NURS 317 Unit 7 Practice Flashcards
A 5-year-old girl has been presented for care by her father due to her recent development of macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her primary symptom is extreme pruritus. What disorder of the skin should the clinician who is assessing the child first suspect?
a) Varicella
b) Impetigo.
c) Rosacea
d) Lichen planus
a) Varicella
A teenager reports ugly warts that have invaded her hands. She wants them gone before prom season. The nurse will likely be explaining which of the following treatment measures to this teenager?
a) Applying a keratolytic agent like salicylic acid
b) Taking a pair of tweezers and pulling the wart off
c) How to apply steroid creams and Band-Aids
d) How to safely use cryotherapy at home
a) Applying a keratolytic agent like salicylic acid
What process accounts for the damaging effects of the sun’s radiation?
a) Hyperkeratinization and the formation of microscopic, subcutaneous lesions
b) Damage to epidermal cell DNA and free radical production
c) Compensatory increases in melanin production
d) Initiation of an autoimmune response
b) Damage to epidermal cell DNA and free radical production
A woman has just delivered a child with a hemangioma on his right cheek area. The mother clutches the nurse and asks, “What is that thing on his face?” The nurse will respond with which of the following facts? Select all that apply.
a) “Most of these hemangiomas will remain with the infant for the rest of his life. However, they are not cancerous.”
b) “These hemangiomas may grow larger early on followed by a period where the growth is reversed.”
c) “We will keep a close watch on your infant’s vision since they can develop malformation of the eye that could develop into glaucoma.”
d) “If this birth mark develops ulceration, we will need to keep a close eye on it to prevent any infections.”
e) “This is usually called a strawberry ‘birth mark’ and pretty common in newborns.”
b) “These hemangiomas may grow larger early on followed by a period where the growth is reversed.”
d) “If this birth mark develops ulceration, we will need to keep a close eye on it to prevent any infections.”
e) “This is usually called a strawberry ‘birth mark’ and pretty common in newborns.”
Which one of the following skin disorders seen in elderly persons is considered a premalignant lesion?
a) Telangiectases
b) Cherry angiomas
c) Actinic keratosis
d) Solar lentigines
c) Actinic keratosis
A 44-year-old man has been brought to the emergency department with severe electrical burns resulting from a workplace accident. The most immediate threat to this client’s survival at this time is:
a) Infection
b) Decreased protein synthesis and impaired healing
c) Acute pain
d) Hemodynamic instability
d) Hemodynamic instability
A thermal burn described as involving the entire epidermis and dermis is classified as:
a) Deep first degree
b) Full third degree
c) Full-thickness second degree
d) Partial second degree
c) Full-thickness second degree
Which of the following clinical manifestations would lead the health care provider to diagnose the sunburn as severe?
a) Some peeling and itching occur several days after the initial burn.
b) Skin is red and warm to touch.
c) There is blistering of the skin and associated fever and chills.
d) There is a pruritic rash over the sunburned skin area.
c) There is blistering of the skin and associated fever and chills.
Dry, itchy plaques on her elbows and knees have prompted a 23-year-old woman to seek care. The clinician has subsequently diagnosed the client with psoriasis, a disorder that results from:
a) An IgE-mediated immune reaction
b) Increased epidermal cell turnover
c) Human papillomaviruses (HPV)
d) Hormonal influences on sebaceous gland activity
b) Increased epidermal cell turnover
An 80-year-old patient presents at the clinic for a follow-up appointment. She is taking a macrolide antibiotic and is experiencing tinnitus. The nurse is talking with family members about home care for the patient. What should the nurse include in her instructions regarding home care?
a) Provide protective measures to prevent falling or injury.
b) Eliminate salt from the patient’s diet.
c) Keep the patient in a prone position when in bed.
d) Monitor exposure to sunlight.
d) Monitor exposure to sunlight.
The nurse is counseling a patient who has been prescribed mebendazole for a worm infestation. What adverse effects would the nurse caution this patient about?
a) Nausea
b) Fever
c) constipation
d) Hematuria
b) Fever
The nurse administers a loop diuretic to the patient. In addition to sodium and water, what other electrolyte would the nurse expect to be excreted in significant amounts?
a) Magnesium
b) Calcium
c) Zinc
d) Potassium
d) Potassium
A patient with renal impairment and HIV has had a medication change. What drug would be considered the drug of choice for this patient?
a) Ritonavir (Norvir)
b) Nelfinavir (Viracept)
c) Atazanivir (Reyataz)
d) Lopinavir (Kaletra)
b) Nelfinavir (Viracept)
An adult presents at the clinic complaining of a cough, fever, abdominal distention, and pain. The patient is diagnosed with pneumonia and a helminth infection. What type of worm would the nurse suspect the patient has?
a) Hookworm
b) Ascaris
c) Schistosomiasis
d) Platyhelminth
b) Ascaris
The clinic nurse is providing health teaching to a patient who has been prescribed doxycycline (Doxycin). What is a priority teaching point for this patient?
a) Chew the tablets completely before swallowing.
b) take an antacid with the drug if nausea occurs.
c) Avoid sexual activity.
d) Stay out of the sun.
d) Stay out of the sun.
The pharmacology instructor is discussing antimicrobials with the nursing class. What would the instructor tell the students about the mechanism of action of antimicrobials? (Select all that apply).
a) Inhibiting synthesis of ribonucleic acid (RNA)
b) Inhibiting cell wall synthesis
c) Causing leakage of cell wall allowing fluid to leak in
d) Preventing cell division
e) Causing cell death
b) Inhibiting cell wall synthesis
d) Preventing cell division
e) Causing cell death
A mother asks the nurse what to look for if her child has pinworms. What would be the nurse’s best response?
a) Hard stools full of worms
b) Bloody diarrhea
c) Upset stomach
d) Perianal itching
d) Perianal itching
A patient with Parkinson’s disease is taking an anticholinergic drug to decrease the tremors and drooling caused by the disease process. The patient complains that he is having trouble voiding. The nurse would explain that this is what?
a) A hypersensitive action of the drug
b) A primary action of the drug
c) A secondary action of the drug
d) An allergic action of the drug
c) A secondary action of the drug
The nurse is caring for an adult patient receiving a prescription for an anthelmintic drug. What is a possible nursing diagnosis for this patient?
a) Disturbed body image
b) Constipation
c) Acute confusion
d) Imbalanced nutrition: More than body requirements
a) Disturbed body image
A child weighs 30 lb. How many kilograms does this child weigh? Round to the nearest hundredth.
a) 13.64
b) 13.93
c) 13.84
d) 13.73
a) 13.64
An infant weighs 98 oz. How many pounds does the infant weigh?
a) 6.456
b) 6.125
c) 6.225
d) 6.335
b) 6.125
There are 16oz In 1lb
98/16= 6.125
The physician ordered metaraminol 50 mg in 250 mL of D5W. It is to infuse at 50 mcg/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.
a) 15
b) 20
c) 25
d) 10
a) 15
The physician ordered 100 units of regular insulin in 250 mL of NS. It is to infuse at 8 units/hour per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.
a) 16
b) 22
c) 20
d) 18
c) 20
The physician ordered 100 mg of nitroglycerin in 250 mL of D5W. It is to infuse at 15 mcg/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.
a) 3
b) 2
c) 5
d) 4
b) 2
