N520 HESI EAQ Endocrine

Atenolol 150 mg by mouth is prescribed for a client with hypertension. Each tablet contains 50 mg. How many tablets should the nurse administer?

3 tablets

A client is scheduled for an adrenalectomy. What does the nurse expect that the plan of care will include? Low-protein diet Parenteral corticosteroids Preoperative 24-hour urine specimen Withholding all medications 48 hours before surgery

Parenteral corticosteroids

Which relationship does the nurse consider reflective of the relationship of naloxone to morphine sulfate? Aspirin to warfarin Amoxicillin to infection Enoxaparin to dalteparin Protamine sulfate to heparin

Protamine sulfate to heparin

A client with type 1 diabetes is admitted to the hospital for major surgery. Before surgery, the client's insulin requirements are elevated but well controlled. What insulin requirements will the nurse anticipate for this client postoperatively? Decrease Fluctuate Increase sharply Remain elevated

Remain elevated

What should the nurse teach a client who is taking warfarin? Report episodes of spontaneous bleeding. Increase the dose with prolonged inactivity. Take antibiotics, if injured, to prevent infection. Eat a diet with an increased quantity of green vegetables.

Report episodes of spontaneous bleeding.

A client is receiving oxycodone postoperatively for pain. The healthcare provider's prescription indicates that the dose should be administered every 3 hours for eight doses. What should the nurse assess before administering each dose of oxycodone? Respiratory rate and level of consciousness Color, character, and amount of urine output Intravenous site and patency of the intravenous catheter Amount and character of drainage in the portable drainage system

Respiratory rate and level of consciousness

Which gland does the nurse state is an exocrine gland?

Salivary gland

A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. What does the nurse identify as the drug's mechanism of action? Blocks the effects of acetylcholine Increases the production of dopamine Restores the dopamine levels in the brain Promotes the production of acetylcholine

Restores the dopamine levels in the brain

A client is undergoing diagnostic testing to determine if the client has myasthenia gravis. The nurse understands that the test that is most specific for determining the presence of this disease is what? Electromyography Pyridostigmine test History of physical deterioration Edrophonium chloride test

Edrophonium chloride test

When preparing a client for discharge after a thyroidectomy, the nurse teaches the signs of hypothyroidism. When teaching when to call the primary healthcare provider, what statement made by the client shows that teaching was effective? "I should call the primary healthcare provider for dry hair and an intolerance to cold." "I should call the primary healthcare provider for muscle cramping and sluggishness." "I should call the primary healthcare provider for fatigue and an increased pulse rate." "I should call the primary healthcare provider for tachycardia and an increase in weight."

"I should call the primary healthcare provider for dry hair and an intolerance to cold."

A client who is receiving chemotherapy for lung cancer has nausea and vomiting because of the therapy. The client wants to know if it is true that smoking marijuana will help. What is the nurse's best response? "Smoking marijuana is not legal in any state." "Marijuana is effective for nausea and vomiting if it is injected." "Marijuana is not proven to be effective in preventing chemotherapy-induced nausea and vomiting." "There are some tetrahydrocannabinol (THC)-based medications that contain marijuana that control chemotherapy-induced nausea and vomiting in some people."

"There are some tetrahydrocannabinol (THC)-based medications that contain marijuana that control chemotherapy-induced nausea and vomiting in some people."

A client with gastroesophageal reflux is to receive metoclopramide 15 mg orally before meals. The concentrated solution contains 10 mg/mL. How much solution should the nurse administer? Record your answer using one decimal place.

1.5 mL

Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains 0.6 mg. How many tablets should the nurse administer? Record your answer using a whole number.

2 tablets 1200 mcg = 1.2 mg 1.2mg / 0.6mg = 2

A client with a stage IV pressure ulcer is to receive 0.22 g of zinc sulfate by mouth. Each tablet contains 110 mg. How many tablets should the nurse administer? Record your answer using a whole number.

