NURSING -Questions from evolve label Comperhensive exam 1

NURSING 5-Questions from evolve label Comperhensive exam 1 Questions
1.
A client with asthma receives a prescription for high blood pressure during a clinic visit.
 Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? Pindolol (Visken).
 Carteolol (Ocupress).
 Metoprolol tartrate (Lopressor).
 D Propranolol hydrochloride (Inderal).


2.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months.
 Which instruction should the nurse provide? Report any uncomfortable symptoms after stopping the medication.
 Stop the medication and keep an accurate record of blood pressure.
 Ask the healthcare provider about tapering the drug dose over the next week.
 D Obtain another antihypertensive prescription to avoid withdrawal symptoms.


3.
A client who is taking clonidine (Catapres, Duraclon) reports drowsiness.
 Which additional assessment should the nurse make? How long has the client been taking the medication? Does the client use any tobacco products? Has the client experienced constipation recently? D Did the client miss any doses of the medication?

4.
The nurse is preparing to administer atropine, an anticholinergic, to a client who is scheduled for a cholecystectomy.
 The client asks the nurse to explain the reason for the prescribed medication.
 What response is best for the nurse to provide? Provide a more rapid induction of anesthesia.
 Decrease the risk of bradycardia during surgery.
 Induce relaxation before induction of anesthesia.
 D Minimize the amount of analgesia needed postoperatively.


5.
An 80-year-old client is given morphine sulphate for postoperative pain.
 Which concomitant medication should the nurse question that poses a potential development of urinary retention in this geriatric client? Insulin.
 Antacids.
 Tricyclic antidepressants.
 D Nonsteroidal antiinflammatory agents.


6.
A client with osteoarthritis is given a new prescription for a nonsteroidal antiinflammatory drug (NSAID).
 The client asks the nurse, "How is this medication different from the acetaminophen I have been taking?" Which information about the therapeutic action of NSAIDs should the nurse provide? Are less expensive.
 Provide antiinflammatory response.
 Cause gastrointestinal bleeding.
 D Increase hepatotoxic side effects.


7.
A client with cancer has a history of alcohol abuse and is taking acetaminophen (Tylenol) for pain.
 Which organ function is most important for the nurse to monitor? Liver.
 Kidney.
 Sensory.
 D Cardiorespiratory.


8.
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a scheduled dose of verapamil (Calan) for a client with atrial flutter.
 Which action should the nurse implement? Administer the dose as prescribed.
 Withhold the drug and notify the healthcare provider.
 Give intravenous (IV) calcium gluconate.
 D Recheck the vital signs in 30 minutes and then administer the dose.


9.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus and influenza.
 Which categories of illness should the nurse develop goals for the client's plan of care? Two acute illnesses.
 Two chronic illnesses.
 One chronic and one acute illness.
 D One acute and one infectious illness.


10.
Following an emergency Cesarean delivery, the nurse encourages the new mother to breastfeed her newborn.
 The client asks why she should breastfeed now.
 Which information should the nurse provide? Initiate the lactation process.
 Prevent neonatal hypoglycemia.
 Stimulate contraction of the uterus.
 D Facilitate maternal-infant bonding.


11.
Which intervention should the nurse include in the plan of care for a female client with severe postpartum depression who is admitted to the inpatient psychiatric unit? Full rooming-in for the infant and mother.
 Restrict visitors who irritate the client.
 Supervised and guided visits with infant.
 D Daily visits with her significant other.


12.
A 16-year-old male client is admitted to the hospital after falling off a bike and sustaining a fractured bone.
 The healthcare provider explains the surgery needed to immobilize the fracture.
 Which action should be implemented to obtain a valid informed consent? Instruct the client sign the consent before giving medications.
 Obtain the permission of the custodial parent for the surgery.
 Obtain the signature of the client’s stepfather for the surgery.
 D Notify the non-custodial parent to also sign a consent form.


13.
During a client assessment, the client says, "I can't walk very well.
" Which action should the nurse implement first? Identify the problem.
 Consider alternatives.
 Predict the likelihood of the outcome.
 D Choose the most successful approach.


14.
The nurse identifies a client's needs and formulates the nursing problem of, "Imbalanced nutrition: less than body requirements, related to mental impairment and decreased intake, as evidenced by increasing confusion and weight loss of more than 30 pounds over the last 6 months.
" Which short-term goal is best for this client? Eat 50% of six small meals each day by the end of one week.
 Meals prepared during hospitalization will be fed by the nurse.
 Verbalize understanding of plan and of intention to eat meals.
 D Demonstrate progressive weight