NUR 2407 Module 2 Quiz

Question 1 1. What lab value will best reflect renal function in a client taking multiple medicines? creatinine clearance potassium levels sodium levels urinalysis 0.25 points Question 2 1. Which teaching point is correct with respect to the concept of “tolerance”? Tolerance is a state where people become used to pain, and therefore need less pain medicine. In tolerance, larger doses are needed to achieve prior effects because a body learns to push back. Tolerance occurs in slow metabolizers. Slow metabolism leads to prolonged sedation. Tolerance occurs in slow metabolizers. Slow metabolism leads to prolonged sedation. 0.25 points Question 3 1. Which statement regarding the blood-brain barrier demonstrates a need for further teaching? “It can protect the brain from potentially toxic substance injuries.” “It can be a significant obstacle to entry of therapeutic agents.” “It is not fully developed at birth.” “It lets in therapeutic agents in but filters out everything else.” 0.25 points Question 4 1. A client who has been taking an antiepileptic medication with a narrow therapeutic window for 2 weeks seems confused and forgetful. What should be the priority action of the nurse? Call the prescriber and have them change the seizure medication. Give an antihistamine under house protocol to stop the allergic response. Seek a plasma drug level order from the client’s prescriber. Set up oxygen and obtain an order for activated charcoal. 0.25 points Question 5 1. The nurse is assessing a client who has requested an adrenergic drug for dyspnea. Which sign would make the nurse hesitate to give the medication? Pulse oximetry saturation of 88% Blood pressure of 130/86 Respiratory rate of 28 Irregular heart rate of 122 0.25 points Question 6 1. A nurse is caring for a client being treated with Minipress (prazosin), an alpha blocker. What counseling should the client receive? Rise slowly from lying to standing to avoid dizziness and a possible fall. Void before taking the medication to avoid urine retention Take a daily laxative to avoid constipation Avoid drinking more than 600 mls of fluid per day while taking this medication 0.25 points Question 7 1. For which client would a beta adrenergic blocker like Atenolol be prescribed? A client with