South Texas College

1. What would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic? a. No change in the antidiabetic regimen b. Decreased need for antidiabetic medication c. Increased blood sugar levels d. Less frequent monitoring of blood sugar level ANS: C The thiazides may induce hyperglycemia and aggravate cases of preexisting diabetes mellitus. Regular assessment for glycosuria is indicated. Dosages of oral hypoglycemics and insulin may need adjustm...

1. When the nurse assesses bowel habits in a patient, which is the best example of normal bowel elimination? a. Daily bowel movements b. Multiple soft stools daily c. Daily liquid stools d. Regular bowel elimination pattern of soft stool ANS: D Normal bowel habits are stools that are soft and occur on a regular schedule of elimination for that particular patient. Although this may be routine for some people, it is not normal for everyone. Liquid stools are not considered normal. DIF: C...

1. A patient received the evening dose of Lispro subcutaneously at 16:30. What time will symptoms of hypoglycemia likely occur? a. 19:00 b. 18:30 c. 01:30 d. 06:00 ANS: B The most rapid-acting insulin, Lispro, peaks within 1 to 2 hours after administration. The peak time of insulin is when patients would most likely exhibit symptoms of hypoglycemia, particularly if they have inadequate dietary intake. The time of 19:00 would be past the peak of action and after signs of hypoglycemia wo...

1. Which medication is used to treat hyperthyroidism? a. Levothyroxine (Synthroid) b. Liotrix (Thyrolar) c. Propylthiouracil (Propacil) d. Liothyronine (Cytomel) ANS: C Propylthiouracil is an antithyroid agent used in the treatment of hyperthyroidism. Levothyroxine, liotrix, and liothyronine are used to treat hypothyroidism. DIF: Cognitive Level: Knowledge REF: Page 577 OBJ: 2 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONC...

1. The nurse is educating a patient with cancer about combination chemotherapy. Which is an accurate statement? a. “Combination chemotherapy is the administration of an antineoplastic drug that will be toxic during a specific phase of cellular growth.” b. “Combination chemotherapy is the administration of an antineoplastic drug that is active throughout the cell cycle.” c. “Combination chemotherapy is the administration of antineoplastic drugs that change the way the body respon...

1. What is the action of urinary antimicrobial agents? a. Reduce pain associated with bladder spasms caused by the infection b. Enhance output enough to flush out the infection from the urinary tract c. Eliminate urinary retention d. Have an antiseptic effect on the urine and the urinary tract ANS: D Urinary antimicrobial agents have an antiseptic effect on the urine and the urinary tract. Pyridium reduces pain associated with bladder spasms related to urinary tract infection (UTI). Anti...

1. What is the action of amiodarone (Cordarone), a class III agent used to treat cardiac dysrhythmias? a. It acts as a myocardial depressant by inhibiting sodium ion movement. b. It prolongs the duration of the electrical stimulation on cells and the refractory time between electrical impulses. c. It acts as a beta-adrenergic agent. d. It slows the rate of electrical conduction and prolongs the time between contractions. ANS: D Class I antidysrhythmic drugs act as a myocardial depressan...

1. A patient who has undergone a lengthy surgical procedure under general anesthesia is unable to breathe on his own following the procedure. Which drug will the nurse expect to be administered as an antidote to the neuromuscular-blocking agent? a. Dantrolene (Dantrium) b. Neostigmine methylsulfate (Prostigmin) c. Ether d. Baclofen (Lioresal) ANS: B Neostigmine methylsulfate is an antidote to neuromuscular-blocking agents. Additional measures to implement include artificial respirations...

1. A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection. Which organism causes leukorrhea? a. Herpes simplex b. Mycoplasma hominis c. Human papillomavirus (HPV) d. Candida albicans ANS: D Candida albicans infections of the mouth, gastrointestinal tract, or vagina may develop as secondary infections during the use of broad spectrum antibiotics, such as penicillins, tetracyclines, and cephalosporins. H...

1. A patient has been on high-dose corticosteroid therapy for the treatment of lupus erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor? a. Complete blood count b. Partial thromboplastin time c. Liver function panel d. Blood glucose levels ANS: D Corticosteroid therapy may induce hyperglycemia, particularly in prediabetic or diabetic patients. All patients must be monitored for the development of hyperglycemia, particularly duri...