NURS 2 Exam Questions And Complete Solutions
A client has received a double dose of a heparin bolus as a result of a drug miscalculation. The nurse anticipates that which action will be taken next?
Give IV protamine sulfate as an antidote.
Call the blood bank for an immediate fresh frozen plas...
A client has received a double dose of a heparin bolus as a result of a drug
miscalculation. The nurse anticipates that which action will be taken next?
Give IV protamine sulfate as an antidote.
Call the blood bank for an immediate fresh frozen plasma transfusion.
Set up for a transfusion of packed red blood cells.
Give IV vitamin K as an antidote. - Answer-Give IV protamine sulfate as an antidote.
/.A client is receiving an oral anticoagulant as part of treatment for atrial fibrillation. The
nurse knows that which is the purpose of the oral anticoagulant?
To dissolve clots that may have formed in the atria
To prevent embolism formation, which can lead to a stroke
To prevent a more dangerous ventricular rhythm
To convert the atrial fibrillation to a normal rhythm - Answer-To prevent embolism
formation, which can lead to a stroke
/.A client is taking warfarin as part of therapy for deep vein thrombosis. Which INR result
would be considered within the therapeutic goal?
2 to 3.5
Higher than 4
1 to 2
Less than 1
none of these - Answer-2 to 3.5
/.A client is undergoing warfarin therapy as part of the treatment for a deep vein
thrombosis. The nurse checks the results of which laboratory test to monitor the drug's
effectiveness?
CBC
aPTT
Platelet count
PT-INR
Vitamin K level - Answer-PT-INR
/.A health care provider has prescribed aspirin, one 325-mg tablet per day. The nurse
recognizes that this dosage is intended for:
antiinflammatory effects.
fever reduction.
antiplatelet action.
, relief of pain. - Answer-antiplatelet action.
/.A patient is learning to use a transdermal nitroglycerin patch. The nurse recognizes
that the patient needs further teaching when she states:
"The patch can be applied to an area with or without hair."
"I will wear the patch even when I go swimming."
"Each morning, I will apply a new patch to a different site."
"I will remove the patch every night at bedtime." - Answer-"The patch can be applied to
an area with or without hair."
/.A patient is receiving a low dosage of dopamine by way of continuous IV infusion. The
nurse recognizes that at low dosages causes which response.
increase blood flow to the blood vessels in the brain, heart, kidneys, and mesentery.
alpha1-adrenergic receptors to vasoconstrict.
beta1-adrenergic receptors are activated.
constrict the blood vessels in the brain, heart, kidneys, and mesentery. - Answer-NOT:
constrict the blood vessels in the brain, heart, kidneys, and mesentery. WRONG
/.A patient is receiving a low dosage of dopamine by way of continuous IV infusion. The
nurse recognizes that at low dosages, which of the following adrenergic receptors are
activated?
Beta1 receptors
Alpha1 receptors
Alpha2 and beta2 receptors combined
Dopamine receptors - Answer-Dopamine receptors
/.A patient is receiving gentamicin as treatment for a surgical wound infection. Because
this patient has been retaining fluid, the physician orders furosemide (Lasix). Which
adverse effect may occur if these two drugs are given together?
Hyperglycemia
Hepatotoxicity
Orthostatic hypotension
Ototoxicity - Answer-Ototoxicity
/.A patient on diuretic therapy calls the clinic because he's had the flu, with "terrible
vomiting and diarrhea," and he has not kept anything down for 2 days. He feels weak
and extremely tired. Which statement by the nurse is correct?
"Stop taking the diuretic for a few days, and then restart it when you feel better."
"You will need an increased dosage of the diuretic because of your illness. Let me
speak to the physician."
"Please come into the clinic for an evaluation to make sure there are no complications."
"It's important to try to stay on your prescribed medication. Try to take it with sips of
water." - Answer-"Please come into the clinic for an evaluation to make sure there are
no complications."
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