NUR2356 BUNDLED EXAMS VERIFIED
QUESTIONS AND ANSWERS FULL SOLUTION
PACKAGE
◉ The nurse is teaching the patient about amoxicillin prior to
discharge and includes what important teaching point?
- even if it seems like the infection is not improving, the drug is still
working
- yeast infections are unlikely to occur with this medication because it
is a narrow spectrum
- infections of the tongue may occur but will subside when the drug is
discontinued
- appearance of a rash is common and does not indicate an allergic
reaction. Answer: - infections of the tongue may occur but will
subside when the drug is discontinued
*** lingua villosa nigra = remember furry tongue, or hairy tongue that
can cause the tongue to look black in appearance, can happen with
antibiotics. The best intervention/ pt. education the RN can do =
maintain and promote good oral hygiene. Best preventative measure
as well as treatment option.
◉ The nurse is providing discharge teaching for a patient prescribed
prednisone to be taken on alternate days. The patient asks why he
cannot take half a pill every day. What is the nurse's best response?
,to eliminate adverse side effects
to prolong therapeutic efforts
to prevent steroidal tolerance
to decrease adrenal suppression. Answer: - to decrease adrenal
suppression
*** remember this can help DECREASE adverse side effects not
eliminate them. Many of the side effects are the result of adrenal
gland suppression/ reduction in cortisol production. So decreasing the
suppression of the adrenal glands makes the most sense!
◉ AG a citadel student living on campus presented to the emergency
department. He developed a fever (Tmax 103/F/ 39.4C) 1 day prior.
He presented with mild rhinorrhea, headache, decreased appetite, and
was lethargic with an O2 sat of 97%. This morning his room mate had
difficulty arousing him. Which of the following assessment/
intervention would a nurse perform FIRST?
- perform a focused neuro assessment
- obtain a set of vital signs
- obtain a peripheral blood glucose level
- auscultation of the respiratory system. Answer: - obtain a set of vital
signs
*** you would want to get vitals first, perform a neuro assessment,
obtain SMBG, auscultate respiratory last
,◉ AG student living on campus presented to the emergency
department. He developed a fever (Tmax 103F/ 39.4C) 1 day prior.
He presented with mild rhinorrhea, headache, decreased appetite, and
is lethargic. This morning his room mate had difficulty arousing him.
Reviewing the lab values, which of the following would the nurse
suggest to the provider?
- request an order for frequent (q2hr) neurosensory assessment, an
order for blood cultures (WBC elevated so we need to see what
infection he is fighting off), request and opioid for pain.. Answer: ***
remember elevated C-reactive protein levels in the blood increase
inflammation. This can lead to an increased risk in ischemia possible
resulting in an ischemic CVA. (too much inflammation = too much
pressure on vessels = could cause stroke). So if patient has high CRP
then neuro checks need to be frequent to assess for S and S of too
much inflammation in the brain. CRP should be 0.1 or lower his was
12. something!!!
◉ In assessing the neurological status on an older patient, the nurse
needs to consider which-age related change of the neurological
system?
- reaction time is slower
- flexibility is maintained
- pain sensation is heightened
- higher basal body temperature. Answer: - reaction time is slower
***with age, our temperature regulators aren't as effective as they
used to be (hypothalamus) resulting in an overall decrease in basil
body temp. Why elderly patients often describe feeling cold, keep
, their rooms at warmer temps, require extra blankets, and dress for
cold weather even when it's relatively warm outside. Pain sensation is
actually dullened. Flexibility slightly decreases (typically/ norm) and
slower reaction time. The brains shrinks, loses a little weight, and thus
decreases the firing speed of neurons and interferes with neuronal
transfer at the synaptic cleft = delayed neuronal transmissions which
presents as slowed or delayed reaction time. Both gross and motor.
◉ A nurse receives report on a patient who recently experienced a 15-
minute generalized (Tonic Clonic)} seizure in the emergency
department. On arrival to the unit, the patient is prone, breathing
noisily, and hard to arouse. The nurse would initiate which of the
following? (select all that apply)
- place an oral airway
- administer intravenous antibiotics
- place patient in side lying position
- perform a neurovascular assessment
- obtain oxygen saturation level
- call rapid response team. Answer: - place patient in side lying
position
- obtain oxygen saturation level
- call a rapid response team
*** remember this patient had a TONIC CLONIC!!! = total loss of
muscle control, often aphasic and dysphasic. So we aren't putting
QUESTIONS AND ANSWERS FULL SOLUTION
PACKAGE
◉ The nurse is teaching the patient about amoxicillin prior to
discharge and includes what important teaching point?
