NUR 340 EXAM 2 2025 | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS |
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Terms in this set (148)
The following information Dark tarry stools suggest slow upper GI bleeding
was included in the which would be the priority symptom to report to the
change of shift report on a physician.
patient who is prescribed
aspirin for its
anticoagulant effects.
Which patient symptom
would be the first priority
for the nurse to report to
the attending physician?
two liquid stools in past 24
hours
nauseous symptoms
heartburn when
recumbent
dark tarry stools
,The patient has an order Systemic fungal infection
for administration of a The nurse should question administration of a
glucocorticoid. The nurse glucocorticoid to a patient with any type of infection,
would question this order because the drug suppresses immune responses that
if the patient also has would normally allow the body to fight infection.
which condition? Glucocorticoids are absolutely contraindicated for
rheumatoid arthritis patients with systemic fungal infections. The use of
systemic fungal infections glucocorticoids in a patient with asthma, systemic
asthma lupus erythematosus or RA is expected, because
systemic lupus these are autoimmune, inflammatory disorders that
erythematosus would respond to glucocorticoid intervention.
The nurse is preparing to arthritis
administer an initial dose The nurse should anticipate that the initial dose of
of aspirin and obtains a aspirin will begin to reduce inflammation; therefore,
brief health history. Based the nurse would expect the patient to be
on an understanding of experiencing an inflammatory disorder, such as
the therapeutic effects of arthritis. Aspirin would be inappropriate for patients
this drug, the nurse would with ulcerative colitis, because these patients are
anticipate the patient to already at risk for bleeding, and the use of aspirin
have which medical could potentiate further bleeding. Aspirin can
diagnosis? exacerbate asthma and should not be used with these
arthritis patients. Aspirin can impair renal function; it is not
asthma given to treat renal disease.
chronic renal disease
ulcerative colitis
,The nurse is administering Diabetes mellitus
high-dose intravenous
methylprednisolone to a High-dose glucocorticoids interfere with glucose
patient who is metabolism and require careful use with patients who
experiencing an acute have diabetes. Each of the other diseases can be
relapse of multiple treated with glucocorticoids.
sclerosis. Which chronic
condition, if present,
could be negatively
affected by this
treatment?
Inflammatory bowel
disease
Diabetes mellitus
Rheumatoid arthritis
Asthma
A patient with rheumatoid Visual disturbances may be indicative of irreversible
arthritis is on long-term retinal damage that can occur even after the drug has
treatment with been discontinued. Other side effects of immediate
hydroxychloroquine concern are related to signs and symptoms of
sulfate (Plaquenil). Which infection because Plaquenil can cause decreased
patient condition would WBCs. Decreased range of motion would indicate the
the nurse would be most medication is no longer effective in treatment of RA.
concerned in this patient? Plaquenil can cause GI problems, but this is a
poor skin turgor and common side effect that can be alleviated by taking
increased urine specific the medication with food. Plaquenil does not cause
gravity dehydration.
presence of visual
disturbances
decreased range of
motion and crepitation
upper abdominal
discomfort
, Medication education for The nurse should counsel the patient to use
a patient receiving acetaminophen for mild pain, because it does not
glucocorticoids should cause gastric upset, as do nonsteroidal anti-
include the preferred use inflammatory drugs (NSAIDs) such as aspirin,
of which medication for ibuprofen, and naproxen sodium. Because
management of mild pain? glucocorticoids can also cause gastric distress,
Aspirin concurrent use of glucocorticoids with NSAIDs can
Naproxen sodium lead to gastric ulceration. See Lehne p. 914
Acetaminophen
Ibuprofen
Although rare, retinal damage is the most serious
A patient is prescribed toxic side effect of hydroxychloroquine (Plaquenil).
hydroxychloroquine The patient on this drug should have an
(Plaquenil) for rheumatoid ophthalmological examination prior to starting
arthritis. The nurse will treatment and regularly thereafter (think baseline and
need to emphasize the trends). Retinopathy has occurred in some patients
importance of follow-up after treatment has been completed. The patient
care with which inter- would already be seeing the rheumatologist for
professional discipline? treatment; although follow-up care is very important,
rheumatologist the rheumatologist won't be able to assess for all
endocrinologist adverse effects from the drug. The pharmacist would
pharmacist provide counseling about the drug. Since RA is not an
ophthalmologist endocrine disease, an endocrinologist would not be
needed.
