Stacymely

PN Pharmacology hesi A client who has been taking phenazopyridine (Pyridium) for symptoms of urethritis and cystitis comes to the clinic because her urine is reddish-orange. Which question should the practical nurse ask to determine if the medication has been effective? A) How much water have you been drinking each day? B) Does the urine color stain your toilet bowl or undergarments? C) Have you had any relief from urinary pain, burning, or urgency? D) Did your urine appear cloudy or ha...

PN PHARM A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse would indicate that the desired outcome of the medication is being achieved? Lessening of tremors A client is prescribed a peak and trough level test for the antibiotic vancomycin (Vancocin). What time should the specimen be collected to obtain the trough serum drug concentration? Trough levels are drawn when the blood level is at its lowest, which is typically just before t...

PN HESI PHARM A client with diabetes mellitus takes insulin daily and is prescribed propranolol (Inderal). Which information should the nurse provide to this client? A sign of hypoglycemia is that propranolol slows a rapid heart rate. A client has a positive skin test for tuberculosis. What prophylactic drug should the practical nurse (PN) expect to be prescribed for this client? Isoniazid (INH) Amitriptyline hydrochloride (Elavil) is prescribed for an adult female client who is clinica...

pharmacology RN Study Drugs administered into the GI tract are given via what route? enteral A PPD test is an example of what type of injection? Intradermal Drugs applied directly on the skin or mucous membranes exert a blank effect? Local Drugs that distribute throughout the body exert a blank effect? Systemic Drugs that come as an blank must be shaken well before administration? Emulsion A blank resists the acid environment of the stomach? Enteric coating A solid drug dispersed w...

Pharmacology Exam 1 1. The study of drug absorption, distribution, metabolism, and excretion is known as A. pharmacotherapeutics B. pharmacodynamics C. pharmacokinetics D. pharmacy E. posology C 2. The medical situation when a particular drug should not be administered is referred to as A. side effect B. adverse effect C. drug allergy D. contraindication E. antagonism D 3. An unusual or unexpected drug reaction by an individual is known as A. toxic effect B. antagonism C. idios...

(LETS NAME OUR PATIENT GAIL) The client has worked as a legal secretary for a high-powered defense attorney for the last 12 years. She has never been married, and she lives alone. She has been experiencing a burning sensation in her stomach for the last few months, which is now worsening. The client finally makes an appointment with her healthcare provider (HCP) to find out what is causing the stomach pain. Which information is most significant when assessing a client suspected of having...

OB HESI Case Studies Healthy Newborn Ms. Stacy Myers is in active labor at 38 weeks gestation with an uncomplicated pregnancy. She is admitted to the birthing center on October 10th at 0830. After 9 hours of labor Miss Myers had a spontaneous vaginal delivery of an infant boy. 1. The nurse quickly place is the infant under radiant warmer and starts to dry him. What is the rationale for these actions? a. Convective heat loss from evaporation is reduced. Drying the infant quickly and pl...

NCLEX Practice Questions: Liver, Biliary and Pancreatic Disorders 1. For a client in hepatic coma, which outcome would be the most appropriate? A. The client is oriented to time, place, and person. B. The client exhibits no ecchymotic areas. C. The client increases oral intake to 2,000 calories/day. D. The client exhibits increased serum albumin level. 1. Answer: A. The client is oriented to time, place, and person. Hepatic coma is the most advanced stage of hepatic encephalopathy. As hep...

NCLEX-PN 2020 EXAM QUESTIONS, ANSWERS AND RATIONALES 1. Which educational nursing program takes 2 to 5 years to complete? a. Nursing assistant (NA) program b. Practical nursing (LPN, LVN) program c. Professional nursing program d. Advanced practice nursing (APN) program The professional nursing program (RN) requires 2 to 5 years of education, depending on the type of degree sought. An NA program takes 6 to 8 weeks. An LPN/LVN program takes 12 to 18 months. An APN program takes more tha...

Med Surge Respiratory Fever can cause _________ because of excessive fluid loss due to diaphoresis. Increased temperature also increases _________ and the demands for 02. Dehydration, metabolism Clients at high risk for pneumonia 1.) Altered level of consciousness 2.) depressed or absent gag and cough reflex 3.) Susceptible to aspirating oropharyngeal secretions, including alcoholics, anesthetized individuals 4.) Brain injury 5.) drug overdose 6.) stroke victims 7.) Immunocompromised...

