Download Nursing 3100 Exam #2: Comprehensive Review of Pharmacology and Patient Care and more Quizzes Pharmacology in PDF only on Docsity!
COMPREHENSIVE NURSING 3100 EXAM
ACTUAL EXAM COMPLETE ACCURATE EXAM
350+ QUESTIONS WITH DETAILED VERIFIED
ANSWERS 100% CORRECT ALREADY GRADED
A+ LATEST VERSION
"A health care professional is caring for patient who has mild hemophilia A and is about to begin taking desmopressin (DDAVP) to prevent bleeding. The health care professional should monitor for which of the following adverse reactions? a) Weight loss b) Edema c) Polyuria
d) Tachycardia - CORRECT ANSWER=> b) Edema"
"A health care professional is caring for a patient who is about ot begin alteplase (Activase) therapy to treat pulmonary embolism. Which of the following drugs should the health care professional have available in the event of a severe adverse reaction? a) Vitamin K b) Aminocaproic acid (Amicar) c) Protamine
d) Deferoxamine (Deseferal) - CORRECT ANSWER=> b) Aminocaproic acid (Amicar)"
"A health care professional is caring for a patient who is about to begin taking asprin (Ecotrin) to reduce the risk of a cardiovascular event. The health care professional should understand that the drug inhibits platelet aggregation by which of the following mechanisms? a) Activating thromboxane A b) Blocking adenosine diphosphate receptor agonists c) Supressing specific clotting factors
d) Inhibiting cyclooxygenase action in platelets - CORRECT ANSWER=> d) Inhibiting cyclooxygenase
action in platelets" "A health care professional is caring for a patient who is about to begin taking ferrous sulfate (Feosol) to treat iron-deficiency anemia. When talking with the patient about the drug, the health care professional should include which of the following instructions? (Select all that apply)
a) Eat iron-enriched foods b) Spread the dosage across each day c) Take the drug on an empty stomach d) Report dark green or black stools
e) Increase dietary fiber intake - CORRECT ANSWER=> a) Eat iron-enriched foods
b) Spread the dosage across each day c) Take the drug on an empty stomach e) Increase dietary fiber intake" "A patient is about to begin therapy with recombinant factor IX (BeneFix) to treat hemophilia B. The patient asks the health care professional about the risk of disease transmission with recombinant factor IX, as compared with plasma-derived factor IX. The health care professional should explain that recombinant factor IX eliminates the risk of which of the following? a) HIV b) Cytomegalovirus c) Creutzfeldt-jakob disease
d) Anaphylaxis - CORRECT ANSWER=> c) Creutzfeldt-jakob disease"
"A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage? a) Rapid Pulse b) Yellowing of the sclera c) Elevated Blood pressure
d) Pale-colored stools - CORRECT ANSWER=> a) Rapid Pulse"
"A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions? a) Hyperuricemia b) Hyponatrmia c) Lyphocytopenia
d) Thrombocytopenia - CORRECT ANSWER=> d) Thrombocytopenia"
"A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications? a) Uncontrolled bleeding b) Myocardial infarction c) Respiratory depression
d) Decreased renal perfusion - CORRECT ANSWER=> a) Uncontrolled bleeding"
"A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects? a) Bronchodilation
a) Clarify the prescription with the provider b) Administer the drug with an analgesic c) Administer the required dose orally
d) Assess factor IX levels - CORRECT ANSWER=> a) Clarify the prescription with the provider"
"A nurse is administering epoetin intravenously to a client who has renal failure. Which of the following actions should the nurse take? a) Shake the vial before using b) Administer via IV bolus over 1 to 3 min. c) Dilute the drug with D5W
d) Save the used vial for the next dose - CORRECT ANSWER=> b) Administer via IV bolus over 1 to 3
min." "A nurse is providing teaching to a client who is taking simvastatin. Which of the following is a serious adverse reaction that could require discontinuing drug therapy? Bronchoconstriction Muscle pain Lip numbness
Somnolence - CORRECT ANSWER=> Muscle pain"
"A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include? Monitor pulse rate and report changes Remain upright after 30 mins of taking this med This med can decrease digoxin levels
This med can cause urinary incontinence - CORRECT ANSWER=> Monitor pulse rate and report
changes" "A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug which of the following instructions should the nurse include? Apply the patch to a hairless area and rotate sites Apply a new patch when you start your day Remove patches for 10 to 12 hr each day Apply a new patch on the onset of anginal pain
Apply the patch to dry skin and cover the area with plastic wrap - CORRECT ANSWER=> Apply the
