NURSING 6005

Margaret is a 40-year-old white female in for her annual examination. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has started smoking again, "about a pack per day" and states "I know that I am not eating right

Angela is a 54-year-old married woman with three adult children. She has been the office manager of a small law firm for 20 years and has enjoyed her work until this past year. She has rheumatoid arthritis with minimal impairment that has been managed well with NSAIDs. She has been taking conjugated estrogens for 8 years and decided to stop taking them because of her concern of their risks without sufficient medical benefit. She has tolerated the discontinuation without difficulty. Assessm...

Lifestyle changes are the first step in the treatment of GERD. A food that may aggravate GERD is: Eggs Honey Dew Chocolate Chicken Question 3. Question : Jim presents w/ complaints of “heart burn” that is minimally relieved w/ Tums (calcium carbonate) and is diagnosed w/ GERD. An appropriate first step therapy would be: Student Answer: Omeprazole (Prilosec) twice a day Ranitidine (Zantac) twice a day

. A patient with schizophrenia has been taking an antipsychotic drug for several days. The nurse enters the patient’s room to administer a dose of haloperidol (Haldol) and finds the patient having facial spasms. The patient’s head is thrust back, and the patient is unable to speak. What will the nurse do? a. Administer the haloperidol as ordered. b. Discuss increasing the haloperidol dose with the provider. c. Request an order to give diphenhydramine. d. Request an order to give levod...

NURSING 6005 CHAPTER 76: DRUGS FOR ASTHMA Test Bank MULTIPLE CHOICE 1. A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled medication. The provider has ordered 2 puffs to be given twice daily. It is important for the nurse to teach this patient that: a. a chlorofluorocarbon (CFC) propellant is superior to a hydrofluoroalkane (HFA) propellant. b. the patient should activate the device and then inhale. c. the patient should store the MDI in the refr...

NURSING 6005 CHAPTER 50: PROPHYLAXIS OF CORONARY HEART DISEASE: Drugs That Help Normalize Cholesterol and Triglyceride Levels Test Bank MULTIPLE CHOICE 1. A patient with a history of angina and hypertension is being started on nicotinic acid (Niacin). The nurse is providing patient education. What statement made by the patient demonstrates a need for further teaching? a. “I will take Tylenol with my medication to reduce the inflammatory effects.” b. “I will be cautious taking this m...

NURSING 6005 CHAPTER 21: DRUGS FOR PARKINSON’S DISEASE Test Bank MULTIPLE CHOICE 1. A patient has taken levodopa (Dopar) for Parkinson’s disease for 2 weeks but reports no improvement in the symptoms. Which response by the nurse is correct? a. “Another agent will be needed to manage your symptoms.” b. “Double the dose to see whether an effect occurs.” c. “It may take several months for a response to occur.” d. “The prescriber may need to change your drug regimen.” ...

NURSING 6005 CHAPTER 44: DRUGS ACTING ON THE RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM Test Bank MULTIPLE CHOICE 1. A patient with hypertension is prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse reviewing this patient’s chart before administering the medication will be most concerned about which other disease process? a. Bronchial asthma b. Coronary artery disease c. Diabetes mellitus d. Renal artery stenosis ANS: D ACE inhibitors can cause severe renal insuffici...

NURSING 6005 CHAPTER 45: CALCIUM CHANNEL BLOCKERS TEST BANK MULTIPLE CHOICE 1. A nurse is caring for a patient who is receiving verapamil (Calan) for hypertension and digoxin (Lanoxin) for heart failure. The nurse will observe this patient for: a. AV blockade. b. gingival hyperplasia. c. migraine headaches. d. reflex tachycardia. ANS: A Verapamil and digoxin both suppress impulse conduction through the AV node; when the two drugs are used concurrently, the risk of AV blockade is inc...

NURSING 6005 CHAPTER 57: DRUGS FOR DIABETES MELLITUS Test Bank MULTIPLE CHOICE 1. The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just admitted. Which patient should the nurse assess first? a. The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30 Novolin insulin b. The patient with a pulse of 58 beats per minute who is about to receive digoxin (Lanoxin) c. The patient with a blood pressure of 1...