Med-Surg Cardiovascular HESI RN 1. A client complains of crushing chest pain that radiates to his left arm. He should be presented with the following treatment: 1. Aspirin, oxygen, nitroglycerin, and morphine 2. Aspirin, oxygen, nitroglycerin, and codeine 3. Oxygen, nitroglycerin, meperidine, and thrombolytics 4. Aspirin, oxygen, nitroprusside, and morphine Answer: 1. Aspirin, oxygen, nitroglycerin, and morphine 2. Which lifestyle changes should a client diagnosed with coronary artery d...

Med Surg, Nervous System Study Questions Study 1. When admitting an acutely confused patient with a head injury, which action should the nurse take? a. Ask family members about the patient's health history. b. Ask leading questions to assist in obtaining health data. c. Wait until the patient is better oriented to ask questions. d. Obtain only the physiologic neurologic assessment data. ANS: A When admitting a patient who is likely to be a poor historian, the nurse should obtain hea...

Med Surg, Integumentary System 1. When the nurse is assessing a 42-year-old woman, the patient states that she is using topical fluorouracil (Efudex, Fluoroplex) to treat actinic keratoses on her face. Which additional information will be most important for the nurse to obtain? a. Method of birth control the patient is using b. History of extensive sun exposure by the patient c. Length of time the patient has used the medication d. Appearance of the treated areas on the patients fac...

Med Surg Visual and Auditory Problems The nurse evaluates that wearing bifocals improved the patient's myopia and presbyopia by assessing for a. strength of the eye muscles. b. both near and distant vision. c. cloudiness in the eye lenses. d. intraocular pressure changes. ANS: B The lenses are prescribed to correct the patient's near and distant vision. The nurse may also assess for cloudiness of the lenses, increased intraocular pressure, and eye movement, but these data do not e...

Med surg Nervous System Nerve impulses are sent to slow the heart's rate of contraction. The nerve fibers sending these signals will most likely belong to which division of the nervous system? -Parasympathetic division An inhibitory postsynaptic potential (IPSP) is associated with ________. -hyperpolarization Schwann cells are functionally similar to oligodendrocytes If a motor neuron in the body were stimulated by an electrode placed about midpoint along the length of the axon _____...

Med Surg HESI RN Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)? A) Tinnitus, vertigo, and hearing difficulties. B) Sudden, stabbing, severe pain over the lip and chin. C) Facial weakness and paralysis. D) Difficulty in chewing, talking, and swallowing. B A 67-year-old woman who lives alone is admitted after tripping on a rug in her home and fractures her hip. Which predisposing factor probably led to the fracture in th...

Med Surg Endocrine system The preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy should include the instruction that postoperatively, the patient should: A. Avoid Sneezing B. Drink through a straw C. Cough forcefully. D. Wash mouth out with peroxide. A. Avoid Sneezing The nurse is aware that the large flattened features of the patient with acromegaly are caused by an excess of : A. Prolactin B. Growth hormone C. Thyroid-stimulating hormone D. Adreno...

Med surg Critical care Shock and sepsis 1. A nurse is discussing the concept of shock with a new graduate nurse. Which statement indicates the new graduate nurse understood the information? a. Shock is a physiologic state resulting in hypotension and tachycardia. b. Shock is an acute, widespread process of inadequate tissue perfusion. c. Shock is a degenerative condition leading to organ failure and death. d. Shock is a condition occurring with hypovolemia that results in hypotension. AN...

Med surg-Critical care Shock and sepsis A student is caring for a client who suffered massive blood loss after trauma. How does the student correlate the blood loss with the client's mean arterial pressure (MAP)? a. It causes vasoconstriction and increased MAP. b. Lower blood volume lowers MAP. c. There is no direct correlation to MAP. d. It raises cardiac output and MAP. B ~ Lower blood volume will decrease MAP. The other answers are not accurate. A nurse is caring for a client after ...

Med Surg Adaptive Quizzing and Rationale The nurse is planning care for a patient with a new diagnosis of hypercalcemia resulting from treatment for hypocalcemia. Which change to the plan of care should the nurse anticipate? - weight bearing exercises A patient with hypercalcemia as a result of treatment for hypocalcemia would require the addition of weight-bearing exercises to the plan of care. These exercises will facilitate the movement of extra calcium ions in the blood to the bone....