NURS6521 Final Exam with the best
elaborated answers
A rnurse rworks rat ra rweight rmanagement rclinic. rTo rwhich rof rthe rfollowing
roverweight rpatients
could rthe rnurse rsafely radminister rdextroamphetamine? r- rANSWER-A r48-year-old
rCaucasian rman rwho rhas radult-onset rdiabetes
A r71-year-old rman rhas rjust rbeen rprescribed rfinasteride r(Proscar). rWhich rof rthe
rfollowing
complaints rby rthis rpatient rmost rlikely rindicated ra rneed rfor rthis rdrug? r-
rANSWER-"Lately, rI rhave rto rget rup rthree ror rfour rtimes ra rnight rto rgo rto rthe
rbathroom."
After r6 rmonths rof runsuccessfully rtrying rto rconceive, ra r31-year-old rwoman rand
rher rhusband
have rsought ra rreferral rto ra rfertility rspecialist rin rorder rto rexplore rtheir roptions. rA
rnurse rat rthe
clinic rshould rrecognize rthat rthe rwoman rmay rbenefit rfrom r- rANSWER-clomiphene.
Which rof rthe rfollowing rwould rthe rnurse rinclude rin ra rteaching rplan rabout rthe
rsigns rand rsymptoms rof rthrombophlebitis rand rthromboembolism rthat rshould rbe
rreported rby ra rpatient rtaking restrogen? r- rANSWER-Headaches rand rchest rpain
A r38-year-old rpregnant rpatient radmits rto rthe rnurse rthat rshe ris ran ralcoholic rand
rhas rbeen
consuming ralcohol rduring rher rpregnancy. rThe rnurse rknows rthat rusing ralcohol
rduring
pregnancy rmay rresult rin ra rchild rwho rpresents rwith r- rANSWER-microcephaly
A rnurse rpractitioner rorders r150 rmg rof roral rfluconazole rfor ra rpatient rwith
rvulvovaginal
candidiasis. rThe rpatient rshould rexpect rto rtake rmedication r- rANSWER-Once ra
rday
An roncology rnurse ris rreviewing rthe rpathophysiology rof rcancer rand ris rdiscussing
rwith ra rcolleague rthe rfactors rthat rcontribute rto rthe rsuccess ror rfailure rof ra
rpatient's rchemotherapy. rWhich rof rthe rfollowing rcancerous rcells ris rmost
, rsusceptible rto rthe reffects rof rchemotherapeutic rdrugs? r- rANSWER-Cells rthat
rhave ra rrapid rmitotic rrate
A rmiddle-aged rpatient rhas rreceived ra rdiagnosis rof rGI rstromal rtumor rfollowing
ran rextensive rdiagnostic rworkup. rImatinib rhas rbeen rrecommended ras ra
rcomponent rof rthe rpatient's rdrug
regimen. rWhat rpatient reducation rshould rthe rnurse rprovide rto rthis rpatient?"It's
rimportant rthat ryou rlet rus rknow rif ryou rdevelop rany rsignificant rswelling ror r-
rANSWER-Puffiness
A r12-year-old rboy ris rbeing rdischarged rfrom rthe rhospital rafter rmajor rsurgery.
rThe rboy rwill rbe
taking rtwo rmedications rat rhome rfor ran rextended rperiod. rThe rnurse rwho ris
rdischarging rthe
patient rshould rprovide rmedication rteaching rspecifically rto r- rANSWER-both rthe
rboy rand rhis rmother rregarding rall rmedication rissued.
A rpatient rhas rbeen radmitted rto rthe rcritical rcare runit rwith ra rdiagnosis rof
rperitonitis rthat rhas
necessitated rtreatment rwith rgentamicin. rAs ra rresult, rthe rcare rteam rshould rbe
rcautious rwhen
concurrently radministering rother rmedications rthat rmay rcause r- rANSWER-
ototoxicity ror rnephrotoxicity
A r39-year-old rwoman ris rreceiving rdoxorubicin rfor rthe rtreatment rof rcancer. rAfter
reach
treatment, rthe rpatient rhas racute rnausea rand rvomiting raccompanied rby ra rslightly
rincreased
heart rrate. rThe rnurse rwill radvise rher rto r- rANSWER-perform rrelaxation
rtechniques rafter rthe rtreatments.
A rnurse ris rcaring rfor ra rpatient rwith rcancer rwho rhas rbeen rprescribed rdronabinol
r(Marinol) rto
help rreduce rnausea rand rvomiting rfrom rchemotherapy. rThe rnurse rwill rinform rthe
rpatient rthat
he ror rshe ris rtaking ran roral rform rof r- rANSWER-marijuana
A r46-year-old rman ris rreceiving ra rquinupristindalfopristin rIV rinfusion rfor ra rlife-
threatening
infection. rWhich rof rthe rfollowing rwould rbe rmost rimportant rfor rthe rnurse rto
rmonitor? r- rANSWER-Infiltration, redema, ror rphlebitis rat rthe rinfusion rsite
A rwoman ris rreceiving rprolonged rdrug rtherapy rduring rher rcomplicated rpregnancy,
rand rit rmay
pose ra rrisk rto rboth rthe rmother rand rthe rfetus. rThe rprimary rcare rphysician rhas
rmade rdosage
elaborated answers
A rnurse rworks rat ra rweight rmanagement rclinic. rTo rwhich rof rthe rfollowing
roverweight rpatients
could rthe rnurse rsafely radminister rdextroamphetamine? r- rANSWER-A r48-year-old
rCaucasian rman rwho rhas radult-onset rdiabetes
A r71-year-old rman rhas rjust rbeen rprescribed rfinasteride r(Proscar). rWhich rof rthe
rfollowing
complaints rby rthis rpatient rmost rlikely rindicated ra rneed rfor rthis rdrug? r-
rANSWER-"Lately, rI rhave rto rget rup rthree ror rfour rtimes ra rnight rto rgo rto rthe
rbathroom."
