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NURS 498 Week 8 Midterm Exam LATEST 2024 EXAM REAL EXAM WITH ANSWERS
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NURS 498 Week 8 Midterm Exam LATEST 2024 EXAM REAL EXAM WITH ANSWERS
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NURS 498 Week 8 Midterm ExamLATEST 2024 EXAM REAL EXAM WITH
ANSWERS
Includes weeks 5-8.
The nurse obtains the following information about a client before the administration of metformin.
Which of the following findings indicate a need to contact the health care provider before giving the
metformin?
The client's blood urea nitrogen (BUN) level is 21.4 mmol/L.
- The BUN indicates impending renal failure and metformin should not be used in clients with renal or
hepatic impairment.
The nurse should teach a patient taking an oral corticosteroid to take the medication at what time?
- 0800 hours
- Oral corticosteroids should be taken in the morning to minimize adrenal suppression
A client is being treated with a medication to block the effect of the antidiuretic hormone to control the
symptoms of the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following
findings indicates that the medication is effective?
- Increased urinary output
- Agents that block the effect of ADH on the renal tubules may be prescribed, allowing more dilution of
urine leading to increased urine output.
A client with systemic lupus erythematosus has a prescription for 2 weeks of high-dose prednisone
therapy. When teaching the client about prednisone, which of the following information is most
important for the nurse to include?
- Do not stop taking the prednisone suddenly; it should be decreased gradually.
- Acute adrenal insufficiency may occur if exogenous corticosteroids are suddenly stopped.
,Which of the following information should the nurse include when teaching a client who has type 2
diabetes about glyburide?
- Glyburide stimulates insulin production and release from the pancreas.
- The sulphonylureas stimulate the production and release of insulin from the pancreas.
The nurse is caring for a client with type 2 diabetes who has sensory neuropathy of the feet and legs and
peripheral arterial disease. Which of the following information will the nurse include in client teaching?
- Choose flat-soled leather shoes.
- The client is taught to avoid high heels and that leather shoes are preferred.
The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of
the following information should the nurse include in the teaching plan?
- Take calcium supplementation to normalize serum calcium levels.
- Oral calcium supplements are used to maintain the serum calcium in the normal range and prevent the
complications of hypocalcemia.
A client with type 2 diabetes that is well-controlled with metformin develops an allergic rash to an
antibiotic and the health care provider prescribes prednisone. Which of the following information
should the nurse anticipate while the client is taking the prednisone?
- Administration of insulin
- Glucose levels increase when clients are taking corticosteroids, and insulin may be required to control
blood glucose.
Which of the following laboratory values, noted by the nurse when reviewing the chart of a hospitalized
client with diabetes, indicates the need for rapid assessment of the client?
- Noon blood glucose of 2.9 mmol/L
, - The nurse should assess the client with a blood glucose level of 2.9 mmol/L for symptoms of
hypoglycemia as the normal range is 4-6 mmol/L.
A patient who has been receiving antipsychotic medication for 6 weeks tells the nurse that the
hallucinations are nearly gone and that concentration has improved. When the patient reports flulike
symptoms including a fever and a very sore throat, what is the priority nursing action?
a. Suggest that the patient take something for her fever and get extra rest
b. Consider recommending a change of antipsychotic medication
c. Arrange for the patient to have blood drawn for a white blood cell count
d. Advise the physician that the patient should be admitted to the hospital
c. Arrange for the patient to have blood drawn for a white blood cell count
The patient is preparing for discharge. The patient tells the nurse, "Dr. Jacobson is putting me on some
medication called naltrexone (ReVia). How will that help me?" Which response indicates that medication
teaching has been effective?
a. "It helps my mood so that I don't feel the need to do drugs."
b. "It keeps me from experiencing flashbacks."
c. "It is a sedative that will help me sleep at night."
d. "It helps reduce my cravings."
d. "It helps reduce my cravings."
Which of the following is the most helpful message to transmit about relapse to the patient recovering
from alcohol abuse?
a. Relapses result from a lack of good situational support.
b. Relapses are an indicator of treatment failure
c. Relapses are caused by physiological changes.
d. Relapses can be learning situations to prolong sobriety.
a. Relapses result from lack of good situational support.
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