NURS 505 ALL EXAMS QUESTIONS AND
ANSWERS
1. A 31-year-old lady is being handled with fludrocortisone for Addison disease. In addition
to monitoring the consumer's urinary output, what other assessment have to the nurse
prioritize? - ANSWER-Blood pressure
Fludrocortisone acts on the distal renal tubule to beautify the reabsorption of
sodium and to boom the urinary excretion of each potassium and hydrogen ions.
In small oral doses, the mineralocorticoid outcomes of fludrocortisone
predominate: urinary excretion of potassium, marked sodium retention, and a
upward push in blood pressure because of the physiologic effects of those
electrolyte ranges. The degree of focus isn't always suffering from fludrocortisone
until there are considerable changes in the fluid stability.
2. A 5-week-vintage little one is being administered a drug that impacts the important
nervous device. What characteristic of the toddler's blood-brain barrier should be taken
into consideration? - ANSWER-The drug will have an effect on the toddler's CNS
more readily than in an older infant.
3. A nurse skilled a needle stick injury while administering a subcutaneous heparin injection
to an HIV-high quality affected person. Which of the following elements of postexposure
prophylaxis (PEP) ought to be carried out in the nurse's remedy? - ANSWER-PEP have
to be initiated inside 1 or 2 hours of the time the nurse became uncovered.
4. A patient has been admitted to the unit with salt-dropping adrenogenital syndrome. The
affected person is taking fludrocortisone (Florinef) for alternative therapy in mixture with
a glucocorticoid. The nurse would recognise that high-dose fludrocortisone calls for the
nurse to reveal for: - ANSWER-an growth in sodium and water retention in
conjunction with potassium depletion.
Increased doses of fludrocortisone may additionally result in excess retention of
sodium and water along with potassium depletion. Hypokalemia does not occur
nor are sodium and water depleted or potassium retained. This drug is commonly
given in aggregate with a glucocorticoid. Therefore, poisonous outcomes might
no longer be anticipated.
5. A patient has been prescribed a histamine-2 (H2) receptor antagonist for the remedy of
GERD. Why are H2RAs more effective than H1 receptor antagonists within the remedy
of diseases of the upper GI tract? - ANSWER-The parietal cells of the stomach have
H2 receptors but no longer H1 receptors.
6. A affected person has been prescribed hydrocodone for lower back pain related to a
compression fracture. Which of the following interventions must the affected person be
trained regarding the medication management? - ANSWER-Consume a weight loss
plan excessive in fiber
ANSWERS
1. A 31-year-old lady is being handled with fludrocortisone for Addison disease. In addition
to monitoring the consumer's urinary output, what other assessment have to the nurse
prioritize? - ANSWER-Blood pressure
Fludrocortisone acts on the distal renal tubule to beautify the reabsorption of
sodium and to boom the urinary excretion of each potassium and hydrogen ions.
In small oral doses, the mineralocorticoid outcomes of fludrocortisone
predominate: urinary excretion of potassium, marked sodium retention, and a
upward push in blood pressure because of the physiologic effects of those
electrolyte ranges. The degree of focus isn't always suffering from fludrocortisone
until there are considerable changes in the fluid stability.
2. A 5-week-vintage little one is being administered a drug that impacts the important
nervous device. What characteristic of the toddler's blood-brain barrier should be taken
into consideration? - ANSWER-The drug will have an effect on the toddler's CNS
more readily than in an older infant.
3. A nurse skilled a needle stick injury while administering a subcutaneous heparin injection
to an HIV-high quality affected person. Which of the following elements of postexposure
prophylaxis (PEP) ought to be carried out in the nurse's remedy? - ANSWER-PEP have
to be initiated inside 1 or 2 hours of the time the nurse became uncovered.
4. A patient has been admitted to the unit with salt-dropping adrenogenital syndrome. The
affected person is taking fludrocortisone (Florinef) for alternative therapy in mixture with
a glucocorticoid. The nurse would recognise that high-dose fludrocortisone calls for the
nurse to reveal for: - ANSWER-an growth in sodium and water retention in
conjunction with potassium depletion.
Increased doses of fludrocortisone may additionally result in excess retention of
sodium and water along with potassium depletion. Hypokalemia does not occur
nor are sodium and water depleted or potassium retained. This drug is commonly
given in aggregate with a glucocorticoid. Therefore, poisonous outcomes might
no longer be anticipated.
5. A patient has been prescribed a histamine-2 (H2) receptor antagonist for the remedy of
GERD. Why are H2RAs more effective than H1 receptor antagonists within the remedy
of diseases of the upper GI tract? - ANSWER-The parietal cells of the stomach have
H2 receptors but no longer H1 receptors.
6. A affected person has been prescribed hydrocodone for lower back pain related to a
compression fracture. Which of the following interventions must the affected person be
trained regarding the medication management? - ANSWER-Consume a weight loss
plan excessive in fiber
