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NURS Questions with complete solution

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NURS Questions with complete solution A licensed practical nurse (LPN) is caring for a patient who is being treated with ibuprofen (Motrin). What is the HIGHEST priority instruction that the nurse should give this patient? A. Report experiencing a ringing in the ears. B. Avoid taking aspirin a...

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  • August 18, 2024
  • 43
  • 2024/2025
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  • nurs questions with complete solution

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NURS_1110 Unit 2 Exam:
Musculoskeletal disorders
A licensed practical nurse (LPN) is caring for a patient who is being treated
with ibuprofen (Motrin). What is the HIGHEST priority instruction that the
nurse should give this patient?
A. Report experiencing a ringing in the ears.
B. Avoid taking aspirin and ibuprofen concurrently.
C. Avoid driving if the medication causes drowsiness.
D. Take the drug with food or take enteric-coated tablets. - correct answer
✔A. Report experiencing a ringing in the ears


Although all of the instructions are correct and should be relayed to the
patient, reporting ringing in the ears is the most important instruction to
emphasize because of the risk of ototoxicity. After the patient demonstrates
an understanding of the importance of reporting ringing in the ears, the nurse
can instruct the patient to avoid taking aspirin and ibuprofen concurrently,
avoid driving if the medication causes drowsiness, and take the drug with food
or take enteric-coated tablets.


An LPN is caring for a patient who has been instructed to collect a 24-hour
urine specimen for creatinine. What is the FIRST step in the process of
collecting the specimen?
A. Begin the test in a fasting state.
B. Collect urine in a refrigerated container.
C. Discard the first morning urine specimen.
D. Include the urine collected at the conclusion of test. - correct answer ✔C.
Discard the first morning urine specimen.

,The first urine specimen of the day should be discarded before beginning the
test because its contents will be more concentrated than any subsequent
specimen. Although the urine should be collected in a refrigerated container,
this action is not the first step in the process. Including the urine collected at
the conclusion of test is the final, not the first, step of the test. It is not
necessary to begin the test in a fasting state.


An LPN is caring for a patient who is scheduled to undergo magnetic
resonance imaging. Which statement is the MOST important information
about this patient that should be communicated to the physician?
A. The patient is claustrophobic.
B. The patient is experiencing anxiety.
C. The patient has a cardiac pacemaker.
D. The patient is wearing metallic jewelry. - correct answer ✔C. The patient
has a cardiac pacemaker.


The patient may not be able to undergo the test if he has a cardiac
pacemaker; thus notifying the physician of the cardiac pacemaker would be
the priority. Although the physician should know that the patient is
claustrophobic or anxious and might have ordered a medication, if necessary,
relaying this information to the physician would not be the priority. The
physician does not need to be notified that the patient is wearing metallic
jewelry; rather, the nurse needs to remove the jewelry and have it secured for
the patient.


An LPN is caring for a patient who is being treated with methotrexate (Folex).
What is the HIGHEST priority nursing action associated with this medication?
A. Monitor periodic blood and urine studies.
B. Encourage the patient to increase fluid intake.
C. Inform the patient that some hair loss may occur.
D. Instruct the patient to report signs of infection promptly. - correct answer
✔D. Instruct the patient to report signs of infection promptly.

,Methotrexate (Folex) is an immunosuppressant medication that can produce
toxic effects on oral tissues, liver, lungs, bone marrow, skin, and kidneys. The
patient taking an immunosuppressant is at higher risk for infection and has a
decreased ability to fight off the infection. Although monitoring periodic blood
and urine studies is an important nursing intervention and should be
implemented, it does not have the urgency associated with noting the signs of
infection that would be indicative of toxicity. It is also important to encourage
the patient to increase fluid intake and inform the patient that some hair loss
may occur, but reporting signs of infection is the priority.


An LPN is caring for a patient who is being treated with hydroxychloroquine
sulfate (Plaquenil). What is the HIGHEST priority instruction that the nurse
should give to this patient?
A. Instruct the patient to report any episodes of headaches and anorexia.
B. Inform the patient that he may experience episodes of nausea and
vomiting.
C. Instruct the patient to monitor his complete blood cell count and liver
function studies.
D. Recommend that the patient to visit an ophthalmologist while taking this
medication. - correct answer ✔D. Recommend that the patient to visit an
ophthalmologist while taking this medication.


Visiting an ophthalmologist while taking this medication is the highest priority
nursing intervention because ocular toxicity can occur with the medication.
After the patient has demonstrated an understanding of the importance of
visiting an ophthalmologist, the nurse should inform the patient that he may
experience nausea and vomiting, instruct the patient to report the anorexia
and headaches, and that his complete blood cell count and liver function
studies will need to be monitored.


Which joint is the most common source of disability caused by osteoarthritis?
A. Hips

, B. Knee
C. Spine
D. Shoulders - correct answer ✔B. Knee


The most common source of major disability because of osteoarthritis is the
knee. Osteoarthritis does affect joints under pressure, including the hips,
spine, and shoulders, but the most common source of major disability is the
knee.


Which is the most serious complication for the postoperative patient with a hip
or knee replacement?
A. Infection
B. Hemorrhage
C. Deep vein thrombosis
D. Dislocation of replacement - correct answer ✔C. Deep Vein Thrombosis


Deep vein thrombosis is the most serious complication postoperatively
because the clot can break off and become a pulmonary embolism, which can
be fatal. Infection is serious but can be treated with antibiotics. Observing for
signs and symptoms of hemorrhage is important and, if it occurs, needs
prompt treatment. Dislocation of replacement may require more surgery, and
steps to prevent this complication must be followed


Which patient is most likely to have primary gout?
A. A 30-year old man who weighs 185 lb and drinks 6 beers per week
B. A 25-year old woman who weighs 130 lb and admits to social drinking
C. A 40-year old woman who weighs 150 lb and drinks 3 to 4 alcohol drinks
per week

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