EXAM 2 NURS 3100 questions well
answered to pass
(M6) The nurse follows the nursing process when conducting medication education about insulin. What
will the nurse ask the client to evaluate the client's knowledge of insulin?
A.
"Is your abdomen the best place to inject insulin?"
B.
"Can you tell me four points you remember about how to take your insulin?"
C.
"Can you recognize when you are experiencing hypoglycemia?"
D.
"What questions do you have about insulin?" - correct answer ✔✔"Can you tell me four points you
remember about how to take your insulin?"
Rationale: The nurse is evaluating the effectiveness of medication education by asking the client for
feedback from the education provided. Asking the patient what questions he or she has about insulin is
an assessment question. Asking the client if his or her abdomen is the best place to inject insulin is an
assessment question. Asking the client if he or she can recognize when he or she is experiencing
hypoglycemia is an assessment question.
The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions
are important to ask the client?
Select all that apply.
A.
"Are you allergic to any medications?"
B.
"Are you taking any herbal or over-the-counter (OTC) medications?"
C.
"How difficult is it for you to maintain your ideal body weight?"
,D.
"Will you please tell me about the kind of diet you follow?"
E.
"What other medications are you currently taking?" - correct answer ✔✔A.
"Are you allergic to any medications?"
B.
"Are you taking any herbal or over-the-counter (OTC) medications?"
D.
"Will you please tell me about the kind of diet you follow?"
E.
"What other medications are you currently taking?"
Rationale: Questions about allergies and which medications are being taken are assessment questions.
Questions about normal diet help to assess health management and are pertinent to drug
administration. Ideal body weight is an important question but does not refer specifically to medication
administration.
The healthcare provider has prescribed a nitroglycerine (Nitrodur) patch for the client. The nurse
understands that which of the following is the best outcome for this client as it relates to use of the
medication?
A.
Client will demonstrate correct application of the patch prior to discharge.
B.
Client will be able to identify the expiration date of the medication prior to discharge.
C.
Client will verbalize three side effects of the medication prior to discharge.
D.
Client will state the reason for receiving the medication prior to discharge. - correct answer ✔✔A.
Client will demonstrate correct application of the patch prior to discharge.
,Rationale: The overall goal of nursing care related to pharmacotherapy is the safe and effective
administration of medication. In this instance, the most important aspect of client teaching is that the
client be able to correctly apply the patch. If the patch is not correctly applied, the other issues are
irrelevant. The client does not need to identify side effects of the medication in order to correctly apply
the patch. The client does not need to state the reason for the medication in order to correctly apply the
patch. The client does not need to identify the expiration date of the medication in order to correctly
apply the patch.
The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is
the primary nursing intervention as it relates to this medication?
A.
Monitor the client's serum drug levels.
B.
Monitor the client for relief of bronchospasms.
C.
Monitor the client for nausea and headache.
D.
Provide the client with age-appropriate education about albuterol (Proventil). - correct answer ✔✔B.
Monitor the client for relief of bronchospasms
Rationale: Monitoring drug effects, in this case, the relief of bronchospasms, is a primary intervention
that nurses perform. Nausea and headache are expected side effects, but monitoring for these side
effects is not part of the primary intervention. Education about medication is important but is not part of
the primary intervention. Monitoring of serum drug levels for albuterol (Proventil) is not indicated.
The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The client's
outcome is "Client will state a key point about antibiotic treatment for cellulitis." Which statement would
the nurse evaluate as best indicating this outcome has been met?
A.
"I must keep my leg elevated until the swelling goes down."
B.
"I need to take all the pills even if my leg looks better."
C.
, "If the swelling continues, I can apply an ice pack."
D.
"If the pain gets too bad, I can take my prescribed pain medication." - correct answer ✔✔B.
"I need to take all the pills even if my leg looks better."
Rationale: Taking all the medication even if the leg looks better is a key point about antibiotic therapy
and meets the client's outcome. Keeping the leg elevated does not address the outcome for antibiotic
treatment. Applying an ice pack does not address the outcome for antibiotic treatment. Taking pain
medication does not address the outcome for antibiotic treatment.
The healthcare provider has prescribed quetiapine (Seroquel) for the client with chronic auditory
hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of
"noncompliance." In which situation would this diagnosis be appropriate?
A.
The client reported a physical change as the reason for stopping the medication.
B.
The client made an informed decision not to take the medication.
C.
The client was unsure about how to order a refill for the prescription.
D.
The client did not understand why the medication was prescribed. - correct answer ✔✔B.
The client made an informed decision not to take the medication.
Rationale: Noncompliance assumes that the client has been properly educated about the medication
and has made an informed decision not to take it. A lack of understanding for the reason the medication
was prescribed or being unsure of how to obtain a refill of the prescription is related to a knowledge
deficit, not noncompliance. Reports of a physical change since taking the medication would be
diagnosed as pertaining to the change.
The nurse is preparing for medication administration to a group of clients. What is the best overall
outcome for the clients?
