MEDSURG/PHARMA

93問 • 1年前

問題一覧

Which one of the following statements, if made by the client, indicates teaching about Inderal (propranolol) has been effective?

“I can have a heart attack if I stop this medication suddenly."

The nurse is assigned to care for aclient newly diagnosed with angina. As part of discharge teaching, it is important to remind the client to remove the nitroglycerine patch after 12 hours in order to prevent what condition?

Drug tolerance

A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?

Talk with the client to find out about the preferred herbal preparation

Aclient was prescribed with ibuprofen 50 mg tid for long-term control of rheumatoid arthritis. Which of the folowing will the nurse instruct the client to report?

Black tarry stool

Which of the following client statement requires further teaching regarding the use of indomethacin (Indocin)?

“I can take the drug without meal if Iam not hungry."

Aclient is taking Diazepam(Valium) shows appropriate understanding of the teaching when he states

"I will chew sugarless gum for dry mouth."

What should a nurse include in the discharge instructions of a client taking alendronate (Fosamax)?

Administer the drug preferably in the morning before meals

Anurse monitoring an MI client taking metoprolol should report presence of

+2 pitting edema

The client is being treated with Vancomycin for MRSA. After a few minute of the infusion the client suddenly develops a maculopapular rash in the face and neck. Which of the following actions should the nurse take first?

Turn off the infusion

A client with ESRD is receiving an order for erythropoietin (Epogen) SQ. the nurse should teach the client to report

Severe headache

Which of the following should the nurse emphasize in a client to report while taking Vancomycin?

Decreased urine output

Which instruction should be given to a client taking a long-term atorvastatin (Lipitor)?

Watch out for bleeding tendencies

Steroid is prescribed for a client after an organ transplant. The nurse expects the client to manifest which electrolyte imbalance?

hypokalemia and hyperphosphatemia

A client is being treated for heart failure with bumetamide (Bumex). Which of the following assessment findings best indicate to the nurse that the drug is effective?

The client's weight had decreased

What would the nurse expect in a client with continuous epidural anesthesia to report?

Lethargy

The physician has ordered Fluorouracil 700 mg IV once a week to a 60-year-old patient with malignant tumor of the breast. When the patient heard this, she says to the nurse, "Am I going to lose my hair?" Which is the best response of the nurse?

"Hair loss is normal and you can use a wig until your hair grows back."

Nurse Odette provides medication instruction to Justin who has PUD. Which statement if made by the px indicates the best understanding of the medication therapy?

"Cimetidine (Tagamet) will cause me to produce less stomach acid."

Which of the following medications used in the management of the cholelithiasis acts by inhibiting the synthesis and secretion of cholesterol, thereby de-saturating bile?

UDCA

In patients with diuretic-induced hypokalemia, a diuretic that prevents further hypokalemia is:

amiloride

Which of the following eye drops will Nurse Masha expect to be prescribed for Ernie as a preparation for cataract surgery?

Mydriatic agent

Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what its indication is. The nurse knows that it is given to:

Relax smooth muscles of the bronchial airway

An elderly client has been using Casanthrol on a long-term basis to treat constipation. The nurse interprets which of the ff laboratory results as due to the side effects this medication?

potassium 3.1 mEq/L

If Verapamil hydrochloride (Calan) is administered with Propranolol (Inderal), the nurse should monitor the client closely for signs of:

Bradycardia and heart failure

A male client who is hospitalized following a myocardial infarction asks the nurse why he is receiving morphine. The nurse replies that morphine:

decreases anxiety and restlessness

Which medication would be contraindicated in a client with chronic open-angle glaucoma?

Atropine

A 55-year-old client was brought in the ER department complaining of sudden eye pain, severe headache, N/V, and blurrea vision with halos around lights. Upon assessment, it was found out that the client has Glaucoma. Which of the following nursing management shouldn't anticipate?

Urge the client to begin regular eye examination at age 50 and continue annually

A client with a subdural hematoma was given mannitol to decrease intracranial pressure (ICP). Which of the following results would best show the mannitol was effective?

Urine output increase

To evaluate the effectiveness of levodopa-carbidopa (Sinemet), a nurse would watch for which of the following results?

Lessened rigidity and tremor

Which among the following medications is contraindicated for a patient with increased intracranial pressure?

Demerol

The drug of choice for myasthenia gravis acts by:

Blocking the action of cholinesterase

Mr. Sasuke 58-year-old is admitted for a suspected heart failure. He has shortness of breath, mild chest pain, tachypnea and presence of crackles on the bases of both lungs. Your head nurse (HN) instructed you to prepare nitroglycerin to be administered by Intravenous route. You validated from your head nurse why such medication is going to be siven to patient The HN as part of her teaching function provided you this APPROPRIATE response. This is to

"Reduce after load"

A patient with CHF and Hypertension have a laboratory result of: Sodium-138, Potassium- 1.5 and an elevated Cholesterol. Based on the results, what drugs should you not give? Select all that applies.

