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Saunders NCLEX Endocrine Latest Update Comprehensive Questions with Correct Answers Guaranteed Pass

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Saunders NCLEX Endocrine Latest Update Comprehensive Questions with Correct Answers Guaranteed Pass A 33-year-old female client is admitted to the hospital with a tentative diagnosis of Graves' disease. Which symptom related to the menstrual cycle would the client be most likely to report during the initial assessment? 1. Amenorrhea 2. Menorrhagia 3. Metrorrhagia 4. Dysmenorrhea - Answer -Amenorrhea Amenorrhea or a decreased menstrual flow occurs in the client with Graves' disease. Menorrhagia, metrorrhagia, and dysmenorrhea are also disorders related to the female reproductive system; however, they are not typical manifestations of Graves' disease. A client arrives in the hospital emergency department complaining of severe thirst and polyuria. The client tells the nurse that she has a history of diabetes mellitus. A blood glucose level is drawn, and the result is 685 mg/dL (39.1 mmol/L). Which intervention should the nurse anticipate to be prescribed initially for the client? 1. Glyburide via the oral route 2. Glucagon via the subcutaneous route 3. Insulin aspart via the subcutaneous route 4. Regular insulin via the intravenous (IV) route - Answer -Regular insulin via the intravenous (IV) route The client is most likely in diabetic ketoacidosis (DKA). Regular insulin via the IV route is the preferred treatment for DKA. Regular insulin is a short-acting insulin and can be given intravenously; it is titrated to the client's high blood glucose levels. Glucagon is used to treat hypoglycemia, and glyburide is an oral hypoglycemic agent used to treat type 2 diabetes mellitus. Insulin aspart is a short-acting insulin and is not appropriate for the emergency treatment of DKA. A client arrives in the hospital emergency department in an unconscious state. As reported by the spouse, the client has diabetes mellitus and began to show symptoms of hypoglycemia. A blood glucose level is obtained for the client, and the result is 40 mg/dL (2.28 mmol/L). Which medication should the nurse anticipate will be prescribed for the client? 1. Glucagon 2. Glyburide 3. Metformin 4. Regular insulin - Answer -Glucagon

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Saunders Pharm-Immune Latest Update
Comprehensive Questions with Correct
Answers Guaranteed Pass 100%
a client admitted to the hospital is taking abacavir. The nurse should monitor the client for which adverse
effect of the medication? - Answer -hypotension

A client admitted to the hospital is taking zidovudine. The nurse monitors the client for which adverse
effect of the medication? - Answer -neurotoxicity

A client has a prescription for ketoconazole. Which instruction should the nurse include in the client's
teaching plan? - Answer -avoid exposure to light

A client has been given a prescription for sulfasalazine. Which allergy should the nurse assess for in the
client prior to administration? - Answer -sulfonamide or salicylates

A client has been receiving foscarnet as part of therapy for the treatment of cytomegalovirus (CMV)
retinitis and acquired immunodeficiency syndrome (AIDS). The home care nurse should periodically
review results of which laboratory blood test to assess for adverse effects to this medication? -
Answer -creatinine concentration

A client is diagnosed with herpes simplex virus type 1 (HSV 1). The primary health care provider
prescribes a topical medication for treatment. The nurse anticipates that which medication will be
prescribed? - Answer -acyclovir

A client is prescribed mupirocin intranasally twice daily. The nurse correlates this prescription with the
client's medical record and expects to note which result specifically related to the indication for this
medication - Answer -Positive methicillin-resistant Staphylococcus aureas (MRSA) by polymerase
chain reaction (PCR)

A client is receiving acyclovir by the intravenous (IV) route for treatment of cytomegalovirus (CMV)
infection. After reconstituting the powder dispensed by the pharmacy, the nurse should administer this
medication via which method? - Answer -Slow IV infusion over 1 hour

A client is receiving amoxicillin orally every 8 hours. Which finding would indicate to the nurse that the
client is experiencing a frequent minor side effect related to the medication? - Answer -vaginal d/c

A client is receiving amphotericin B by the intravenous (IV) route. During ongoing therapy with this
medication, the nurse should most closely assess the client for which finding that indicates a
complication? - Answer -decrease urine output

, A client is receiving amphotericin B by the intravenous (IV) route. The nurse determines that the client is
having an adverse effect to the medication if which laboratory study result is noted? - Answer -
elevated serum creatinine

A client is receiving ganciclovir. Which nursing action is appropriate during the time the client is receiving
this medication? - Answer -Providing the client with a soft toothbrush and an electric razor

A client is receiving tacrolimus to prevent organ rejection. Which is a nursing consideration associated
with this medication - Answer -Assess platelet count for thrombocytopenia

A client is receiving tobramycin. The nurse evaluates that the medication therapy is effective if which
laboratory test result is noted? - Answer -WBC count of 8000 mm3 (8 × 109/L) and a creatinine
level of 0.9 mg/dL

A client is receiving zalcitabine. The nurse should monitor the results of which study to determine the
effectiveness of this medication? - Answer -CD4+ cell count

A client is scheduled to receive a first dose of pentamidine intravenously. What should the nurse plan to
carefully monitor as the priority during administration of the first dose? - Answer -BP

A client must begin medication therapy with mycophenolate mofetil to prevent organ rejection following
renal transplantation. The nurse should provide which important teaching point to the client? -
Answer -notify the HCP if a fever develops

A client receiving a dose of intravenous vancomycin begins to experience chills, tachycardia, syncope,
and flushing of the face and trunk. What is the nurse's best interpretation of these findings? -
Answer -the med is infusing too rapidly

A client seen in the health care clinic is diagnosed with syphilis, and the primary health care provider
prescribes an intramuscular injection of penicillin G benzathine. After administering the intramuscular
injection of medication, the nurse should perform which action? - Answer -monitor the client for
30 min

A client who has been diagnosed with pneumonia has been given a prescription for erythromycin. Client
teaching about this medication should include which best instruction? - Answer -take the med on
an empty stomach

A client who has been receiving pentamidine intravenously now has a fever with a temperature of 102º F
(38.9º C). Keeping in mind that the client has a diagnosis of acquired immunodeficiency syndrome (AIDS)
and Pneumocystis jiroveci pneumonia, the nurse should interpret that this fever is most associated with
which condition? - Answer -Infection caused by leukopenic effects of the medication

A client who has received a kidney transplant is taking azathioprine, and the nurse provides instructions
about the medication. Which statement by the client would indicate a need for further instruction? -
Answer -I need to discontinue the medication after 14 days of use.

A client who has undergone renal transplantation is receiving ongoing therapy with cyclosporine. The
nurse would be sure to immediately report which abnormal finding? - Answer -elevated BUN
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