Rasmussen College: NUR 2407 Module 3 quiz,100% CORRECT

Rasmussen College: NUR 2407 Module 3 quiz • Question 1 What should the nurse do after giving a young man Dilaudid (hydromorphone) for migraine? Selected Answer: Awaken him to assess his pain level. Answers: Awaken him to assess his pain level. Explain the risks of Dilaudid (after giving it) Offer him something to eat. Provide a restful, dimly lit environment. • Question 2 The client has been prescribed clozapine (Clozaril), an atypical antipsychotic. Which laboratory finding should the nurse watch closely, since it may be altered by this medication? Selected Answer: The client's WBC count Answers: The client's thyroid level The client's WBC count The client’s albumin level The client’s arterial blood gases • Question 3 An elderly person is being assessed for repeated falls. Which of their medicines increases that risk? (SELECT ALL THAT APPLY) Selected Answers: Halcion (triazolam), a benzodiazepine for sleep Answers: Halcion (triazolam), a benzodiazepine for sleep Acetaminophen (APAP), a peripheral analgesic for back pain OxyContin (oxycodone), an opiate for back pain Lyrica (pregabalin), a GABA sustainer for nerve pain Capsaicin cream for local control of back pain • Question 4 The nurse reads that the half-life or morphine is roughly 3 hours. How would the nurse use this information to decide if it is safe to give Morphine every 3 hours as needed for pain? Selected Answer: The half-life of Morphine would be longer in hepatic insufficiency. The drug would accumulate. Answers: The half-life of Morphine shouldn’t be an issue here. Pain alone should determine the interval. The half-life for Morphine shortens in states of dependence. It will be needed more often. The half-life of Morphine shortens over time as the liver becomes familiar with the drug. The half-life of Morphine would be longer in hepatic insufficiency. The drug would accumulate. • Question 5 A client who started an antidepressant 1 week ago tells his nurse, "I really don't think this medication is helping me." Which response by the nurse would be most appropriate? Selected Answer: "It can take weeks for antidepressants to work. How are you doing?" Answers: "Why do you think the medication is not helping you?" "What were you hoping would happen?" "You need to come to the clinic so we can discuss this." "It can take weeks for antidepressants to work. How are you doing?" • Question 6 A friend of a nurse who is being treated for anxiety with a selective serotonin reuptake inhibitor wants to know why Zoloft (sertraline) is better for controlling anxiety than a benzodiazepine. Which of the following is the nurse’s best response? Selected Answer: “Zoloft is better for reducing cognitive symptoms of anxiety than benzodiazepines.” Answers: “Zoloft is better for the control of physical symptoms of anxiety than benzodiazepines.” “Zoloft provide a more rapid and durable response to the uncomfortable anxiety symptoms.” “Benzodiazepines currently have no role in the treatment of anxiety.” “Zoloft is better for reducing cognitive symptoms of anxiety than benzodiazepines.” • Question 7 A client who has been taking haloperidol (Haldol), a traditional antipsychotic, is now to complaining of severe muscle spasms of the neck and back. Based on these manifestations, which of these prn prescriptions could the nurse offer to help stop the symptoms? Selected Answer: Ativan (lorazepam) Answers: Benadryl (diphenhydramine) Motrin (ibuprofen) Ativan (lorazepam) APAP (acetaminophen) • Question 8 A client with persistent pain due to cancer is brought to the emergency department by his spouse. Upon assessment, the nurse notes pinpoint pupils and a respiratory rate of 6 breaths per minute. The nurse should immediately prepare for administration of which medication? Selected Answer: Naloxone (Narcan) Answers: Naloxone (Narcan) Flumazenil (Romazicon) Methamphetamine (Deoxysyn) Acetylcysteine (Mucomyst) • Question 9 Aspirin could be detrimental in which of these situations? (SELECT ALL THAT APPLY) Selected Answers: Client also takes anticoagulants Client is also pregnant Answers: Client is a child with a fever Client also takes anticoagulants Client is also pregnant Client also has rheumatoid arthritis Client also has a peptic ulcer Client is a child with a fever • Question 10 A depressed client is being started on phenelzine (Nardil), a monoamine oxidase (MAO) inhibitor. Which statement shows he knows the needed self-care precautions? Selected Answer: "When I go to cookouts this summer I should eat chicken instead of hotdogs." Answers: "Nardil causes memory problems, but I can take Ginseng to help with that." "I can’t drink alcohol, but caffeinated drinks and hot chocolate are fine." "I can have pizza