After r6 rmonths rof runsuccessfully rtrying rto rconceive, ra r31-year-old rwoman rand
rher rhusband
have rsought ra rreferral rto ra rfertility rspecialist rin rorder rto rexplore rtheir roptions. rA
rnurse rat rthe
clinic rshould rrecognize rthat rthe rwoman rmay rbenefit rfrom r- rANSWER-clomiphene.
Which rof rthe rfollowing rwould rthe rnurse rinclude rin ra rteaching rplan rabout rthe
rsigns rand rsymptoms rof rthrombophlebitis rand rthromboembolism rthat rshould rbe
rreported rby ra rpatient rtaking restrogen? r- rANSWER-Headaches rand rchest rpain
A r38-year-old rpregnant rpatient radmits rto rthe rnurse rthat rshe ris ran ralcoholic rand
rhas rbeen
consuming ralcohol rduring rher rpregnancy. rThe rnurse rknows rthat rusing ralcohol
rduring
pregnancy rmay rresult rin ra rchild rwho rpresents rwith r- rANSWER-microcephaly
A rnurse rpractitioner rorders r150 rmg rof roral rfluconazole rfor ra rpatient rwith
rvulvovaginal
candidiasis. rThe rpatient rshould rexpect rto rtake rmedication r- rANSWER-Once ra
rday
An roncology rnurse ris rreviewing rthe rpathophysiology rof rcancer rand ris rdiscussing
rwith ra rcolleague rthe rfactors rthat rcontribute rto rthe rsuccess ror rfailure rof ra
rpatient's rchemotherapy. rWhich rof rthe rfollowing rcancerous rcells ris rmost
, rsusceptible rto rthe reffects rof rchemotherapeutic rdrugs? r- rANSWER-Cells rthat
rhave ra rrapid rmitotic rrate
A rmiddle-aged rpatient rhas rreceived ra rdiagnosis rof rGI rstromal rtumor rfollowing
ran rextensive rdiagnostic rworkup. rImatinib rhas rbeen rrecommended ras ra
rcomponent rof rthe rpatient's rdrug
regimen. rWhat rpatient reducation rshould rthe rnurse rprovide rto rthis rpatient?"It's
rimportant rthat ryou rlet rus rknow rif ryou rdevelop rany rsignificant rswelling ror r-
rANSWER-Puffiness
A r12-year-old rboy ris rbeing rdischarged rfrom rthe rhospital rafter rmajor rsurgery.
rThe rboy rwill rbe
taking rtwo rmedications rat rhome rfor ran rextended rperiod. rThe rnurse rwho ris
rdischarging rthe
patient rshould rprovide rmedication rteaching rspecifically rto r- rANSWER-both rthe
rboy rand rhis rmother rregarding rall rmedication rissued.
A rpatient rhas rbeen radmitted rto rthe rcritical rcare runit rwith ra rdiagnosis rof
rperitonitis rthat rhas
necessitated rtreatment rwith rgentamicin. rAs ra rresult, rthe rcare rteam rshould rbe
rcautious rwhen
concurrently radministering rother rmedications rthat rmay rcause r- rANSWER-
ototoxicity ror rnephrotoxicity
A r39-year-old rwoman ris rreceiving rdoxorubicin rfor rthe rtreatment rof rcancer. rAfter
reach
treatment, rthe rpatient rhas racute rnausea rand rvomiting raccompanied rby ra rslightly
rincreased
heart rrate. rThe rnurse rwill radvise rher rto r- rANSWER-perform rrelaxation
rtechniques rafter rthe rtreatments.
A rnurse ris rcaring rfor ra rpatient rwith rcancer rwho rhas rbeen rprescribed rdronabinol
r(Marinol) rto
help rreduce rnausea rand rvomiting rfrom rchemotherapy. rThe rnurse rwill rinform rthe
rpatient rthat
he ror rshe ris rtaking ran roral rform rof r- rANSWER-marijuana
A r46-year-old rman ris rreceiving ra rquinupristindalfopristin rIV rinfusion rfor ra rlife-
threatening
infection. rWhich rof rthe rfollowing rwould rbe rmost rimportant rfor rthe rnurse rto
rmonitor? r- rANSWER-Infiltration, redema, ror rphlebitis rat rthe rinfusion rsite
A rwoman ris rreceiving rprolonged rdrug rtherapy rduring rher rcomplicated rpregnancy,
rand rit rmay
pose ra rrisk rto rboth rthe rmother rand rthe rfetus. rThe rprimary rcare rphysician rhas
rmade rdosage