A.
answered to pass
(M6) The nurse follows the nursing process when conducting medication education about insulin. What
will the nurse ask the client to evaluate the client's knowledge of insulin?
A.
"Is your abdomen the best place to inject insulin?"
B.
"Can you tell me four points you remember about how to take your insulin?"
C.
"Can you recognize when you are experiencing hypoglycemia?"
D.
"What questions do you have about insulin?" - correct answer ✔✔"Can you tell me four points you
remember about how to take your insulin?"
Rationale: The nurse is evaluating the effectiveness of medication education by asking the client for
feedback from the education provided. Asking the patient what questions he or she has about insulin is
an assessment question. Asking the client if his or her abdomen is the best place to inject insulin is an
assessment question. Asking the client if he or she can recognize when he or she is experiencing
hypoglycemia is an assessment question.
The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions
are important to ask the client?
Select all that apply.
A.
"Are you allergic to any medications?"
B.
"Are you taking any herbal or over-the-counter (OTC) medications?"
C.
"How difficult is it for you to maintain your ideal body weight?"
,D.
"Will you please tell me about the kind of diet you follow?"
E.
"What other medications are you currently taking?" - correct answer ✔✔A.
"Are you allergic to any medications?"
B.
"Are you taking any herbal or over-the-counter (OTC) medications?"
D.
"Will you please tell me about the kind of diet you follow?"
E.
"What other medications are you currently taking?"
Rationale: Questions about allergies and which medications are being taken are assessment questions.
Questions about normal diet help to assess health management and are pertinent to drug
administration. Ideal body weight is an important question but does not refer specifically to medication
administration.
The healthcare provider has prescribed a nitroglycerine (Nitrodur) patch for the client. The nurse
understands that which of the following is the best outcome for this client as it relates to use of the
medication?
A.
Client will demonstrate correct application of the patch prior to discharge.
B.
Client will be able to identify the expiration date of the medication prior to discharge.
C.
Client will verbalize three side effects of the medication prior to discharge.
D.
Client will state the reason for receiving the medication prior to discharge. - correct answer ✔✔A.
Client will demonstrate correct application of the patch prior to discharge.
,Rationale: The overall goal of nursing care related to pharmacotherapy is the safe and effective
administration of medication. In this instance, the most important aspect of client teaching is that the
client be able to correctly apply the patch. If the patch is not correctly applied, the other issues are
irrelevant. The client does not need to identify side effects of the medication in order to correctly apply
the patch. The client does not need to state the reason for the medication in order to correctly apply the
patch. The client does not need to identify the expiration date of the medication in order to correctly
apply the patch.
The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is
the primary nursing intervention as it relates to this medication?
A.
Monitor the client's serum drug levels.
B.
Monitor the client for relief of bronchospasms.
C.
Monitor the client for nausea and headache.
D.
Provide the client with age-appropriate education about albuterol (Proventil). - correct answer ✔✔B.
Monitor the client for relief of bronchospasms
Rationale: Monitoring drug effects, in this case, the relief of bronchospasms, is a primary intervention
that nurses perform. Nausea and headache are expected side effects, but monitoring for these side
effects is not part of the primary intervention. Education about medication is important but is not part of
the primary intervention. Monitoring of serum drug levels for albuterol (Proventil) is not indicated.
The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The client's
outcome is "Client will state a key point about antibiotic treatment for cellulitis." Which statement would
the nurse evaluate as best indicating this outcome has been met?
A.
"I must keep my leg elevated until the swelling goes down."
B.
"I need to take all the pills even if my leg looks better."
C.
, "If the swelling continues, I can apply an ice pack."
D.
"If the pain gets too bad, I can take my prescribed pain medication." - correct answer ✔✔B.
"I need to take all the pills even if my leg looks better."
Rationale: Taking all the medication even if the leg looks better is a key point about antibiotic therapy
and meets the client's outcome. Keeping the leg elevated does not address the outcome for antibiotic
treatment. Applying an ice pack does not address the outcome for antibiotic treatment. Taking pain
medication does not address the outcome for antibiotic treatment.
The healthcare provider has prescribed quetiapine (Seroquel) for the client with chronic auditory
hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of
"noncompliance." In which situation would this diagnosis be appropriate?
A.
The client reported a physical change as the reason for stopping the medication.
B.
The client made an informed decision not to take the medication.
C.
The client was unsure about how to order a refill for the prescription.
D.
The client did not understand why the medication was prescribed. - correct answer ✔✔B.
The client made an informed decision not to take the medication.
Rationale: Noncompliance assumes that the client has been properly educated about the medication
and has made an informed decision not to take it. A lack of understanding for the reason the medication
was prescribed or being unsure of how to obtain a refill of the prescription is related to a knowledge
deficit, not noncompliance. Reports of a physical change since taking the medication would be
diagnosed as pertaining to the change.
The nurse is preparing for medication administration to a group of clients. What is the best overall
outcome for the clients?
A.
