Question1.
A nurse is caring for a postsurgical patient who has small tortuous veins
and had a difficult IV insertion. The patient is now receiving IV
medications on a regular basis. What is the best nursing intervention to
minimize the adverse effects of this drug therapy?
A) Monitor the patient's bleeding time
B) Check the patient's blood glucose levels
C) Record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
Question2.
A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for a
recent diagnosis of amyotrophic lateral sclerosis. The nurse will priori-
tize assessment for which of the following?
A) Weight gain
B) Constipation
C) Increased energy
D) Dizziness
,Question3.
Which of the following patients demonstrates the clearest indication for
treatment with prednisone?
A) A 66-year-old woman whose history of smoking has culminated in
a diagnosis of emphysema
B) A 70-year-old man whose rheumatoid arthritis has not responded to
OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have
been attributed to leukemia
D) A 50-year-old woman who is being treated for hypertension with a
diuretic and an ACE inhibitor
Question 4.
A nurse has been administering a drug to a patient intramuscularly (IM).
The physician discontinued the IM dose and wrote an order for the drug
to be given orally. The nurse notices that the oral dosage is consid-
erably higher than the parenteral dose and understands that this due to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
Question5.
A cardiac care nurse is monitoring a patient who is receiving
lidocaine (Xylocaine) per IV infusion pump for an acute ventricular
arrhythmia associated with an acute MI. Which of the following patient
,manifesta- tions would cause the nurse to notify the physician
immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
Question 6.
A nurse is caring for a patient who is admitted into the cardiac care unit
with acute, decompensated heart failure. Nesiritide (Natrecor) has been
ordered. When preparing for administration of the drug, the nurse will
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-hour period.
Question 7.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst
Question 8.
, A nurse is caring for a patient who has just been diagnosed with
Parkinson disease. The patient does not understand how the medication
ordered, carbidopa-levodopa, is going to help her condition. Which of
the following is the correct response by the nurse?
A) "Carbidopa-levodopa will delay the loss of muscle strength and
limb function for several months."
B) "This drug will change the immune processes in your body to help
decrease the tissue damage."
C) "Carbidopa-levodopa increases the activity of dopamine in your
body, which will decrease your symptoms."
D) "Your drug therapy will reduce excessive reflex activity causing
your muscle spasms and will allow for muscle relaxation."
Question9.
A patient is taking flavoxate hydrochloride (Urispas) to help control an
overactive bladder. On a follow-up visit to the clinic, the nurse will
question the patient about which of the following?
A) Chronic diarrhea
B) Dental hygiene practices
C) Headaches
D) Diet
Question 10.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Adam27. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $5.49. You're not tied to anything after your purchase.
