NR 293 Week 8 Final Exam: Questions-Answer (Version 2) | Download To Score An A
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NR 293
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Chamberlain College Of Nursng
NR 293 Week 8 Final Exam: Questions-Answer (Version 2) Question: Which response best supports the observations that the nurse identifies in a client who is experiencing a place bo effect? Question : Methylphenidate HCl (Concerta) is … for daily administration to a 10-year-old child with attention...
question which response best supports the observations that the nurse identifies in a client who is experiencing a place bo effect
question methylphenidate hcl concerta is … for daily administrat
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NR 293
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NR 293 Week 8 Final Exam: Questions-Answer (Version 2)
1. Which response best supports the observations that the nurse identifies in a client
who is experiencing a placebo effect?
✓ Psychological response to inert medication
2. Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old
child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching
plan for the parents of this child newly diagnosed with ADHD, which instruction is
most important for the nurse to provide to the parents?
✓ Administer the medication in the morning before the child goes to school.
3. Which physiologic mechanism explains a drug's increased metabolism that is
triggered by a disease process?
✓ Pharmacokinetics
4. The health care provider prescribes ipratropium (Atrovent) for a client. An allergic
reaction to which other medication would cause the nurse to question the
prescription for Atrovent?
✓ Atropine sulfate (Atropine)
5. A 42-year-old client is admitted to the emergency department after taking an
overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse
plan to administer to reverse the cardiac and central nervous system effects of
amitriptyline (Elavil)?
✓ Sodium bicarbonate
6. A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) –
thiazide diuretic cause potassium wasting in the urine. When teaching about
the side effects of this drug, which symptoms are most important for the nurse to
instruct the client to report?
,NR 293 Week 8 Final Exam: Questions-Answer (Version 2)
✓ Fatigue and muscle weakness
7. The nurse is preparing to apply a surface anesthetic agent for a client. Which action
should the nurse implement to reduce the risk of systemic absorption?
✓ Avoid abraded skin areas when applying the anesthetic. – apply to the smallest
surface of intact skin
8. The health care provider prescribes cisplatin (Platinol) to be administered in 5%
dextrose and 0.45% normal saline with mannitol (Osmitrol) added. Which assessment
parameters would be most helpful to the nurse in evaluating the effectiveness of the
Osmitrol therapy?
✓ Urine output
9. A 19-year-old male client who has sustained a severe head injury is intubated and
placed on assisted mechanical ventilation. To facilitate optimal ventilation and
prevent the client from "fighting" the ventilator, the health care provider administers
pancuronium bromide (Pavulon) IV, with adjunctive opioid analgesia. What
medication should the nurse maintain at the client's bedside?
✓ Neostigmine bromide (Prostigmin)
10. The nurse is reviewing a client's laboratory results before a procedure in which a
neuromuscular blocking agent is a standing order. Which finding should the nurse
report to the health care provider?
✓ Hypokalemia - Low potassium levels enhance the effects of neuromuscular
blocking agents
11. A female client with myasthenia gravis is taking a cholinesterase inhibitor and asks
the nurse what can be done to remedy her fatigue and difficulty swallowing. What
action should the nurse implement?
,NR 293 Week 8 Final Exam: Questions-Answer (Version 2)
✓ Develop a teaching plan for the client to self-adjust the dose of medication in
response to symptoms. - Clients should be taught to recognize signs of
, NR 293 Week 8 Final Exam: Questions-Answer (Version 2)
overmedication and undermedication so that they can modify the
dosage themselves based on a prescribed sliding scale.
12. A client receives pancuronium (Pavulon), a long-acting, nondepolarizing
neuromuscular blocker, during surgical anesthesia. Which client situation should alert
the nurse to evaluate the client for a prolonged muscle relaxation response to this
medication?
✓ Renal insufficiency
13. A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20
mg/2 mL. How many mL should be administered?
✓ 2.2 mL - (22 mg/20 mg) × 2 mL = 2.2 mL
14. A client is receiving oral griseofulvin (Grisactin) for a persistent tinea corporis
infection. Which response by the client indicates an accurate understanding of the
drug teaching conducted by the nurse?
✓ "I'll wear sunscreen whenever I mow the lawn." - Photosensitivity is a side
effect of griseofulvin (Grisactin), so clients should be cautioned to wear
protective sunscreen during sun exposure.
15. The nurse has completed diabetic teaching for a client who has been newly
diagnosed with diabetes mellitus. Which statement by this client would indicate to
the nurse that further teaching is needed?
✓ "When I exercise, I should plan to increase my insulin dosage." - Exercise helps
facilitate the entry of glucose into the cell, so increasing insulin doses
with exercise would place the client at high risk for a hypoglycemic
reaction.
16. The nurse is evaluating a client's understanding of the prescribed antilipemic drug
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