patch to a hairless area and rotate sites Apply a new patch when you start your day Remove patches for 10 to 12 hr each day"
"A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions? Acute myocardial infarction Peripheral vascular disease ulcerative colitis
ventricular tachycardia - CORRECT ANSWER=> Acute myocardial infarction"
"A nurse is caring for a client who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug? The drug can cause hypoglycemia The drug does not reduce BP The drug can increase the risk of pulmonary edema
The drug does not promote diuresis for clients who have renal insufficiency - CORRECT ANSWER=> The
drug does not promote diuresis for clients who have renal insufficiency" "A nurse is caring for a client who is taking spironolactone to treat HTN. The nurse should recognize that which of the following client lab values requires immediate intervention? Sodium 140 mEq/L Potassium 5.2 mEq/L Chloride 100 mEq/L
Magnesium 1.9 mEq/L - CORRECT ANSWER=> Potassium 5.2 mEq/L"
"A nurse should identify that which of the following drugs is only used short term for cardiac dysthymia due to its serious adverse effects? Quinidine Procainamide Nitroglycerin
Verapamil - CORRECT ANSWER=> Procainamide"
"A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia? Simvastatin Furosemide Losartan
Nitroglycerin - CORRECT ANSWER=> Simvastatin"
- Distorted taste
- Swelling of the tongue
- Dry cough
-Photosensitivity - CORRECT ANSWER=> - Rash
- Distorted taste
- Swelling of the tongue
- Dry cough" "The nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking the drug? Grapefruit juice NSAIDS Milk
Foods high in K - CORRECT ANSWER=> Grapefruit juice"
"A nurse is caring for a client who has a new prescription for aliskiren to treat HTN. The nurse should monitor the client for which of the following findings as an adverse effect of the drug? (Select all that apply) -Hyperkalemia -Throat swelling -Cough -Constipation
-Joint pain - CORRECT ANSWER=> -Hyperkalemia
-Throat swelling -Cough" "A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include? (Select all that apply)
- Report any new intolerance to friends foods
- Report muscle tenderness
- Expect periodic liver function testing
- Take the drug once each day
- Take the drug with food - CORRECT ANSWER=> - Report any new intolerance to frieds foods
- Report muscle tenderness
- Expect periodic liver function testing" "A nures is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake? -Eggs -Cabbage -Cheese
-Raisins - CORRECT ANSWER=> -Raisins"
"A nurse is caring for a client who is taking carvedilol and has a prescription for an oral anti diabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which for the following conditions? -Hyperglycemia -Bradycardia -Hypotension
-Hypoglycemia - CORRECT ANSWER=> -Hypoglycemia"
"A nurse is caring for a client who has a new prescription for propranolol to treat tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of OTC drugs while taking propranolol? NSAIDs Antihistamines Potassium supplements
Vitamin C - CORRECT ANSWER=> NSAIDS"
"A nurse is caring for a client who is taking digoxin and develops changes on the ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication? Deferoxamine Antigen-binding fragments
Flumazenil - CORRECT ANSWER=> Antigen-binding fragments"
"The nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects? Hypokalemia Hyponatremia Hypouricema
Hypoglycemia - CORRECT ANSWER=> Hypokalemia"
"A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug? Hyperuricemia Hyperkalemia Hypernatremia
Hypoglycemia - CORRECT ANSWER=> Hyperuricemia"
C.
"Red blood cell formation is regulated through messages from the hormone erythropoietin." D. "Red blood cell formation is regulated through messages from the hormone secretin, which is located in
the kidney." - CORRECT ANSWER=> C.
"Red blood cell formation is regulated through messages from the hormone erythropoietin."" "A client asks the nurse how epoetin alfa (Procrit) is related to their chemotherapy. Which response should the nurse provide? A. "This prescription will help prevent anemia that can be caused by your chemotherapy." B. "This prescription is administered to enhance the effectiveness of the chemotherapy." C. "This prescription will stimulate the immune system to help kill the cancer cells." D.
"This prescription helps to counteract the nausea and vomiting caused by chemotherapy." - CORRECT
ANSWER=> A.
"This prescription will help prevent anemia that can be caused by your chemotherapy."" "Which describes the nurse's understanding of the purpose for choosing the names for the colony- stimulating factors? A. Named according to the type of neurotransmitters that are stimulated. B. Named according to the type of hormones they stimulate. C. Named according to the type of blood cells they stimulate. D.
