NGR6172 EXAM 1 (TEST BANK QUESTIONS
FOR EXAM 1) WITH COMPLETE
SOLUTIONS, GRADED A+
environment for tracking
to learn from mistakes and
and clarity in prescriptions
collaborate on system
improvements
, Limiting patient involvement in the Focusing on naming, blaming, and
healthcare team to reduce shaming individuals who make
complexity in decision-making mistakes to hold them accountable
processes.
Don't know?
2 of 236
Term
A nurse is teaching a class to a group of pregnant patients. The nurse
correctly teaches that the highest risk of teratogen-induced gross
malformations exists during which time?
Give this one a try later!
During the second trimester During the third trimester
Immediately before conception During the first trimester
Don't know?
3 of 236
Term
A patient who has had abdominal surgery has been receiving
morphine sulfate via a patient-controlled analgesia (PCA) pump. The
nurse assesses the patient and notes that the patient's pupils are
dilated and that the patient is drowsy and lethargic. The patient's
,heart rate is 84 beats per minute, the respiratory rate is 10 breaths
per minute, and the blood pressure is 90/50 mm Hg. What will the
nurse do?
a. Discuss possible opiate dependence with the patient's provider.
b. Encourage the patient to turn over and cough and take deep
breaths.
c. Note the effectiveness of the analgesia in the patient's chart.
d. Prepare to administer naloxone and possibly ventilatory support.
Give this one a try later!
ANS: D
Opioid toxicity is characterized by coma, respiratory depression, and
pinpoint pupils. Although pupils are constricted initially, they may dilate as
hypoxia progresses, which also causes blood pressure to drop. This patient
has a respiratory rate of fewer than 12 breaths per minute, dilated pupils,
and low blood pressure; the patient also is showing signs of central
nervous system (CNS) depression. The nurse should prepare to give
naloxone and should watch the patient closely for respiratory collapse.
Patients with opioid dependence show withdrawal symptoms when the
drug is discontinued. When postoperative patients have adequate
analgesia without serious side effects, encouraging patients to turn, cough,
and breathe deeply is appropriate. This patient is probably relatively pain
free, but providing emergency treatment is the priority.
C. "This is called the 'on-off' phenomenon. Your healthcare provider can change
your medication regimen to help diminish this effect."
ANS: D
Baclofen does not appear to cause physical dependence, but abrupt
discontinuation has
been associated with adverse reactions. Abrupt withdrawal of oral baclofen can
cause
visual hallucinations, paranoid ideation, and seizures and should be considered
when a
, patient develops these symptoms. Seizures are not a symptom of baclofen
toxicity.
That her baby's health is dependent on hers
Don't know?
4 of 236
Term
A woman in labor receives meperidine [Demerol] for pain. The nurse
caring for the infant will observe the infant closely for:
a. congenital anomalies.
b. excessive crying and sneezing.
c. respiratory depression.
d. tremors and hyperreflexia.
Give this one a try later!
ANS: C
Use of morphine or other opioids during delivery can cause respiratory
depression in the neonate, because the drug crosses the placenta. Infants
should be monitored for respiratory depression and receive naloxone if
needed. Opioids given during delivery do not contribute to birth defects in
the newborn. Excessive crying and sneezing and tremors and hyperreflexia
are signs of neonatal opioid dependence, which occurs with long-term
opioid use by the mother during pregnancy and not with short-term use of
these drugs during labor.
FOR EXAM 1) WITH COMPLETE
SOLUTIONS, GRADED A+
environment for tracking
to learn from mistakes and
and clarity in prescriptions
collaborate on system
improvements
, Limiting patient involvement in the Focusing on naming, blaming, and
healthcare team to reduce shaming individuals who make
complexity in decision-making mistakes to hold them accountable
processes.
Don't know?
2 of 236
Term
A nurse is teaching a class to a group of pregnant patients. The nurse
correctly teaches that the highest risk of teratogen-induced gross
malformations exists during which time?
Give this one a try later!
During the second trimester During the third trimester
Immediately before conception During the first trimester
Don't know?
3 of 236
Term
A patient who has had abdominal surgery has been receiving
morphine sulfate via a patient-controlled analgesia (PCA) pump. The
nurse assesses the patient and notes that the patient's pupils are
dilated and that the patient is drowsy and lethargic. The patient's
,heart rate is 84 beats per minute, the respiratory rate is 10 breaths
per minute, and the blood pressure is 90/50 mm Hg. What will the
nurse do?
a. Discuss possible opiate dependence with the patient's provider.
b. Encourage the patient to turn over and cough and take deep
breaths.
c. Note the effectiveness of the analgesia in the patient's chart.
d. Prepare to administer naloxone and possibly ventilatory support.
Give this one a try later!
ANS: D
Opioid toxicity is characterized by coma, respiratory depression, and
pinpoint pupils. Although pupils are constricted initially, they may dilate as
hypoxia progresses, which also causes blood pressure to drop. This patient
has a respiratory rate of fewer than 12 breaths per minute, dilated pupils,
and low blood pressure; the patient also is showing signs of central
nervous system (CNS) depression. The nurse should prepare to give
naloxone and should watch the patient closely for respiratory collapse.
Patients with opioid dependence show withdrawal symptoms when the
drug is discontinued. When postoperative patients have adequate
analgesia without serious side effects, encouraging patients to turn, cough,
and breathe deeply is appropriate. This patient is probably relatively pain
free, but providing emergency treatment is the priority.
C. "This is called the 'on-off' phenomenon. Your healthcare provider can change
your medication regimen to help diminish this effect."
ANS: D
Baclofen does not appear to cause physical dependence, but abrupt
discontinuation has
been associated with adverse reactions. Abrupt withdrawal of oral baclofen can
cause
visual hallucinations, paranoid ideation, and seizures and should be considered
when a
, patient develops these symptoms. Seizures are not a symptom of baclofen
toxicity.
That her baby's health is dependent on hers
Don't know?
4 of 236
Term
A woman in labor receives meperidine [Demerol] for pain. The nurse
caring for the infant will observe the infant closely for:
a. congenital anomalies.
b. excessive crying and sneezing.
c. respiratory depression.
d. tremors and hyperreflexia.
Give this one a try later!
ANS: C
Use of morphine or other opioids during delivery can cause respiratory
depression in the neonate, because the drug crosses the placenta. Infants
should be monitored for respiratory depression and receive naloxone if
needed. Opioids given during delivery do not contribute to birth defects in
the newborn. Excessive crying and sneezing and tremors and hyperreflexia
are signs of neonatal opioid dependence, which occurs with long-term
opioid use by the mother during pregnancy and not with short-term use of
these drugs during labor.