Kayexalate, Lasix

Which of the following actions should the Nurse take when administering Nitroprusside(Nipride)?

Wrap IV bottle and tubing with aluminum foil

What is the drug of choice for patients having variant (prinzmetal angina)?

Calcium channel blockers

A nurse provides discharge instructions to a postoperative client who is taking warfarin sodium (Coumadin). Which statement, if made by the client, reflects the need for further teaching?

"I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."

A client has a serum potassium of 3 mEq/L and is complaining of anorexia. A physician orders a digoxin level to rule out digoxin toxicity. A nurse checks the results, knowing that which of the following is the therapeutic serum level (range) for digoxin?

0.5 to 2 ng/mL

A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator (t-PA). Which of the following is a priority nursing intervention?

Monitor for signs of bleeding.

A home health nurse instructs a client about the use of a nitrate patch. The nurse tells the client which of the following that will prevent client tolerance to nitrates?

Have a 12-hour "no nitrate" time.

Which of the ff lab studies should be done periodically if the client taking warfarin sodium (Coumadin)?

Stool specimen for occult blood

A nurse appropriately answer the client if she said that tamoxifen (Nolvadex) is an

Anti-estrogen

The drug of choice for pain in patient with gouty arthritis is:

Cholchicine

After performing the Rine's Test, the patient complained of hearing the bone conduction longer that the air conduction. This is an Indicative of

Conductive hearing loss

A client asks for an explanation about glaucoma. The nurse explains that with glaucoma there is:

An increase in the pressure within the eyeball

A client with detachment of the retina asks why it is necessary to patch both of her eyes. The nurse's reply should be based on the knowledge that eye patches serve to:

Reduce rapid eye movements

In planning the care of a client with an acute episode of Meniere's Syndrome, the nurse would outline teaching to include:

Avoiding sudden motion of the head

Which of the following symptoms are the classic triad symptoms of Ménière's Disease?

Fluctuating hearing loss, tinnitus and vertigo

Which of the following common infections and inflammatory disorders of the eye structures is defined as a sterile inflammatory process involving chronic granulomatous inflammation of the meibomian glands, and is manage by warm compress applied 3-4 times a day for 10-15 minutes?

Chalazion

While helping a blind client with ambulation, which of the following nursing interventions is correct?

The nurse slightly in front of the client while holding the clients arm

Which of the following interventions by the nurse while communicating with a blind client are incorrect? Except

Touching the client then introduce yourself

What type of Lens should the nurse expect the patient needs when the patient has Myopia?

Concave

Which among the ff test should be used to determine Cataract?

Slit Lamp test

Post cataract surgery, Nurse Flor should advised Mane Ernie to lie on the bed and position:

Non-operative side

You are a staff nurse at the Ear Unit of the Medical Ward of a government hospital. Woo, a 25-year-old stage actress was admitted with the chief complaint of on and off tinnitus at the right ear. The audlogram confirms conductive hearing loss or mixed loss especially in the low frequencies. Woo was diagnosed with otosclerosis. Otosclerosis is a common cause of what condition?

Conductive hearing loss

Cochlear nerve

To prevent further complications

A surgical procedure was recommended for Woo who has otosclerosis. Which of the following surgical procedures is useful in correcting her condition?

Stapedectomy

To minimize the pressure in the middle ear

Diana of Themyscira, Daughter of Hippolita, age 34, is an unrestrained driver brought to the emergency department following a motor vehicle accident. She's unconscious and has a 6 cm laceration on her forehead. DIANA is comatose, but when painful stimuli are applied she extends, adducts, and hyperpronates her upper extremities and has plantar flexion of the feet. This abnormal response is termed.

Decerebrate response

Diana of Themyscira, Daughter of Hippolita, age 34, is an unrestrained driver brought to the emergency department following a motor vehicle accident. She's unconscious and has a 6 cm laceration on her forehead. The Glasgow Coma Scale is used to assess Ms. Smith's level of consciousness. This tool evaluates:

Eye, motor, and verbal responses.

If increased intracranial pressure (ICP) is suspected in this patient, which of the following diagnostic tests would be contraindicated?

Lumbar puncture

A 30-year-old client is admitted to the Intensive Care Unit. The client sustalned severe head trauma secondary to a motor vehicular accident. When the nurse reviews the physician's progress notes for the patient who has sustained a head injury and sees that the physician observed Battle's sign when the patient was in the Emergency Department, the nurse knows that the physician observed

An area of bruising over the mastoid bone

The nurse should monitor the client for increasing intracranial pressure. Which of the following findings indicate increasing intracranial pressure (ICP)?

Widened pulse pressure

Which of the following nursing interventions is appropriate wher caring for the client with head injury?