Named according to the interleukins they stimulate. - CORRECT ANSWER=> C.
Named according to the type of blood cells they stimulate." "Which describes the primary actions of Filgrastim (Granix)? A. Increases the production of basophils B. Enhances cytotoxic function of the neutrophil C. Enhances phagocytic activity of the neutrophil D. Enhances the action of the basophils E.
Increases neutrophil production - CORRECT ANSWER=> B.
Enhances cytotoxic function of the neutrophil
C.
Enhances phagocytic activity of the neutrophil E. Increases neutrophil production" "A client receiving cyanocobalamin (Nascobal) with a history of a gastrectomy tells the nurse that they have stopped taking the prescription months ago. Which assessment findings should the nurse anticipate? A. A gradual decrease in red blood cell counts B. Jaundice and tarry stools C. Low hemoglobin and hematocrit counts D.
Memory loss, numbness in the limbs, and depression - CORRECT ANSWER=> D.
Memory loss, numbness in the limbs, and depression" "A client with chronic alcoholism asks the nurse why they should take folic acid. Which response should the nurse provide the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "The alcohol decreases your folic acid level." B. "The alcohol interferes with folate metabolism in the liver." C. "The folic acid will improve your vitamin B12 deficiency." D. "Your dietary intake of folic acid is decreased when you drink alcohol." E. "The folic acid can help reverse some of the liver damage that has occurred from the alcohol abuse." -
CORRECT ANSWER=> B.
"The alcohol interferes with folate metabolism in the liver." D. "Your dietary intake of folic acid is decreased when you drink alcohol."" "Which is the priority nursing assessment for a client prescribed epoetin alfa (Epogen)? A. Oxygen saturation B. Blood pressure C. Apical pulse
B.
"This prescription will help increase my red blood cell count." C. "This prescription will help my chemotherapy work better." D.
"This prescription will help me regain the weight I have lost." - CORRECT ANSWER=> A.
"This prescription will help increase my platelet count."" "Which contributes to the regulation of hematopoiesis? A. Hematopoietic stem cells B. Hormones C. Essential vitamins and nutrients D.
White bone marrow - CORRECT ANSWER=> B.
Hormones" "Which is most important for the nurse to monitor a client receiving erythropoiesis-stimulating agents? A. Thromboembolism B. Transient ischemic attack C. Myocardial infarction D.
Cerebral vascular accident - CORRECT ANSWER=> A.
Thromboembolism" "Which information should the nurse include in the teaching for a client prescribed ferrous sulfate (Feosol) tablets? A. Take this prescription with milk. B. Take this prescription with meals. C. Take this prescription with orange juice. D.
Take this prescription before bedtime. - CORRECT ANSWER=> C.
Take this prescription with orange juice." "Which describes the classification system for anemias? A.
Based on the amount of oxygen carried by the erythrocytes. B. Based on the number of erythrocytes present. C. Based on the shape of erythrocytes. D.
Based on the size and color of the erythrocytes. - CORRECT ANSWER=> D.
Based on the size and color of the erythrocytes." "The nurse reviewing a client's record notes the morphology of the client's erythrocytes is reported to be microcytic-hypochromic. Which anemia should the nurse associate with the morphology? A. Pernicious anemia B. Hemolytic anemia C. Sickle-cell anemia D.
Iron-deficiency anemia - CORRECT ANSWER=> D.
Iron-deficiency anemia" "A client asks why the nurse why the healthcare provider has prescribed darbepoetin alfa (Aranesp) instead of epoetin alpha (Epogen). Which response should the nurse provide the client? A. "Darbepoetin alfa is more effective." B. "Darbepoetin alfa has a longer duration of action." C. "Darbepoetin alfa has less side effects." D.
"Darbepoetin alfa is less expensive." - CORRECT ANSWER=> B.
"Darbepoetin alfa has a longer duration of action."" "Which assessment findings indicate the treatment for a client prescribed an erythropoiesis-stimulating factor is successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. The client's hemoglobin is increased. B. The client reports less shortness of breath on exertion. C. The client has not had an episode of epistaxis in over 3 weeks. D.
"Which should the nurse consider when administering an injection of ferrous sulfate intramuscularly to a client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Give the injection in the deltoid muscle. B. Iron is best absorbed if given subcutaneously. C. Iron is irritating to the tissues. D. The z-track method should be used. E.
Iron preparations should be administered through a needle gauge 16 or larger. - CORRECT ANSWER=>
C.
