NURS 6521N Midterm Questions and Answers

NURS 6521N Midterm Questions and Answers Question 1 1 out of 1 points Correct A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? Selected Answer: The man's chest sounds are clear and his ankle edema is lessened. Question 2 1 out of 1 points Correct A Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the Nurse Practitioner to monitor? Selected Answer: Potassium levels Question 3 1 out of 1 points Correct An expected outcome for a patient who has just taken sublingual nitroglycerin should be Selected Answer: increased heart rate and decreased blood pressure. Question 4 1 out of 1 points Correct A patient taking Metformin (Glucophage) is scheduled for a cardiac cath. The patient asks why he can't take his metformin the day of the test. What is the most appropriate reply? Selected Answer: You can develop lactic acidosis if you take metformin and are given dye. You should have a serum creatinine drawn before restarting the medication. Question 5 1 out of 1 points Correct The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? Selected Answer: Albuterol Question 6 1 out of 1 points Correct A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of Selected Answer: an adrenergic antagonist. Question 7 1 out of 1 points Correct A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? Selected Answer: Oropharyngeal Candida albicans infection Question 8 1 out of 1 points Correct A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? Selected Answer: Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided Question 9 0 out of 1 points Incorrect Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication. When administering this form of rivastigmine, the nurse should Selected Answer: teach Mr. Lacuna about the importance of rotating sites when he applies the patch. Question 10 1 out of 1 points Correct It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy? Selected Answer: Blood ammonia levels Question 11 1 out of 1 points Correct A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to Selected Answer: rebound bronchoconstriction. Question 12 1 out of 1 points Correct Which statement is FALSE regarding the treatment of hyperthyroidism? Selected Answer: Methimazole (Tapazole) is the drug of choice for pregnant or lactating females. Question 13 1 out of 1 points Correct A Nurse Practitioner who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients? Selected Answer: An obese male client who is a heavy alcohol user and who has cirrhosis of the liver Question 14 1 out of 1 points Correct A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which has been successfully controlled for several years with antiseizure medications. The nurse should recognize that the patient's compromised renal function will likely Selected Answer: increase the half-life of medications that are metabolized by the kidneys. Question 15 1 out of 1 points Correct A Nurse Practitioner is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? Selected Answer: History of taking anticoagulant drugs Question 16 1 out of 1 points Correct Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about Selected Answer: potential adverse effects of the drugs that Mr. Nguyen will be taking. Question 17 1 out of 1 points Correct A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selected Answer: use of alcohol. Question 18 1 out of 1 points Correct A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings. The most likely initial drug therapy for this patient will be Selected Answer: a diuretic. Question 19 0 out of 1 points Incorrect The Nurse Practitioner is treating a patient that takes frequent doses of antacids for his heartburn and is also taking an enteric coded aspirin. What instructions should be provided to the patient? Selected Answer: The aspirin is less effective when taken with an antacid so you need to increase the dose. Question 20 1 out of 1 points Correct