as long as there is no sausage on it." "When I go to cookouts this summer I should eat chicken instead of hotdogs." • Question 11 A client taking paroxetine (Paxil), a serotonin reuptake inhibitor for post- traumatic stress disorder, calls the clinic complaining of confusion, restlessness and fever. What should the nurse reply? Selected Answer: Have him talk to his doctor before taking any more Paxil. These are signs of serotonin toxicity. Answers: Tell him to seek a haloperidol (Haldol) prescription from an urgent care doctor. Have him talk to his doctor before taking any more Paxil. These are signs of serotonin toxicity. Have him submit a urine specimen. He is at risk for drug induced urine retention, and UTI. Explain to the client that these are expected antidepressant side effects that will subside with time. • Question 12 A client experiencing loss of libido wants to know why he was started on citalopram, an SSRI, rather than one of the other types of anti- depressants?" Which response would be most appropriate? Selected Answer: “SSRIs have fewer side effects than other antidepressants. Should I mention the concern to your provider?" Answers: "Probably it is the only medication that your insurance will pay for" "I can’t begin to guess what your doctor was thinking. You need to ask him." “SSRIs have fewer side effects than other antidepressants. Should I mention the concern to your provider?" "Medications like Celexa work much faster than the other medications" • Question 13 A nurse is providing client education about the use of a fentanyl transdermal delivery system. Which of these statements would indicate accurate understanding of self-care expectations? Selected Answer: Change the patch every 72 hours Answers: Massage the patch whenever pain occurs Always apply the patch to the same spot on your skin Change the patch every 72 hours Driving is safe when using this form of narcotic • Question 14 A client who was involved in a motor vehicle accident comes into the ER distraught and complaining of leg pain. Knowing that the client is experiencing a stress response to trauma, what signs or symptoms would the nurse expect to see? Selected Answer: Elevated pulse and respirations Answers: A decrease in serum glucose Pupil constriction Elevated pulse and respirations Hyperactive bowel sounds • Question 15 Which adjustment in pain medication may be needed for an elderly person with elevated liver enzymes due to anticonvulsant therapy? Selected Answer: The time between doses should be expanded to allow for metabolism in hepatic dysfunction. Answers: A higher dose should be used with the same time schedule due to excessive enzyme counts. The time between doses should be expanded to allow for metabolism in hepatic dysfunction. The medication should be crushed to facilitate more rapid metabolism The time between doses should be shortened. Elevated enzyme counts will speed metabolism • Question 16 The nurse is preparing to administer lithium (Eskalith), to a client with bipolar disorder whose lithium level is 2.0 mEq/L. What symptoms might the nurse expect to see? (SELECT ALL THAT APPLY.) Slurred speech Unsteady gate Answer Drooling s: Irregular heart rate Hunger Slurred speech Unsteady gate Pacing Drooling • Question 17 A client is returning to the clinic for follow-up related to elevated liver enzymes. Which of the following medications on the client’s medication list would concern the nurse the most? Selected Answer: Ibubrofen three times a day Answers: Vitamin C prn for cold symptoms Daily antihistamines Acetaminophen as needed for pain Ibubrofen three times a day • Question 18 Which of these effects of opiate analgesics should be considered when formulating a client care plan? (SELECT ALL THAT APPLY) Selected Answers: Constipation Answers: Fall risk Constipation Cough suppression Inflammation reduction Fall risk Fever reduction • Question 19 A client taking amitriptyline (a tricyclic antidepressant) complains of having blurred vision and dry mouth, and he states that he hasn’t had a bowel movement in 3 days, whereas he normally has one daily. His vital signs are temperature 97.6° F, pulse 90/minute, blood pressure 130/79 mm Hg, and respirations 20/minute. Based on this assessment, the nurse should suspect which of the following causes? Selected Answer: Anticholinergic effects Answers: Medication incompatibilities Sympatholytic effects Dehydration Anticholinergic effects • Question 20 Sumatriptan (Imitrex) is ordered for an elderly client experiencing a migraine. The nurse understands that triptans are contraindicated in which condition? Selected Answer: Cerebrovascular insufficiency Answers: Cerebrovascular insufficiency Chronic Lung disease Narcotic dependency Irritable bowel syndrome