- even if it seems like the infection is not improving, the drug is still
working
- yeast infections are unlikely to occur with this medication because it
is a narrow spectrum
- infections of the tongue may occur but will subside when the drug is
discontinued
- appearance of a rash is common and does not indicate an allergic
reaction. Answer: - infections of the tongue may occur but will
subside when the drug is discontinued
*** lingua villosa nigra = remember furry tongue, or hairy tongue that
can cause the tongue to look black in appearance, can happen with
antibiotics. The best intervention/ pt. education the RN can do =
maintain and promote good oral hygiene. Best preventative measure
as well as treatment option.
◉ The nurse is providing discharge teaching for a patient prescribed
prednisone to be taken on alternate days. The patient asks why he
cannot take half a pill every day. What is the nurse's best response?
,to eliminate adverse side effects
to prolong therapeutic efforts
to prevent steroidal tolerance
to decrease adrenal suppression. Answer: - to decrease adrenal
suppression
*** remember this can help DECREASE adverse side effects not
eliminate them. Many of the side effects are the result of adrenal
gland suppression/ reduction in cortisol production. So decreasing the
suppression of the adrenal glands makes the most sense!
◉ AG a citadel student living on campus presented to the emergency
department. He developed a fever (Tmax 103/F/ 39.4C) 1 day prior.
He presented with mild rhinorrhea, headache, decreased appetite, and
was lethargic with an O2 sat of 97%. This morning his room mate had
difficulty arousing him. Which of the following assessment/
intervention would a nurse perform FIRST?
- perform a focused neuro assessment
- obtain a set of vital signs
- obtain a peripheral blood glucose level
- auscultation of the respiratory system. Answer: - obtain a set of vital
signs
*** you would want to get vitals first, perform a neuro assessment,
obtain SMBG, auscultate respiratory last
,◉ AG student living on campus presented to the emergency
department. He developed a fever (Tmax 103F/ 39.4C) 1 day prior.
He presented with mild rhinorrhea, headache, decreased appetite, and
is lethargic. This morning his room mate had difficulty arousing him.
Reviewing the lab values, which of the following would the nurse
suggest to the provider?
- request an order for frequent (q2hr) neurosensory assessment, an
order for blood cultures (WBC elevated so we need to see what
infection he is fighting off), request and opioid for pain.. Answer: ***
remember elevated C-reactive protein levels in the blood increase
inflammation. This can lead to an increased risk in ischemia possible
resulting in an ischemic CVA. (too much inflammation = too much
pressure on vessels = could cause stroke). So if patient has high CRP
then neuro checks need to be frequent to assess for S and S of too
much inflammation in the brain. CRP should be 0.1 or lower his was
12. something!!!
◉ In assessing the neurological status on an older patient, the nurse
needs to consider which-age related change of the neurological
system?
- reaction time is slower
- flexibility is maintained
- pain sensation is heightened
- higher basal body temperature. Answer: - reaction time is slower
***with age, our temperature regulators aren't as effective as they
used to be (hypothalamus) resulting in an overall decrease in basil
body temp. Why elderly patients often describe feeling cold, keep
, their rooms at warmer temps, require extra blankets, and dress for
cold weather even when it's relatively warm outside. Pain sensation is
actually dullened. Flexibility slightly decreases (typically/ norm) and
slower reaction time. The brains shrinks, loses a little weight, and thus
decreases the firing speed of neurons and interferes with neuronal
transfer at the synaptic cleft = delayed neuronal transmissions which
presents as slowed or delayed reaction time. Both gross and motor.
◉ A nurse receives report on a patient who recently experienced a 15-
minute generalized (Tonic Clonic)} seizure in the emergency
department. On arrival to the unit, the patient is prone, breathing
noisily, and hard to arouse. The nurse would initiate which of the
following? (select all that apply)
- place an oral airway
- administer intravenous antibiotics
- place patient in side lying position
- perform a neurovascular assessment
- obtain oxygen saturation level
- call rapid response team. Answer: - place patient in side lying
position
- obtain oxygen saturation level
- call a rapid response team
*** remember this patient had a TONIC CLONIC!!! = total loss of
muscle control, often aphasic and dysphasic. So we aren't putting
