patient awaits a cholecystectomy. The patient is tearful, hesitant to move, and grimacing. When asked, the patient rates his pain as a 2 at this time using a 0-to-10 pain scale. How should the nurse best respond to this assessment finding? A) Remind the patient that he is indeed experiencing pain. B) Reinforce teaching about the pain scale number system. C) Reassess the patient's pain in 30 minutes. D) Administer an analgesic and then reassess.

B

The nurse obtains this information from a patient with prehypertension. Which finding is most important to address with the patient? a. Low dietary fiber intake b. No regular aerobic exercise c. Weight 5 pounds above ideal weight d. Drinks wine with dinner once a week

B

There are 4 types of pain: Nerve, somatic, radiating, and referred. Which type of pain would you expect to be felt in the muscles, skin, or skeletal system? A. Nerve B. Somatic C. radiating D. referred

B

This hypersenstivity reaction involves IgM, IgG and damage to the lungs/kidneys. Examples would be incompatable transfusions, good pastures syndrome and myasthemia gravis A. Type 1 B. Type 2 C. Type 3 D. Type 4

B

This hypersenstivity reaction involves inflammation and destrustion of the lungs/kidneys. Examples would be incompatable transfusions, good pastures syndrome and myasthemia gravis A. Type 1 B. Type 2 C. Type 3 D. Type 4

B

Which assessment finding for a patient who is receiving furosemide (Lasix) to treat stage 2 hypertension is most important to report to the health care provider? a. Blood glucose level of 180 mg/dL b. Blood potassium level of 3.0 mEq/L c. Early morning BP reading of 164/96 mm Hg d. Orthostatic systolic BP decrease of 12 mm Hg

B

You are the emergency department (ED) nurse caring for an adult patient who was in a motor vehicle accident. Radiography reveals an ulnar fracture. What type of pain are you addressing when you provide care for this patient? A) Chronic B) Acute C) Intermittent D) Osteopenic

B

You are caring for a 20-year-old patient with a diagnosis of cerebral palsy who has been admitted for the relief of painful contractures in his lower extremities. When creating a nursing care plan for this patient, what variables should the nurse consider? Select all that apply. A) Patient's gender B) Patient's comorbid conditions C) Type of procedure be performed D) Changes in neurologic function due to the procedure E) Prior effectiveness in relieving the pain

BCDE

A 21-year-old student had taken amoxicillin once as a child for an ear infection. She is given an injection of Penicillin V and develops a systemic anaphylactic reaction. What manifestations would be seen first? A. Dyspnea B. Dilated pupils C. Itching and edema D. Wheal-and-flare reaction

C

A 52-year-old female patient is receiving care on the oncology unit for breast cancer that has metastasized to her lungs and liver. When addressing the patient's pain in her plan of nursing care, the nurse should consider what characteristic of cancer pain? A) Cancer pain is often related to the stress of the patient knowing she has cancer and requires relatively low doses of pain medications along with a high dose of anti-anxiety medications. B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of pain medications. D) Cancer pain is often misreported by patients because of confusion related to their disease process.

C

A client who is receiving an intravenous antibiotic begins to cough and states, "My throat feels like it is swelling." Which action will the nurse take next? A. Infuse normal saline at 200 mL/hr. B. Administer epinephrine (Adrenalin) 1:1000, 0.3 mL subcutaneously. C. Discontinue infusing the antibiotic. D. Give diphenhydramine (Benadryl) 100 mg IV.

C

A new mother expresses concern about her baby developing allergies and asks what the health care provider meant by "passive immunity." Which example should the nurse use to explain this type of immunity? a. Early immunization b. Bone marrow donation c. Breastfeeding her infant d. Exposure to communicable diseases

C

A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of a severe headache and has a BP of 240/118 mm Hg. Which question should the nurse ask first? a. Did you take any acetaminophen (Tylenol) today? b. Do you have any recent stressful events in your life? c. Have you been consistently taking your medications? d. Have you recently taken any antihistamine medications?

