Nurs 6521 – Week 11 Quiz

NURS 6521 – WEEK 11 QUIZ 1. A nurse is explaining to the parents of a 6 year old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation? – A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. 2. An immunocompromised 7 year old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? – Ineffective family therapeutic regimen management 3. A nurse working in a cancer center is preparing to administer medication to a 5 year old child. The nurse will calculate the drug dosage by using: - Body surface area 4. A nurse practitioner orders 150mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication: - Once a day 5. A nurse is caring for a 10 year old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate? – Hepatic function 6. A nurse is obtaining baseline physical data from a 7 year old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an: - Electrocardiogram (ECG) 7. A 12 year old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to: - - Both the boy and his mother regarding all medication issued 8. A 5 year old boy needs an IM injection. The least painful and most effective injection site would be the: - Ventrogluteal muscle 9. A 21 year old female has a history of irregular menses. She recently became sexually active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs? – Monophasic 10. A 35 year old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient’s childbearing potential. The nurse will inform the patient that during sibutramine therapy she should: - Use adequate contraception