Final Exam: PPT Slide Qs Flashcards
What could indicate to the nurse that a patient taking a sedative-hypnotic requires more teaching?
a. the patient wants to listen to music
b. the patient has saved her urine to be measured
c. the patient says she has taken 1800 mL of fluid today
d. the patient requests a cup of kava kava tea to help her get to sleep faster
D. The patient requests a cup of kava kava tea to help her sleep faster
An older adult complains of insomnia. Which suggestion would be the most appropriate for the nurse to provide as an initial method to deal with this issue?
a. take Benadryl pills each evening before bedtime
b. drink warm milk or chamomile tea before bedtime
c. develop an exercise regimen for the evening
d. take naps during the day when you feel drowsy
B. drink warm milk or chamomile tea before bedtime
Which laboratory test is most important for the nurse to monitor when a patient is receiving lithium?
a. urinalysis
b. serum glucose
c. serum electrolytes
d. complete CBC
C. serum electrolytes
Which advice will the nurse include when teaching the patient about lithium therapy?
a. take the drug on an empty stomach
b. eliminate all sodium from your diet
c. stop taking the lithium when you feel better
d. it may take 1-2 weeks before you have any benefits from taking the medication
D. It may take 1-2 weeks before you have any benefits from taking the medication
A patient has been advised to take ibuprofen. When teaching the patient about ibuprofen, which instruction should the nurse include? (Select all)
a. avoid taking aspirin with ibuprofen
b. take with food to reduce GI upset
c. monitor for bleeding gums, nosebleeds, black tarry stool
d. take herbs, ginkgo and garlic, with ibuprofen
e. take NSAIDs 2 days before menstruation to decrease discomfort
A. avoid taking aspirin with ibuprofen
B. take with food to reduce GI upset
C. monitor for bleeding gums, nosebleeds, black tarry stools
A patient enters the ED with a draining wound. Once the patient is admitted and assessed, the priority nursing intervention is to?
a. administer the ordered antibiotics
b. teach the patient about the antibiotics
c. culture the wound
d. enforce droplet isolation precautions
C. culture the wound
Which statement will the nurse include when teaching a patient about cephalosporin therapy?
a. avoid ingesting buttermilk or yogurt when taking medication
b. stop taking the medication when you feel better
c. immediately stop taking the medication if you develop nausea
d. inform your HCP if you develop mouth ulcers
D. inform you HCP if you develop mouth ulcers
A patient asks the nurse why she gets yeast infections after a course of antibiotics. The nurse explains,
a. the antibiotics will lower your WBC
b. people are poorly nourished and hydrated after an infection
c. yeast infections happen if the antibiotic is not taken for the full course
d. yeast infections are common when the normal body flora are disrupted
D. yeast infections are common when the normal body flora are disrupted
When teaching a patient about TMP-SMZ, the nurse gives the highest priority to teach the patient to
a. increase fluid intake
b. report ringing in the ears or loss of hearing
c. expect the change of color in their urine to a red-orange
d. take the drug with diary products or antacid to protect the stomach
A. increase fluid intake
A patient has been prescribed TMP-SMZ. The nurse realizes that this drug is most likely used to treat which condition?
a. gonorrhea
b. rickettsial infection
c. chlamydial infection
d. urinary tract infection
D. urinary tract infection
A patient is prescribed aspirin and clopidogrel. The nurse identifies the drug classification of clopidogrel as
a. anticoagulant
b. thrombotic inhibitor
c. antiplatelet
d. thrombolytic
C. antiplatelet
A patient arrived in the ED 2 hours after an acute ischemic stroke. The patient is given an IV injection of alteplase. It is most important for the nurse to monitor what? (Select all)
a. bleeding
b. vital signs
c. PT levels
d. allergic reactions
e. electrocardiogram
A. bleeding
B. vital signs
C. allergic reactions
D. electrocardiogram
Which information will the nurse include when teaching the patient about warfarin therapy?
a. increase green, leafy vegetables in diet
b. rinse mouth instead of brushing teeth
c. follow up with lab tests such as PT or INR to regulate doses
d. use a new razor blade each time you shave
C. follow up with your lab tests such as PT or INR to regulate doses
A patient is on heparin secondary to DVT. The nurse has which medication on hand as an antidote in case it is needed?
a. vitamin K
b. protamine sulfate
c. warfarin
d. aminocaproic acid
B. protamine sulfate
Four patients are considered as potential candidates for thrombolytic therapy. Which patient is most likely to receive thrombolytic therapy?
a. patient who recently received acetaminophen
b. patient with a hx of severe HTN
c. patient who recently had spinal surgery
d. patient with a hx of warfarin use
A. patient who recently received acetaminophen
The nurse is caring for a patient who received alteplase for treatment of the acute coronary syndrome. The patient starts to bleed. The nurse anticipates the administration of which medication?
a. protamine sulfate
b. vitamin k
c. warfarin
d. aminocaproic acid
D. aminocaproic acid
A patient is recovering from surgery to replace her right hip. In the early post-op phase, the nurse anticipates the administration of which drug to prevent DVT?
a. dipyridamole
b. low-molecular-weight heparin
c. abciximab
d. anagrelide
B. low-molecular-weight heparin
The patient develops a DVT. The nurse anticipates the administration of which medication?
a. intravenous heparin
b. clopidogrel
c. vitamin K
d. protamine sulfate
A. IV heparin
The patient is being discharged home on warfarin therapy. Which information will the nurse include when teaching the patient?
a. results of apTT time will determine if the medication is effective
b. INR results should be between 2-3
c. a normal response is for you stools to look tarry
d. increase the amount of gree leafy vegetables in your diet
B. INR results should be between 2-3
