NUR 320 Exam 2 questions
A forty four-yr-vintage lady consumer provides to the ED diagnosed with a stroke. Which of the
customer's modern-day medicine regimen is a hazard factor for growing a stroke?
A) Propranolol
B) Furosemide
C) Estradiol/norgestimate
D) Metformin - ANS-C) Estradiol/norgestimate
A 60 yr antique woman customer has taken hormone alternative remedy (HRT) for control of
menopausal signs for the remaining nine years. Which statement by means of the nurse shows
the purchaser's hazard for developing breast most cancers?
A) "The hazard of getting most cancers decreases every yr that the patron takes hormones"
B) "The danger is similar to for girls who do now not take HST"
C) "The chance increases every year the customer is taking HRT"
D) "The hazard is handiest barely more whilst taking HRT" - ANS-C. "The risk increases each yr
the consumer is taking HRT"
The child diagnosed with reactive airway sickness is prescribed a cromolyn inhaler. The mother
asks the nurse to provide an explanation for how this medication allows manage her baby's
bronchial asthma. Which announcement is the nice clarification to provide to the mom?
A) This medication diminishes the medicator movement of leukotrienes.
B) This medicine blocks the discharge of mast cell mediators.
C) This remedy causes rest of the bronchial smooth muscle.
D) This medicine decreases bronchial airway inflammation. - ANS-B) This medicinal drug blocks
the release of mast cell mediators.
The patron identified with a pulmonary embolus (PE) is receiving intravenous Heparin, and the
HCP prescribes 5mg Warfarin (Coumadin) orally as soon as a day. Which announcement
first-rate explains the scientific intent for prescribing these two anticoagulants?
A) Coumadin interferes with manufacturing of prothrombin
B) It takes three-5 days to reap a healing level of Coumadin
C) Heparin is more effective when administered with warfarin
D) Coumadin potentiates the therapeutic motion of heparin - ANS-B) It takes three-5 days to
attain a therapeutic stage of Coumadin. (Heparin has a brief half of life and is prescribed as
soon as a PE is suspected. The purchaser need to move domestic having taken an oral
anticoagulant including Coumadin, which has a protracted half life and wishes as a minimum
, three-five days to attain a therapeutic degree. Discontinuing the heparin prior to achieving a
healing stage of Coumadin locations the consumer at hazard for another PE.)
The patron identified with grownup respiratory misery syndrome (ARDS) has been observed to
have a disorder-inflicting organism immune to the antibiotics being given. Which intervention
have to the nurse implement?
A) Monitor for therapeutic blood ranges of the aminoglycoside antibiotic prescribed.
B) Prepare to administer the glucocorticoid medication ordered intramuscularly.
C) Obtain an order for repeat cultures to confirm the identity of the resistant organism.
D) Place the customer on airborne isolation precautions. - ANS-A) Monitor for therapeutic blood
levels of the aminoglycoside antibiotic prescribed.
The patron recognized with cancer reports anorexia. Which remedy might the nurse talk with the
HCP that could increase the consumer's urge for food?
A) Folinic Acid
B) Cyanocobalamin
C) Megestrol acetate
D) Pantoprazole - ANS-C. Megestrol acetate
The customer recognized with persistent obstructive pulmonary sickness is prescribed
methylprednisolone (Solu-Medrol), a glucocorticoid IVP. Which laboratory check need to the
nurse monitor for?
A) The white blood cell (WBC) rely
B) The hemoglobin and hematocrit
C) The blood glucose level
D) The BUN and creatine - ANS-C. The blood glucose degree
The patron diagnosed with iron-deficiency anemia is being discharged. Which charge education
have to the nurse encompass concerning the oral iron education prescribed?
A. Teach the patron to preform a fecal occult blood test day by day.
B. Demonstrate the way to weigh down the pills and mix with pudding.
C. Check for allergies to fish or other seafood.
D. Tell the consumer that his or her stools could be greenish black. - ANS-Answer D
Tell the client that his or her stools can be greenish black.
The consumer identified with Parkinson's ailment has been on lengthy-time period levodopa.
Which statistics helps the intent for placing the purchaser on a "drug excursion"?
A. The remedy is highly-priced and hard to come up with the money for for customers on a hard
and fast income.
