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NUR301 FINAL EXAM PRACTICE Questions With Correct Answers 100% Verified.

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©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:31AM. A+ 1 NUR301 FINAL EXAM PRACTICE Questions With Correct Answers 100% Verified. The nurse understands which is the cause of respiratory alkalosis? A. hyperglycemia b. hyperventilation c. fluid loss d. airway compromise - Answerb. hyperventilation the nurse instructs a pt how to use an incentive spirometer. which statement by the pt shows that teaching is effective? a. i should take a deep breathe and blow into the mouthpiece b. im glad i only have to do this twice a day c. i can ask for pain medication prior to using the spirometer d. i should lie down to use the spirometer - Answerc. i can ask for pain medication prior to using the spirometer rationale: the pt will put the mouthpiece in the mouth and close the lips tightly around it. the pt will slowly exhale completely. the pt will then inhale slowly and deeply to make the piston rise the nurse identifies which client is most at risk for developing pneumonia? a. a client with a urinary catheter b. a client with an ng tube c. a client with psoriasis d. a client with paget disease - Answerb. a client with an ng tube when assessing a client for tactile remitUs, which part of the hand does the nurse use? ©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:31AM. A+ 2 a. fingertips and finger pads b. dorsal surface of the hand c. ulnar and palmar surface of the hand d. dorsiflexed surface of the wrist - Answerc. ulnar and palmar surface of the hand rationale: the nurse asks the pt to say the number "99". tactile remits is palpable vibrations that will increase when lung consolidation exists such as with pneumonia, and decreased with pleural effusion, pneumothorax, bronchial obstruction or air trapping occurs a pt is admitted into the hospital with a diagnosis of acute right upper lobe pneumonia. the pt has a history of chronic bronchitis. which symptom does the nurse expect to see? a. moist, cool skin b. rust-colored sputum c. bradycardia d. decreased respiratory rate - Answerb. rust-colored sputum rationale: rust colored sputum, or blood-tinged due to inflammation is a typical finding for pneumonia. the pt may also have increased respirations, dyspnea, coughing, and pleuritic pain. treatment includes antibiotics, supplemental oxygen, and chest pt. the nurse should assess breath sounds, VS including pulse oximetry. the nurse should encourage coughing and deep breathing every 2 hours and increased fluids the nurse places a pulse oximetry probe on a pt. the pt asks "why do i have this thing on me?" which response by the nurse is the best? a. it enables your IV fluids to run b. it monitors your pulse rate c it tells us if your BP is within normal limits d it measures the amount of oxygen circulating in your blood - Answerd it measures the amount of oxygen circulating in your blood on the first post day, a pt developed a fever. the nurse auscultates crackles bilaterally in the lower lobes. the nurse understands which complication of surgery is probably developing? a. HF b. thromophlebitis ©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:31AM. A+ 3 c. PE d. atelectasis - Answerd. atelectasis rationale: general anesthesia is a common cause of atelectasis. atelectasis occurs when secretions block the bronchioles and the alveoli collapse, causing hypoventilation. deep breathing excercies and coughing after surgery can reduce the pt's risk of developing this the nurse monitors a client receiving oxygen per face mask. the nurse is most concerned with which observation a. there is condensation in the tubing b. the pulse oximetry reading is 92% c. the client has a nonproductive cough d. the skin under the elastic band is reddened - Answerc. the client has a nonproductive cough rationale: this is a sign of lung oxygen toxicity which objective data is most important when determining if a pt is hypoxic? a. cool, bluish skin b. abnormal blood gases c. elevated temperature d. increased sputum production - Answerb. abnormal blood gases rationale: arterial blood gases (ABG) measures tissue oxygenation, co2 removal, and acid-base balance. if the pt has inadequate exchange of oxygen and co2, respiratory acidosis occurs the nurse identifies which type of food is most likely to present problems for a pt with respiratory issues? a fruits b grains c dairy d fish - Answerc dairy ©THESTAR 2024/2025 ALL RIGHTS RESERVED 10:31AM. A+ 4 rationale: dairy products are mucus producing which can cause thick secretions after receiving hand off shift report, the nurse assesses a pt who is having cheyne-stokes respirations. which is the best description of this breathing pattern? a. regular but increased in rate and abnormally deep respirations b. irregular patterns of shallow breathing alternating with periods of apnea c. regular rapid and shallow breathing d. gradual increase in depth of respirations, followed by a gradual decrease in depth, then a period of apnea - Answerd. gradual increase in depth of respirations, followed by a gradual decrease in depth, then a period of apnea after oxygen had been administered, the next priority intervention the nurse would initiate for a pt with a pulmonary embolism is the administration of which of the following therapies? a. normal saline IV fluid b. IV heparin c. platelet administration d. antibiotics for inflammatory fever - Answerb. IV heparin a pt diagnosed with pneumonia complains of a new onset slight SOB. for which of the following assessment findings would the nurse call the doctor immediately? (select all that apply a. the pt is voiding, but amounts are decreasing b. the pt is sleeping more than usual c. there is pink coloration to the skin d. the pt's secretions are thin and milky colored e. the pt thought it was the 3rd instead of the 5