C

A patient with colon cancer is being managed with OxyContin 30mg PO BID and Oxycodone 5mg PO q4h PRN for breakthrough pain. The patients wife voices her concern that the patient is becoming addicted to the medication and questions whether milder nonnarcotic medications could be used. What is the most appropriate response by the nurse? A. She is correct, the need for a second pain medication is unnecessary B. call the provider and tell them the wife's concerns C. With the diagnosis of cancer there is a need to use regular and strong mediaction for pain control to provide a better quality of life D. Explain that many pain medications are needed because cancer is terminal

C

An unknown unconscious client with an elevated temperature is ordered intravenous penicillin. What is the best action for the nurse to take? A. Administer the medication. B. Check the chart for allergies. C. Look for medical alert identification. D. Notify the nursing supervisor.

C

An unlicensed nursing assistant (NA) reports to the nurse that a postsurgical patient is complaining of pain that she rates as 8 on a 0-to-10 point scale. The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. What is the nurse's best response? A) "Pain often comes and goes with postsurgical patients. Please ask her about pain again in about 30 minutes." B) "We need to provide pain medications because it is the law, and we must always follow the law." C) "Unless there is strong evidence to the contrary, we should take the patient's report at face value.'" D) "It's not unusual for patients to misreport pain to get our attention when we are busy."

C

Assessment findings reveal that the client admitted to the hospital has a contact type I hypersensitivity to latex. Which preventive nursing intervention is best in planning care for this client? A. Report the need for desensitization therapy. B. Convey the need for pharmacologic therapy to the health care provider. C. Communicate the need for avoidance therapy to the health care team. D. Discuss symptomatic therapy with the health care provider.

C

The charge nurse observes a new RN doing discharge teaching for a hypertensive patient who has a new prescription for enalapril (Vasotec). The charge nurse will need to intervene if the new RN tells the patient to a. check the BP with a home BP monitor every day. b. move slowly when moving from lying to standing. c. increase the dietary intake of high-potassium foods. d. make an appointment with the dietitian for teaching.

C

The nurse is caring for a patient admitted with chronic obstructive pulmonary disease (COPD), angina, and hypertension. Before administering the prescribed daily dose of atenolol 100 mg PO, the nurse assesses the patient carefully. Which adverse effect is this patient at risk for, given the patient's health history? A Hypocapnia B Tachycardia C Bronchospasm D Nausea and vomiting

C

The nurse plans to assess the client with type I hypersensitivity for which clinical manifestation? A. Poison ivy B. Autoimmune hemolytic anemia C. Allergic asthma D. Rheumatoid arthritis

C

There are 4 types of pain: Nerve, somatic, radiating, and referred. Which type of pain would you expect with a heart attack? A. Nerve B. Somatic C. radiating D. referred

C

There are 4 types of pain; Nerve, somatic, radiating, and referred. Which type of pain would you see with a heart attack? A. Nerve B. Somatic C. radiating D. referred

C

This hypersensitivity reaction is destructive and involves inflammation. Large immune complexes circulate and overwhelm the host, for example Lupus. A. Type 1 B. Type 2 C. Type 3 D. Type 4

C

This hypertension medication stops the patient from conserving salt, thus lowering the sodium level a. ACE inhibitors b. angiotensin II receptor antagonists c. aldosterone receptor antagonist d. beta-adrenergic blockers

C

This type of immunity is from injected antigens, for instance scheduled immunizations a. active immunity b. passive immunity c. aquired active immunity d. natural passive immunity

C

When teaching how lisinopril (Zestril) will help lower the patient's blood pressure, which mechanism of action should the nurse use to explain it? A Blocks β-adrenergic effects. B Relaxes arterial and venous smooth muscle. C Inhibits conversion of angiotensin I to angiotensin II. D Reduces sympathetic outflow from central nervous system.

