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N352 - Unit 4 With Complete Solutions
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N352 - Unit 4 With Complete Solutions
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Solution 2024/2025Pepper
N352 - Unit 4 With Complete Solutions
The nurse is caring for a patient receiving glatiramer acetate (Copaxone) for a diagnosis of Multiple Sclerosis. Which
finding, if present in this patient, could be considered a potential adverse effect of this drug?
1. Decreased neutrophil count
2. Jaundice and elevated bilirubin
3. Injection site pain and redness
4. Flulike symptoms ANS✔✔ 3
The nurse is assessing a patient receiving valproic acid (Depakote) for potential adverse effects associated with this drug.
What is the most common problem with this drug?
1. Reddened, swollen gums
2. Nausea, vomiting, and indigestion
3. Increased risk of infection
4. Central nervous system depression ANS✔✔ 2
The nurse receives a laboratory report indicating that the phenytoin (Dilantin) level for the patient seen in the clinic
yesterday is 16 mcg/mL. Which intervention is most appropriate?
1. Have the client call 911 and meet the client in the emergency department.
2. Tell the client to hold today's dose and return to the clinic.
3. Consult the prescriber to recommend an increased dose
4. Continue as planned, because the level is within normal limits ANS✔✔ 4
The nurse has just administered the first dose of haloperidol (Haldol) to a patient with schizophrenia. Which finding, if
present, is the most important for the nurse to report to the healthcare provider prior to the next dose?
, Solution 2024/2025
Pepper
1. Dry mouth
2. BP of 104/72 mm Hg
3. Drowsiness
4. BP 88/52 ANS✔✔ 4
The nurse is caring for a patient receiving clozapine (Clozaril). Which assessment finding is most indicative of an adverse
effect of this drug?
1. Blood urea nitrogen level of 25 mg/dL
2. Bilirubin level of 2.5 mg/dL
3. White blood cell (WBC) count of 200/mm^3
4. Blood glucose level of 60 mg/dL ANS✔✔ 3
The nurse is seeing several patients in the outpatient clinic today. Which patient most requires the nurse's immediate
attention?
1. A female client who takes valprioc acid (Depakene) and reports nausea
2. A female client who takes haloperidol (Haldol) and has a blood pressure of 102/72 mmHg
3. A male cleint who takes fluoxetine (Prozac) and reports sexual dysfunction
4. A male client takes lithium and has a lithium level of 2.1 mEq/L ANS✔✔ 4
The nurse is monitoring a patient with depression in the early phase of treatment with amitriptyline (Elavil), a tricyclic
antidepressant. Which question is most important for the nurse to ask the patient?
1. "When was your last bowel movement?"
2. "Have you had any changes in your urine function?"
3. "Have you noticed dry mouth or blurred vision?"
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