Rex pn 111-300 Exam Questions With Correct And Revised Answers
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Rex pn
Institution
Rex Pn
Rex pn 111-300 Exam Questions With
Correct And Revised Answers
Potential adverse complication of propranolol (beat blockers) - answerdevelopment of
expiratory wheezes
*particularly in pt w/ COPD or asthma
antidote for IV heparin therapy - answerprotamine sulphate
* use if excessive bleeing/he...
* as medication has ability to contract bladder and increase pressure within the urinary tract
oxybutynin chloride for urge incontinence -> possible toxic effect - answer✔✔restlessness from
overdosage
over dosage ex. nervousness, restlessness, hallucinations, irritability
other -> hyper/hypotension, confusion, tachycardia, flushed/red face, signs of resp depression
early signs of cataracts - answer✔✔Blurred Vision, Decreased color perception
use of miotic medication for glaucoma - answer✔✔causes pupil to constrict and will lower
pressure in the eye
high carbidopa-levodopa dosages adverse effects - answer✔✔Dyskinesia and impaired voluntary
movements
codeine usage for pt plan of care - answer✔✔monitor VS
assess for hypotension
increase fluid intake, palpate urinary retention
auscultate bowel sounds, monitor bowel activity and stool
*this medication can cause constipation
Early sign of compartment syndrome - answer✔✔numbness and tingling in fingers
late sign of compartment syndrome - answer✔✔cyanosis
pt had above knee amputation 2 days ago
residual limb was wrapped w/ an elastic compression bandage which came off -> IMMEDIATE
action the nurse should take - answer✔✔rewrap the residual lumb w/ an elastic compression
bandage
* as excessive edema will form rapidly, can lead to delay in rehab
alendronate for osteoporosis patient administration - answer✔✔with full glass of water after
rising in the morning
* should not eat/drink for 30 min following administration
* do not lie down after taking medication
oxazepam medication intervention for older patients - answer✔✔implement fall precautions
* confusion is an adverse effect for older clients for this medication
the nurse calls the primary health care provider (PHCP) regarding a new medication prescription,
because the dosage prescribed is higher than the recommended dosage. The nurse is unable to
locate the PHCP and the med is due, what should the nurse take - answer✔✔contact the nursing
supervisor
* nurse should contact the nurse manager or nursing supervisor for further clarification as to
what the next step should be. Under no circumstances should the nurse proceed to carry out the
prescription until obtaining clarification.
taking TEMPERATURE If temporal equipment is available and the client is diaphoretic -
answer✔✔it is acceptable to measure the temperature on the neck behind the ear, avoiding the
forehead
contact precaution for MRSA to provide colostomy care - answer✔✔gloves, gown, goggles,
mask/face shield
situation: client cannot sign operative consent form bc of diminished capacity from opioid
analgesic, most appropriate action for nurse to take - answer✔✔ensure surgeon obtains consent
from a family member following agency policy
situation: community nurse visits client for the 1st time; while assessing med history, it is noted
19 prescriptions and several OTC medications, what intervention should be taken first -
answer✔✔Determine whether there are medication duplications
Duplication of medications needs to be identified
before medication interactions can be determined
sports to avoid with hemophilia - answer✔✔-Avoid intense contact sports such as football,
wrestling, soccer, and high diving.
-Avoid trampoline use and riding all-terrain vehicles (ATVs).
* safe activity = swimming
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