CORRECT ANSWERS WITH EXPLANATIONS |
ALREADY GRADED A+ | LATEST VERSION (JUST
RELEASED)
Save
Terms in this set (148)
The following information Dark tarry stools suggest slow upper GI bleeding
was included in the which would be the priority symptom to report to the
change of shift report on a physician.
patient who is prescribed
aspirin for its
anticoagulant effects.
Which patient symptom
would be the first priority
for the nurse to report to
the attending physician?
two liquid stools in past 24
hours
nauseous symptoms
heartburn when
recumbent
dark tarry stools
,The patient has an order Systemic fungal infection
for administration of a The nurse should question administration of a
glucocorticoid. The nurse glucocorticoid to a patient with any type of infection,
would question this order because the drug suppresses immune responses that
if the patient also has would normally allow the body to fight infection.
which condition? Glucocorticoids are absolutely contraindicated for
rheumatoid arthritis patients with systemic fungal infections. The use of
systemic fungal infections glucocorticoids in a patient with asthma, systemic
asthma lupus erythematosus or RA is expected, because
systemic lupus these are autoimmune, inflammatory disorders that
erythematosus would respond to glucocorticoid intervention.
The nurse is preparing to arthritis
administer an initial dose The nurse should anticipate that the initial dose of
of aspirin and obtains a aspirin will begin to reduce inflammation; therefore,
brief health history. Based the nurse would expect the patient to be
on an understanding of experiencing an inflammatory disorder, such as
the therapeutic effects of arthritis. Aspirin would be inappropriate for patients
this drug, the nurse would with ulcerative colitis, because these patients are
anticipate the patient to already at risk for bleeding, and the use of aspirin
have which medical could potentiate further bleeding. Aspirin can
diagnosis? exacerbate asthma and should not be used with these
arthritis patients. Aspirin can impair renal function; it is not
asthma given to treat renal disease.
chronic renal disease
ulcerative colitis
,The nurse is administering Diabetes mellitus
high-dose intravenous
methylprednisolone to a High-dose glucocorticoids interfere with glucose
patient who is metabolism and require careful use with patients who
experiencing an acute have diabetes. Each of the other diseases can be
relapse of multiple treated with glucocorticoids.
sclerosis. Which chronic
condition, if present,
could be negatively
affected by this
treatment?
Inflammatory bowel
disease
Diabetes mellitus
Rheumatoid arthritis
Asthma
A patient with rheumatoid Visual disturbances may be indicative of irreversible
arthritis is on long-term retinal damage that can occur even after the drug has
treatment with been discontinued. Other side effects of immediate
hydroxychloroquine concern are related to signs and symptoms of
sulfate (Plaquenil). Which infection because Plaquenil can cause decreased
patient condition would WBCs. Decreased range of motion would indicate the
the nurse would be most medication is no longer effective in treatment of RA.
concerned in this patient? Plaquenil can cause GI problems, but this is a
poor skin turgor and common side effect that can be alleviated by taking
increased urine specific the medication with food. Plaquenil does not cause
gravity dehydration.
presence of visual
disturbances
decreased range of
motion and crepitation
upper abdominal
discomfort
, Medication education for The nurse should counsel the patient to use
a patient receiving acetaminophen for mild pain, because it does not
glucocorticoids should cause gastric upset, as do nonsteroidal anti-
include the preferred use inflammatory drugs (NSAIDs) such as aspirin,
of which medication for ibuprofen, and naproxen sodium. Because
management of mild pain? glucocorticoids can also cause gastric distress,
Aspirin concurrent use of glucocorticoids with NSAIDs can
Naproxen sodium lead to gastric ulceration. See Lehne p. 914
Acetaminophen
Ibuprofen
Although rare, retinal damage is the most serious
A patient is prescribed toxic side effect of hydroxychloroquine (Plaquenil).
hydroxychloroquine The patient on this drug should have an
(Plaquenil) for rheumatoid ophthalmological examination prior to starting
arthritis. The nurse will treatment and regularly thereafter (think baseline and
need to emphasize the trends). Retinopathy has occurred in some patients
importance of follow-up after treatment has been completed. The patient
care with which inter- would already be seeing the rheumatologist for
professional discipline? treatment; although follow-up care is very important,
rheumatologist the rheumatologist won't be able to assess for all
endocrinologist adverse effects from the drug. The pharmacist would
pharmacist provide counseling about the drug. Since RA is not an
ophthalmologist endocrine disease, an endocrinologist would not be
needed.
