QUESTIONS WITH ANSWERS GRADED A+
◉ A nurse is planning care for a pt with asthma and a script for
methylprednisolone. Which of the following lab values should the nurse
monitor? Answer: Methylprednisolone tx increases the synth of glucose
and decreases the uptake of glucose by the muscles and adipose tissues,
resulting in increased circulating glucose. Therefore, it is important for
the nurse to monitor blood glucose levels regularly while clients are
receiving corticosteroid therapy.
◉ A nurse is caring for a client who is postmenopausal and has a script
for raloxifene. The nurse should instruct the client that raloxifene is
prescribed for which of the following? Answer: Raloxifene can lower
the risk for breast cancer in postmenopausal clients who have a high risk
for developing estrogen-receptive types of breast cancer. The medication
also reduces the risk for and can treat postmenopausal osteoporosis.
◉ A nurse is caring for a client receiving heparin by continuous iv
infusion to treat venous thrombosis. Which lab value should be
monitored? Answer: The nurse should monitor the aPTT of a client who
is receiving heparin by continuous IV infusion. When beginning heparin
therapy, the nurse should monitor the aPTT every 4 to 6 hr. Once the
client has achieved the desired range, the nurse should monitor the aPTT
daily.
, ◉ A nurse is assessing a client who has a positive Trousseau's sign.
Which of the following should the nurse plan to administer? Answer:
The nurse should identify that a positive Trousseau's sign is a
manifestation of hypocalcemia. Therefore, the nurse should plan to
administer calcium gluconate to treat hypocalcemia.
◉ A nurse is administering haloperidol to a client with schizophrenia.
For which of the following ADE should the nurse monitor? Answer: A
client who is taking haloperidol, a first-generation antipsychotic agent,
can develop extrapyramidal effects, such as parkinsonism, which
manifests as tremors, bradykinesia, loss of balance, mask-like facial
expression, shuffling gait, and muscle rigidity.
◉ A nurse receives verbal orders from the provider for
Hydrochlorothiazide 25mg by mouth daily for a client with HTN. Which
of the following indicates how the nurse should transcribe the script in
the MAR Answer: Hydochlorothiazide 25 mg po daily
The nurse should transcribe the provider's prescription by spelling out
the name of the medication, recording the dosage as a whole number,
and spelling out the word "daily." The abbreviation PO is acceptable for
use to indicate the route by mouth.
◉ A nurse is planning care for a client who is taking Tamoxifen for tx of
breast cancer. Which of the following interventions should the nurse
include in the plan? Answer: Monitor the client's calcium level is
correct. Tamoxifen increases the risk for hypercalcemia. The nurse
should monitor the client's pulse and blood pressure, which are increased