Athabasca University Nursing 326 Questions With Complete
Solutions
1. The nurse knows that antiemetics are most effective when
administered
A. before an emetogenic event occurs
B. during an episode of nausea but before vomiting has occurred
C. after the patient has experienced nausea and vomiting
D. any time; timing of administration has no impact on drug
effectiveness Correct Answers A
Antiemetic drugs are used to prevent or treat nausea and
vomiting, but they are more effective in prophylaxis than
treatment.
20. A nurse administers 10 units of lispro to a patient with type 1
diabetes, based on the number of carbohydrates the patient will
consume at breakfast. At 9:30, the patient tells the nurse he feels
shaky and is sweating and states "I think my blood sugar is
low." What is the nurse's next action?
A. Test the patient's blood glucose.
B. Call the prescriber for orders.
C. Review the blood sugar trends.
D. Prepare to administer glucagon. Correct Answers A
3. A laxative is contraindicated in a patient:
,A. with cancer taking daily narcotics for pain control
B. complaining of abdominal pain and distention
C. scheduled for a colonoscopy
D. with limited mobility due to Parkinson's disease Correct
Answers B
4. A man tells the nurse that he has bought the over-the-counter
drug bismuth subsalicylate for the next episode of diarrhea. The
nurse should assess for what allergy that would contraindicate
use of bismuth subsalicylate?
A. penicillin
B. acetaminophen
C. aspirin
D. sulfa Correct Answers C
People with an allergy to aspirin and aspirin products should not
take bismuth subsalicylate because the drug contains aspirin.
5. A 30-year-old female has been ordered dronabinol. Which of
the following statements are true for dronabinol? (Select all that
apply.)
A. The drug is most effective when given every 2 hours.
,B. It is approved for nausea and vomiting related to
chemotherapy in people with cancer.
C. Adverse effects include drowsiness or euphoria.
D. Insufficient research is available to support its use as a
treatment for nausea and vomiting.
E. It is approved as an appetite stimulant for anorexia in people
with AIDS.
F. The drug is used as a first-line treatment in women with
hyperemesis gravidarum associated with pregnancy. Correct
Answers B, C, E
8. The nurse is assessing a patient who has just begun taking
glyburide. Which of the following is a therapeutic outcome for
this patient? (Select all that apply.)
A. a glycosylated hemoglobin (hemoglobin A1C) of 10%
B. a decrease in polyuria
C. a decrease in polyphagia
D. a fasting blood glucose of 108 mg/dL Correct Answers
B,C,D
A 33-year-old patient is in the outpatient cancer center for his
first round of chemotherapy. The nurse knows that which
schedule is the most appropriate timing for the intravenous
antiemetic drug?
a Four hours before the chemotherapy begins
b Thirty minutes before the chemotherapy begins
, c At the same time as the chemotherapy drugs
d At the first sign of nausea Correct Answers B
A 58-year-old woman with type 2 diabetes mellitus takes
glyburide (DiaBeta) 5 mg by mouth daily, and this drug controls
her diabetes well. However, recently, her fasting blood glucose
has measured between 200 and 220 mg/dL. Which of the
following medications may have been added to the patient's
regimen?
A. atenolol
B. prednisone
C. enalapril maleate
D. levothyroxine sodium Correct Answers B
Prednisone can decrease the effect of oral hypoglycemic
medications, insulin, diuretics, and potassium supplements.
A hospitalized patient on antibiotic therapy begins to experience
fever, abdominal pain, and diarrhea containing mucus, pus, and
blood. The best nursing intervention in this situation is to do
which of the following?
A. Continue the antibiotic because the patient has signs of a
gastrointestinal infection.
B. Monitor the patient's vital signs and notify the provider if
there is further deterioration.
Solutions
1. The nurse knows that antiemetics are most effective when
administered
A. before an emetogenic event occurs
B. during an episode of nausea but before vomiting has occurred
C. after the patient has experienced nausea and vomiting
D. any time; timing of administration has no impact on drug
effectiveness Correct Answers A
Antiemetic drugs are used to prevent or treat nausea and
vomiting, but they are more effective in prophylaxis than
treatment.
20. A nurse administers 10 units of lispro to a patient with type 1
diabetes, based on the number of carbohydrates the patient will
consume at breakfast. At 9:30, the patient tells the nurse he feels
shaky and is sweating and states "I think my blood sugar is
low." What is the nurse's next action?
A. Test the patient's blood glucose.
B. Call the prescriber for orders.
C. Review the blood sugar trends.
D. Prepare to administer glucagon. Correct Answers A
3. A laxative is contraindicated in a patient:
,A. with cancer taking daily narcotics for pain control
B. complaining of abdominal pain and distention
C. scheduled for a colonoscopy
D. with limited mobility due to Parkinson's disease Correct
Answers B
4. A man tells the nurse that he has bought the over-the-counter
drug bismuth subsalicylate for the next episode of diarrhea. The
nurse should assess for what allergy that would contraindicate
use of bismuth subsalicylate?
A. penicillin
B. acetaminophen
C. aspirin
D. sulfa Correct Answers C
People with an allergy to aspirin and aspirin products should not
take bismuth subsalicylate because the drug contains aspirin.
5. A 30-year-old female has been ordered dronabinol. Which of
the following statements are true for dronabinol? (Select all that
apply.)
A. The drug is most effective when given every 2 hours.
,B. It is approved for nausea and vomiting related to
chemotherapy in people with cancer.
C. Adverse effects include drowsiness or euphoria.
D. Insufficient research is available to support its use as a
treatment for nausea and vomiting.
E. It is approved as an appetite stimulant for anorexia in people
with AIDS.
F. The drug is used as a first-line treatment in women with
hyperemesis gravidarum associated with pregnancy. Correct
Answers B, C, E
8. The nurse is assessing a patient who has just begun taking
glyburide. Which of the following is a therapeutic outcome for
this patient? (Select all that apply.)
A. a glycosylated hemoglobin (hemoglobin A1C) of 10%
B. a decrease in polyuria
C. a decrease in polyphagia
D. a fasting blood glucose of 108 mg/dL Correct Answers
B,C,D
A 33-year-old patient is in the outpatient cancer center for his
first round of chemotherapy. The nurse knows that which
schedule is the most appropriate timing for the intravenous
antiemetic drug?
a Four hours before the chemotherapy begins
b Thirty minutes before the chemotherapy begins
, c At the same time as the chemotherapy drugs
d At the first sign of nausea Correct Answers B
A 58-year-old woman with type 2 diabetes mellitus takes
glyburide (DiaBeta) 5 mg by mouth daily, and this drug controls
her diabetes well. However, recently, her fasting blood glucose
has measured between 200 and 220 mg/dL. Which of the
following medications may have been added to the patient's
regimen?
A. atenolol
B. prednisone
C. enalapril maleate
D. levothyroxine sodium Correct Answers B
Prednisone can decrease the effect of oral hypoglycemic
medications, insulin, diuretics, and potassium supplements.
A hospitalized patient on antibiotic therapy begins to experience
fever, abdominal pain, and diarrhea containing mucus, pus, and
blood. The best nursing intervention in this situation is to do
which of the following?
A. Continue the antibiotic because the patient has signs of a
gastrointestinal infection.
B. Monitor the patient's vital signs and notify the provider if
there is further deterioration.
