NUR 3227 JUNETTA COOPER VSIM FEEDBACK LOG PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

NUR 3227 JUNETTA COOPER VSIM FEEDBACK LOG PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) The nurse is reviewing initial provider orders and recognizes that the ____ and the ____ are administered to decrease Mrs. Cooper's risk of developing a thrombus. - ANSWER Clopidogrel, fondaparinux 2) When reviewing the initial background and assessment data, the nurse recognizes which of the following as contributing factor(s) to Mrs. Cooper's coronary artery disease (CAD)? - ANSWER Hypertension Ethnicity Age High cholesterol 3) Mrs. Cooper's chest pain persists after an initial dose of 0.4 mg of nitroglycerin sublingual (SL), 325 aspirin by mouth, and 2 mg IVP of morphine. The nurse understands that this may indicate the development of a/an ____ and should next administer ____. - ANSWER Myocardial infarction, nitroglycerin 4) The nurse is preparing to administer SL nitroglycerin for chest pain. Which of the following would be important to include in the plan of care? - ANSWER Monitor the patient for dizziness Monitor the patient for a headache Withhold the medication with hypotension (systolic blood pressure less than 90 mmHg or 30 mmHg below the patient's normal blood pressure) Call the patient's health care provider and obtain a 12-lead ECG at the onset of chest pain 5) Which of the following actions will the nurse include when administering hydrochlorothiazide to Mrs. Cooper? - ANSWER Record intake and output as ordered Encourage slow position changes Monitor weights as ordered Monitor for hypokalemia 6) A patient reports taking two extended-release acetaminophen tablets of 650 mg each every 4 hours for the last 3 days to manage chronic pain. The nurse calculates the daily dose of acetaminophen as 7,800 mg/d. Which of the following laboratory tests is a priority for this patient? - ANSWER Liver function test 7) Duloxetine is prescribed for a patient with chronic pain. Which of the following drug classifications does this medication fall under? - ANSWER Antidepressant 8) Which of the following types of medications need to be included in the medication reconciliation process? - ANSWER Dietary supplements Prescription Medications Herbal supplements OTC drugs 9) Which of the following conditions would most likely be defined as chronic pain? - ANSWER Intermittent muscle pain 6 months after a back strain injury 10) The nurse is providing education to a patient taking tramadol six times a day for chronic pain. The patient also takes hydrocodone 10 mg as needed for additional pain relief. Which of the following should be included regarding combining these two medications? - ANSWER Both medication have similar adverse effects 11) Which of the following medications would help manage a patients chronic pain? - ANSWER Gabapentin, Duloxetine, Hydrocodone, Acetaminophen 12) A patient is taking duloxetine. How does this medication help with danielle young bear? - ANSWER It can help her cope with the chronic pain. 13) Danielle Young Bear takes tramadol. Use of this medication should be limited for patients with a history of which of the following medical conditions? - ANSWER Addiction 14) Danielle Young Bear drinks willow bark tea to help manage her pain. Willow bark is most commonly used for which of the following conditions? - ANSWER Fever 15) Which of the following medications taken by Danielle Young Bear will increase the risk of liver damage if combined with alcohol? - ANSWER Duloxetine and Acetaminophen 16) Danielle Young Bear is taking tramadol and cyclobenzaprine. Which of the following adverse reactions is found with both of these medications? - ANSWER Seizures 17) Acute liver failure is associated with acetaminophen doses higher than ___________ - ANSWER 4,000 mg/d 18) Duloxetine and Acetaminophen effects on liver - ANSWER Duloxetine: can increase liver function/enzyme test levels Acetaminophen: Hepatotoxicity with overuse and chronic use 19) Cyclobenzaprine Hydrochloride Classification - ANSWER Muscle Relaxant 20) Cyclobenzaprine Interactions - ANSWER CNS depressants, MAO inhibitors, Naproxen, Tramadol Alcohol use 21) Which medication is most appropriate to give orally for MRSA? - ANSWER Rifampin 22) A patient with renal insufficiency is prescribed vancomycin intravenously. How will vancomycin be dosed for the patient? - ANSWER Give loading dose of 15 mg/kg. Adjust subsequent doses based on renal function tests and drug blood levels. 23) Why is a hearing test ordered 1 week after vancomycin therapy? - ANSWER It can cause damage to the auditory nerve. 24) The vancomycin blood level ordered prior to the third dose comes back elevated. Which of the following laboratory values are most important for the nurse to assess? - ANSWER BUN and Creatinine