C

Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new patient? a. Obtain a BP reading in each arm and average the results. b. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. c. Have the patient sit in a chair with the feet flat on the floor. d. Assist the patient to the supine position for BP measurements.

C

Which information should the nurse include when teaching a patient with newly diagnosed hypertension? a. Dietary sodium restriction will control BP for most patients. b. Most patients are able to control BP through lifestyle changes. c. Hypertension is usually asymptomatic until significant organ damage occurs. d. Annual BP checks are needed to monitor treatment effectiveness.

C

Which medication dialates blood vessels and slows the heart rate? a. ACE inhibitors b. angiotensin II receptor antagonists c. calcium channel blockers d. beta-adrenergic blockers

C

Which patient should the nurse assess first? a. Patient with urticaria after receiving an IV antibiotic b. Patient who has graft-versus-host disease and severe diarrhea c. Patient who is sneezing after having subcutaneous immunotherapy d. Patient with multiple chemical sensitivities who has muscle stiffness

C

You are assessing an 86-year-old postoperative patient who has an unexpressive, stoic demeanor. When you enter the room, the patient is curled into the fetal position and your assessment reveals that his vital signs are elevated and he is diaphoretic. You ask the patient what his pain level is on a 0-to-10 scale that you explained to the patient prior to surgery. The patient indicates a pain level of "three or so." You review your pain-management orders and find that all medications are ordered PRN. How would you treat this patient's pain? A) Treat the patient on the basis of objective signs of pain and reassess him frequently. B) Call the physician for new orders because it is apparent that the pain medicine is not working. C) Believe what the patient says, reinforce education, and reassess often. D) Ask the family what they think and treat the patient accordingly.

C

Your patient is 12-hours post ORIF right ankle. The patient is asking for a breakthrough dose of analgesia. The pain-medication orders are written as a combination of an opioid analgesic and a nonsteroidal anti-inflammatory drug (NSAID) given together. What is the primary rationale for administering pain medication in this manner? A) To prevent respiratory depression from the opioid B) To eliminate the need for additional medication during the night C) To achieve better pain control than with one medication alone D) To eliminate the potentially adverse effects of the opioid

C

A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of a severe headache and has a BP of 240/118 mm Hg. Which question should the nurse ask first? a. Did you take any acetaminophen (Tylenol) today? b. Do you have any recent stressful events in your life? c. Have you been consistently taking your medications? d. Have you recently taken any antihistamine medications?

C "Pril"

The nurse is caring for a patient admitted with chronic obstructive pulmonary disease (COPD), angina, and hypertension. Before administering the prescribed daily dose of atenolol 100 mg PO, the nurse assesses the patient carefully. Which adverse effect is this patient at risk for, given the patient's health history? A Hypocapnia B Tachycardia C Bronchospasm D Nausea and vomiting

C olol = beta blocker, which can cause bronchospasms

The charge nurse observes a new RN doing discharge teaching for a hypertensive patient who has a new prescription for enalapril (Vasotec). The charge nurse will need to intervene if the new RN tells the patient to a. check the BP with a home BP monitor every day. b. move slowly when moving from lying to standing. c. increase the dietary intake of high-potassium foods. d. make an appointment with the dietitian for teaching.

C pril = ace inhibitor which can cause potassium retention

A 44-year-old man is diagnosed with hypertension and receives a prescription for benazepril (Lotensin). After the nurse teaches him about the medication, which statement by the patient indicates his correct understanding? A "If I take this medication, I will not need to follow a special diet." B "It is normal to have some swelling in my face while taking this medication." C "I will need to eat foods such as bananas and potatoes that are high in potassium." D "If I develop a dry cough while taking this medication, I should notify my doctor."

D

A 52-year-old patient who has no previous history of hypertension or other health problems suddenly develops a BP of 188/106 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that a. a BP recheck should be scheduled in a few weeks. b. the dietary sodium and fat content should be decreased. c. there is an immediate danger of a stroke and hospitalization will be required. d. more diagnostic testing may be needed to determine the cause of the hypertension.

