Final

Question 1

A client asks the nurse what the difference is between crohns disease and ulcerative colitis. Which information should the nurse provide?
Select All That Apply

1. Ulcerative colitis can appear anywhere in the GI tract
2. Crohns disease will reoccur after surgery
3. Crohns disease is more common in smokers
4. Clients with crohns disease are more likely to have arthritis
5. Inflammation of ulcerative colitis is limited to the lining of the digestive tract

Answer 1

2. Crohns disease will reoccur after surgery
3. Clients with crohns disease are more likely to have arthritis
4. Inflammation of ulcerative colitis is limited to the lining of the digestive tract

Question 2

The nurse has taught a patient about sucralfate. Which statement indicates that the patient requires further teaching?

Answer 2

• I need to take carafate 30 mins before meals.

Question 3

3) Which clients are at risk for peptic ulcer disease?
Select all that apply.
1. A client with decreased intrinsic factor
2. A client with Type O blood
3. A client that smokes
4. A client experiencing excessive psychological stress
5. A client with a low fiber diet

Answer 3

2. A client with Type O blood
3. A client that smokes
4. A client experiencing excessive psychological stress

Question 4

6) The nurse is preparing to educate a client prescribed levothyroxine (Synthroid). Which information should the nurse include in the teaching?
1. Monitor daily temperature.
2. Assess for decreased appetite.
3. Assess weekly serum blood levels.
4. Assess for altered sleep patterns.

Answer 4

4. Assess for altered sleep patterns.

Question 5

20) Which information should the nurse include in the education for a client who has been prescribed levothyroxine (Levothroid)?
Select all that apply.
1. “It may take a few weeks for you to see the full benefits from this drug.”
2. “Be sure to keep all of your follow-up appointments.”
3. “Take this medication at whatever time you eat your evening meal.”
4. “Do not start a fiber laxative without first discussing it with your healthcare team.”
5. “Take your calcium supplement at least 4 hours after taking this drug.”

Answer 5

1. “It may take a few weeks for you to see the full benefits from this drug.”
2. “Be sure to keep all of your follow-up appointments.”
3. “Do not start a fiber laxative without first discussing it with your healthcare team.”
4. “Take your calcium supplement at least 4 hours after taking this drug.”

Question 6

15) For which condition does vasopressin (Vasostrict) treat?
1. Diabetes insipidus
2. Dehydration
3. Electrolyte imbalances
4. Diabetes mellitus

Answer 6

1. Diabetes insipidus

Question 7

4) The nurse finds a client with diabetes mellitus type 1 unresponsive. Which is the priority nursing action?
5. Call the rapid response team.
6. Administer glucagon.
7. Administer oxygen.
8. Assess the vital signs.

Answer 7

6. Administer glucagon.

Question 8

11) Which symptom should the nurse associate with hypoglycemia?
1. Thirst
2. Increased urination
3. Moist skin
4. Nausea

Answer 8

3. Moist skin

Question 9

4) Which assessment findings should the nurse anticipate for the client with Cushing’s syndrome?
1. Hypotension
2. Tachycardia
3. Upper body obesity
4. Thin, gaunt appearance of the face

Answer 9

3. Upper body obesity

Question 10

19) Which assessment findings are associated with Cushing's disease?
Select all that apply.
1.	Acne
2.	Osteoporosis
3.	Confusion
4.	Delayed wound healing
5.	Lethargy

Answer 10

1. Acne
2. Osteoporosis
3. Delayed wound healing

Question 11

15) Which symptoms associated with an adverse effect of alendronate (Fosamax) should the nurse instruct the client to report?
1. Ringing in the ears
2. Flushed skin
3. Visual changes
4. Muscle spasms

Answer 11

4. Muscle spasms

Question 12

The nurse has provided education for a client prescribed (Fosamax). Which statements made by the client indicate an understanding of the information?
Select all that apply.
1. “I cannot lie down for at least 30 minutes after taking the prescription.”
2. “Milk will help with the absorption of this medication.”
3. “I should call my healthcare provider if I experience heartburn.”
4. “I must take this with a full glass of water.”
5. “The prescription can be taken with or without food.”

Answer 12

1. “I cannot lie down for at least 30 minutes after taking the prescription.”
2. “I should call my healthcare provider if I experience heartburn.”
3. “I must take this with a full glass of water.”

Question 13

Which prescriptions increase the client's risk for gout?
Select all that apply.
6.	Aspirin
7.	Thiazide diuretics
8.	Acetaminophen
9.	Cyclosporine
10.	Aminoglycosides
 

Answer 13

6. Aspirin
7. Thiazide diuretics
8. Cyclosporine
9. Aminoglycosides

Question 14

18) Which should the nurse recognize is the benefit of a prescription for levodopa for a client with Parkinson’s disease?
1. Crosses the blood-brain barrier
2. Has fewer adverse effects
3. Less risk for addiction
4. Can be administered intravenously

Answer 14

1. Crosses the blood-brain barrier

Question 15

A client with PD asks the nurse how his or her prescriptions will help him or her. Which response should the nurse provide?

Answer 15

The prescription will help you eat and walk

Question 16

Which should the nurse understand is the action of the pharmacotherapy used to treat PD?

Answer 16

• Increase the amount of dopamine and reduce the amount of acetylcholine

Question 17

12) The nurse has completed the education for a client prescribed levodopa (Stalevo). Which statement made by the client indicates an understanding of the information?
1. “I will increase the intake of vitamin B6 in my diet.”
2. “I will weigh myself weekly.”
3. “I will increase the protein in my diet.”
4. “I will notify my healthcare provider if my urine darkens.”

