NURS 6521 Midterm Exam QUESTIONS AND CORRECT
DETAILED ANSWERS GRADED A+ 2024
RATED
A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy? - ANSWER>> Monitor the IV site for redness, swelling, or pain.A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for a recent diagnosis of amyotropic lateral sclerosis. The nurse will prioritize assessment for which of the following? - ANSWER>> Dizziness Which of the following patients demonstrates the clearest indication for treatment with prednisone? - ANSWER>> A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers.A nurse has been administering a drug to a patient intramuscularly (IM).The physician discontinued the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is considerably higher than the parenteral dose and understands that this is due to - ANSWER>> first-pass effect. 1 / 3
A cardiac care nurse is monitoring a patient who is receiving lidocaine (Xylocaine) per IV infusion pump for an acute ventricular arrhythmia associated with an acute MI. Which of the following patient manifestations would cause the nurse to notify the physician immediately? - ANSWER>> Confusion A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide, (Natrecor), has been ordered. When preparing for administration of the drug, the nurse will - ANSWER>> administer the initial IV bolus over approximately 60 seconds.A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? - ANSWER>> muscle twitching A nurse is caring for a patient who has just been diagnosed with Parkinson Disease. The patient does not understand how the mediation ordered, carbidopa-levodopa, is going to help her condition. Which of the following is the correct response by the nurse? - ANSWER>> "Carbidopa-levodopa increases the activity of dopamine in your body, which will decrease your symptoms." A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow up visit to the clinic the nurse will question the patient about which of the following? - ANSWER>> Dental hygiene practices 2 / 3
A nurse notes new drug orders for a patient who is already getting several medications Which of the following is the most important consideration when preparing to administer the new drugs? - ANSWER>> Possible drug- drug interactions that might occur.A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he began taking. Efficacy of a drug means which of the following? - ANSWER>> How well a drug produces its desired effect.A nurse is conducting a medication resolution of a new resident of a care facility and notes that the woman has been taking neostigmine. The nurse should recognize that the woman may have a history of what health problem? - ANSWER>> Myasthenia gravis A 77-year old man's chronic heart failure is being treated with a regimen of quinapril (Accurpil) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? - ANSWER>> The man's chest sounds are clear and his ankle edema is lessened.A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for - ANSWER>> nitrate tolerance A nurse who provides care on a busy medical unit of a large hospital is constantly faced with new drugs on patients' medication administration records. What strategy should the nurse employ to foster up-to-date information about the nursing management of new or uncommon drugs? -
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