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RNSG 1301 EXAM 2 QUESTIONS WITH 100% CORRECT ANSWERS

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RNSG 1301 EXAM 2 QUESTIONS WITH 100% CORRECT ANSWERS

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A 2-year-old child is diagnosed with acute otitis media. The nurse would anticipate
incorporating which antibiotic into the plan of care?


Amoxicillin oral suspension
Erythromycin capsules
Ciprofloxacin drops
Carbamide peroxide drops


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Amoxicillin oral suspension - Amoxicillin is the drug of choice for acute
otitis media.




A patient taking metformin for type II diabetes is prescribed prednisone for a
respiratory infection. Which action would the nurse anticipate?


Increase metformin dosage during prednisone therapy.

,Hold metformin until prednisone therapy is complete.
Replace metformin with insulin during prednisone therapy.
Administer both drugs as currently prescribed.


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Increase metformin dosage during prednisone therapy. - Prednisone is a
corticosteroid that increases glucose blood levels. As a result, metformin
dosage may need increasing depending on patient response and length of
prednisone therapy.




Which symptoms, if experienced by a patient taking morphine, should be reported to
the health care provider?


Fatigue
Dizziness
Analgesia
Headaches
Constipation
Difficulty breathing


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Dizziness - A patient taking morphine should report dizziness to the health
care provider. Morphine may cause orthostatic hypotension, causing
dizziness, and placing the patient at risk for falls and injury.


Headaches - A patient taking morphine should report headaches to the
health care provider. Morphine may cause orthostatic hypotension, causing
headache, and placing the patient at risk for falls and injury.

Difficulty breathing - A patient taking morphine should report difficulty
breathing to the health care provider. Although respiratory depression is a
potential adverse effect of morphine, difficulty breathing may represent an
allergic reaction to the medication.

,Following administration of a nonantidiabetic drug, the patient develops new
responses. Which response indicates an urgent need for nursing intervention?


The presence of itching and rash
Low appetite and fatigue
The occurrence of diarrhea and abdominal pain
A nonproductive cough and chills


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The presence of itching and rash - Itching and rash may indicate a
hypersensitivity reaction to the medication and a potential anaphylaxis
reaction. The patient with these symptoms would be given the highest
priority.




A parent contacts the clinic regarding a child who is receiving amoxicillin for acute
otitis media. The parent states that the child is not eating and has developed white
patches in the mouth. Which action would the nurse take?


Reassure the parent that this is probably thrush and should resolve on its own.
Ask the parent to bring the child to the clinic because this is probably thrush and
needs to be treated.
Encourage the parent to give the child cold Popsicles to provide pain relief and
hydration.
Instruct the parent to discontinue amoxicillin immediately because this could be an
allergic response.


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, Ask the parent to bring the child to the clinic because this is probably
thrush and needs to be treated. - Asking the parent to bring the child to the
clinic is the appropriate action because thrush is very uncomfortable but
treatable.




A patient in the emergency department has mild pain and asks for acetaminophen.
Which intervention by the nurse is appropriate?


Suggest that the patient take intravenous (IV) morphine instead.
Ask the patient how many cigarettes he or she smokes every day.
Tell the patient that acetaminophen does not help with mild pain.
Ask the patient if he or she has taken any acetaminophen earlier in the day.


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Ask the patient if he or she has taken any acetaminophen earlier in the day.
- Asking a patient about his or her use of acetaminophen earlier in the day
is important before administering the drug again, as there is a limit to how
much can safely be taken in 1 day.




A patient in severe pain is unable to swallow and does not have intravenous (IV)
access. Which prescription would the nurse request from the health care provider?


Morphine by mouth (PO)
Morphine by rectum (PR)
Acetaminophen PO
Acetaminophen PR


Give this one a try later!

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