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NU 301 Pharmacology – FINAL Exam Questions
With Correct Answers 100% Verified.



Pharmacodynamics - Answer✔The process by which a medication works on the body.

Pharmacokinetics - Answer✔The process by which drugs are absorbed, distributed within the
body, metabolized, and excreted.

Half-life - Answer✔Time it takes for a drug to decrease in amount by half

Chemical name of drugs - Answer✔the name of the medication that reflects its chemical
composition and molecular structure (ex. isobutylphenylpropanoic acid)

Generic name (nonproprietary name) - Answer✔Name given to a medication by the United
States Adopted Names Council (ex. ibuprofen)

Trade name - Answer✔Proprietary name of a drug assigned by the manufacturer; also called
the brand name or product name.

Rights of Safe Medication Administration - Answer✔Right client/patient
Right medication/drug
Right dose
Right time
Right route
Right documentation
Right client education
Right to refuse
Right assessment
Right evaluation

Types of Analgesic Agents - Answer✔Opioids

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Narcotic Antagonists
Antipyretic
NSAIDs
etc.

Opioid Prototype - Answer✔morphine

Action of Morphine - Answer✔Binds to opioid receptors (Mu & Kappa) in the brain and spinal
cord

Indications for Morphine - Answer✔prevent/ relieve severe acute or chronic pain; before,
during and after surgery; before and during diagnostic procedures; labor & delivery

Adverse Effects of Morphine - Answer✔Respiratory depression
Orthostatic hypotension
Excessive Sedation
Constipation/ Urinary Retention
Cough suppression
Biliary colic

Nursing Implications of Morphine - Answer✔watch for s/sx of toxicity: Severe respiratory
depression; coma; pinpoint pupils

General principles of Morphine - Answer✔Metabolized: liver; Excreted: urine, bile; T1/2: 1.5-2
hours
Routes:PO, IV, IM, SUBQ, Intrathecal, epidural


MORPHINE IS THE FIRST CHOICE FOR SEVERE PAIN


No ceiling


Regular schedule

Narcotic Antagonist Prototype - Answer✔Naloxone (Narcan)

Action of Naloxone (Narcan) - Answer✔Block effects of opioids

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Indications of Naloxone (Narcan) - Answer✔Reversal of signs or opioid excess

Adverse Effects of Naloxone (Narcan) - Answer✔Dysrhythmias
HTN
Hypotension
N/V

Nursing Implications for Naloxone (Narcan) - Answer✔Likely to need repeated injections


Titrate with care to avoid acute withdrawal

General Principles of Naloxone (Narcan) - Answer✔Onset: within minutes of parenteral
administration (almost immediately if IV)


T1/2: 30 to 81 minutes


Metabolized in liver


Excreted by kidney

Prostaglandin inhibitors - Answer✔NSAIDs. Medications that act on prostaglandins, compounds
that regulate muscle contractions (& Acetaminophen)

Antipyretic Prototype - Answer✔Acetaminophen (Tylenol)

Action of Acetaminophen (Tylenol) - Answer✔Inhibits prostaglandin synthesis in central
nervous system

Indications of Acetaminophen - Answer✔Relief of mild pain or fever, headache, muscle aches

Adverse Effects of Acetaminophen - Answer✔HEPATOXICITY

Nursing Implications of Acetaminophen - Answer✔Treatment of poisoning"
Acetylcysteine

NSAID Prototype(s) - Answer✔Ibuprofen (Advil/Motrin) and Aspirin

Action of Aspirin (ASA) - Answer✔inactivation of Cox-1 and Cox-2; inhibits formation of
prostaglandins

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