and Rationales
• Question 1
A patient receives 25 units of NPH insulin at 7.AM. At what time of day
should the nurse advise the patient to be most alert for a potential
hypoglycemic reaction?
Response After an early morning dose of NPH insulin, the patient should
Feedback:
be alert for a possible hypoglycemic reaction during mid- to
late-afternoon. The lengthy peak action time produces
additional risks for hypoglycemic reactions.
• Question 2
1 out of 1 points
A 66-year-old woman has experienced a significant decline in her quality
of life as a result of worsening rheumatoid arthritis. Her physician has
prescribed etanercept and the nurse is responsible for facilitating this new
aspect of the patient's drug regimen. This will involve the administration
of
Response Etanercept is a weekly subcutaneous
Feedback:
injection.
• Question 3
1 out of 1 points
A nurse will monitor which of the following when assigned to a patient
taking allopurinol for chronic gout who visits the clinic every 2 months?
Response The most common adverse effects of allopurinol include
Feedback:
pruritus, maculopapular rash, nausea and vomiting, elevated
liver function tests, and acute gout symptoms. Blood sugar
levels, blood pressure, and body temperature are not
associated with adverse effects of allopurinol.
• Question 4
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for
monitoring?
Response Gabapentin is not metabolized and is excreted unchanged in
Feedback:
the urine. Therefore, it is important to monitor renal function.
Hepatic, cardiac, and respiratory functions are not
compromised with this drug.
• Question 5
1 out of 1 points
A diabetic patient being treated for obesity tells the nurse that he is
having adverse effects from his drug therapy. The patient has been taking
, dextroamphetamine for 2 weeks as adjunct therapy. Which of the
following adverse effects would need the nurse's immediate attention?