Supply oxygen therapy

When caring for the client, the following nursing interventions should be done by the ICU nurse EXCEPT:

Keep the bed flat at all times

ISABEL, age 41, was admitted to the medical-surgical floor with a cerebrovascular accident in the right hemisphere. ISABEL'S daughter states that before this episode her mother was experiencing periods of left-sided weakness that would resolve in less than a day. This type of neurologic problem is called:

A transient ischemic attack (TIA)

ISABEL, age 41, was admitted to the medical-surgical floor with a cerebrovascular accident in the right hemisphere. Which of the following nursing diagnoses would be most appropriate for ISABEL?

Impaired physical mobility related to left hemiparesis

ISABEL, age 41, was admitted to the medical-surgical floor with a cerebrovascular accident in the right hemisphere. ISABEL has dysphagia. Which nursing action might make swallowing most difficult for her?

Feeding her clear liquids

ISABEL, age 41, was admitted to the medical-surgical floor with a cerebrovascular accident in the right hemisphere. ISABEL'S cerebrovascular accident (CVA) resulted from the most common cause of ischemic brain injury, which is known as:

Thrombosis

A client was admitted with Bell's palsy. What will be the nursing consideration for this patient?

Manually close eyelid

The nurse doing the assessment for the patient with Bell's palsy knows that the CN affected is:

CN 7

The nurse is caring for Parkinson's client. Which of the following does she need to intervene?

Using tap water to thin the liquid food

The nurse is preparing her discharge plan for a patient with Parkinson's. Which is the correct teaching to aid in ambulation?

Tell the patient to start by rocking back and forth

A patient with C4 injury was placed under the care of the nurse. What should the nurse report to the physician?

Difficulty in breathing

A patient has been newly admitted and suspected of having Multiple Sclerosis. Which of the following questions should the nurse ask to support the diagnosis?

"Do you have problems with movement?"

Three medications referred to as the 'ABC drugs' are currently the main pharmacological therapy for multiple sclerosis. Which of the following statements reflect information to be included in patient teaching?

Flu-like symptoms can be controlled with nonsteroidal anti-inflammatory drugs (NSAIDs) and usually resolve after a few months of therapy

The nurse is planning care for the client with hemiparesis of the right arm and leg. The nurse incorporates in the care plan to place objects

Within the client's reach on the left side

The client with a cerebrovascular accident has residual dysphagia. When a diet order is initiated, the nurse avoids doing which of the following?

Giving the client thin liquids

The nurse has instructed the family of a client with cerebrovascular accident who has homonymous hemianopsia about measures to help the client overcome the deficit. The nurse determines that the family understands the measures to use if they stated to

Remind the client to turn the head to scan the lost visual field

If a client with increased intracranial pressure demonstrates decorticate posturing, the nurse will observe:

Flexion of elbows, extension of the knees, and plantar flexion of the feet

A young client who was hit by a car was fortunate because the level of his injury did not interrupt his respiratory function. The cord segments involved with maintaining respiratory function are:

Cervical 3 and 4

A client who had transsphenoidal hypophysectomy should be watched carefully for hemorrhage, which may be shown by which of the following signs?

Frequent swallowing

The nurse is caring for an adult client who was admitted unconscious. The initial assessment utilized is the Glasgow Coma Scale. The nurse knows that GCS is a systematic neurologic assessment tool that evaluates all of the following except:

Pupillary reaction

A nurse is assessing a client, who is unable to extend the legs without pain, he has a temperature of 103'F, and on flexion of the neck also flexes the hip and knee. Based on this assessment, the nurse suspects the client has (a)

Meningitis

The ff. are appropriate nursing intervention for client having seizures except:

Apply restraints to prevent falls

A client with MG continues to become weaker despite treatment with neostigmine, Endrophonium HCL(Tensilon) is ordered to:

Rule out cholinergic crisis

Mrs. KARINA developed Guillain-Barre syndrome. Which among the ff symptoms would be a late symptom of the disorder?

Respiratory depression

Itachi is ordered a diagnostic test to measure electrical activity of the brain. This test is known as:

An EEG

LAYLA suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. Thus type of aphasia is known as:

Global aphasia

Most important assessment during myasthenia crisis is the client's:

Vital lung capacity

When caring for a client with myasthenia gravis, an important nursing consideration would be to:

Assess muscle groups that are affected as they tend to be weaker toward the end of the day.

One hour after receiving Neostigmine, Mrs. X reports difficulty swallowing and excessive respiratory secretions. The nurse notifies the physician and prepares to administer which of the following?

Edrophonium Chloride (Tensilon)

Which of the following adverse reactions will you teach Ferrari’s mother to report as soon as he starts taking the prescribed nonsteroidal anti-inflammatory drug?

Abdominal pain

Which of the following behavioral objectives, if achieved, would indicate that the mother can safely administer the drug to Ferrari?

State correctly the actions and side effects of the prescribed drugs

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS