NSG 318 Final Exam 2024 Latest Update 2024- 2025 Actual Exam from Credible Source with 250 Questions and 100% Verified Detailed Correct Answers Guaranteed A+ Approved by Professor A doctor orders atenolol for a patient with a history of acute bronchospasms. What action should the nurse take next?
- Measure pts BP before administering
- Give the next dose
- Obtain a medical reconciliation
d. Question the HCPs order - CORRECT ANSWER: d. Question the HCPs order.
Bronchospasm is a contraindication because atenolol has a slight chance of stimulating Beta 2
A fatigued doctor frantically calls a nurse to discontinue Lasix for a patient on sulfonamides because it is a contraindication. What action should the nurse take?
- Stop the medication
- Question the doctor
- Find out if the patient is still on the sulfonamide
- Report the fatigued HCP to the charge nurse - CORRECT ANSWER: b. Question the
doctor. The HCP is mistaken. Hypersensitivity to sulfonamides is the actual contraindication. Another contraindication is anuria
A new doctor prescribed a 8-year-old patient acyclovir. What action should the nurse take?
- Administer the dose
- Withhold the dose
- Question the doctor
d. Inform the ethics committee - CORRECT ANSWER: c. Question the doctor. Young
children, renal impairment, seizure disorder and dehydration are cautions.
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A new doctor wanted to order a mycostatin for a patient in her 3rd trimester. The nurse questions the doctor's order but the doctor states this drug is only a contraindication in the 1st trimester. What action should the nurse take?
- Administer the dose
- Withhold the dose
- Correct the doctor
d. Inform the ethics committee - CORRECT ANSWER: c. Correct the doctor. The
contraindications is pregnancy, lactation, DM and paraben hypersensitivity
A new doctor wants to prescribe a patient valsartan but cannot remember the cautions of this medication. What are the cautions of this med? SATA
- Vascular disease
- Renal impairment
- Smoking
- Hepatic impairment
- Priapism
f. Hyperkalemia. - CORRECT ANSWER: b. Renal impairment d. Hepatic impairment f.
Hyperkalemia.
A new grad doctor asks the nurse what are the drug interactions for atenolol. What
should the nurse inform the doctor? - CORRECT ANSWER: - Atropine and other
anticholinergics bc it increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
A new grad doctor is asking a senior nurse which antibiotic they can prescribe while a patient is on Pletal therapy. Which drugs interact with this med? - CORRECT ANSWER: Clarithromycin and Erythromycin. Other drugs are Aspirin, Enoxaparin (Heparin), and Warfarin
Hint: "Clari, Ery and the Ins"
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A new grad doctor remembers learning that Crestor is contraindicated in a certain population. What education should the nurse provide?
- Native Americans
- African Americans
- Caucasians
d. Asians - CORRECT ANSWER: d. Asians
A new nurse is going to administer alteplase but is unsure of the side effects and adverse effects. What education should be provided to the nurse? - CORRECT
ANSWER: Bleeding, infection, hypotension
Anaphylactic reaction, laryngeal edema, angioedema, HTN, cerebral edema, rhabdomyolysis, and stroke
*Hint: Causes lots of edema*
A new nurse is going to administer diphenhydramine but is unsure what assessments need to be done prior. What education should be provided to the new nurse? -
CORRECT ANSWER: Signs of urinary dysfunction, CBC and assess cardiac &
respiratory status
A new nurse is unsure what education to provide a patient who recently started Crestor.What education should be provided to this nurse? - CORRECT ANSWER: Monitor blood lipid levels and liver enzymes Take med w/ sufficient water or w/ meals to alleviate GI upset Annual eye exam and report changes in visual acuity Do NOT abruptly stop med as it can cause serious rebound effects leading to acute MI and possible death
A new nurse was given orders to draw blood cultures but is unsure how to. What
education should be provided the the new nurse? - CORRECT ANSWER: Draw when
temp is rising Collect BEFORE starting antibiotics Do not draw specimen from an IV line 3 / 4
Draw 2 culture specimens from 2 different sites Draw 10-15 ml of blood Send specimen to lab immediately
A nurse is caring for a patient with a history of emphysema, depression and DM. The patient requests Robitussin. What action should the nurse take?
- Administer the med
- Contact the HCP
- Educate the patient
d. Ignore the patient's requests - CORRECT ANSWER: c. Educate the patient.
Asthma/emphysema, pregnancy and hepatic disease are contraindications of Robitussin
A patent is admitted with thrust caused by a candidiasis infection. Which medication would likely by administered?
- INH
- Acyclovir
- Chloroquine
d. Mycostatin - CORRECT ANSWER: d. Mycostatin
A patient asks a nurse why they can only have 3 doses of nitroglycerin. What should the nurse tell the patient? - CORRECT ANSWER: The main side effect of this med is that it decreases BP. With each dose the BP is decreasing. So with multiple doses, you will eventually have no BP.
A patient asks the nurse how he should take hydrochlorothiazide when he is at home.
How should the nurse educate the patient? - CORRECT ANSWER: - Take med early in
the morning to avoid nocturia
- Change positions slowly bc orthostatic hypotension
- Avoid increased intake of Ca
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