Answer 17

2. “I will weigh myself weekly.”

Question 18

9) The nurse is preparing to provide education for a client prescribed carbidopa (Sinemet). Which information should the nurse include?
1. Avoid drinking caffeinated beverages.
2. Take the medication with meals.
3. Take the medication on an empty stomach.
4. Take the medication with a protein food.

Answer 18

3. Take the medication on an empty stomach.

Question 19

7) The nurse is reviewing the prescription history for a client receiving levodopa (Stalevo). Which routine prescription is most concerning?
1. Aspirin
2. Metformin
3. Calcium antacid
4. Synthroid

Answer 19

3. Calcium antacid

Question 20

6) Which assessment finding warrants the nurse to hold the dosage of benztropine (Cogentin) and notify the healthcare provider?
1. A respiratory rate of 14
2. A pulse of 112
3. Blood pressure of 142/80 mmHg
4. A temperature of 100.2°F

Answer 20

2. A pulse of 112

Question 21

5) The nurse is caring for an older adult prescribed benztropine (Cogentin). For which adverse effect should the nurse monitor the patient?
1. Confusion
2. Bradycardia
3. Diarrhea
4. Agitation

Answer 21

1. Confusion

Question 22

25) Which assessment findings indicate a client receiving verapamil (Calan) is experiencing adverse effects?
Select all that apply.
1. The client tells the nurse they have frequent headaches.
2. The client has 3+ edema in the ankles and feet.
3. The client states, “Everything I eat tastes like metal.”
4. The client states, “I got so dizzy yesterday that I had to lie down for a while.”
5. The client’s face is flushed.

Answer 22

1. The client tells the nurse they have frequent headaches.
2. The client has 3+ edema in the ankles and feet.
3. The client states, “I got so dizzy yesterday that I had to lie down for a while.”

Question 23

The client tells the nurse, “My healthcare provider says I have atrial fibrillation. Is this serious and how is it treated?” Which responses should the nurse provide the client?
Select all that apply.
1. “This condition is best treated with what we call antidysrhythmic drugs.”
2. “This is very common; your doctor will discuss the best treatment with you.”
3. “Depending on your symptoms, your healthcare provider may use an electrical shock.”
4. “This is quite serious; did your healthcare provider discuss a heart transplant?”
5. “It is very serious, even more serious than a ventricular dysrhythmia.”

Answer 23

2. “This is very common; your doctor will discuss the best treatment with you.”
3. “Depending on your symptoms, your healthcare provider may use an electrical shock.”

Question 24

Which information should the nurse include in the education for a client is prescribed an additional once-daily amiodarone to control persistent atrial fibrillation?
Select all that apply.
1. “I will avoid drinking grapefruit juice.”
2. “I understand the effect of the prescription will last 4 to 8 weeks after I stop taking it.”
3. “I will monitor my blood pressure and report any significant changes.”
4. “I will avoid the use of St John’s wort.”
5. “I will follow a low sodium diet.”

Answer 24

1. “I will avoid drinking grapefruit juice.”
2. “I understand the effect of the prescription will last 4 to 8 weeks after I stop taking it.”
3. “I will monitor my blood pressure and report any significant changes.”
4. “I will avoid the use of St John’s wort.”

Question 25

3) Which statements made by a client indicates an understanding of the education provided by the nurse regarding digoxin (Lanoxin) toxicity? Select all that apply. 1. "I should limit my fluids while taking this medication." 2. "It is okay to keep taking my ginseng." 3. "If I have nausea, it means I must stop the medication." 4. "I can drink orange juice every morning." 5. "I must check my pulse and not take the medication if it is less than 60."

Answer 25

4. "I can drink orange juice every morning." | 5. "I must check my pulse and not take the medication if it is less than 60."

Question 26

Which prescription should the nurse anticipate to increase the myocardial contractility for a client with heart failure

Answer 26

Digoxin

Question 27

Which vital sign is of the greatest concern to the nurse prior to administering digoxin (Lanoxin)? 1. Apical pulse 2. Temperature 3. Blood pressure 4. Respiratory rate

Answer 27

1. Apical pulse

Question 28

Which symptom is most likely to be related to angina as opposed to a myocardial infarction? 1. Chest pain relieved by one sublingual nitroglycerin 2. Chest pain that radiates to the patient's back 3. Chest pain that occurred while the patient was eating breakfast 4. Chest pain accompanied by shortness of breath

Answer 28

1. Chest pain relieved by one sublingual nitroglycerin

Question 29

20) Which adverse effect is common for clients prescribed topical nitroglycerin paste? 1. Rash 2. Shortness of breath 3. Headache 4. Ventricular tachycardia

Answer 29

3. Headache

Question 30

``` 30) For which conditions should the nurse instruct a client to hold the application of nitroglycerin ointment and contact the healthcare provider? Select all that apply. 1. Dyspnea 2. Productive cough 3. Headache 4. Fever 5. Confusion ```

Answer 30

1. Dyspnea 2. Productive cough 5. Confusion

Question 31

``` Which findings should the nurse anticipate when assessing a client developing right-sided heart failure? Select all that apply. 1. Ankle edema 2. Enlarged liver 3. Displaced apical heart rate 4. Shortness of breath 5. Coughing ```

Answer 31

1. Ankle edema 2. Enlarged liver 3. Displaced apical heart rate