Iron is irritating to the tissues. D. The z-track method should be used." "Which affect does colony-stimulating factors have on the body? A. Stimulate stem cells production B. Stimulate white blood cell production C. Stimulate platelet production D.
Stimulate red blood cell production - CORRECT ANSWER=> B.
Stimulate white blood cell production" "Which is the initial origin for the development of erythrocytes? A. Lymphoid stem cell B. Myeloid stem cell C. Megakaryocyte D.
Colony-stimulating factors - CORRECT ANSWER=> B.
Myeloid stem cell" "The nurse is preparing to teach a client how to self-administer an erythropoiesis-stimulating drug. Which instruction should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply. A. "Shake the vial to mix the contents before use." B. "Draw up what is needed and discard the rest of the vial." C. "Place your stock of medication in your refrigerator." D. "Warm the vial in your hand a few minutes before drawing up the medication." E.
"Give the medication deeply into a muscle." - CORRECT ANSWER=> B.
"Draw up what is needed and discard the rest of the vial." C. "Place your stock of medication in your refrigerator." D. "Warm the vial in your hand a few minutes before drawing up the medication."" "Which route of administration should the nurse anticipate the prescribed vitamin B12 to be administered for the client with pernicious anemia? A. Oral B. Intramuscular C. Nasal inhalation D.
Intravenous - CORRECT ANSWER=> B.
Intramuscular" "Which prescription should the nurse anticipate to administer to a client with acute iron intoxication? A. Blood transfusion B. Deferoxamine (Desferal) C. Folic acid D.
Cyanocobalamin (Nascobal) - CORRECT ANSWER=> B.
Deferoxamine (Desferal)" "A client with cirrhosis of the liver asks the nurse why they are at risk for bleeding. Which response should the nurse provide the client? A. "The liver is injured and unable to manufacture platelets."
E.
"The prescription destroys some of the clotting factors." - CORRECT ANSWER=> A.
"The prescription will soften the red blood cells (RBCs) so they can fit through the smaller blood vessels." B. "The prescription decreases the platelets so the blood is less likely to clot." C. "The prescription decreases the "stickiness" of the blood."" "Which route of administration should the nurse anticipate to use for a client's prescribed enoxaparin (Lovenox)? A. Administer the prescription via slow intravenous (IV) push. B. Administer the prescription intramuscularly into the thigh. C. Administer the prescription orally. D.
Administer the prescription into the abdomen, subcutaneously. - CORRECT ANSWER=> D.
Administer the prescription into the abdomen, subcutaneously." "Which additional prescribed treatment should the nurse anticipate for the client prescribed heparin therapy? A. Weekly weights B. Low vitamin K diet C. Obtaining an aPTT D.
Advil as needed (PRN) for headaches - CORRECT ANSWER=> C.
Obtaining an aPTT" "The nurse has provided discharge education for a client prescribed an anticoagulant. Which statement made by the client indicates an understanding of theinformation? A. "I should wear a medical alert bracelet that says I'm on an anticoagulant." B. "I can take enteric-coated aspirin but not plain aspirin for my arthritis." C. "I need to eat more protein while I am taking this medication." D.
"I must limit my intake of vitamin C while I'm on warfarin (Coumadin)." - CORRECT ANSWER=> A.
"I should wear a medical alert bracelet that says I'm on an anticoagulant.""
"Which food should the nurse instruct the client prescribed warfarin (Coumadin) to avoid? A. Tomato salad with kale and basil B. Fettuccine Alfredo C. Whole-wheat bread with margarine D.
Salt substitute - CORRECT ANSWER=> A.
Tomato salad with kale and basil" "The nurse is reviewing the process of hemostasis after an injury with a client. Which should the nurse identify as the initial event in this process? A. Plasma proteins convert to active forms. B. Platelets become sticky. C. The vessel spasms. D.
Von Willebrand's factor is activated. - CORRECT ANSWER=> C.
The vessel spasms." "The nurse has provided a client education about enoxaparin (Lovenox). Which statement made by a client indicates an understanding of the information? A. "Enoxaparin inhibits the synthesis of prostaglandins." B. "Enoxaparin increases the flexibility of my blood cells." C. "Enoxaparin increases the time it takes for me to form a clot." D.
"Enoxaparin dissolves small clots so I won't have a stroke." - CORRECT ANSWER=> C.
"Enoxaparin increases the time it takes for me to form a clot."" "The nurse notes the blood pressure and red blood cell (RBC) count of a client receiving heparin is low. Which should the nurse suspect has occurred? A. Clot formation B. Dehydration C. Internal bleeding D.