A forty four-yr-vintage lady consumer provides to the ED diagnosed with a stroke. Which of the
customer's modern-day medicine regimen is a hazard factor for growing a stroke?
A) Propranolol
B) Furosemide
C) Estradiol/norgestimate
D) Metformin - ANS-C) Estradiol/norgestimate
A 60 yr antique woman customer has taken hormone alternative remedy (HRT) for control of
menopausal signs for the remaining nine years. Which statement by means of the nurse shows
the purchaser's hazard for developing breast most cancers?
A) "The hazard of getting most cancers decreases every yr that the patron takes hormones"
B) "The danger is similar to for girls who do now not take HST"
C) "The chance increases every year the customer is taking HRT"
D) "The hazard is handiest barely more whilst taking HRT" - ANS-C. "The risk increases each yr
the consumer is taking HRT"
The child diagnosed with reactive airway sickness is prescribed a cromolyn inhaler. The mother
asks the nurse to provide an explanation for how this medication allows manage her baby's
bronchial asthma. Which announcement is the nice clarification to provide to the mom?
A) This medication diminishes the medicator movement of leukotrienes.
B) This medicine blocks the discharge of mast cell mediators.
C) This remedy causes rest of the bronchial smooth muscle.
D) This medicine decreases bronchial airway inflammation. - ANS-B) This medicinal drug blocks
the release of mast cell mediators.
The patron identified with a pulmonary embolus (PE) is receiving intravenous Heparin, and the
HCP prescribes 5mg Warfarin (Coumadin) orally as soon as a day. Which announcement
first-rate explains the scientific intent for prescribing these two anticoagulants?
A) Coumadin interferes with manufacturing of prothrombin
B) It takes three-5 days to reap a healing level of Coumadin
C) Heparin is more effective when administered with warfarin
D) Coumadin potentiates the therapeutic motion of heparin - ANS-B) It takes three-5 days to
attain a therapeutic stage of Coumadin. (Heparin has a brief half of life and is prescribed as
soon as a PE is suspected. The purchaser need to move domestic having taken an oral
anticoagulant including Coumadin, which has a protracted half life and wishes as a minimum
, three-five days to attain a therapeutic degree. Discontinuing the heparin prior to achieving a
healing stage of Coumadin locations the consumer at hazard for another PE.)
The patron identified with grownup respiratory misery syndrome (ARDS) has been observed to
have a disorder-inflicting organism immune to the antibiotics being given. Which intervention
have to the nurse implement?
A) Monitor for therapeutic blood ranges of the aminoglycoside antibiotic prescribed.
B) Prepare to administer the glucocorticoid medication ordered intramuscularly.
C) Obtain an order for repeat cultures to confirm the identity of the resistant organism.
D) Place the customer on airborne isolation precautions. - ANS-A) Monitor for therapeutic blood
levels of the aminoglycoside antibiotic prescribed.
The patron recognized with cancer reports anorexia. Which remedy might the nurse talk with the
HCP that could increase the consumer's urge for food?
A) Folinic Acid
B) Cyanocobalamin
C) Megestrol acetate
D) Pantoprazole - ANS-C. Megestrol acetate
The customer recognized with persistent obstructive pulmonary sickness is prescribed
methylprednisolone (Solu-Medrol), a glucocorticoid IVP. Which laboratory check need to the
nurse monitor for?
A) The white blood cell (WBC) rely
B) The hemoglobin and hematocrit
C) The blood glucose level
D) The BUN and creatine - ANS-C. The blood glucose degree
The patron diagnosed with iron-deficiency anemia is being discharged. Which charge education
have to the nurse encompass concerning the oral iron education prescribed?
A. Teach the patron to preform a fecal occult blood test day by day.
B. Demonstrate the way to weigh down the pills and mix with pudding.
C. Check for allergies to fish or other seafood.
D. Tell the consumer that his or her stools could be greenish black. - ANS-Answer D
Tell the client that his or her stools can be greenish black.
The consumer identified with Parkinson's ailment has been on lengthy-time period levodopa.
Which statistics helps the intent for placing the purchaser on a "drug excursion"?
A. The remedy is highly-priced and hard to come up with the money for for customers on a hard
and fast income.
