PN ADULT MED SURGE ONLINE PRACTICE
A QUIZ ANSWERS AND VERIFIED
QUESTIONS.
A nurse is preparing to administer furosemide to a client who has heart
failure. Which of the following findings should the nurse report before
administering the medication?
a. Elevated sodium
b. Elevated BP
c. Decreased potassium
d. Decreased urine output - CorreCt Answers -c. Decreased potassium
A nurse is collecting data from a 55-year-old female client who reports
vaginal dryness and hot flashes. The client is interested in trying hormone
replacement therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT?
a. 5 year hx of menopause manifestations
b. Hx of treatment for blood clots
c. Topiramate use for migraine headaches
d. Increase serum cholesterol levels - CorreCt Answers -b. Hx of treatment
for blood clots
Estrogen increases the risk for blood clots. Therefore, a female client who
has a history of blood clots should not receive HRT.
,A nurse is contributing to the plan of care for a client who has COPD and is
dyspneic. Which of the following interventions should the nurse include in
the plan?
a. Encourage abdominal breathing
b. Direct the client to inhale with pursed lips
c. Set oxygen therapy at 5 L/min
d. Direct client to lean back when coughing - CorreCt Answers -a.
Encourage abdominal breathing
Reduces workload on accessory muscles of respiration during dyspneic
episodes
A nurse is assisting with the care for a client who has a history of breast
cancer. The client asks the nurse about birth control. Which of the following
methods of birth control is contraindicated for this client?
a. Intrauterine device
b. Latex condom
c. Combination oral contraceptives
d. Contraceptive sponge - CorreCt Answers -c. Combination oral
contraceptives
The nurse should identify that combination oral contraceptives are
contraindicated for this client because they increase estrogen levels, which
can stimulate the growth of any remaining cancerous breast cells.
, A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. Which of the following
statements indicates that the client is adhering to the nurse's instructions?
a. "I apply rubbing alcohol to my feet everyday to prevent infection."
b. "I will wear clean, knee high wool socks everyday to help me improve my
circulation"
c. "I use hot water bottles to keep my feet warm at night"
d. "I don't cross my legs anymore" - CorreCt Answers -d. "I don't cross my
legs anymore"
Clients who have peripheral vascular disease should not cross their legs
because it can impede circulation.
The nurse should notify the provider immediately about a decreased
potassium level pecause potassium is lost when a diuretic, such as
furosemide, is administered, which can cause hypokalemia.
A nurse is reviewing the chart of a client who is experiencing an adrenal
crisis, which was precipitated by the client not taking their medication for
several days. The nurse should identify that withdrawal from which of the
following medications potentiated the adrenal crisis?
a. Metoprolol
b. Methimazole
c. Furosemide
d. Prednisone - CorreCt Answers -d. Prednisone
A QUIZ ANSWERS AND VERIFIED
QUESTIONS.
A nurse is preparing to administer furosemide to a client who has heart
failure. Which of the following findings should the nurse report before
administering the medication?
a. Elevated sodium
b. Elevated BP
c. Decreased potassium
d. Decreased urine output - CorreCt Answers -c. Decreased potassium
A nurse is collecting data from a 55-year-old female client who reports
vaginal dryness and hot flashes. The client is interested in trying hormone
replacement therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT?
a. 5 year hx of menopause manifestations
b. Hx of treatment for blood clots
c. Topiramate use for migraine headaches
d. Increase serum cholesterol levels - CorreCt Answers -b. Hx of treatment
for blood clots
Estrogen increases the risk for blood clots. Therefore, a female client who
has a history of blood clots should not receive HRT.
,A nurse is contributing to the plan of care for a client who has COPD and is
dyspneic. Which of the following interventions should the nurse include in
the plan?
a. Encourage abdominal breathing
b. Direct the client to inhale with pursed lips
c. Set oxygen therapy at 5 L/min
d. Direct client to lean back when coughing - CorreCt Answers -a.
Encourage abdominal breathing
Reduces workload on accessory muscles of respiration during dyspneic
episodes
A nurse is assisting with the care for a client who has a history of breast
cancer. The client asks the nurse about birth control. Which of the following
methods of birth control is contraindicated for this client?
a. Intrauterine device
b. Latex condom
c. Combination oral contraceptives
d. Contraceptive sponge - CorreCt Answers -c. Combination oral
contraceptives
The nurse should identify that combination oral contraceptives are
contraindicated for this client because they increase estrogen levels, which
can stimulate the growth of any remaining cancerous breast cells.
, A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. Which of the following
statements indicates that the client is adhering to the nurse's instructions?
a. "I apply rubbing alcohol to my feet everyday to prevent infection."
b. "I will wear clean, knee high wool socks everyday to help me improve my
circulation"
c. "I use hot water bottles to keep my feet warm at night"
d. "I don't cross my legs anymore" - CorreCt Answers -d. "I don't cross my
legs anymore"
Clients who have peripheral vascular disease should not cross their legs
because it can impede circulation.
The nurse should notify the provider immediately about a decreased
potassium level pecause potassium is lost when a diuretic, such as
furosemide, is administered, which can cause hypokalemia.
A nurse is reviewing the chart of a client who is experiencing an adrenal
crisis, which was precipitated by the client not taking their medication for
several days. The nurse should identify that withdrawal from which of the
following medications potentiated the adrenal crisis?
a. Metoprolol
b. Methimazole
c. Furosemide
d. Prednisone - CorreCt Answers -d. Prednisone