D

A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. The patient asks "why does it still feel like my leg is attached, and why does it still hurt?" The nurse explains neuropathic pain in terms that are accessible to the patient. The nurse should describe what pathophysiologic process? A) The proliferation of nociceptors during times of stress B) Age-related deterioration of the central nervous system C) Psychosocial dependence on pain medications D) The abnormal reorganization of the nervous system

D

After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented, which diet choice indicates that the teaching has been effective? a. The patient avoids eating nuts or nut butters. b. The patient restricts intake of dietary protein. c. The patient has only one cup of coffee in the morning. d. The patient has a glass of low-fat milk with each meal.

D

The nurse is accepting care of an adult patient who has been experiencing severe and intractable pain. When reviewing the patient's medication administration record, the nurse notes the presence of gabapentin (Neurontin). The nurse is justified in suspecting what phenomenon in the etiology of the patient's pain? A) Neuroplasticity B) Misperception C) Psychosomatic processes D) Neuropathy

D

The nurse is reviewing discharge teaching with the client who suffered an anaphylactic reaction to a bee sting. Which statement by the client indicates the need for further teaching? A. "I must wear a medical alert bracelet stating that I am allergic to bee stings." B. "I need to carry epinephrine with me." C. "My spouse must learn how to give me an injection." D. "I am immune to bee stings now that I have had a reaction."

D

The nursing instructor asks the student nurse to explain a type IV hypersensitivity reaction. Which statement by the student best describes type IV hypersensitivity? A. "It is a reaction of immune globulin (Ig)G with the host cell membrane or antigen." B. "The reaction of sensitized T-cells with antigen and release of lymphokines activate macrophages and induce inflammation." C. "It results in release of mediators, especially histamine, because of the reaction of IgE antibody on mast cells." D. "An immune complex of antigen and antibodies is formed and deposited in the walls of blood vessels."

D

There are 4 types of pain: Nerve, somatic, radiating, and referred. Which type of pain would you expect with an etopic pregnancy that has burst and is now causing a "hot abdomen"? A. Nerve B. Somatic C. radiating D. referred

D

This type of hypersensitivity reaction is generally uncommon, for instance poison Ivy, latex allergy, and purified protein dyrivative A. Type 1 B. Type 2 C. Type 3 D. Type 4

D

This type of immunity is present without prior infection a. active immunity b. passive immunity c. artificial immunity d. natural immunity

D

When a patient with hypertension who has a new prescription for atenolol (Tenormin) returns to the health clinic after 2 weeks for a follow-up visit, the BP is unchanged from the previous visit. Which action should the nurse take first? a. Provide information about the use of multiple drugs to treat hypertension. b. Teach the patient about the reasons for a possible change in drug therapy. c. Remind the patient that lifestyle changes also are important in BP control. d. Question the patient about whether the medication is actually being taken.

D

After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented, which diet choice indicates that the teaching has been effective? a. The patient avoids eating nuts or nut butters. b. The patient restricts intake of dietary protein. c. The patient has only one cup of coffee in the morning. d. The patient has a glass of low-fat milk with each meal.

D DASH diet: low fat milk, fruits, veggies, whole grains, lean protein

The nurse is reviewing discharge teaching with the client who suffered an anaphylactic reaction to a bee sting. Which statement by the client indicates the need for further teaching? A. "I must wear a medical alert bracelet stating that I am allergic to bee stings." B. "I need to carry epinephrine with me." C. "My spouse must learn how to give me an injection." D. "I am immune to bee stings now that I have had a reaction."

D acid is injected by the bee sting

The nurse is accepting care of an adult patient who has been experiencing severe and intractable pain. When reviewing the patient's medication administration record, the nurse notes the presence of gabapentin (Neurontin). The nurse is justified in suspecting what phenomenon in the etiology of the patient's pain? A) Neuroplasticity B) Misperception C) Psychosomatic processes D) Neuropathy

D adjuvant drug for depression that can also be used for neuropathic pain

A patient is taking opioid analgestics, what is the most important aspect that needs to be monitored? A. who has access to the patients medication B. constipation C. Incontinence D. Respirations

D.