2 tablets First convert 0.22 g to its equivalent in mg by multiplying by 1000 (move the decimal 3 places to the right). Use the "Desire over Have" formula of ratio and proportion to solve this problem.Desire 220 mg x tablets------------------ = ---------Have 110 mg 1 tablet110x = 220x = 220 ÷ 110x = 2 tablets

The nurse is teaching a client newly diagnosed with diabetes about the importance of glucose monitoring. Which blood glucose levels should the nurse identify as hypoglycemia? 68 mg/dL (3.8 mmol/L) 78 mg/dL (4.3 mmol/L) 88 mg/dL (4.9 mmol/L) 98 mg/dL (5.4 mmol/L)

68 mg/dL (3.8 mmol/L)

Phenytoin suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 mL. How much solution will the nurse administer? Record your answer using a whole number.

8 mL

A client with rheumatoid arthritis has been given a prescription for acetylsalicylic acid. The client asks the nurse, "What kind of drug is acetylsalicylic acid?" The nurse recalls that this drug has which property? Sedative Hypnotic Analgesic Antibiotic

Analgesic

A client had surgery for a ruptured appendix. Postoperatively, the health care provider prescribes an antibiotic to be administered intravenously twice a day. The nurse administers the prescribed antibiotic via a secondary line into the primary infusion of 0.9% sodium chloride. During the administration of the antibiotic, the client becomes restless and flushed, and begins to wheeze. What should the nurse do after stopping the antibiotic infusion? Check the client's temperature. Take the client's blood pressure. Obtain the client's pulse oximetry. Assess the client's respiratory status.

Assess the client's respiratory status.

Which catecholamine receptor is responsible for increased heart rate? Beta 1 receptor Beta 2 receptor Alpha 1 receptor Alpha 2 receptor

Beta-1 receptors

A client is receiving doxorubicin as part of a chemotherapy protocol. The nurse should assess the client for which major life-threatening side effect of doxorubicin? Anemia Cardiotoxicity Pulmonary fibrosis Ulcerative stomatitis

Cardiotoxicity

What is the priority goal for a client with asthma who is being discharged from the hospital with prescriptions for inhaled bronchodilators? Is able to obtain pulse oximeter readings Demonstrates use of a metered-dose inhaler Knows the healthcare provider's office hours Can identify the foods that may cause wheezing

Demonstrates use of a metered-dose inhaler

Which organ has only beta 1-receptors? Liver Heart Bladder Pancreas

Heart

A client is admitted to the hospital for an adrenalectomy. The nurse is providing postoperative care before the client's replacement steroid therapy is regulated fully. The nurse should monitor the client for which complication? Hypotension Hypokalemia Hypernatremia Hyperglycemia

Hypotension

A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining large amounts of clear, colorless urine. What does the nurse identify as the most likely cause? Increased serum glucose Deficient renal perfusion Inadequate antidiuretic hormone (ADH) secretion Excess amounts of intravenous (IV) fluid

Inadequate antidiuretic hormone (ADH) secretion

Ranitidine has been prescribed to help treat a client's gastric ulcer. The nurse expects this drug to act specifically by which mechanism? Lowering the gastric pH Promoting the release of gastrin Regenerating the gastric mucosa Inhibiting the histamine at H 2 receptors

Inhibiting the histamine at H 2 receptors

A client with hyperthyroidism is to receive methimazole. What instructions does the nurse provide? Initial improvement will take several weeks. There are few side effects associated with this drug. This medication may be taken at any time during the day. Large doses are used to quickly correct the functions of the thyroid.

Initial improvement will take several weeks.

A client is receiving combination chemotherapy for treatment of metastatic carcinoma. For which systemic side effect should the nurse monitor the client? Ascites Nystagmus Leukopenia Polycythemia

Leukopenia

Which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone? Anovulation Dehydration Malaise and lethargy Menstrual abnormalities

Malaise and lethargy

What therapeutic effect does the nurse expect to identify when mannitol is administered parenterally to a client with cerebral edema? Improved renal blood flow Decreased intracranial pressure Maintenance of circulatory volume Prevention of the development of thrombi

decreased intracranial pressure

A healthcare provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system? Distal tubule Collecting duct Glomerulus of the nephron Loop of Henle

loop of henle