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NURS 504 Exam 4 Questions With Complete Solutions

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NURS 504 Exam 4 Questions With Complete Solutions

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NURS 504 Exam 4 Questions With Complete Solutions

"Has your father consumed alcoholic beverages on a regular
basis?" Correct Answers A patient is living with his daughter
after major surgery. He states, "I see a dog around the chair. Get
rid of that dog. I hate dogs." The daughter tells the home care
nurse there is no dog behind the chair. What is the most
important question the nurse should ask the daughter?

"Does you father have health care insurance for psychiatry?"
"Has your father been fearful of dogs in the past?" "Has your
father consumed alcoholic beverages on a regular basis?" "What
type of foods or spices has your father consumed today?"

"It involves feelings of satisfaction and pleasure from taking the
drug." Correct Answers The high school nurse is explaining the
dangers of substance abuse to the incoming freshman class. How
would the nurse explain psychological dependence to the
students?

"It involves the unpleasant symptoms that result when you stop
taking the drug." "It is the physiologic adaptation to chronic use
of a drug." "It involves feelings of satisfaction and pleasure from
taking the drug." "It is the decreased effect of the drug that
occurs with extended use."

"The drug has no effect on inflammation." Correct Answers A
female client with acute joint inflammation asks the nurse why
she shouldn't use acetaminophen for her condition. What would
be the nurse's best response to this client?

, "The drug has no effect on inflammation." "The drug has quite
a few adverse effects." "This drug is reserved for long-term
therapy." "The drug can increase your risk for bleeding."

A patient with a history of angina who experienced a non-ST
wave myocardial infarction Correct Answers A nurse who
provides care on an acute medicine unit has frequently
recommended the use of nicotine replacement gum for patients
who express a willingness to quit smoking during their
admission or following their discharge. For which of the
following patients would nicotine gum be contraindicated?

A patient who received treatment for kidney failure due to an
overdose of acetaminophen A patient whose pulmonary
embolism was treated with a heparin infusion A patient with a
history of angina who experienced a non-ST wave myocardial
infarction A patient whose stage III pressure ulcer required
intravenous antibiotics and a vacuum dressing

acetaminophen and oxycodone (Percocet)
morphine sulfate (MS Contin)
hydromorphone (Dilaudid) Correct Answers Which of the
following medications requires that naloxone (Narcan) be
administered to counter the effects? Select all that apply.
acetaminophen and oxycodone (Percocet) morphine sulfate
(MS Contin) aspirin (Ecotrin) acetaminophen (Tylenol)
hydromorphone (Dilaudid)

acetylcysteine Correct Answers Which is the antidote for
acetaminophen poisoning?

, acetylcysteine allopurinol diclofenac sodium ketorolac

Administer a subcutaneous triptan. Correct Answers A client
reports nausea with a severe headache. On assessment, the nurse
learns the client has vomited several times this hour. What is the
best way to treat the client's migraine?

Administer a subcutaneous triptan. Administer an antacid.
Administer the oral medications, then assess to make certain the
client retains the medication. Give the client dry crackers or
pretzels prior to taking medication.

Anti-inflammatory and antiplatelet effects Correct Answers
Acetaminophen is frequently used as a substitute for aspirin.
What effects of aspirin are absent in acetaminophen?

Antiplatelet and antipyretic effects Analgesic and antipyretic
effects Anti-inflammatory and antiplatelet effects Anti-
inflammatory and analgesic effects

Assist client from their bed to the toilet.
Assist client with rising from a lying position.
Assist client with hall-walking activities. Correct Answers To
decrease the risk of injury to a client taking an opioid, what
should the nurse do? (Select all that apply.)

Keep the lights in the client's room turned down. Assist client
from their bed to the toilet. Assist client with rising from a lying
position. Assist client with hall-walking activities. Advise the
client to stay in bed all night.

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