In reference to first and second intention healing which of the following are true statements? SATA a. 1st intention involves mechanically stitching the wound b. 2nd intention causes a weaker scar c. 2nd intention heals from the bottom up d. 1st intention is done naturally e. 2nd intention is generally "stronger" than 1st intention.

a c e

The nurse is alerted to possible anaphylactic shock immediately after a patient has received intramuscular penicillin by the development of a.edema and itching at the injection site. b.sneezing and itching of the nose and eyes. c.a wheal-and-flare reaction at the injection site. d.chest tightness and production of thick sputum.

a

This immunoglobulin is found in mucus membranes and prevents upper respiratory, GI, gentital, and urinary infections a. IgA b. IgD c. IgM d. IgG

a

The nurse is alerted to possible anaphylactic shock immediately after a patient has received intramuscular penicillin by the development of a.edema and itching at the injection site. b.sneezing and itching of the nose and eyes. c.a wheal-and-flare reaction at the injection site. d.chest tightness and production of thick sputum.

a because its an IM the reaction will start at the site

Choose all medication categories that are used for general allergy treatment a.glucocorticoids b.antihistamines c.anithypertensives d.decongestatants e.inotrope

a b d

A patient with cancer pain needs to be prescribed pain medication to better improve his quality of life. The provider has characterized this level of pain as severe and will most likely prescribe what? SATA a. morphine b. dilautin c. codeine d. asprin or acetominaphen alone to start off. e. oxycotin

a b e

Select all that apply to venous insufficiency a. achy, throbbing pain at the end of the day b. stasis dermatitis c. coldness d. buergers disease and varicose veins e. edema and varicose veins

a b e

The following are characteristics of atherosclerosis, SATA a. formation of plaque on arterial wall b. an effect of paraldehyde in alcohol c. age associated d. decreased collagen levels e. high cholesterol, LDLs & triglycerides

a b e

When a patient is taking ACE inhibitors the nurse should watch for which common side effects? SATA a. cough b. sleep deprivation c. bronchospasms d. low pulse rate e. potassium retention

a b e

A patient is prescribed a Fetnyl patch for pain management. Which statements would require further teaching? SATA A . I will flush every used patch immediately after I take it off b. I will clean with soap and water c. I can use alcohol swabs to get off access sticky material d. I need to fold the patch in half after removal e. I can dispose of my used patch in a portable sharps container.

a c

Select all that applies to acute pain a. no purpose b. elevation of vitals c. systematic d. generally heals in 3-6 months e. generally heals in 2-3 months

b c d

1. A nurse is screening a male client for hypertension. The nurse should identify that which of the following actions by the client increase his risk for hypertension? (Select all that apply.) A. Drinking 8 oz nonfat milk daily B. Eating popcorn at the movie theater C. Walking 1 mile daily at 12 min/mile pace D. Consuming 36 oz beer daily E. Getting a massage once a week

b d

This type of immunity is developed from exposure a. active immunity b. passive immunity c. adaptive immunity d. natural passive immunity

c

This type of immunity would be present when the patient is fighting off a common cold a. active immunity b. passive immunity c. natural active immunity d. natural passive immunity

c

A patient is prescribed NSAID's for anti-inflammatory purposes. What are important aspects to consider when taking this medication? SATA a. respirations b. constipation c. GI tract bleeding d. renal insufficency e. blood clotting

c d e

This immunoglobulin is least concentrated (usually) and mediates allergic reactions by inactivating the allergen then allowing phagocytes to eat it. a. IgA b. IgD c. IgM d. IgE

d

This is the most abundant immunoglobulin that creates long term immunity from the second exposure a. IgE b. IgD c. IgM d. IgG

d