Correct Answers | Graded A+
1. A nurse is providing teaching to a patient who has a new prescription for
levothyroxine for hypothyroidism. Which of the following statements should
the nurse use when teaching the patient?
Symptoms improve immediately after starting the medication
The medication decreases the overproduction of thyroid hormone
thyroxine
Take this medication until your symptoms are gone then discontinue
Tremors, nervousness, and insomnia indicate your dose is too high
2. What is a common side effect of nitroglycerin that nurses should monitor for?
Nausea
Headache
Dizziness
Rash
3. Describe the factors that influence the choice of needle size and length for
administering an IM injection.
Factors include the type of medication and the patient's skin color.
Factors include the patient's age, muscle mass, and the viscosity of
the medication.
Factors include the patient's previous medical history and allergies.
Factors include the patient's height and weight only.
,4. The older adult with HTN has been prescribed a diuretic. Which assessment
finding prompts the nurse to hold the med and contact the HCP?
the patient is complaining of cold symptoms
the patient's HR is irregular
the patient's temp is 98.4 F
the patient has a BP of 140/90 mmHg
5. What is the typical needle gauge used for an intramuscular (IM) injection?
25-27 gauge
30 gauge
18-20 gauge
21-23 gauge
6. What is the priority nursing intervention for a lethargic diaphoretic client with
a blood glucose reading of 15 mg/dL?
Administer glucagon IM per standing order
Feed the client
Administer oral glucose supplement
Assess the client further for signs and symptoms of hypoglycemia
7. A patient with heart failure taking digoxin reports nausea, vomiting, and visual
changes. Which does the nurse include in the plan of care?
Lower the digoxin dose.
Discontinue medication.
Obtain digoxin level.
, Initiate telemetry monitoring.
8. When glucagon is administered, what does it do? (The patient asks the nurse,
'Why am I getting glucagon?' Which response by the nurse is most accurate?)
Provides a glucose substitute for rapid replacement
Frees glucose from hepatic stores of glycogen
Supplies glycogen directly to the vital tissues
Competes for insulin at the receptor sites
9. Why is it important for a nurse to teach a patient the correct method of
mixing insulin?
Insulin mixing is irrelevant to blood sugar control.
Patients can mix insulin without any specific technique.
Correct mixing ensures proper absorption and effectiveness of
insulin.
Mixing insulin is only necessary for patients with type 1 diabetes.
10. Describe why headache is a common side effect of nitroglycerin and how it
relates to the medication's action.
Nitroglycerin increases heart rate, causing headaches.
Nitroglycerin causes vasodilation, which can lead to increased
intracranial pressure and result in headaches.
Nitroglycerin reduces blood flow to the brain, leading to headaches.
Nitroglycerin has no relation to headaches.
11. If a patient receiving IV Vancomycin develops a rash during administration,
what should the nurse's immediate action be?
, Stop the infusion and assess the patient.
Notify the physician after the infusion is completed.
Continue the infusion and document the rash later.
Administer an antihistamine and continue the infusion.
12. What is the primary purpose of levothyroxine in patient treatment?
To replace or supplement thyroid hormone
To reduce inflammation
To lower blood sugar levels
To prevent blood clots
13. Which statement by the client indicates a need for further teaching by the
nurse?
"I will always have some kind of sugar with me in case I have a
hypoglycemic reaction"
"I will carefully draw up my doses of insulin"
"I will inject my insulin at a 90O angle"
"I will take more insulin when I go to my exercise class"
14. What is the primary lab test that needs to be monitored for a patient on
warfarin?
CBC
aPTT
INR
PT