Study Notes, Summaries, Case Studies, Assignments, Exam Prep & Learning Resources

115. Which actions should the nurse take for a client with a suspected pulmonary embolism? (Select all that apply.) A. Administer oxygen. B. Place in High Fowler’s position. C. Start heparin infusion per protocol. D. Apply sequential compression devices. E. Prepare for a chest X-ray. Answer: A, B, C (Oxygen, positioning, and anticoagulation are priority.) ________________________________________116. A nurse is caring for a client with sepsis. Which findings indicate worsening condition?...

1. A patient on Lisinopril develops a dry cough. The nurse explains this is due to: • A) Bradykinin accumulation (Correct) • B) Hyperkalemia • C) Allergic reaction • Rationale: ACE inhibitors cause cough via bradykinin buildup (A). Allergy (C) would include rash/angioedema. 2. Which patient should avoid metoprolol? • A) A 45-year-old with asthma (Correct) • B) A 60-year-old with hypertension • C) A 55-year-old with atrial fibrillation • Rationale: Beta-blockers (e.g., me...

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10. What happens during exocytosis? A. The cell absorbs fluid B. The cell synthesizes enzymes C. Substances are expelled from the cell in vesicles D. Water moves through the membrane by osmosis Correct Answer: C. Substances are expelled from the cell in vesicles Rationale: Exocytosis is the process of vesicles fusing with the cell membrane to release substances outside the cell. ________________________________________ 11. What is the primary role of mitochondria in drug metabolism at th...

10. A client taking warfarin begins using ginseng and garlic supplements. What is the nurse’s concern? A. Decreased appetite B. Delayed wound healing C. Increased risk of bleeding D. Hyperglycemia Correct Answer: C. Increased risk of bleeding Rationale: Both ginseng and garlic can increase bleeding risk when combined with anticoagulants like warfarin. ________________________________________ 11. A nurse finds a client using leftover antibiotics from a previous illness. What is the most...

10. The nurse needs to convert 1.5 grams of acetaminophen to milligrams. What is the correct dosage? A. 15 mg B. 150 mg C. 1,500 mg D. 15,000 mg Correct Answer: C. 1,500 mg Rationale: 1 g = 1,000 mg → 1.5 g = 1,500 mg ________________________________________ 11. A provider orders potassium chloride 40 mEq in 1,000 mL of D5W to infuse at 100 mL/hr. How many mEq is the client receiving per hour? A. 2 mEq/hr B. 4 mEq/hr C. 5 mEq/hr D. 10 mEq/hr Correct Answer: A. 4 mEq/hr Rationale:...

10. During the planning phase of the nursing process, which goal is most appropriate for a client prescribed a new antihypertensive? A. The client will take the medication for 6 months B. The client will understand the drug’s chemical structure C. The client will verbalize three side effects by discharge D. The client will allow the nurse to give the medication Correct Answer: C. The client will verbalize three side effects by discharge Rationale: This is a SMART goal—specific, measura...

10. A nurse is monitoring for teratogenic effects. Which client is at highest risk? A. A child taking methylphenidate B. A lactating woman on antibiotics C. A pregnant woman on isotretinoin D. An elderly man on multiple antihypertensives Correct Answer: C. A pregnant woman on isotretinoin Rationale: Isotretinoin is a known teratogen. Pregnant women must avoid it due to severe fetal abnormalities. ________________________________________ 11. A nurse is caring for a client receiving high-d...